24901838
OBJECTIVE	`` Outlet obstruction '' is a complex functional disorder compelling patients to exhausting uneffective attempts to void .
OBJECTIVE	This study was designed to compare the effectiveness and a safety of the endorectal proctopexy ( internal Delorme ) vs STARR procedure in two groups of patients .
METHODS	A total of 66 patients with rectocele and associated mucosal prolapse or anorectal intussusception between January 2006 and June 2010 were randomly assigned to Group # 1 Endorectal proctopexy with levatorplasty ( ERPP ) and Group # 2 STARR .
METHODS	Patients were assessed one week , six and twelve months after the operation .
METHODS	Operative time , postoperative pain , day of discharge and late complications was recorded .
METHODS	The time of recovery of work was also assessed .
METHODS	The continence score was updated with a constipation questionnaire .
METHODS	Quality of life after the operation and the overall grade of satisfaction were assessed and compared with radiological findings .
METHODS	All patients were reassessed after one year .
RESULTS	The results in the two groups of patients show no significant difference between ERPP and STARR : the improvement in symptoms is similar but significant and well definite in both groups with a low incidence of postoperative complications .
RESULTS	STARR procedure is just faster to perform even if more expensive .
RESULTS	Dyspareunia slightly improved mainly in ERPP group , due probably to scar distention .
CONCLUSIONS	The results of our experience indicate a significant improvement of symptoms with both techniques .
CONCLUSIONS	The overall incidence rate of postoperative complications is low and similar between the two groups .
CONCLUSIONS	As economical consideration , ERPP is less expensive .

