Several treatment modalities for outlet obstruction type constipation

If you are unfortunate enough to be detected with outlet obstruction constipation, how can you treat it? The main purpose of treatment is to relieve symptoms and restore regular bowel movements. 1.General treatment: including high-fiber diet, appropriate increase in physical activity, to enhance intestinal function and promote the smooth defecation have a certain effect. 2, drug treatment: taking laxatives, enemas, hydrotherapy and other methods can also play a role in relieving symptoms, but the effect of the treatment of severe and stubborn outlet obstruction type constipation is limited. Intra-anal local use of drug therapy requires further observation and research. Botulinum toxin local injection therapy and suppository anal plug therapy are mentioned in domestic and international reports, and have certain efficacy in the treatment of the disease. Biofeedback therapy: Biofeedback is mainly used to treat functional outlet obstruction type constipation caused by uncoordinated anal sphincter and paradoxical contraction of pelvic floor muscle and external anal sphincter during defecation, and the efficiency can reach over 70% after regular biofeedback therapy. 4, surgical treatment: (1) most of the patients with rectal protrusion most of the patients with mild rectal protrusion is appropriate to use non-surgical treatment, because surgery is difficult to ensure long-term results, and only correct rectal protrusion can not solve all the problems. For the surgical treatment of rectal prolapse, the traditional procedure is mainly transanal or transvaginal repair. Although many of the aforementioned surgical procedures for proctal protrusion have been developed in clinical practice, there is still a lack of treatment methods with more desirable outcomes. Transrectal repair is not suitable for moderate to severe rectal prolapse and is prone to recurrence after surgery; transvaginal repair is traumatic, slow to recover, and prone to postoperative failure due to complications such as infection and bleeding, and cannot solve the problems of rectal mucosal laxity and prolapse at the same time. (2) The treatment procedures often chosen for patients with rectal mucosal prolapse are: transanal distal rectal mucosal suture with sclerosing technique, adhesive ring ligation, transabdominal rectal fixation, and Delorme procedure. In addition, the anastomotic suprahemorrhoidal mucosal loop (PPH) is also used to treat anterior rectal protrusion and internal rectal mucosal prolapse, and the combined application of PPH + posterior vaginal wall repair in our department has achieved very good results for the treatment of this disease! In the surgical treatment of outlet obstruction type, sometimes it is not limited to the choice of a single procedure, but should be integrated according to the actual situation of the patient.