Rectal prolapse (RP) refers to the intussion of the full thickness or part of the rectal wall into the intestinal cavity. The clinical manifestations of RP include obstructed defecation, anal distension, and incomplete defecation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Clinical manifestations fulfill the Rome IV criteria for the diagnosis of functional constipation, with symptoms persisting for more than 6 months. 2.Defecography indicates rectal mucosal prolapse graded as Oxford stage III or higher. 3.Age: 18–75 years. 4.American Society of Anesthesiologists (ASA) physical status classification score of 1–3. 5.Failure to respond to conservative medical treatment for more than one year. 6.Patient expresses a strong desire for surgical intervention and has no contraindications to surgery. 7.Patient has provided written informed consent.
Exclusion criteria
Exclusion criteria: 1.Patients diagnosed with megacolon, megarectum, severe spastic constipation, or slow-transit constipation. 2.Pregnant or lactating women. 3.History of prior pelvic surgery. 4.Colonoscopy reveals organic colorectal lesions or a history of colorectal tumor treatment. 5.Presence of moderate-to-severe psychiatric symptoms such as depression or anxiety. 6.Diagnosis of constipation-predominant irritable bowel syndrome (IBS-C). 7.Coexisting inflammatory bowel disease (IBD). 8.Presence of an intestinal stoma without subsequent intestinal anastomosis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intraoperative conversion rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative blood loss;Length of incision;The average length of postoperative hospital stay;Duration of surgery;Incidence of complications within 30 days after surgery;Wexner constipation score; | — |
Countries
China
Contacts
Army Medical Center of PLA