Objective To analyze the efficacy of rectal mucosal sleeve resection combined with posterior vaginal wall repair for women patients of constipation of anterior rectocele. Methods A retrospective analysis of 83 patients with constipation of anterior rectocele who underwent surgery in the hospital from December 2016 to June 2018 were divided into group A (32 cases)

group B (30 cases)

and group C (21 cases) according to different surgical methods. Group A performed rectal mucosal sleeve resection combined with posterior vaginal wall repair; group B performed rectal mucosal sleeve resection; group C performed rectotomy. The indexes of rectal anal canal pressure

intraoperative blood loss

operation time and pain score in 24 hours of group A and group B were compared before and after operation. The Longoing ODS defecation scores of the three groups were compared at 1 month

6 months and 12 months after operation. The efficacy and postoperative complications of the three groups were compared. Results There was no significant difference in rectal anal canal pressure between group A and group B before the surgery (P＞0.05); and the anal diastolic pressure and rectum pressure after operation were significantly improved both in group A and group B compared to those before the surgery

with statistically significant difference (P<0.05); there was no significant difference in rectal anal canal pressure between group A and group B after the surgery (P＞0.05).The intraoperative blood loss and pain scores in 24 hours was lower in group A and group B compared with those in group C. The operation time of group A was longer than that in group B and group C (P<0.05). The Longoing ODS defecation scores of group A were lower than those of group B and group C at 1 month and 6 months after operation

and group B was lower than group C (P<0.05).The total effective rate of group A was higher than that of group B and group C. The incidence of postoperative urinary retention in group A was lower than that in group B and group C(P<0.05). Conclusion Rectal mucosal sleeve resection combined with posterior vaginal wall repair can improve the rectal and anal pressure indicators

and it can significantly promote the improvement of defecation function.