Unstimulated Gluteus Maximus Sphincteroplasty for Treatment of Bowel Incontinnence Case Series Study (USGMS)

Assiut University

Status: Enrolling

Conditions: Bowel Incontinence

Treatments: Procedure: Unstimulated gluteus maximus sphincteroplasty

Study type: Interventional

Funder types: Other

Identifiers

NCT07239076

Anal sphincteroplasty

Details and patient eligibility

About

Unstimlated gluteus maximus sphincteroplasty for treatment of bowle incontinence

Full 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

Enrollment: 10 estimated patients

Sex: All

Ages: 9 to 70 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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10 participants in 1 patient group

Age not below 9 years

Experimental group

Description:

Surgery target people not below the age of 9 yearsLower gluteal crease incision and lower third fibers taken with neovascular bundle and suturing on contralateral ischial tuberosity to make external sphincter and make neosphincter

Treatment:

Procedure: Unstimulated gluteus maximus sphincteroplasty