Our Summary

This study evaluated the effectiveness of a new device called TST Starr plus for treating severe cases of hemorrhoids. From 2012 to 2014, 52 patients (including 19 women) with serious hemorrhoids were treated with this device. The main symptoms experienced by these patients were hemorrhoids that had slipped down out of the rectum (prolapse) and bleeding. The patients were treated using two different techniques using the new device.

The study found that the treatment resulted in minor complications in a few patients, including mild bleeding and discomfort. Some patients experienced urgency to have a bowel movement, and one patient needed further surgery due to chronic anal pain. However, no patients reported a recurrence of their prolapsed hemorrhoids within approximately 15 months of the initial treatment, apart from one patient who had a minor recurrence.

In conclusion, the researchers believe that the TST Starr plus device is safe and effective for treating severe hemorrhoids. They suggest that the design and advanced technology of this device may reduce the risk of complications and recurrence after the treatment.

FAQs

  1. What is the TST Starr plus device and what is it used for?
  2. What were the main symptoms of the patients with hemorrhoids in this study?
  3. What were the complications experienced by the patients after the treatment with the TST Starr plus device?

Doctor’s Tip

A helpful tip a doctor might tell a patient about rectal prolapse surgery is to carefully follow post-operative instructions, including taking prescribed medications, maintaining proper hygiene, and avoiding strenuous activities that could strain the rectal area. It is important to attend follow-up appointments with your healthcare provider to monitor healing and address any concerns promptly. Additionally, maintaining a healthy diet high in fiber and staying hydrated can help prevent further issues with hemorrhoids.

Suitable For

Rectal prolapse surgery is typically recommended for patients who have severe cases of hemorrhoids that have prolapsed, meaning they have slipped down out of the rectum. Patients who experience symptoms such as bleeding, chronic anal pain, and urgency to have a bowel movement may benefit from rectal prolapse surgery. In this study, the patients treated with the TST Starr plus device had serious hemorrhoids with prolapse and bleeding, making them good candidates for this type of surgery.

Timeline

Before rectal prolapse surgery, a patient may experience symptoms such as hemorrhoids that have prolapsed out of the rectum and bleeding. These symptoms can be uncomfortable and impact daily life. The patient may have tried conservative treatments such as dietary changes, topical creams, and sitz baths without success.

After rectal prolapse surgery using the TST Starr plus device, the patient may experience minor complications such as mild bleeding and discomfort. Some patients may also experience urgency to have a bowel movement. However, the majority of patients do not report a recurrence of their prolapsed hemorrhoids within approximately 15 months of the surgery. The overall outcome of the surgery is positive, with the device being deemed safe and effective for treating severe cases of hemorrhoids.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with rectal prolapse surgery using the TST Starr plus device?
  2. How long is the recovery period expected to be after the surgery?
  3. Will I need to make any lifestyle or dietary changes post-surgery?
  4. What is the success rate of this procedure for treating severe hemorrhoids?
  5. Are there any alternative treatment options available for rectal prolapse?
  6. How long do the effects of the treatment typically last?
  7. What should I expect in terms of pain management during the recovery period?
  8. Are there any specific follow-up appointments or care instructions I should be aware of after the surgery?
  9. How experienced are you in performing rectal prolapse surgery using the TST Starr plus device?
  10. Are there any specific pre-operative preparations I need to make before undergoing this surgery?

Reference

Authors: Naldini G, Fabiani B, Menconi C, Giani I, Toniolo G, Martellucci J. Journal: Int J Colorectal Dis. 2015 Dec;30(12):1723-8. doi: 10.1007/s00384-015-2314-7. Epub 2015 Jul 25. PMID: 26208412