Introduction

STARR (Stapled Trans-Anal Rectal Resection) is a surgical procedure used to remove obstructions in passing stools in severe cases of obstructed defecation. Let us first define obstructed defecation syndrome. And how is this surgery carried out?

What is Obstructed Defecation Syndrome?

Obstructed Defecation Syndrome (ODS) is a condition in which a patient has difficulty defecating (passing stools) due to mechanical or psychological factors. If there are any mechanical obstructions, surgery is advised.

What are the symptoms and signs of Obstructed Defecation Syndrome?

This disorder makes a patient strain for bowel movement, with episodes of incomplete evacuation and fragmented stools. The patient may need to insert a finger to evacuate the bowel.

What tests are conducted to identify the ODS?

Our proctologist at Proctocare Clinic will take note of your clinical history by asking specific questions about your bowel movements. An internal examination with a video-rectoscope will be performed to obtain an internal view of the cause of obstruction to further diagnose it. In addition to this test, the doctor may order an MRI defecogram (a type of MRI).

When should the STARR Procedure be used?

When an MRI reveals that the ODS is caused by structural factors such as prolapse or rectocode (where a portion of the large intestine descends and obstructs defecation) and medications have failed, the patient is advised to undergo the STARR procedure.

How does the STARR procedure work?

The STARR procedure is minimally invasive and is performed through the anal canal. Two STAPLERs are used to remove the rectal prolapse (the descended portion of the rectum).

• Most patients are discharged within one to three days.
• Patients experience little or no pain following surgery.
• Patients recover quickly and can return to normal activities within 7 days.
• The procedure significantly improves the patients’ defecation.

What are the benefits of using the STARR Procedure?

STARR procedure involves:

• less or no discomfort
• very little external scarring
• rapid recovery
• early return to work