Department of Obstetrics and Gynaecology, Pelvic Floor Disease Diagnosis and Treatment Center, Shengjing Hospital of China Medical University, China.
Surg Innov. 2021 Oct;28(5):634-641. doi: 10.1177/1553350620975616. Epub 2020 Nov 30.
. The objective is to determine the possible improvement in outlet obstructive constipation symptoms after vaginal stent treatment for rectocele. . Female patients with rectocele (n = 156) accompanied with outlet obstructive constipation were selected in this study. Longo's obstructed defecation syndrome (ODS) questionnaire, rectoanal pressures, and rectal balloon expulsion (BET) were evaluated at baseline, 1 month follow-up, and 6 months follow-up. Moreover, the side effects and the potential reasons for giving up treatment were also detected. . Vaginal stent significantly decreased the straining intensity, shortened the straining extensity time, decreased the use of laxatives, and alleviated the symptoms of incomplete evacuation ( < .05). The vaginal stent also increased the rectal pressure and shortened the balloon expulsion time ( < .05). . As an effective, feasible, and safe procedure, the vaginal stent can be recommended as a treatment of choice for rectocele combined with outlet obstructive constipation.
. 目的是确定阴道支架治疗直肠前突后出口梗阻性便秘症状的可能改善情况。. 本研究选择了 156 例伴有出口梗阻性便秘的直肠前突女性患者。在基线、1 个月随访和 6 个月随访时,采用 Longo 阻塞性排便综合征(ODS)问卷、直肠肛门压力和直肠球囊排空(BET)进行评估。此外,还检测了副作用和放弃治疗的潜在原因。. 阴道支架显著降低了用力强度,缩短了用力时间,减少了泻药的使用,并缓解了不完全排空的症状(<.05)。阴道支架还增加了直肠压力并缩短了球囊排空时间(<.05)。. 阴道支架作为一种有效、可行和安全的方法,可推荐作为治疗直肠前突合并出口梗阻性便秘的首选方法。