Internal Rectal Prolapse
Conditions
Interventions
Integral Autologous Fascia Repair Group:The integral three-level autologous fascia repair guided by the Integral Theory of Pelvic Floor procedure was performed.
STARR Procedure Group:The STARR procedure was performed.
Sponsors
Luoyang Central Hospital Affiliated to Zhengzhou University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: Patients must meet all of the following criteria to be enrolled: 1. Aged 18 to 75 years (inclusive). 2. Oxford grade III or IV rectal intussusception; or prolapse depth >31 mm; or multiple sites of intussusception; or intussusception thickness >5 mm. 3. Presence of obstructed defecation syndrome symptoms, with a Longo's ODS score >=11. 4. Voluntarily participate in the study and provide written informed consent. 5. Willing and able to complete all follow-up visits as required by the study protocol.
Exclusion criteria
Exclusion criteria: Patients will be excluded if they meet any of the following criteria: 1. Presence of severe psychological disorders, with a Hospital Anxiety and Depression Scale (HADS) score of =11 on either the Anxiety (HADS-A) or Depression (HADS-D) subscale. 2. Coexisting colorectal tumors, inflammatory bowel disease, or other severe pelvic conditions requiring surgical intervention. 3. Diagnosis of slow-transit constipation confirmed by colonic transit test. 4. Presence of endocrine disorders such as hypothyroidism or diabetes mellitus. 5. Severe cardiac, pulmonary, hepatic, or renal dysfunction (ASA physical status classification = Grade IV). 6. History of major abdominal, pelvic, or perianal surgery (except for procedures such as appendectomy or cholecystectomy that do not interfere with the surgical procedures in this study). 7. Pregnancy or lactation. 8. Diagnosis of spastic pelvic floor constipation (including conditions such as puborectalis hypertrophy and spastic pelvic floor syndrome).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Depth of Rectal Intussusception;Obstructed Defecation Syndrome (ODS) Score;Complication Rate;Recurrence rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Operation time;Intraoperative Blood Loss;Time to First Flatus/Defecation;Postoperative Pain Score;Length of Hospital Stay;Fecal Incontinence Wexner Score;Gastrointestinal Quality of Life Index (GIQLI);Patient Assessment of Constipation Quality of Life (PAC-QOL) Questionnaire; | — |
Countries
China
Contacts
Public ContactMei Zhibiao
Luoyang Central Hospital Affiliated to Zhengzhou University
Outcome results
None listed