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Transverse perineal support improves long-term outcomes in patients undergoing stapled transanal rectal resection for obstructed defecation syndrome: a multicenter observational case-control study

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Title: Transverse perineal support improves long-term outcomes in patients undergoing stapled transanal rectal resection for obstructed defecation syndrome: a multicenter observational case-control study
Authors: Adolfo Renzi, Luigi Marano, Pasquale Talento, Luigi Brusciano, Angela Pezzolla, Domenico Izzo, Carmine Antropoli, Francesco D’Aniello, Giandomenico Di Sarno, Gianluca Minieri, Grazia Cantore, Gianmattia Terracciano, Domenico Barbato, Ludovico Docimo, Massimo Antropoli, Alessio Palumbo, Michele Lanza, Emanuele Mario Caputi, Antonio Brillantino
Source: Annals of Coloproctology, Vol 41, Iss 4, Pp 330-337 (2025)
Publisher Information: Korean Society of Coloproctology, 2025.
Publication Year: 2025
Collection: LCC:Diseases of the digestive system. Gastroenterology
Subject Terms: obstructed defecation syndrome, perineal descent, rectocele, rectal prolapse, transverse perineal support, Diseases of the digestive system. Gastroenterology, RC799-869
Description: Purpose To evaluate the safety and long-term efficacy of stapled transanal rectal resection (STARR) combined with the transverse perineal support (TPS) procedure in the surgical treatment of obstructed defecation syndrome (ODS) associated with internal rectal prolapse and excessive perineal descent (PD). Methods This multicenter observational case-control study involved 7 European centers. During the initial study period, patients underwent STARR alone (group 1), while in the subsequent period, patients received STARR combined with TPS (group 2). All patients were followed clinically at 6, 12, 36, and 60 months, and were offered radiological evaluation between 3 and 5 years postoperatively. Results The median postoperative ODS score was similar between groups at 6 months (6 [range, 2–15] vs. 5 [range, 2–13]; P=0.16, Mann-Whitney U-test), but at 36 months, it was significantly lower in group 2 compared to group 1 (11 [range, 5–16] vs. 5 [range, 2–15]; P
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2287-9714
2287-9722
Relation: http://coloproctol.org/upload/pdf/ac-2025-00073-0010.pdf; https://doaj.org/toc/2287-9714; https://doaj.org/toc/2287-9722
DOI: 10.3393/ac.2025.00073.0010
Access URL: https://doaj.org/article/d0a1994938b84e93a8dcdb42c0da8dac
Accession Number: edsdoj.0a1994938b84e93a8dcdb42c0da8dac
Database: Directory of Open Access Journals
Description
Abstract:Purpose To evaluate the safety and long-term efficacy of stapled transanal rectal resection (STARR) combined with the transverse perineal support (TPS) procedure in the surgical treatment of obstructed defecation syndrome (ODS) associated with internal rectal prolapse and excessive perineal descent (PD). Methods This multicenter observational case-control study involved 7 European centers. During the initial study period, patients underwent STARR alone (group 1), while in the subsequent period, patients received STARR combined with TPS (group 2). All patients were followed clinically at 6, 12, 36, and 60 months, and were offered radiological evaluation between 3 and 5 years postoperatively. Results The median postoperative ODS score was similar between groups at 6 months (6 [range, 2–15] vs. 5 [range, 2–13]; P=0.16, Mann-Whitney U-test), but at 36 months, it was significantly lower in group 2 compared to group 1 (11 [range, 5–16] vs. 5 [range, 2–15]; P
ISSN:22879714
22879722
DOI:10.3393/ac.2025.00073.0010