The STARR procedure for internal rectal prolapse

Abstract

Internal rectal prolapse associated with rectocele is frequently observed in patients complaining from outlet obstruction, also called obstructive defecation syndrome (ODS) after Antonio Longo [1]. There are three potential surgical approaches in the management of disordered defecation in relation with internal rectal prolapse and rectocele: abdominal, transvaginal and transanal. Each of these has its indications, advantages, risks and potential failures and drawbacks. The STARR procedure (stapled transanal rectal resection) belongs to the group of procedures performed through the anal canal (transanal approach). It is a relatively new option developed by Longo on the basis of a better understanding of ODS and specifically the part played by internal rectal prolapse (or intussusception) in the syndrome [2]. © 2008 Springer-Verlag Italia.