title: [STARR surgery in the treatment of rectocele and rectal intussusception].
abstract: BACKGROUND
  Rectocele and intussusceptions are amongst the most frequent causes of Obstructed Defecation Syndrome (ODS). ODS diagnostics has been constantly improving which results in more precise indication criteria for individual surgical approaches. The work discusses indications for Stapled TransAnal Rectal Resection (STARR) as well as the results of the seven-year follow-up.
  
  
  METHODS
  Female patients with ODS score over 7 were indicated for STARR procedure after all conservative treatment possibilities failed. The proper indication requires that other causes of ODS be excluded. The retrospective analysis of prospectively collected data was employed.
  
  
  RESULTS
  Between January 2005 and October 2012 29 STARR procedures for rectocele were performed. Morbidity rate of the set of our patients was 6.9%. None of the patients died. We recorded bleeding from the staple line in seven patients (without surgical revision), and urinary infection in two patients. Bleeding from staple line was present in seven causes and urinary infection was present twice.
  
  
  CONCLUSIONS
  The STARR procedure seems to be an effective and safe treatment for ODS associated with rectocele and intussusception. The overall morbidity rate is low. Further investigation is required to optimize patient's selection and to reduce the potential complications and failure during postoperative period.
authors: Chirurgická klinika Lékařské fakulty UK v Hradci Králové a Fakultní nemocnice Hradec Králové. orhalmi@volny.cz
authors: J
authors: J
authors: Örhalmi
authors: K
authors: K
authors: Klos
authors: A
authors: A
authors: Ferko
authors: S
authors: S
authors: Jackanin
mesh_terms: D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D007443:Intussusception / Q000601:surgery*; D008875:Middle Aged; D012002:Rectal Diseases / Q000601:surgery*; D020047:Rectocele / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D017792:Surgical Stapling