case_images: PMC11404993_01
case_images: An intraoperative photography; the overlap plastic procedure.
case_images: 1806-9282-ramb-70-09-e20240827-gf01.jpg
case_images: PMC11404993_01_1806-9282-ramb-70-09-e20240827-gf01.jpg
case_images: f1
case_images: Her colonoscopy was negative, but the 3D manometry confirmed a lesion in the ventral portion of the sphincters (Figure 1).
case_images: A 3D manometric model of the sphincter.
case_images: 1806-9282-ramb-70-09-e20240827-gf02.jpg
case_images: PMC11404993_01_1806-9282-ramb-70-09-e20240827-gf02.jpg
case_images: f2
case_images: For this purpose, a transverse incision in the perineal area was made after placing the Lone Star retractor to access the sphincters, and an overlap plasty was done in three points using PDS 3/0 suture material, followed by an anterior levatoroplasty (Figure 2).
case_images: The placement of the sacral neuromodulation, SNM, electrode.
case_images: 1806-9282-ramb-70-09-e20240827-gf03.jpg
case_images: PMC11404993_01_1806-9282-ramb-70-09-e20240827-gf03.jpg
case_images: f3
case_images: SNM electrode into the left S3 root:took place 6 months after the sphincteroplasty (Figure 3), which was performed under general anesthesia without complications. She was instructed to take care of the external stimulator the following day.