Comparative clinical outcomes of ventral rectopexy versus STARR in the management of obstructed defecation syndrome: a clinical review.

However, the comparative effectiveness of these procedures remains debated.

Both stapled transanal rectal resection and LVMR/RVMR provide significant early symptom relief in obstructed defecation syndrome.

Mesh-related complications after LVMR are rare (~ 1.4%), but require long-term monitoring.

Economically, while stapled transanal rectal resection has lower initial costs, LVMR/RVMR demonstrates greater long-term cost-effectiveness due to reduced reoperations.