AI Article Synopsis
- Over 80% of patients with full-thickness rectal prolapse also experience fecal incontinence, making surgical decisions complex.
- A case study highlights a 72-year-old woman who underwent a combined Altemeier rectosigmoid resection and anal dynamic graciloplasty due to severe neuromuscular injury related to her condition.
- This surgical combination may offer a promising treatment for patients facing both rectal prolapse and fecal incontinence linked to significant neurogenic damage.
Article Abstract
Introduction: More than 80% of patients with full-thickness rectal prolapse have co-existing fecal incontinence. Choosing the ideal surgical strategy is always a difficult task. We combined an Altemeier rectosigmoid resection with anal dynamic graciloplasty to provide a functional neosphincter. We found no published reports describing this surgical association.
Case Presentation: We report the case of a 72-year-old Caucasian woman with full-thickness rectal prolapse associated with fecal incontinence from severe neuromuscular damage.
Conclusion: Combined dynamic graciloplasty and an Altemeier operation could be a valid therapeutic option in patients with severe rectal prolapse with fecal incontinence from severe neurogenic damage.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803840 | PMC |
| http://dx.doi.org/10.1186/1752-1947-3-9317 | DOI Listing |
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