Table of Contents
ISRN Surgery
Volume 2012, Article ID 652345, 6 pages
Clinical Study

Stapled Transanal Rectal Resection for the Surgical Treatment of Obstructed Defecation Syndrome Associated with Rectocele and Rectal Intussusception

1Department of General Surgery, Ain Shams University, Cairo, Egypt
2Department of Obstetrics and Gynecology, AL-Azhar University, Cairo, Egypt

Received 9 December 2011; Accepted 19 January 2012

Academic Editors: A. H. Al-Salem, A. Halevy, and A. Petroianu

Copyright © 2012 Hesham M. Hasan and Hani M. Hasan. This is an open access article distributed under the Creative Commons Attribution License, that permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Obstructed defecation syndrome (ODS) is one of the most widespread clinical problems which frequently affects middle-aged females. There is a new surgical technique called stapled transanal rectal resection (STARR) that makes it possible to remove the anorectal mucosa circumferential and reinforce the anterior anorectal junction wall with the use of a circular stapler. This surgical technique developed by Antonio Longo was proposed as an effective alternative for the treatment of ODS. In this study we present our preliminary results with the STARR operation for the treatment of ODS. For this purpose, 40 consecutive female patients with ODS due to rectal intussusception (RI) and/or rectocele (RE) were recruited in this prospective clinical study, from May 2008 to October 2010. No major operative or postoperative complications were recorded, and after 12-month follow-up, significant improvement in the ODS score system was observed, and the symptoms of constipation improved in 90% of patients; 20% of patients judged their final clinical outcome as excellent, 55% as good, and 15% as moderate, with only 10% having poor results. After analyzing our results we can conclude that STARR is an effective and safe procedure for the treatment of obstructed defecation syndrome due to rectal intussusception and/or rectocele and can be performed safely without major morbidity.