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Dynamic Graciloplasty

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Electrical Stimulation for Pelvic Floor Disorders

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Abstract

Dynamic graciloplasty (DGP) is a surgical procedure which can be used in end-stage fecal incontinence for traumatic destruction of anal sphincters or in total anorectal reconstruction (TAR) of patients, submitted to abdominoperineal excision (APE), strongly determined to avoid a terminal abdominal stoma. The operation consists in the transposition, around the anorectum or perineal colostomy, of a fatigable muscle (like the gracilis muscle) which is continuously stimulated by implantable electrodes connected to an electronic stimulator device; the aim is to train the gracilis to behave as a fatigue-resistant muscle and act as an anal sphincter. Despite the significant number of complications related to this surgical procedure, the existence of other treatments for fecal incontinence, and the high level of patient cooperation required, the operation can still have a role in selected patients.

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Authors and Affiliations

  1. Department of Translational Surgery and Medicine, University of Florence, Largo Brambilla, 3, Florence, 50134, Italy

    Claudio Fucini, Filippo Caminati & Niccolò Bartolini

Authors
  1. Claudio Fucini
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  2. Filippo Caminati
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  3. Niccolò Bartolini
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Corresponding author

Correspondence to Filippo Caminati .

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Editors and Affiliations

  1. General, Emergency and Minimally Invasive Surgery, Careggi University Hospital, Florence, Italy

    Jacopo Martellucci

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Fucini, C., Caminati, F., Bartolini, N. (2015). Dynamic Graciloplasty. In: Martellucci, J. (eds) Electrical Stimulation for Pelvic Floor Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-06947-0_16

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  • DOI: https://doi.org/10.1007/978-3-319-06947-0_16

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-06947-0

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