obstructed defecation syndrome associated with moderate rectocele in women
Conditions
Interventions
magnetoelectric combined with biofeedback group.:magnetoelectric combined with biofeedback
biofeedback group:biofeedback
Sponsors
Departments of colorectal surgery, Tianjin Union Medical Center,
Eligibility
Sex/Gender
Female
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: Patient inclusion criteria 1. Diagnosis according to the Rome ? diagnostic criteria for functional constipation in 2016 28; 2. Women aged =18 years and <80 years; 3. Classification of moderate rectocele in Chinese defecography as follows: rectocele diameter ranging from 16 to 30 mm 29; 4. Defecography showing that perineal descent was =2 cm and =3.5 cm and rectocele was =3.0 cm. Patients may have mild-to-moderate rectal mucosal prolapse; 5. Symptoms include digital manipulation during defaecation, incomplete evacuation, pelvic heaviness, excessive strain, or sexual dysfunction, particularly dyspareunia.
Exclusion criteria
Exclusion criteria: Patient exclusion criteria 1. Pregnancy; 2. Chronic systemic conditions, such as cardiac, pulmonary, hepatic, and renal failure; connective tissue disorders; thyroid dysfunction; and systemic corticosteroid therapy. 3. Findings of defecography or 3D HRAM, revealing the presence of dyssynergic defecation, megacolon, and faecal incontinence; 4. Physical examination or defaecation imaging revealing additional anorectal pathologies, including anal fissures, anal fistulas, haemorrhoids, anal stenosis, 3–4° anal laceration, bladder prolapse, uterine prolapse, pelvic floor hernia, and anorectal tumours. 5. Recurrent rectocele after abdominal, transanal, or perineal surgery; 6. Diagnosis of slow transit constipation using the slow-transit test; 7. Presence of psychiatric conditions or suboptimal adherence.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 3D high-resolution anorectal manometry . ;Electromyogram of pelvic floor; | — |
Secondary
| Measure | Time frame |
|---|---|
| Cleveland and PAC-QOL scores. ; | — |
Countries
China
Contacts
Public ContactYuwei Li
Departments of colorectal surgery, Tianjin Union Medical Center, Tianjin;
Outcome results
None listed