To explore the effect of produce of prolapse and hemorrhiods (PPH) combined with rectal mucosa ligation in the treatment of rectocele.

Seventy-two serious rectocele patients which were treated in Beijing Yanqing District Hospital from Feb. 2012 to Feb. 2014 were divided into the control group and the observation group. Each group included 36 cases. The former group were treated by PPH and the later group were treated by PPH combined with rectal mucosa ligation. Two groups of operation time, intraoperative blood loss, hospital stay, postoperative recovery time were compared, preoperative and postoperative Longo - ODS score, curative effect were compared. The preoperative and postoperative rectal defecography, the rectocele improvements, the postoperative recurrences of the two groups were also assessed.

The operation time, intraoperative blood loss, hospital stay, postoperative recovery time had no obvious difference between two groups (t=1.3418、0.7467、0.5140、0.7512, P>0.05). The preoperative and 6 month postoperative Longo-ODS score had no statistical significance between two groups (t=-0.8838、-0.2778, P>0.05). 12, 24, and 36 months postoperative Longo-ODS scores of observation group were better than the control group (t=-4.2947、-5.8320、-8.9889, P<0.05). The efficiency (91.67%) of the observation group was obviously better than the control group (66.67%), with statistical significance (t=6.821, P<0.05). The preoperative rectocele depth by defecography in the two groups had no statistical significance (t=0.4754, P>0.05), while 6, 12, 24, 36 months postoperative improvement of the observation group was better than the control group (t=-4.9683、-7.5861、-4.5869、-5.4139, P<0.05). Two groups had no recurrence in 6 month after operation while 12 months and 24 months postoperative recurrence rates of the control group were higher than the observation group, but there was no statistically significant difference (P>0.05). Postoperative 36 months recurrence in the control group was significantly higher than the observation group and the difference was statistically significant (P<0.05).

PPH combined rectal mucosa ligation is a better treatment for rectocele. It does not increase the operation time, blood loss and hospital stay and does not affect the recovery time. It has a definite effect, significant symptoms improvements, and lower recurrence rate.