Myoplasties have acquired an important place in anal sphincter repair. The use of the gluteus maximus muscle for sphincterplasty was reported initially in This chapter outlines the surgical alternatives in the management of the incontinent patient, detailing the results of stimulated and unstimulated. Dis Colon Rectum. Sep;34(9) Anal sphincter reconstruction: anterior overlapping muscle repair. Fleshman JW(1), Peters WR, Shemesh EI, Fry RD.