Evidence Table 30Surgical case series for gluteoplasty

Study detailsPatientsInterventionsOutcome measuresEffect sizeComments
Madoff et al, 1999227

Study design:
Case series

Evidence level: 3

Duration of follow-up:
Median 24 months
Patient group: Multi centre report of patients with faecal incontinence that underwent gluteoplasty.

Cause of FI: acquired, congenital or surgical

All patients
N: 11 N with FI: 11
Age (mean): NR
Dropouts: 0
Dynamic Gluteoplasty – gluteus wraps were anchored by suturing to the contralateral muscle.
Successful continence outcome: (success defined as 70% reduction in incontinence incidents to solid stools compared to baseline. Or if no baseline data then successful if had complete control of solid stools).All patients (n=11) had successful outcome at some point during the follow-up period, but only 5/11 (45%) were able to maintain that level of success.Funding: NR

Device complications reported but not stated whether these occurred in patients having gluteoplasty or graciloplasty.

Patients results following graciloplasty also reported in this case series and reported separately in this review.

Included in systematic review Chapman 200255
ComplicationsMajor wound complications (n=4), Minor wound complications (n=2), pain (n=3), miscellaneous complications (n=2)


Cover of Faecal Incontinence
Faecal Incontinence: The Management of Faecal Incontinence in Adults.
NICE Clinical Guidelines, No. 49.
National Collaborating Centre for Acute Care (UK).
Copyright © 2007, National Collaborating Centre for Acute Care.

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