title: Solitary rectal ulcer: the place of biofeedback and surgery in the treatment of the syndrome.
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.
authors.affiliation: University Department of Surgery, Western General Hospital, Edinburgh, Scotland.
authors.forename: N R
authors.initials: NR
authors.lastname: Binnie
authors.forename: M
authors.initials: M
authors.lastname: Papachrysostomou
authors.forename: N
authors.initials: N
authors.lastname: Clare
authors.forename: A N
authors.initials: AN
authors.lastname: Smith
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001676:Biofeedback, Psychology; D003131:Combined Modality Therapy; D004576:Electromyography; D005260:Female; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D012002:Rectal Diseases / Q000473:pathology / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D012008:Recurrence; D013577:Syndrome; D014456:Ulcer / Q000473:pathology / Q000503:physiopathology / Q000601:surgery / Q000628:therapy