Pelvic floor repair for cases with fecal incontinence

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.