ArticleTechniques in coloproctology2022
Time trend in the surgical management of obstructed defecation syndrome: a multicenter experience on behalf of the Italian Society of Colorectal Surgery (SICCR).
Article in Techniques in coloproctology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 12 citations in OpenAlex.
- The BioSynIRS trial: biologic versus synthetic mesh for multicompartment pelvic floor reconstruction.Techniques in coloproctology · 2026Trial
- Safety of non-absorbable tack fixation in laparoscopic ventral rectopexy for external and high-grade internal rectal prolapse: early outcomes from a single-centre cohort.Updates in surgery · 2026Article
- Prospective laparoscopic assessment of sigmoid elongation: association with constipation and abdominal pain.Langenbeck's archives of surgery · 2026Observational
- Beyond stapled transanal rectal resectionWorld journal of gastrointestinal surgery · 2026Review
- Improvement in functional and mental outcomes after resection rectopexy for obstructive defecation syndrome ODS.Scientific reports · 2025Observational
- Quantitative proteomics analysis reveals the pathogenesis of obstructed defecation syndrome caused by abnormal expression of dystrophin.World journal of gastroenterology · 2024Article
- Results of medical treatment with psyllium, lactobacillus, and tryptophan (Plurilac® Trio) in obstructive defecation syndrome.Frontiers in surgery · 2024Article
- Editorial: Pelvic floor disorders: a multidisciplinary issue.Frontiers in surgery · 2024Article
- Article
- Trials with repeated cross sections: alternatives to parallel group designs in surgery trials.Techniques in coloproctology · 2022Article
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Authors and funding
8 authors at 4 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgical management of obstructed defecation syndrome (ODS) is challenging, with several surgical options showing inconsistent functional results over time. The aim of this study was to evaluate the trend in surgical management of ODS in a 10-year timeframe across Italian referral centers.
methodsSurgeons from referral centers for the management of pelvic floor disorders and affiliated to the Italian Society of Colorectal Surgery provided data on the yearly volume of procedures for ODS from 2010 to 2019. Six common clinical scenarios of ODS were captured, including details on patient's anal sphincter function and presence of rectocele and/or rectal intussusception. Perineal repair, ventral rectopexy (VRP), transanal repair (internal Delorme), stapled transanal rectal resection (STARR), Contour Transtar, and transvaginal repair were considered in each clinical scenario.
resultsTwenty-five centers were included providing data on 2943 surgical patients. Procedure volumes ranged from 10-20 (54%) to 21-50 (46%) per year across centers. The most performed techniques in patients with good sphincter function were transanal repair for isolated rectocele (243/716 [34%]), transanal repair for isolated rectal intussusception (287/677 [42%]) and VRP for combined abnormalities (464/976 [48%]). When considering poor sphincter function, these were perineal repair (112/194 [57.8%]) for isolated rectocele, and VRP for the other two scenarios (60/120 [50%] and 97/260 [37%], respectively). The use of STARR and Contour Transtar decreased over time in patients with impaired sphincter function.
conclusionsThe complexity of ODS treatment is confirmed by the variety of clinical scenarios that can occur and by the changing trend of surgical management over the last 10 years.
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