Results of Stapled Transanal Rectal Resection in the Patients with Obstructed Deification Syndrome

Introduction & Obstructed Deification Syndrome (ODS) is a condition that affects pelvic floor muscle and causes some structural and functional problems in defecation. Rectocele and intussusceptions are known as the two most important causes of this condition. In this prospective study we assessed the outcome of Stapled Transanal Rectal Resection (STARR) in the patients with ODS, and we tried to compare this results with similar studies. This prospective study was performed from April 2010 to March 2012 in the Baqiyatallah hospital in Tehran. All patient underwent STARR for the treatment of ODS enrolled in this study. Preoperative factors like incomplete defecation, straining, using of enema, laxatives, digitations… were assessed. We used Longo’s ODS score for assessment of the severity of pelvic floor’s malfunctions and also, visual analog scale (VAS) for assessing the patient satisfaction. Trans Anal Rectal Resection (STARR) procedure was performed using two circular staplers. All patients had at least one year follow- up after discharge. 33 patients (30 females and 3 male) with an average age of 54, underwent STARR for the treatment of ODS. They had enrolled in this prospective study, and their ODS score was 15.33.1 before surgery and 4.92.3 after surgery (P