Rectal protrusion, also known as rectocele, is a loose disease of the posterior pelvic floor. The posterior pelvic floor refers to the part from the cervical ring to the perineal body, including the main sacral ligament, vaginal top structure, rectovaginal fascia, perineal body and external anal sphincter . The main clinical manifestation of rectal protrusion is outlet obstructive constipation, which has a high incidence. According to statistics, the incidence rate is 75% to 81% in middle-aged and elderly women, but some people have not obvious clinical symptoms, so its exact incidence The rate is not clear.
However, what kind of patients need surgery. For reference only for the majority of patients, the surgical indications for rectal protrusion: (1) Rectal protrusion should exceed 3 cm; (2) Contrast agent remaining in the rectal protrusion; (3) Obvious clinical symptoms; (4) Need for hands Assist bowel movements.
Surgical methods related to rectal protrusion Surgery mainly adopts transanal and transvaginal approaches. Domestic and foreign literature reports that the above surgical methods have good surgical results. The key to the success or failure of rectal protrusion surgery lies in the correct positioning of the rectal protrusion and a comprehensive understanding of the various pelvic floor weakness that may exist simultaneously. These need to rely on imaging examinations, such as defecography, to understand the degree of barium retention in the lesion, the size of the rectal protrusion, and whether it is combined with other diseases that cause defecation disorders; colon transit test to understand intestinal peristalsis ; Concomitant medication for some systemic diseases.
Therefore, after improving the various examinations and the conservative medical treatment is ineffective, we cautiously adopt surgical treatment.