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Anterior and posterior anal sphincter repair

Sphincter repair is the primary management for fecal incontinence especially in traumatic causes. Regardless of progression in the method and material of sphincter repair, the results are still disappointing. This study evaluates the efficacy of using amniotic membrane during sphincteroplasty regarding its effects in healing of various tissues. Rabbits undergone sphincterotomy and after three weeks end to end sphincteroplasty was done. Animals divided to three groups: classic sphincteroplasty, sphincteroplasty with fresh amniotic membrane and sphincteroplasty with decellularized amniotic membrane. Three weeks after sphincteroplasty animals were sacrificed and sphincter complex was sent for histopathologic evaluation. Sphincter muscle diameter and composition of sphincter was evaluated.
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Anal Sphincter Repair

Anterior and posterior anal sphincter repair
Anterior and posterior anal sphincter repair
Anterior and posterior anal sphincter repair
Anterior and posterior anal sphincter repair
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Sphincteroplasty for anal incontinence | Gastroenterology Report | Oxford Academic

Women who suffer from stress incontinence and cannot be effectively treated through exercises and medications may consider trans-vaginal tape TVT sling. This procedure is used to support weak pelvic floor and urethral sphincter muscles. This procedure is performed using local anesthetic with a small incision in the vagina. Rarely is a catheter required for more than two hours and patients go home as soon as they are able to void.
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Anal sphincter reconstruction: anterior overlapping muscle repair.

To evaluate anal sphincter anatomy using three-dimensional ultrasonography 3-DAUS in incontinent women with vaginal delivery, correlate anatomical findings with symptoms of fecal incontinence and determine the effect of vaginal delivery on anal canal anatomy and function. A control group comprising asymptomatic nulliparous was included. Of the 62, 49 had fecal incontinence and 13 were asymptomatic.
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Sphincteroplasty SP is the operation most frequently performed in patients suffering from moderate-to-severe anal incontinence AI who do not respond to conservative treatment. Other costly surgeries, such as artificial bowel sphincter ABS and electro-stimulated graciloplasty, have been more or less abandoned due to their high morbidity rate. Minimally invasive procedures are widely used, such as sacral neuromodulation and injection of bulking agents, but both are costly and the latter may cure only mild incontinence. The early outcome of SP is usually good if the sphincters are not markedly denervated, but its effect diminishes over time. SP is more often performed for post-traumatic than for idiopathic AI.
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