Surgical Treatment of Obstructed Defecation Syndrome

Obstructed Defecation Caused by Rectal Intussusception and Rectocele:STARR Versus Laparoscopic Ventral Rectopexy

Obstructed Defecation is a profoundly disabling condition. Many different surgical procedures has been introduced to treat patients affected by this disease. The most used are STARR and ventral rectopexy. Because of the heterogenity of studies and overall the lack of comparison trials, there is no accepted standard surgical treatment.PRO-REST aimed to compare these two procedures (STARR and Ventral Rectopexy) evaluating functional and anatomical results.

Inclusion Criteria:

• Patients affected by Obstructed Defecation with ODS score >11
• Symptomatic rectal Intussusception and/or defecographic finding of rectocele>2 cm
• Failure of at least 6 months of medical therapy
• Exclusion of neoplasm by rectosigmoidoscopy/colonoscopy

Exclusion Criteria:

• Patients affected by complete rectal prolapse
• Patients affected by slow transit constipation
• Patients affected by anismus
• Patients affected by pelvic organ prolapse
• Patients with previous rectal or anal surgery