Esfinteroplastia anal en el tratamiento de la incontinencia fecal por trauma obstétrico

técnica quirúrgica y casos clínicos


  • Javier Chinelli Clínica Quirúrgica 2, Hospital Maciel, Facultad de Medicina. Universidad de la República.
  • Juan Martín Costa Clínica Quirúrgica 2, Hospital Maciel, Facultad de Medicina. Universidad de la República.
  • Gustavo Rodríguez Clínica Quirúrgica 2, Hospital Maciel, Facultad de Medicina. Universidad de la República.


Palabras clave:

incontinencia anal, esfinteroplastia anal, esfinteroplastia secundaria



La incontinencia fecal tiene un impacto negativo en la calidad de vida de quienes la padecen. Cuando es de causa miogénica puede estar indicada la esfinteroplastia anal, cuyos resultados suelen ser poco alentadores.

 Técnica quirúrgica y casos clínicos:

Se presenta la técnica quirúrgica utilizada en la Clínica Quirúrgica 2 del Hospital Maciel, junto con dos casos clínicos.


La esfinteroplastia anal anterior puede realizarse mediante afrontamiento simple o con técnica deoverlapping, no existiendo evidencia de que alguna de ellas sea superior en cuanto a resultados alejados.


Los resultados alejados de la esfinteroplastia anal son pobres, siendo la neuropatía pudenda asociada la que condiciona y puede predecir la mayoría de los fracasos terapéuticos.


Los datos de descargas todavía no están disponibles.


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Cómo citar

Chinelli, J., Costa, J. M., & Rodríguez, G. (2019). Esfinteroplastia anal en el tratamiento de la incontinencia fecal por trauma obstétrico: técnica quirúrgica y casos clínicos. Revista Cirugía Del Uruguay, 2(2), 12–25.



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