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[Dynamic gracilis-plasty as final therapeutic possibility in anorectal incontinence]
A Köhler1, A Ommer, S Athanasiadis
1St. Joseph-Hospital Laar, Coloproktologische Klinik, Duisburg.
Unlabelled:
Six patients (five women, one man with an average age of 63 years) underwent a dynamic graciloplasty. Three patients had a three- or two-stage procedure; the past three patients were treated by a one-stage procedure without any negative consequences. None of the patients received a protective stoma.
Complications:
COMPLICATIONS, needing surgical intervention occurred in two patients. In one of these patients a positive final result may still fail.
Results:
Five patients are subjectively continent and satisfied. Four are able to retain a clysma without any problem. As a result of stimulation, three patients developed optimal anal pressures. In two patients the pressure values are satisfactory. Three patients developed evacuation problems, which up to now have been managed by laxatives.
Conclusion:
The dynamic graciloplasty is a new hope for carefully chosen patients, in whom other methods have failed.