Artificial anal sphincters were implanted in 37 patients from 19ll patients had complete fecal incontinence and had failed to respond to medical treatment. Artificial anal sphincter surgery milder forms of fecal incontinence are being treated by changes in diet and the use of certain bowel-binding medications. For some forms of mild fecal incontinence, special forms of exercise can help to strengthen and tone the pelvic floor muscles, along with providing biofeedback to train the muscles to work with an appropriate schedule. A new artificial anal sphincter, sphinkeeper tm, was devised with the aim to treat fecal incontinence (fi) by implanting specifically designed self-expandable prostheses into the intersphincteric space. Preliminary data concerning the procedure feasibility and prosthesis localization at 3 months are presented. Artificial sphincter surgery for bowel incontinence this shows the external sphincter muscle properly squeezing and keeping fecal matter inside until he proper time. Everyone has a pelvic floor it is a hammock of muscles that lies in your pelvis, supporting your internal organs in that area (bowel, bladder, and in women the uterus) and keeping them in the correct place. The artificial anal sphincter has been investigated as a surgical treatment for severe fecal incontinence. Surgical treatment options include sphincter repair, sacral nerve stimulation, encirclement procedures, muscle transposition (dynamic graciloplasty), implantation with an artificial anal (bowel) sphincter, or diversion surgery (colostomy). The artificial bowel sphincter (abs) abs is a small device implanted under the skin which mimics the natural function of the anal sphincter. The abs device was approved by the food and drug administration (fda) in 1999. Executive summary a high morbidity rate occurs with implantation of the artificial anal sphincter, with infection andor erosion being the most common. The inflatable artificial sphincter is used when a patient develops sui. Youll know you have sui if urine is leaking from your bladder during normal activities such as walking, coughing, lifting. The artificial anal sphincter evolved from the artificial urinary sphincter. The first is an inflatable cuff that encircles the anal orifice. The second is a pump with a valve that controls the fluid entering and exiting the cuff.