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Comparative Study
. 1992 Sep-Oct;16(5):836-40.
doi: 10.1007/BF02066979.

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

N R Binnie  1 , M Papachrysostomou, N Clare, A N Smith
Affiliations
Comparative Study

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

N R Binnie et al. World J Surg. 1992 Sep-Oct.

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.

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