{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:09:12Z","timestamp":1777489752750,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,6,9]],"date-time":"2017-06-09T00:00:00Z","timestamp":1496966400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,6,9]],"date-time":"2017-06-09T00:00:00Z","timestamp":1496966400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Obstructed defecation syndrome (ODS) is a widespread and disabling syndrome. With this study, we want to evaluate the long\u2010term results of stapled transanal rectal resection (STARR) performed with Contour Transtar device in the treatment for ODS. A re\u2010evaluation of 113 patients subjected to STARR from June 2007 to January 2010 was conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All the patients treated for symptomatic ODS with STARR with Contour Transtar were included in the study. We re\u2010evaluate all patients treated in the study period with clinical examination and specific questionnaire to verify the stability of the functional results and the satisfaction at 5 years from surgery. Constipation was graded using the Agachan\u2013Wexner constipation score; eventual use of aids to defecate and patient satisfaction were assessed preoperatively, 6\u00a0months and 5 years after surgery. Long\u2010term complications were also investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Constipation intensity decreased from the preoperative value of 15.8 (\u00b14.9) to 5.2 (\u00b13.9) (<jats:italic>p<\/jats:italic> &lt; 0.0001) at 6\u00a0months and remained stable after 5 years (7.4 \u00b1 4.1; <jats:italic>p<\/jats:italic> &lt; 0.01). Patients who use laxatives and enema decrease from 74 (77%) and 27 (28%) to only 16 (17%; <jats:italic>p<\/jats:italic> &lt; 0.001) and 5 (5%; <jats:italic>p<\/jats:italic> &lt; 0.001), respectively, at 5\u2010year follow\u2010up. None continue to help themselves with digitations after surgery. Also the satisfaction rate remained stable (3.64 vs 3.81) during the 5 years of the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The long\u2010term results have demonstrated the efficacy of the STARR with Contour Transtar in treating ODS and the stability over time of the defecatory improvements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical trial registration<\/jats:title><jats:p>Clinicaltrials.gov NCT02971332.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-4084-6","type":"journal-article","created":{"date-parts":[[2017,6,9]],"date-time":"2017-06-09T14:10:55Z","timestamp":1497017455000},"page":"2906-2911","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["STARR with Contour Transtar for Obstructed Defecation Syndrome: Long\u2010Term Results"],"prefix":"10.1002","volume":"41","author":[{"given":"Francesco Saverio","family":"Mari","sequence":"first","affiliation":[{"name":"UO Week Day Surgery St. Andrea Hospital Via di Grottarossa 1035 00189 Rome Italy"},{"name":"Department of Medical and Surgical Sciences and Translational Medicine University Sapienza of Rome Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Pezzatini","sequence":"additional","affiliation":[{"name":"UO Week Day Surgery St. Andrea Hospital Via di Grottarossa 1035 00189 Rome Italy"},{"name":"Department of Medical and Surgical Sciences and Translational Medicine University Sapienza of Rome Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcello","family":"Gasparrini","sequence":"additional","affiliation":[{"name":"UO Week Day Surgery St. Andrea Hospital Via di Grottarossa 1035 00189 Rome Italy"},{"name":"Department of Medical and Surgical Sciences and Translational Medicine University Sapienza of Rome Rome 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