Clinical Research Directory
Browse clinical research sites, groups, and studies.
Transverse Perineal Support With STARR for Anterior Rectocele With Excessive Perineal Descent
Sponsor: Cairo University
Summary
This prospective randomized controlled trial will include adult patients with ODS, anterior rectocele ≥3 cm, and excessive perineal descent following failure of conservative treatment. Patients will be randomized 1:1 to STARR alone or STARR combined with transverse perineal support procedure using polypropylene mesh. The primary outcome will be Change in Altomare Obstructed Defecation Syndrome (ODS) score in both groups. Secondary outcomes will include operative time, postoperative pain, surgical complications, surgical site infection, and sexual function assessed using the PISQ-12. Patients will be followed up twice during the first postoperative week, weekly during the first month, and monthly thereafter.
Official title: Effect of Adding Transverse Perineal Support to Stapled Transanal Rectal Resection for Anterior Rectocele With Excessive Perineal Descent: A Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
64
Start Date
2026-09-02
Completion Date
2028-01
Last Updated
2026-08-20
Healthy Volunteers
No
Conditions
Interventions
STARR Procedure
The STARR procedure will be performed using PPH circular stapler to achieve trans-anal full-thickness resection of the rectocele
STARR combined with transverse perineal support procedure
Transverse perineal support procedure will be added to STARR procedure. it will be done using a non-absorbable polypropylene mesh to reinforce the perineal body and correct excessive perineal descent.
Locations (1)
Faculty of medicine, Cairo University
Cairo, Al-Manial, Cairo, Egypt, Egypt, Egypt