To analyze the clinical effect of procedure for prolapse and hemorrhoids(PPH) combined with ligation in the treatment of female outlet obstruction constipation caused by rectocele combined with rectum mucosal prolapse.

From October 2017 to June 2020, 90 female patients of outlet obstruction constipation caused by rectocele combined with rectum mucosal prolapse were randomly divided into two groups, The unite group received PPH combined ligation. While the PPH group received PPH. SPSS26.0 software was used for analysis. Perioperative indicators and Wexner constipation score were described as (±s ), and independent t test was used. The occurrence of postoperative complications were tested by chi square test. The rank sum test was used for the clinical efficacy. P<0.05 was considered as statistically significant difference.

There was no significant difference in perioperative indicators between the two groups (P>0.05). There was no significant difference in wexner score before surgery between the two groups (P>0.05), and the wexner score of the unite group was significantly lower than the PPH group in postoperative 1, 3 and 6 months (P<0.05). The complication rate of the combined group was 13.3%, which was lower than that in the PPH group (31.1%, P<0.05). The total effective rate of the combined group was 97.8%, which was higher than that of PPH group(86.7), with significantly difference(P<0.05).

PPH combined with ligation in the treatment of female outlet obstruction constipation caused by rectocele combined with rectum mucosal prolapse has obvious effect, and the postoperative recurrence rate is low, which can significantly improve the patient’s defecation situation.