Efficacy of modified transvaginal rectal repair for patients with rectocele

Objective To analyze the efficacy of modified transvaginal rectal repair (MTVRR) in patients with moderate to severe rectocele (RC). Methods A retrospective analysis was conducted on the clinical data of 21 female patients with RC who underwent MTVRR. The Constipation Scoring System (CSS) scale was used to assess patients' constipation symptoms before surgery and at 3, 6, 12 and 24 months after surgery, and the efficiency of symptom improvement was recorded. The occurrence of postoperative complications in RC patients was observed. Results All 21 patients successfully underwent the surgery, with surgical duration ranging from 25 to 135 minutes, with average of (83.14±30.39) minutes, and hospital stay ranging from 10 to 21 days, with average of (14.10±2.34) days. Postoperatively, one patient was lost during follow-up among 21 patients. The CSS scores of the remaining 20 patients were lower than those before surgery, with a statistically significant difference (P<0.05). The overall effective rates of constipation symptom improvement at 3, 6 and 12 months postoperatively were 100.00%, 90.00% and 80.00%, respectively. Among 20 patients, 15 patients completed 24-month follow-up after surgery, and the CSS score after surgery was lower than that before surgery, the difference was statistically significant (P<0.05). The CSS scores of the remaining 15 patients were lower than those before surgery, with a statistically significant difference (P<0.05). The overall effective rate of constipation symptom improvement at 24 months postoperatively was 80.00% among 15 patients. During postoperative follow-up, it revealed that no complications occurred in any patient. Conclusion MTVRR can improve constipation symptoms in patients with RC, demonstrating good therapeutic efficacy.