Solitary rectal ulcer syndrome [Soliter rektal ülser sendromu]

Purpose: Solitary Rectal Ulcer (SRU) is a rare pathology which is usually thought to be associated with pelvic floor disorders. The aim of this study was to review the results of the patients who were recommended to be treated by surgical methods. Materials and Method: We retrospectively analyzed the eleven patients with SRU who were followed and treated between 2003-2008 in our clinic. Results: Eight out of eleven patients were treated with operative procedures. In one out of eight patients who were operated a diverting colostomy was needed. In one case a reoperation for bridectomy was needed 18 months after the first operation. Two out of three medical treatment group surgery could not be done due to patient refusal. Last one patient treated with medical therapy was because of high operative risks. Mean follow-up time was 21 months. In two patients'pelvic pain recurrences were observed. Conclusion: Consequently, although risk of failure after surgery, surgery should be performed as a first choice in patients with intractable bleeding, pelvic pain with disturbance of quality of life and total prolapsus.