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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 Obstructed Defecation Syndrome score (ODS-S; Renzi 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
2026-08-26
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