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Quality of life is discussed widely within last decade especially focusing wheneverpreserve anal sphincters or not.Since 2005, 60 (31 male) patients at median age 54 (range 29-71) were operated for rectal carcinoma within 1 cm from the dental line with partial external anal sphincterpreservation. Anorectal reconstruction was used in allprocedures. All patients were temporary defunctioned. Protective stomas were closed at 8-25 weeks after theprimary surgery. Fourteen patients received a course of biofeedback (BFB) therapy before stoma closure. Forty-two patients were followed up more than 24 months after stoma closure. We used SF-36 questionnaire before and 3, 6, 12, 24 months after stoma reversal as well as myography and vectrum volumetry at the same intervals.Gradual improvement of continence was detected during 12 months after stoma closure and BFB-therapy made the adaptation earlier. We registered almost equal SF-36 (both Mental/Physical Components) results before stoma closure and 3 months later (44.2/38.1 and 45.4/36.8 respectively). With the course of time Mental Component was being improved faster than Physical, and by 24 months after stoma closure they were 54.6 and 44.2 respectively.Partial sphincterpreservation results in good QOL in selected patients with low rectal carcinomas.