[New methods in the treatment of anorectal incontinence (author's transl)].

Case reports of 10 children with anal incontinence, secondary to anorectal agenesis, who underwent operation for the restoration of continence in the period from July 1979 till October 1980. 7 of these children were given free grafts of intestinal muscle (Schmidt's method), 4 of which were double-thickness-grafts (our modification). 3 children were treated with a "fold-over" construction, newly developed by us. Even although the presented results, few in number and collected over a short period, do not, as yet, have any statistical significance, they do show progress in the problem of continence, so that these methods allows great improvement in the treatment of anal incontinence, particularly in conjunction with Engel's method of stool training. In order to achieve the best possible continence on a permanent basis, the methods described could be combined with other reconstructions of the pelvic floor or the external sphincter.