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Surgical repair of external anal sphincter for fecal incontinence. Overlapping repair technique restores sphincter continuity and function. Indicated for obstetric or traumatic sphincter injury.
Anorectal manometry, endosonography to evaluate sphincter defects. Patient counseling on expectations and continence improvement.
Identification of sphincter ends. Overlapping repair with absorbable sutures. Restores muscular continuity. Can involve graciloplasty or other techniques in complex cases.
Hospital stay 1-2 days. Return to activities 4-6 weeks. Healing 8-12 weeks. Continence improvement takes several months. Success rate 60-70%.