New trends in the surgical treatment of outlet obstruction: Clinical and functional results of two novel transanal stapled techniques from a randomised controlled trial

Paolo Boccasanta, Marco Venturi, Giovanni Salamina, Bruno Mario Cesana, Francesco Bernasconi, Giancarlo Roviaro

Research output: Contribution to journalArticle

Abstract

Background and aims: A randomised trial was undertaken to compare the clinical and functional results of two novel transanal stapled techniques in patients with outlet obstruction syndrome. Materials and methods: Ninety-six females with outlet obstruction were treated with medical therapy and biofeedback for 2 months; 67 non-responders were evaluated by the Constipation Scoring and Continence Grading Systems, clinical examination, endoscopy, dynamic defecography, anorectal manometry, transanal ultrasound and anal EMG, and 50 of them, all affected with descending perineum, intussusception and rectocele, were randomly assigned to two groups and operated on: 25 patients (mean age 53.2±15.3 years) underwent a single Stapled Trans-Anal Prolapsectomy, associated with Perineal Levatorplasty (STAPL Group), and the other 25 (mean 54.6±14.2 years) underwent a double Stapled Trans-Anal Rectal Resection (STARR Group). Patients were followed-up for a mean period of 23.4±5.1 months in STAPL Group and 22.3± 4.8 in STARR Group. Results: STARR Group showed a significantly (p

Original languageEnglish
Pages (from-to)359-369
Number of pages11
JournalInternational Journal of Colorectal Disease
Volume19
Issue number4
DOIs
Publication statusPublished - Jul 2004

Keywords

  • Descending perineum
  • Intussusception
  • Outlet obstruction
  • Rectocele
  • Trans-anal stapled surgery

ASJC Scopus subject areas

  • Gastroenterology

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