Bowel Incontinence
Conditions
Brief summary
Unstimlated gluteus maximus sphincteroplasty for treatment of bowle incontinence
Detailed description
Surgery to treat patient with bowel incontinence by using unstimulated gluteus maximus muslce in creating neosphincter by dicussating lower third of muscle with neovascular bundle and suturing on contralateral side ischial tuberosity
Interventions
Surgery done under general anethesia prone jacknige postion .. incsion made along lower gluteal crease to take lower third fibers including neurovascular bundle and dicussating subcutaneusly around anus and suturing on contralateral ischial tuberosity
Sponsors
Assiut University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
9 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
* patients with severe fecal incontinence refractory to medical treatment * loss of native anal sphincter confirmed by MRI * patients deemed suitable for unstimulated gluteus maximus sphincteroplasty
Exclusion criteria
* amyotrophic lateral sclerosis * severe scarring of bilateral gluteus maximus * pelvic fracture with injury of internal illiac vessels
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Improvement of fecal incontinence | 6 months | Improvement of fecal incontince assessed by cleveland clinic florida fecal incontinnence score \<7 |
Countries
Egypt
Contacts
Primary ContactGamal Abdelhamid Professor dr gamal, Professor doctor
Backup ContactMahmoud Refaat Shehata, Assistant professor
Outcome results
None listed