[Treatment of congenital incompetence of the anal constrictor].

According to the authors' data the subdevelopment of the anal constrictor followed by sphincter incompetence of the I degree can be treated conservatively by means of electrical stimulation of the perineal muscles together with exercise therapy. Surgical correction-sphincterolevatoroplasty and sphincterogluteoplasty- is required in case of the incompetence of the II and III degree. In congenital abscence of the anal constrictor muscles the obturative function of the rectum can be reconstructed through the replacement of the sphincter by the musculus gluteus maximus graft.

[Surgical treatment of postnatal insufficiency of the anal sphincter].

From the analysis of 91 cases of postnatal insufficiency of the anal constrictor some causes of occurrence of various types of this condition were revealed. Depending on the type of insufficiency indications to different operation methods were elaborated. The selection of operation methods is grounded on immediate and late results of the treatment.