STARR With PPH-01 and CCS30 Contour Transtar for Obstructed Defecation Syndrome

Introduction. The stapled transanal rectal resection (STARR) procedure is safe and effective. Objective of the Study. To compare STARR performed with PPH-01 (STARR) and CCS 30 (Transtar). Materials and Methods. Sixty-four patients underwent STARR for obstructed defecation syndrome (32 STARR and 32 Transtar) and were observed from January 2007 to June 2009. Patients were studied by visit with questionnaires, colonoscopy or barium enema, defecography, and anorectal manometry. Postoperatively they were assessed through visit and questionnaires. Results. All patients improved symptoms without statistical differences. The obstructed defecation syndrome score changed from 13 to 1.8 at 6 months and to 1 at 1 year in the STARR group (P < .05), and the score changed from 15 to 2 at 6 months and to 1 at 1 year in the Transtar group (P < .05). There were no intraoperative complications in the STARR group, but there were 2 dehiscences of suture in the Transtar group. There were no differences with regard to complications. Conclusion. Transtar is a more complex technique with more severe complications. A major resection is not always more effective.