Solitary rectal ulcer: the place of biofeedback and surgery in the treatment of the syndrome

World J Surg. Sep-Oct 1992;16(5):836-40. doi: 10.1007/BF02066979.

Abstract

Thirty-one patients with the solitary rectal ulcer syndrome were studied, the majority of whom presented with fresh blood per rectum and a rectal ulcer, mucorrhoea, or a varying degree of rectal prolapse. Fourteen patients were treated conservatively or with surgery and had a high rate of recurrence of the solitary rectal ulcer syndrome. Seventeen patients were treated with biofeedback for the associated obstructed defecation (anismus) either before or immediately after surgery with a lower recurrence rate. The final symptomatic cure rate was similar in both groups but 15 episodes of recurrence requiring further surgery were encountered in the non-biofeedback group compared to 4 recurrences in the biofeedback group.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Biofeedback, Psychology*
  • Combined Modality Therapy
  • Electromyography
  • Female
  • Humans
  • Male
  • Manometry
  • Middle Aged
  • Rectal Diseases / pathology
  • Rectal Diseases / physiopathology
  • Rectal Diseases / surgery
  • Rectal Diseases / therapy*
  • Recurrence
  • Syndrome
  • Ulcer / pathology
  • Ulcer / physiopathology
  • Ulcer / surgery
  • Ulcer / therapy