The impact of stapled transanal rectal resection on anorectal function in patients with obstructed defecation syndrome

Giuliano Reboa, Marco Gipponi, Matteo Logorio, Paolo Marino, Francesca Lantieri

Research output: Contribution to journalArticle

34 Scopus citations

Abstract

PURPOSE: A careful preoperative selection of patients was performed in order to identify those eligible for stapled transanal rectal resection to correct obstructed defecation syndrome. The aim was to assess the consequences of surgery on anorectal function and patient outcomes. METHODS: From January 2004 to June 2007, 33 female patients (median age, 56.3 years; range, 27-77 years) eligible for stapled transanal rectal resection completed standardized questionnaires for the assessment of constipation (constipation scoring system), quality of life (Patient Assessment of Constipation-Quality of Life Questionnaire), and patient satisfaction (visual analogue scale). A complete clinical reassessment including anorectal manometry and defecography was performed after one year. RESULTS: At a median follow-up of 18 months, significant improvement in constipation scoring system, quality of life, and visual analog scale (P < 0.0001) was observed. Postoperative defecography confirmed the correction of internal rectal prolapse (P < 0.01) and rectocele (P < 0.0001) with an increase in rectal sensitivity (P < 0.0001). Significant correlations were observed between rectocele correction and rectal sensitivity, as evidenced by a decrease in rectal sensory threshold volumes (P = 0.017; Phi = 0.7), increased rectal sensitivity, and patient's satisfaction index (P = 0.011; Phi = 0.64). CONCLUSIONS: Stapled transanal rectal resection allowed for the correction of rectocele and intussusceptions. These corrections increased rectal sensitivity, diminished symptoms of obstructed defecation syndrome, and improved the quality of life of patients.

Original languageEnglish (US)
Pages (from-to)1598-1604
Number of pages7
JournalDiseases of the Colon and Rectum
Volume52
Issue number9
DOIs
StatePublished - Sep 1 2009
Externally publishedYes

Keywords

  • Obstructed defecation syndrome
  • Rectal intussusception
  • Rectocele

ASJC Scopus subject areas

  • Gastroenterology

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