[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100652646":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":30,"centralContacts":34,"locations":40,"responsibleParty":54,"collaborators":26,"id":58,"slug":59,"hasResults":60,"nctId":61,"briefTitle":62,"officialTitle":63,"acronym":26,"eligibilityCriteria":64,"healthyVolunteers":60,"sex":65,"minAge":66,"maxAge":26,"enrollmentInfo":67,"targetDuration":26,"studyType":70,"phases":71,"briefSummary":73,"conditions":74,"keywords":77,"overallStatus":80,"whyStopped":26,"lastUpdateSubmitDate":81,"lastUpdatePostDateStruct":82,"startDateStruct":85,"completionDateStruct":87,"leadSponsor":89,"locationsCount":90},{"fullName":5,"class":6},"Cairo University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"STARR procedure","ACTIVE_COMPARATOR","STARR will be done using PPH circular stapler to achieve trans-anal full-thickness resection of the rectocele",[13],"Procedure: STARR Procedure",{"label":15,"type":16,"description":17,"interventionNames":18},"STARR combined with transverse perineal support procedure","EXPERIMENTAL","Transverse perineal support procedure will be added to the STARR procedure. Transverse perineal support procedure will be done using a non-absorbable polypropylene mesh to reinforce the perineal body and correct excessive perineal descent.",[19],"Procedure: STARR combined with transverse perineal support procedure",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"PROCEDURE","STARR Procedure","The STARR procedure will be performed using PPH circular stapler to achieve trans-anal full-thickness resection of the rectocele",[9],null,{"type":22,"name":15,"description":28,"armGroupLabels":29,"otherNames":26},"Transverse perineal support procedure will be added to STARR procedure. it will be done using a non-absorbable polypropylene mesh to reinforce the perineal body and correct excessive perineal descent.",[15],[31],{"name":32,"affiliation":5,"role":33},"Haitham M.Azmy Basiouny, MD","STUDY_DIRECTOR",[35],{"name":36,"role":37,"phone":38,"phoneExt":26,"email":39},"Ahmed Mohamed Abdelaal, Lecturer","CONTACT","+201118732767","drabdelaal90@gmail.com",[41],{"facility":42,"status":26,"city":43,"state":44,"zip":45,"country":46,"countryCode":47,"cosmosGeoPoint":48,"geoPoint":53,"contacts":26},"Faculty of medicine, Cairo University","Cairo","Al-Manial, Cairo, Egypt, Egypt","11451","Egypt","EG",{"type":49,"coordinates":50},"Point",[51,52],31.24967,30.06263,{"lat":52,"lon":51},{"type":55,"investigatorFullName":56,"investigatorTitle":57,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"PRINCIPAL_INVESTIGATOR","Ahmed Mohamed Abdelaal","Lecturer","100652646","transverse-perineal-support-with-starr-for-anterior-rectocele-with-excessive-perineal-descent-100652646",false,"NCT07777146","Transverse Perineal Support With STARR for Anterior Rectocele With Excessive Perineal Descent","Effect of Adding Transverse Perineal Support to Stapled Transanal Rectal Resection for Anterior Rectocele With Excessive Perineal Descent: A Randomized Controlled Trial","Inclusion Criteria:\n\n* Adult patients complaining of obstructed defecation syndrome with anterior rectocele ≥ 3 cm associated with excessive perineal descent with failure of conservative management.\n\nExclusion Criteria:\n\n* Patients with Slow-transit constipation\n* Patients with anterior rectocele of \\\u003C 3 cm\n* Patients with complete external rectal prolapse\n* Evidence of colorectal carcinoma or Inflammatory bowel disease ( IBD)\n* Inability for lifestyle change postoperatively\n* Patients with fecal incontinence\n* Previous surgeries for anterior rectocele","ALL","18 Years",{"count":68,"type":69},64,"ESTIMATED","INTERVENTIONAL",[72],"NA","This prospective randomized controlled trial will include adult patients with ODS, anterior rectocele ≥3 cm, and excessive perineal descent following failure of conservative treatment.\n\nPatients will be randomized 1:1 to STARR alone or STARR combined with transverse perineal support procedure using polypropylene mesh. The primary outcome will be Change in Altomare Obstructed Defecation Syndrome (ODS) score in both groups. Secondary outcomes will include operative time, postoperative pain, surgical complications, surgical site infection, and sexual function assessed using the PISQ-12. Patients will be followed up twice during the first postoperative week, weekly during the first month, and monthly thereafter.",[75,76],"Rectocele","Perineal Descent",[78,76,79],"rectocele","Transverse Perineal Support","NOT_YET_RECRUITING","2026-08-18",{"date":83,"type":84},"2026-08-20","ACTUAL",{"date":86,"type":69},"2026-09-02",{"date":88,"type":69},"2028-01",{"name":5,"class":6},1]