The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Stapled transanal rectal resection for obstructed defaecation syndrome.

It replaces the previous guidance on Stapled transanal rectal resection for obstructed defaecation syndrome, IPG169, April 2006.

  • Description

    Obstructed defaecation syndrome is characterised by the urge to pass faeces but an impaired ability to do so. It may be caused by a structural problem in the rectum. Common symptoms include constipation, excessive straining, pain and bleeding after passing faeces. In stapled transanal rectal resection (STARR), two circular staplers or a specific stapling device are used to remove the damaged part of the rectum and join the remaining parts back together.

  • OPCS4.6 Code(s)

    H41.5 Peranal resection of rectum using staples

    The NHS Classifications Service of the Health and Social Care Information Centre is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.  The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.

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