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 leads to a reduced recurrence rate compared to conventional methods and a lower permanent colostomy rate. Postoperative recovery is slightly longer than in competing techniques. With careful attention to anatomical details, there is no indication of an increased risk of urinary incontinence or sexual dysfunction.