Reply to Emile et al

We thank Emile et al for their interest in our work and we appreciate their comments. With regard to their first comment, while it is true that 48.8% did not have complete resolution of obstructed defecation symptoms, 75% of our patients reported improvement in symptoms, which is in line with the improvement figure they quoted. We acknowledge that one limitation of this work is that we have not used preoperative and postoperative validated symptom severity scores, which would have made our results more comparable with the literature.This article is protected by copyright. All rights reserved.