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The STARR procedure (Stapled Transanal Rectal Resection) is a minimally invasive surgical technique used to treat obstructed defecation syndrome (ODS). ODS is a chronic condition characterized by difficulty emptying the bowels, straining, and incomplete bowel movements. It can significantly impact a person’s quality of life.
ODS is a common condition affecting up to 20% of the population. It is more common in women than men and often occurs after childbirth or menopause. The symptoms of ODS can vary, but they typically include:
The STARR procedure is performed through the anus using a special stapling device. The surgeon removes a small section of the rectal wall, which helps to shorten the rectum and improve its function. The procedure is typically performed under general anesthesia and takes about 30-60 minutes.
The STARR procedure has several potential benefits over traditional surgery for ODS, including:
As with any surgery, there are some risks associated with the STARR procedure, including:
The STARR procedure is a good option for patients with ODS who have not responded to other treatments, such as lifestyle changes, dietary modifications, and biofeedback. It is also a good option for patients who are at high risk for complications from traditional surgery.
If you are considering the STARR procedure, it is important to talk to your doctor about the risks and benefits of the procedure to determine if it is right for you.
Additional information about the STARR procedure
If you avoid or delay the STARR procedure when you have persistent bowel issues associated with Obstructed Defecation Syndrome (ODS) — such as rectal prolapse, rectocele or internal rectal intussusception — the underlying structural problem remains. Over time, difficulty emptying your bowels, straining, a sense of incomplete evacuation, or repeated need for digital assistance or enemas can become more frequent and severe. What may start as occasional discomfort can gradually turn into chronic constipation, bloating, or even worsening prolapse and tissue damage.
As the condition persists, you may also develop secondary complications: recurrent anal pain or bleeding, worsening of pelvic floor support, and increased risk of hemorrhoids or rectal mucosal irritation. Long-term neglect reduces your chance of restoring normal rectal anatomy through a minimally invasive approach — it may force you into more extensive surgeries later, with longer recovery and greater risk. Undergoing STARR when indicated offers the best shot at restoring healthy bowel function, relieving obstruction, and preventing progressive structural damage.
If you like, I can also draft a short note about possible risks of delaying STARR (for patient awareness) which you can include on the page.

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