Abstract:Objective To investigate the clinical effect and feasibility of modified Altemeier′s procedure (Altemeier′s procedure plus levatorplasty) in the treatment of complete rectal prolapse. Methods The clinical data of 38 complete rectal prolapse patients who received modified Altemeier′s procedure from October 2012 to October 2016 were retrospectively analyzed, and the anus function were evaluated before and after the operation. Results All the operations were successful. The operation time was (66.5±15.6) min and hospitalization time was (8.5±1.5) d. There were no postoperative bleeding, cystitis, perineal abscess, pelvic abscess, anastomotic fistula and other complications. The postoperative follow-up time was 6 to 36 months. The Wexner continence grading scale and Agachan comstipation score were significant decreased after the operation (all P<0.05). There were 29 patients (76.3%) combined with copracrasia before the operation, and there was 1 patient (2.6%) combined with copracrasia after the operation. Before the operation, there were 9 patients (23.7%) combined with constipation and after the operation the number reduced to 1 patient (2.6%). Anastomotic stenosis was found in 1 patient (2.6%). And 1 patient (2.6%) relapsed 6 months after operation. The measurement of anorectal function showed that the anal canal maximum systolic pressure and resting pressure, the maximum tolerance capacity of the rectum, the maximum amplitude of the contractile wave after the operation were significantly higher than those before the operation, and the minimum sensory capacity of the rectum was significantly lower than that before the operation (all P<0.05). Conclusion The modified Altemeier′s procedure could improve the anus function and it has the characteristics of definite curative effect, high safety and low recurrence rate.