Table 1. International consensus definition of LARS. LARS is defined as having at least one of eight symptoms and at least one of eight consequences after anterior resection

Symptoms Consequences
Variable, unpredictable bowel function Toilet dependence
Altered stool consistency Preoccupation with bowel function
Increased stool frequency- Compared with preoperative state Dissatisfaction with bowels
Repeated painful stools- Pain on urge, pain on and/or after passing a bowel movement Strategies and compromises
Emptying difficulties- Inability to completely empty the bowel after defecation, returning to the toilet multiple times Mental and emotional wellbeing
Urgency- Need to rush to the toilet to defecate, inability to delay passing a bowel movement Social and daily activities
Incontinence- Unintended passage of a large volume of fecal material Relationships and intimacy
Soiling- Involuntary passage of a small amount of material onto clothing or a sanitary item Roles, commitments and responsibilities
LARS, low anterior resection syndrome.