A 32 year-old man received dynamic graciloplasty for fecal incontinence due to a pelvic fracture. The perception of stool was obtained soon after the colostomy closure. Defecography and a manometric study showed that the patient could contract the transposed gracilis muscle independently. While the resting anal canal pressure remained low (52 cmH2O), he maintained excellent continence without stimulation. When stimulated, the anal canal pressure rose to 112 cmH2O. Electrical stimulation is therefore not always necessary for a good function after dynamic graciloplasty.
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Department of Surgical Sciences, Division of General Surgery L, Sapienza University of RomeDepartment of Surgical Sciences, Division of General Surgery L, Sapienza University of Rome
Mongardini M.
Iachetta R.P.
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Department of Surgical Sciences, Division of General Surgery L, Sapienza University of RomeDepartment of Surgical Sciences, Division of General Surgery L, Sapienza University of Rome
Iachetta R.P.
Cola A.
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Department of Surgical Sciences, Division of General Surgery L, Sapienza University of RomeDepartment of Surgical Sciences, Division of General Surgery L, Sapienza University of Rome
Cola A.
Effetti E.D.
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Department of Surgical Sciences, Division of General Surgery L, Sapienza University of RomeDepartment of Surgical Sciences, Division of General Surgery L, Sapienza University of Rome
Effetti E.D.
Custureri F.
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Department of Surgical Sciences, Division of General Surgery L, Sapienza University of RomeDepartment of Surgical Sciences, Division of General Surgery L, Sapienza University of Rome