The therapeutic efficacy evaluation of modified Bresler in the treatment of obstructed defecation syndrome associated with rectocele and rectal mucosal prolapse

Abstract

Objective To study the therapeutic efficacy of modified Bresler procedure for the treatment of obstructed defecation syndrome (ODS) associated with rectocele and rectal mucosal prolapse. Methods A descriptive retrospective study from Jan 2014 to June 2015 was undertaken. 29 female patients with ODS caused by rectocele and rectal mucosal prolapse were treated with modified Bresler procedure. Results The average operation time is (31.1±5.5)min, the average intraoperative blood loss is (16.3±7.5)ml, and average postoperative hospitalization time is (7.2±1.3)days. The Wexner score of constipation before the operation is (17.79±2.30), while the scores were (6.71±1.18) and (6.90±1.42) in three or six months after the operation. The defecography value before the operation is (3.6±0.4) cm, while the value is (0.7±0.2) cm in six months after the operation. The difference is significant (t=3.15, P<0.01). Conclusion The modified Bresler procedure for the treatment of ODS associated with rectocele and rectal mucosal prolapse is safe and effective, but it still needs to be proved by a larger sample size study. Key words: Rectum; Surgical procedures, operative; Bresler procedure; Obstructed defecation syndrome; Rectocele; Rectal mucosal prolapse