TME results in a lower recurrence rate than traditional approaches and a lower rate of permanent colostomy. Postoperative recuperation is somewhat increased over competing methods. When practiced with diligent attention to anatomy there is no evidence of increased risk of urinary incontinence or sexual dysfunction.
TME yields a lower recurrence rate and fewer permanent colostomies than conventional techniques. Postoperative recovery may be slightly prolonged but does not increase the risk of urinary incontinence or sexual dysfunction when performed correctly.