Patient Question: Disease:Pelvic floor failure flaccid type constipation Description of the disease: I was diagnosed with pelvic floor failure flaccid type constipation, rectal defecation sensory function abnormality and irritable bowel syndrome by the Beijing Erlonglu Hospital, Nanjing Hospital of Traditional Chinese Medicine and other hospitals, have done colonoscopy, proctoscopy, defecation modeling, rectal manometry, pelvic floor than the ultrasound, pelvic nuclear magnetic field, electromyography, gastrointestinal transmission experiments, digestive psychological testing and other tests, the examination of the problem has a rectal internal prolapse, intrapelvic coiling of the sigmoid colon, descent of the perineal body, spasticity of the rectus muscles of the phalanx, endorectal intussusception, reduced right angle of forceful cylinder evacuation, neurogenic damage of the anal sphincter, elevated anal canal resting pressure (145), elevated anal canal maximal systolic blood pressure (468), increase in functional length of the sphincter (4.8), increased initial rectal valgus (90), increased rectal defecation sensory valgus (130), delayed defecation Reflex abnormalities (82), mild inflammation of the rectum, the whole gastrointestinal transmission test 48GITT discharge 100%, I currently feel that one is extremely difficult to defecate, must be a large number of times to use corkscrew in order to gradually discharged, the sense of anal obstruction is very strong, the second is the rectum is very sensitive, even if there is a small amount of feces in the rectum or the remainder of the rectum is very swollen and painful and uncomfortable, until the evacuation of the discomfort will be immediately alleviated elimination, the third is the bowel movement Third, bowel movements are frequent, three meals a day, immediately after eating, I have a feeling of stool, the above symptoms make me painful! Previous treatment and results: had done biofeedback therapy, rectal Chinese medicine retention enema, used mesalazine enema, had eaten Deschutes, lactobacillus capsules, bacillus subtilis bifidus capsule, Zoloft, grass rhinoceros flow impregnated tablets, rehabilitation of the new liquid, qi yong oral solution, Dumex, Fosamax, amitriptyline, mirtazapine, clonazepam, lorazepam, xidiazepam tablets, wheat cellulose, Chinese herbs, the effect is not obvious. The effect is not obvious. Wish to provide help:I would like to know for like my kind of symptoms and so serious pelvic floor loss retardation caused by outlet obstruction constipation at present whether there are still options for treatment, if the surgical treatment is to cut off the anal sphincter? Or rectal flap ligation? Is sacral nerve electrical stimulation effective in my case? Would anal dilation and localized injectable nerve blocks be effective in my case? …… Thank you for your help in answering this question! Yuan Xuegang, Department of Anus and Intestines, Chengdu Anus and Intestines Specialized Hospital, replied: Hello, the information you have provided is very detailed, and the hospitals you have visited are also very authoritative, and the treatments you have received are also international and domestic more formal programs. I can understand the pain you are suffering. However, we must accept the fact that the cause of constipation is very complex, the treatment is very difficult, he is a disease that both the patient and the doctor. In your case, my personal opinion would be transanal surgery. I would probably choose PPH with rectal flap hanging plus partial anal sphincterotomy. But nonetheless, there is no guarantee of absolute clinical effectiveness!!!! I wish you a speedy recovery.