A dysfunctional sphincter muscle may be treated by shortening the muscle to plicate it and restore its functionality. Plicating the sphincter muscle as described effectively shortens the muscle and permits the muscle to perform its function of closing off the body passage or opening with which it is associated without conventional surgery to expose the sphincter muscle and shorten it. Thus, treatment for incontinence can be achieved by shortening the associated sphincter muscle without surgery that exposes the muscle itself and requires the surgeon to manually grab hold of the muscle and shorten it.