Puborectalis sphincteroplasty for anal incontinence

Area of Science:

• Colorectal Surgery
• Pelvic Floor Disorders

Background:

• Lax puborectalis musculature, obtuse anorectal angle, and anterior rectal wall bulging are indicators of incontinence.
• Conditions like rectal procidentia and idiopathic collagen disorders can lead to puborectalis muscle dysfunction.

Purpose of the Study:

• To evaluate the efficacy of puborectalis plication sphincteroplasty in treating specific types of fecal incontinence and rectal emptying issues.

Main Methods:

• Surgical correction involving puborectalis plication sphincteroplasty.
• Assessment of pre- and post-operative symptoms including rectal emptying, incontinence, and physical findings.

Main Results:

• Puborectalis plication demonstrated utility in correcting patulousness and incontinence associated with rectal procidentia.
• The procedure was also effective in certain cases of lax or nonresponsive puborectalis muscle.

Conclusions:

• Puborectalis plication sphincteroplasty is a viable option for selected patients experiencing incontinence due to puborectalis muscle issues.
• Preliminary results suggest this surgical approach warrants further investigation in specific patient groups.