Khubchandani’s procedure combined with stapled posterior rectal wall resection for rectocele

Table 1 Patients’ clinical characteristics

	n/mean ± SD
	KSPRWR	STARR
Age (yr)	46.59 ± 9.41	50.38 ± 15.86
Gender	Female	Female
Combined with rectal prolapse	23	24
History of disease (yr)	2.35 ± 0.93	2.20 ± 1.11
Procedure (in final analysis)	34	37
Operative time (min)	41.47 ± 6.43	39.24 ± 6.53
Estimated blood loss (mL)	10.91 ± 2.52	10.14 ± 1.86
Hospital stay (d)	3.15 ± 0.70	3.14 ± 0.54

KSPRWR: Khubchandani’s procedure with stapled posterior rectal wall resection; STARR: Stapled transanal rectal resection.

Table 2 Comparisons of obstructed defecation syndrome scores and rectocele depth

		ODS score		Rectocele depth
		Group A	Group B	Group A	Group B
Comparison within group	a	P < 0.05	P < 0.05	P < 0.05	P < 0.05
	b	P < 0.05	P < 0.05	P < 0.05	P < 0.05
	c	P < 0.05	P < 0.05	P < 0.05	P < 0.05
	d	P < 0.05	P < 0.05	P < 0.05	P < 0.05
	e	P > 0.05	P > 0.05	P > 0.05	P > 0.05
	f	P > 0.05	P > 0.05	P > 0.05	P > 0.05
	g	P > 0.05	P > 0.05	P > 0.05	P > 0.05
	h	P > 0.05	P > 0.05	P > 0.05	P>0.05
	i	P > 0.05	P > 0.05	P > 0.05	P > 0.05
	j	P > 0.05	P > 0.05	P > 0.05	P > 0.05
Comparison between groups	k	P > 0.05		P > 0.05
	l	P > 0.05		P > 0.05
	m	P > 0.05		P > 0.05
	n	P > 0.05		P > 0.05
	o	P < 0.05		P < 0.05

a: 1MT vs Preoperative; b: 3MT vs Preoperative; c: 6MT vs Preoperative; d: 12MT vs Preoperative; e: 1MT vs 3MT; f: 1MT vs 6MT; g: 1MT vs 12MT; h: 3MT vs 6MT; i: 3MT vs 12MT; j: 6MT vs 12MT; k: Group A preoperative vs Group B preoperative; l: Group A 1MT vs Group B 1MT; m: Group A 3MT vs Group B 3MT; n: Group A 6MT vs Group B 6MT; o: Group A 12MT vs Group B 12MT. ODS: Obstructed defecation syndrome; 1MT: 1 mo after operation; 3MT: 3 mo after operation; 6MT: 6 mo after operation; 12MT: 1 year after operation.

Table 3 Complications of group A

Complication	First week	1 mo after operation	3 mo after operation	6 mo after operation	12 mo after operation
Nausea	7 (20.6%)	0	0	0	0
Retention of urine after urinary catheter removal	3 (8.8%)	0	0	0	0
Anal fissure	7 (20.6%)	5 (14.7%)	2 (5.9%)	0	0
Incontinence to flatus	2 (5.9%)	1 (2.9%)	0	0	0
Postoperative bleeding	1 (2.9%)	0	0	0	0
Defecatory urgency	2 (5.9%)	1 (2.9%)	1 (2.9%)	3 (8.8%)	3 (8.8%)
Persistent pain	13 (38.2%)	4 (11.8%)	2 (5.9%)	2 (5.9%)	1 (2.9%)
Vagina discomfort	5 (14.7%)	2 (5.9%)	0	0	0
Recurrence	0	0	0	0	0

Table 4 Complications of group B

Complication	First week	1 mo after operation	3 mo after operation	6 mo after operation	12 mo after operation
Nausea	9 (24.3%)	0	0	0	0
Retention of urine after urinary catheter removal	1 (2.7%)	0	0	0	0
Anal fissure	5 (13.5%)	5 (13.5%)	2 (5.4%)	0	0
Incontinence to flatus	2 (5.4%)	1 (2.7%)	1 (2.7%)	3 (8.1%)	4 (10.8%)
Postoperative bleeding	0	0	0	0	0
Defecatory urgency	2 (5.4%)	1 (2.7%)	1 (2.7%)	2 (5.4%)	3 (8.1%)
Persistent pain	12 (32.4%)	3 (8.1%)	2 (5.4%)	2 (5.4%)	2 (5.4%)
Vagina discomfort	0	0	0	0	0
Recurrence	0	0	0	0	2 (5.4%)