Diagnosis and treatment strategy for rectocele based on integral theory of pelvic floor
LI Xiao-liang
ZHAO Zhi-feng
LI Xin-yu
HUANG Qin-xian
YANG Bin
ZHAO Qing-chuan
Abstract：Rectocele is a common cause of functional defecation disorder,which is mostly found in multiparas and in women in the middle and old age,and it seriously affects the quality of life of patients.At present,its pathogenesis is still unclear,and the effect of surgical treatment varies greatly,the causes of which are mostly rectocele and rectal mucosal prolapse;meanwhile,most patients also have mental and psychological abnormalities and/or rectal paresthesia.Our center reclassified the basic elements of functional defecation disorder,analyzed the functional defecation disorder caused by rectocele from multiple aspects such as anatomical factors,physiological factors and psychological factors,and used neuromodulators as preparation for surgery(psychosomatic treatment),so as to improve the psychological state and nervous system function of patients,all of which created better conditions for surgical treatment.During the operation,ligament and fascia were repaired under the guidance of the integral theory of pelvic floor,and the perineal body was elevated.After the operation,such treatment as electromagnetic biofeedback,traditional Chinese acupuncture,intestinal microecology(a combination of Chinese and Western treatment)were provided to regulate the movement of qi and blood in the body and the function of the viscera,assist the recovery of pelvic floor function,enhance or maintain the effect of treatment for rectocele progess,and improve the quality of life of patients.
Keywords：rectocelefunctional defecation disorderpsychosomatic treatmentintegral theory of pelvic flooroperation
Publication Date：2025-05-02
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 497-502 )