Faecal incontinence is a debilitating chronic clinical condition
which may affect the patient and care givers. Modality of
treatment is based on severity of the symptoms as well as
the anatomical defect itself, availability of resources and
expertise. We describe a modified technique of dynamic
graciloplasty as neoanal sphincter for the treatment severe
faecal incontinence who has failed previous over lapping
sphincteroplasty. In our modified version, instead of using
implanted intramuscular electrodes and subcutaneous neurostimulator to provide continuous stimulation, the
patient will undergo an external stimulation on the nerve of
transplanted gracilis periodically and concurrent biofeedback therapy. We believe the technique is relatively easy to learn and very cost effective without any electrodes or neurostimulator related complications
