STARR Operation in Management of Patients with Rectal Intussusception: Short Term Results

Abstract

Aim: To evaluate the safety and efficacy of stapled transanal rectal resection (STARR), and its short -term outcomes (12- month) in patients with obstructive defectaion caused by rectal intussception. Patients and methods: A prospective observational study was performed including 25 women with rectal intussusception who underwent STARR in the period from April 2017 to March 2018. Data were collected prospectively from standardized questionnaires for the assessment of constipation [constipation scoring system, Longo’s obstructed defecation syndrome (ODS) score system, symptom severity score], patient satisfaction and quality of life (Patient Assessment of Constipation-Quality of Life Questionnaire). Results: The preoperative status, perioperative and postoperative complications at baseline 3, 6 and 12 months were assessed. At a 12-months follow-up, a significant improvement in the constipation scoring system, ODS score system, symptom severity score, and quality of life was observed. The self-reported definitive outcome was excellent in 8 (30%) patients, fairly good in 4 (16%), good in 11 (44%), and poor in 2 (10%). Conclusion: STARR can be performed safely without major morbidity and with very good short-term results in treating patients with obstructed defecation from rectal intussusception