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It seems the anal sphincter, the annular (circular) muscle that opens and closes the anus, can be reconstructed using the gracilis muscles that extend from the tibia (lower leg bone) to the pelvic area. This procedure might be done in cases of severe or total anal incontinence - that is, that the patient has little or no control of the anus.

Since the anus is nothing more than the opening of the rectum and consists only of the sphincter muscle and surrounding tissue, this would pretty much qualify as an anal transplant in my opinion.

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Q: Can you have an anus transplant?
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