Thus, herniation starts in the anterior upper anal canal and anorectal junction wall as demonstrated by echodefecography and anal 3-dimensional ultrasonography (3-DAUS) technique, suggesting that these patients have anorectocele rather than rectocele.
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demonstrated that the anal canal is asymmetrical and that the internal anal sphincter is shorter in women, it is formed distally in the anterior upper anal canal weakening the anorectal junction that is devoid of striated muscle or any other anatomic support structure. By using anal 3-dimensional ultrasonography (3-DAUS), Regadas et al. The etiology of ODS may be functional disorders, secondary to a spastic pelvic floor syndrome, in which failure to relax or paradoxical contraction of the anal sphincters muscles can cause the symptoms of ODS or anatomical rectal anomalies as rectal intussusception (RI) and/or rectocele (RE). This disease can affect the quality of life of many patients as these patients are obliged to spend several hours a day in the toilet other symptoms of this disease include feeling of incomplete evacuation, excessive straining during defecation, the need for digital vaginal or perineal assistance, and the use of enemas or suppositories to defecate. Obstructed defecation syndrome (ODS) is a frequently occurring condition that usually affects middle-aged females. 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. 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. 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.
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In this study we present our preliminary results with the STARR operation for the treatment of ODS. This surgical technique developed by Antonio Longo was proposed as an effective alternative for the treatment of ODS. 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. Obstructed defecation syndrome (ODS) is one of the most widespread clinical problems which frequently affects middle-aged females.