Stapled transanal rectal resection for obstructed defecation syndrome associated with rectocele and rectal intussusception

Table 4 Presenting symptoms and early complications in patients undergoing STARR n (%)

Symptoms	Incidence	Early complications	Incidence
Excessive straining	43 (86)	Defecatory urgency	21 (42)
Feeling of incomplete evacuation	42 (84)	Bleeding3	4 (8)
Rectal bleeding1	32 (64)	Incontinence to flatus	3 (6)
Rectoperineal discomfort	23 (46)	Acute urinary retention	2 (4)
Abdominal distension	21 (42)	Severe pain	2 (4)
Abdominal pain	20 (40)	Anal fissure	1 (2)
Feeling of rectal obstruction	16 (32)	Rectovaginal fistula	0
Laxatives2	34 (68)	Perianal sepsis	0
Enema	20 (40)	Staple line dehiscence	0
Rectal or vaginal digitation	17 (34)	Mortality	0

¹> 1 episode/wk;

²> 2 episodes/mo;

³No treatment was required.