Dynamic Gracilloplasty

Dynamic gracilloplasty is performed for faecal incontinence. It involves harvesting the thin Gracillus muscle from the inner aspect of the thigh, and tunnelling it under the skin to wrap around the anus an artificial anal sphincter (neosphincter).

It can then be stimulated with an electrical stimulator to maintain continence. This stimulator can be turned on or off by the patient. The success rate of this procedure is 60-80% [1-4]. Wound infection can occur with this procedure.


  1. Madoff RD, Rosen HR, Baeten CG, et al. Total fecal incontinence. A new method of gluteus maximus transposition: preliminary results and report of previus experience. Dis Colon Rectum 1992; 35:339-49.
  2. Rongen MGM, Uludas O, El Naggar K et al. Long term follow up of dynamic gracilloplasty for fecal incontinence. Dis Colon Rectum 2003; 46:716-21.
  3. Devesa JM, Rey A, Hervas PL et al. Artificial anal sphincters: complications and functiional results of a large personal series. Dis Colon Rectum 2002; 45:1154-63.
  4. Tillan T, Gannon K, Fieldman RA et al. Third party prospective evaluation of patient outcomes after dynamic graciloplasty. Br J Surg 2006; 93; 1402-10.
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