To evaluate a kind of effective treatment of complete rectal prolapse concomitant anal incontinence.

From January 2001 to December 2009, 30 patients with rectal prolapse were assessed by clinical examination, anal manometry (maximum resting pressure, MRP, and squeeze pressure, MSP) and defecography studies. All patients were treated by sture rectopexy and elevator ani placation. Operative time, hemorrhage volume, morbidity, recurrence rate and the variation of preoperative and postoperative anal manometry were observed.

Average surgical time was 65.5(60-90) min and the hemorrhage volume was 75(60-100) ml, mortality was zero, and morbidity was 10% (one patients with wound infection, two with urinary retention). Anal incontinence improved in 29 of 30 patients. MRP and MSP had improved at 3 months after surgery: Range of MRP turned 2-30(26.6±2.40)mm Hg before surgery to 2-60(32.5±2.23)mm Hg after surgery(P=0.007). While MSP from 8-152(69.3±6.50)mm Hg before surgery to 35-158(79.5±4.18) mm Hg after surgery(P=0.001). All the cases suffered from for the complete proctoptosis concomitant anal incontinence in adults were followed up for 69 months averagely. The curative effect was satisfactory with no recurrence.

The sture rectopexy and levator plication result in an improvement in anal incontinence and satisfactory long-term control of prolapse. The operation are safe and in effect.