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Obstructed defaecation is a syndrome consisting of a cluster of symptoms associated with evacuatory dysfunction. We aimed to assess which individual symptoms before and after ventral rectopexy.Data on patients from aprospective pelvic floor database were analysed. Individual symptom components of the Wexner constipation score excluding duration were assessed before and after laparoscopic ventral rectopexy.for high-grade (Oxford Prolapse Grade 3/4) internal rectalprolapse. Data were expressed aspreop mean scores (range 0-4) and post-op:pre-op ratio.One hundred and seventy patients underwent laparoscopic ventral rectopexy. Pre-op scores [and post-op ratios] in descending order were: incomplete evacuation 3.22 [0.53]; assisted defaecation 2.52 [0.44]; abdominal pain 1.97 [0.52]; anorectal pain 1.87 [0.55]; toilet time 1.35 [0.51]; toilet revisiting 1.34 [0.60]; stool frequency 0.34 [0.65]. Six symptom pairs were significantly correlated (P < 0.05).Individual symptoms were highly correlated. The Wexner score improvedproportionally with rectopexy, less so for those with lowerpre-op symptom load.