To explore the curative effect of modified procedure for prolapse and hemorrhoids (PPH) combined with pagoda suture by anorectal mucosa in the treatment of rectocele.

From May 2013 to August 2017, sixty female patients with rectocele diagnosed and treated in Handan Central Hospital and Handan Third Hospital were randomly divided into two groups, with 30 cases in each group. The trial group was treated with modified PPH combined with pagoda suture of rectal mucosa, and the control group was only treated with pagoda suture through anorectal mucosa. The improvement of constipation in patients was observed and the difference of treatment effect and Longo ODS score were compared between the two groups.

The postoperative constipation condition of both groups had certain improvement, and the curative effect within 1 month after operation and Longo ODS score had no statistical significance. The curative effect of the trial group 3 months after operation was significantly better than that of the control group (Uc=10.469, P<0.05), Longo ODS score was significantly lower than the control group, the difference was statistically significant (5.23±1.56 vs 7.35±2.23, t=4.267, P<0.05). There was no recurrence in the trial group, and 5 cases (16.7%) in the control group during the follow-up, with no significant difference in recurrence between the two groups (χ²=3.491, P=0.062). The complication rate of the trial group was 13.3% (4/30), which was significantly lower than that of the control group (53.3%, 16/30), with statistically significant difference (χ²=10.800, P=0.001).

Modified PPH combined with pagoda suture by anorectal mucosa has more advantages and can be used to treat outlet obstructive constipation.

Rectocele; Constipation; Proeedure for prolapse and hemorrhoids; Pagoda suture by anorectal mucosa