PFD Week 2016-Posterior Pelvic Support Sling for Fecal Incontinence

Posterior Pelvic Support Sling for Fecal Incontinence

Video Transcription

Video Summary

The video discusses anal incontinence, a condition that affects 7% of women in the US. Traditional surgical management with anal sphincteroplasty has shown poor long-term success rates. A new approach, called the posterior pelvic support sling procedure, recreates the natural sling of the puborectalis muscle to provide support to the posterior anal rectum. The procedure involves creating stab incisions in the buttocks and using a curved clamp to create a tunnel for a Type I polypropylene mesh. An introducer needle is used to guide the mesh into position. The procedure is repeated on the opposite side to create a synthetic sling. The results so far have been encouraging, offering a minimally invasive and effective long-term treatment for anal incontinence. No credits are mentioned in the transcript.

Asset Subtitle

Peter L. Rosenblatt, MD, FACOG

Meta Tag

Category Fecal Incontinence

Category Surgery - Novel Procedures

Keywords

anal incontinence

surgical management

anal sphincteroplasty

posterior pelvic support sling procedure

puborectalis muscle