Obstructed defaecation syndrome (ODS) is a common cause of constipation. Internal rectal
prolapse/rectal intussusception and rectocoeles are often associated with this condition.
A novel technique called stapled transanal rectal resection (STARR) based on the stapled
haemorrhoidopexy procedure introduced by Longo has been developed.
This involves a full thickness rectal resection with simultaneous anastomosis to restore rectal
wall continuity using two 33 mm circular staplers.
A number of studies have demonstrated good outcomes with this technique, however, in addition
to all the usual potential complications associated with anorectal surgery, novel problems
have been encountered which may produce treatment dilemmas.
Patients must be assessed and managed by a coloproctologist with a specialist interest in managing
disorders of the pelvic floor and who has had specific training in the use of this technique
for the management of ODS.Ò