Stapled Transanal Rectal Resection (STARR)
STARR is a procedure performed under general or regional anaesthesia. No external incisions are necessary because specially designed stapling devices are used through the back passage to cut out the segment of bowel wall with the prolapse and simultaneously rejoin the two ends together to restore continuity.
Does STARR work?
Yes, in selected patients. You will require assessment by a specialist who is an expert in this procedure. Several recent clinical studies have shown improvement in constipation symptoms and high patient satisfaction in about 90% of patients. See what the National Institute for Health and Clinical Excellence (NICE) has to say about this procedure by clicking here.
Is it painful?
There are no external skin incisions and thus there is usually only moderate discomfort immediately after the procedure that can usually be controlled with simple pain-killers taken by mouth.
What is the recovery time?
The procedure usually requires an overnight stay and most people can return to work after two to four weeks. More strenuous exercise and intercourse may need to be avoided for about six to eight weeks.
The STARR procedure is relatively safe but in common with all operations there are potential risks involved.
Complications that may occur include:
Bleeding – a little bleeding is common after the procedure but this usually rapidly settles down after a few days. However, occasionally the bleeding can be severe and require a blood transfusion or a return to theatre to stop the bleeding.
Urgency – following the procedure it is common to get a feeling of urgency, but this usually settles down after a few weeks.
Other potential but infrequent complications are urinary retention, leak from the staple line, infection, dyspareunia (painful intercourse) and incontinence.
Mr Adeshina Sergei Fawole MBBS MD FRCS is on the GMC specialist register (GMC) and is employed as a substantive Consultant Surgeon by the Mid Yorkshire Hospitals NHS Trust Mr Fawole has had specialist training in gastrointestinal surgery
Mr Fawole has a keen interest in teaching and is an Honorary Senior Lecturer of the University of Leeds and a Royal College tutor for Surgery.Mr Fawole is a member of various learned societies including The Association of Coloproctology of Great Britain & Ireland (ACPGBI), Association of Surgeons of Great Britain and Ireland (ASGBI), Association of Laparoscopic Surgeons of Great Britain and Ireland (ALSGBI), Association of Upper Gastrointestinal Surgeons (AUGIS), British Obesity and Metabolic Surgery Society (BOMSS), European Association for Endoscopic Surgery (EAES), British Hernia Society (BHS) as well as the British Medical Association (BMA) and Medical Protection Society (MPS).
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