{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T18:30:20Z","timestamp":1776709820239,"version":"3.51.2"},"reference-count":25,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2011,8,17]],"date-time":"2011-08-17T00:00:00Z","timestamp":1313539200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim\u2002<\/jats:bold> Stapled transanal rectal resection (STARR) is an increasingly accepted treatment for obstructed defaecation syndrome (ODS) associated with internal rectal prolapse (IRP) and rectocoele. The aim of this study is to evaluate the medium to long\u2010term outcomes of STARR for ODS.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> The intermediate\u2010term results of STARR used over a 9\u2003\u2010year period were reviewed from the analysis of a prospectively maintained database. Patients were followed for a median period of 98 (95% CI 85\u2013112, range 5\u2013386) weeks.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Three hundred and forty\u2010four (234 woman) patients of median age 54 (19\u201390) years underwent STARR over a 9\u2010\u2003year period. Preoperative symptoms included pelvic pain (93%), incomplete evacuation (90%), urgency (74%), a sensation of obstruction (65%) and rectal digitation (27%). Thirteen had the solitary rectal ulcer syndrome. Of 326 patients with follow\u2010up data, 249 (76%) were followed beyond 1\u2003year and 149 (43%) beyond 2\u2003years. The ODS score improved [14.6\u2003\u00b1\u20035.4 pre <jats:italic>vs<\/jats:italic> 1.6\u2003\u00b1\u20033.1 post (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.0001)] as did the faecal incontinence (FI) score [3.5\u2003\u00b1\u20033.3 pre <jats:italic>vs<\/jats:italic> 0.4\u2003\u00b1\u20031.3 post (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.0001)]. Fifteen (4.3%) patients reported deterioration in FI, and 11 (3.2%) experienced new onset minor incontinence. Urgency was 72% at 8\u2003weeks, 20% at 16\u2003weeks, 11.5% at 52\u2003weeks and 5% at 1.5\u2003years. None of the 29 patients followed beyond 4\u2003years reported urgency. Urgency was unrelated to sex, age or preoperative ODS symptoms (Mantel\u2010Cox log\u2010rank). Recurrent symptoms of ODS occurred in 4.9%. Eighty\u2010one per cent of patients were highly satisfied with STARR and would recommend or have it again.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> STARR was successful for the treatment of selected patients with ODS and IRP. Postoperative faecal urgency rapidly decreases with time. It is not possible to predict who will develop urgency.<\/jats:p>","DOI":"10.1111\/j.1463-1318.2010.02405.x","type":"journal-article","created":{"date-parts":[[2010,8,31]],"date-time":"2010-08-31T22:56:11Z","timestamp":1283295371000},"page":"1052-1057","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["EXPRESSION OF CONCERN: Medium\u2010term results of stapled transanal rectal resection (STARR) for obstructed defecation and symptomatic rectal\u2010anal intussusception"],"prefix":"10.1111","volume":"13","author":[{"given":"A. C.","family":"Goede","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Glancy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Carter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Mills","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Mabey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. R.","family":"Dixon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,8,17]]},"reference":[{"key":"e_1_2_7_2_2","unstructured":"LongoA.Obstructed defecation because of rectal pathologies. Novel surgical treatment: rectal resection (STARR). Proceedings of the 14th Annuall International Colo\u2010rectal Disease Symposium. 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