Many women because of defecation difficulties to the anorectal department to see the doctor, the doctor gave the diagnosis of: anterior rectal protrusion, which makes a lot of patients feel puzzled, anterior rectal protrusion is a what disease? Female rectum and vagina adjacent to the rectum anterior protrusion, also known as rectal bulge, refers to the rectum to the vagina before the back wall bulge, defecation feces will enter this bulging bag, resulting in defecation, defecation incomplete sensation, discharge straining, anal swelling and other symptoms, belonging to the exit of the obstruction of constipation of a kind. First of all, the main clinical manifestations of this disease: 1, defecation difficulty Difficulty in defecation is the main symptom of anterior rectal protrusion. A small number of patients need to be in the perianal, vaginal pressure to assist defecation, and even fingers into the rectum to dig out the fecal matter. 2.It is difficult to finish the bowel movement. When you have a bowel movement, you will always feel that there is still a little bit of blockage in the anus, but it is difficult to discharge it with force. 3, long time between bowel movements Only when there are enough feces to produce, can produce effective stimulation, there is a sense of stool. 4.Single defecation time is long Because of the reduction of the effective defecation pressure in the rectum, the feces can not be discharged directly, and must wait until the feces in the rectum is a lot more to be discharged. 5.Have the strength to make not on 6.Falling feeling Because the fecal matter accumulates in the rectum, the patient has the feeling of falling down in the anus. 7, abdominal distension The anterior rectal protrusion defecation difficulties at the same time, sometimes exhaust will also be affected, the intestinal gas discharge is not smooth, will cause abdominal distension. Second, let’s talk about the causes of this disease: anterior rectal protrusion is mostly seen in women, especially those who suffer from chronic constipation, once vaginal delivery of middle-aged and elderly women and congenital pelvic floor muscular dysplasia perineal laxity. It is rare in men. 1, childbirth The vaginal delivery of the fetus can lead to rectovaginal septum laxity, puborectalis muscle cross-fiber rupture, so that the rectovaginal septum becomes thin. 2, age After menopause, women’s elastic fibers decrease, the rectovaginal septum relaxation, the degree of rectal protrusion will gradually increase. 3, chronic constipation chronic constipation difficult to defecate for a long time, defecation force to make the dry hard feces on the rectal wall and vaginal wall to produce heavy pressure, the formation of rectal protrusion. The above three points, that is, most of the patients with rectal protrusion of the cause of the disease. Third, how to diagnose? 1, anal fingerprinting anorectal fingerprinting can be touched on the upper end of the anal canal anterior rectal wall has a round or oval protruding into the vagina of the weak area, serious cases can be pushed to the vaginal wall to the vaginal opening. Defecography shows that the anterior lower wall of the rectum protrudes forward when defecation occurs, and the rectovaginal septum in the corresponding area is pushed and deformed, making it difficult for barium to pass through the anal canal. At the same time, it can detect pelvic floor spasm, rectal mucosal prolapse and other related lesions. 3.Anal tube manometry Determination of rectal and anal sphincter resting pressure distribution, anorectal resting pressure difference, rectal-anal sphincter reflex pressure changes can be used to check the anal sphincter function. Fourth, how to treat this disease? 1.Conservative treatment When the patients themselves feel that the symptoms are not heavy, can be tolerated, and have no impact on the quality of life, can be improved by keeping the spirit of comfort, strengthening physical exercise, eating more fresh vegetables and regular defecation and other ways to regulate lifestyle habits. 2.Surgical treatment (1) Surgical purpose. Remove the protruding pouch and repair the weak rectovaginal septum. (2) Indications for surgery. Severe anterior rectal protrusion, compression of the posterior vaginal wall to help defecation, intolerable impact on the quality of life, the need for surgery, and no combination of other diseases that can cause constipation. (3) Surgical method. Our department treats patients with rectal proptosis by modified STARR minimally invasive surgery, which is short, minimally invasive, quick recovery and effective.