Pelvic floor repair for cases with fecal incontinence

K. Maeda, M. Hashimoto, O. Yamamoto, J. Koh, K. Nakajima, T. Shiraishi, H. Ishikawa, G. Tajima, Y. Hosoda, Y. Morikawa

Research output: Contribution to journalArticlepeer-review


Total pelvic floor repair or anterior levatorplasty with sphineterectomy were performed in 3 cases of rectocele or rectal prolapse with fecal encontinence. A 71-year-old female patient with rectocele and fecal incontinence underwent anterior levatorplasty and sphineterectomy and anastomosis of the vaginal wall. Rectocele and fecal incontinence were improved following surgery. A manometric test showed improvements in resting pressure, forcing pressure and the length of high pressure zone. A 73-year- old female with rectal prolapse and incontinence accompanying the weakness of the rectovaginal septum underwent Miwa-Gant operation and total pelvic floor repair. The symptoms disappeared postoperatively, and a manometric test showed improvement of the length of the high pressure zone. A 57-year-old male with rectal prolapse and incontinence underwent two-stage operation. Rectal prolapse improved following abdominal rectopexy and colosigmoidostomy. Total pelvic floor was added 8 months after the first surgery. Incontinence did not allow improvement due to lack of sphincter muscles.

Original languageEnglish
Pages (from-to)534-540
Number of pages7
JournalJournal of the Japan Society of Colo-Proctology
Issue number6
Publication statusPublished - 1995
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology


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