OBJECTIVE To assess the demographic, clinical, endoscopic and histological spectrum of Solitary Rectal Ulcer Syndrome (SRUS). STUDY DESIGN Cross-sectional observational study. PLACE AND DURATION OF STUDY Medical Unit-III, Civil Hospital Karachi (CHK) and Ward 7, Jinnah Postgraduate Medical Centre (JPMC), Karachi, from January 2009 to June 2012. METHODOLOGY Patients with SRUS, based on cha...

Solitary rectal ulcer syndrome (SRUS) is an uncommon chronic disorder with a wide range of endoscopic findings, clinical presentations and characteristic histopathological features. There is no clear consensus regarding SRUS management, because of its poorly understood pathogenesis and frequent association with various pelvic floor disorders. Laparoscopic resection rectopexy and transanal endos...

Solitary rectal ulcer syndrome (SRUS) is a relatively uncommon but troublesome chronic benign disorder more in young adults and less children. It usually presented as bleeding, constipation, copious mucous discharge, prolonged excessive straining, tenesmus, lower abdominal pain, localized pain the perineal area, feeling of incomplete defecation rarely prolapse.The underlying etiology not well k...

Solitary rectal ulcer causing lower gastrointestinal bleeding is extremely rare in children. Rare presentation, non-specific symptoms, insufficient experience, and characteristics mimicking other rectal diseases may cause misdiagnosis or delay of diagnosis in some pediatric patients. Here, we report a 10-year-old boy with solitary rectal ulcer diagnosed two years after onset of the symptoms who...

In this chapter, I briefly review the evaluation and management of common benign conditions affecting the rectum, the anus, and the perineum: hemorrhoidal disease, anal fissures, anorectal abscesses and fistulas, pilonidal disease, hidradenitis suppurativa, pruritus ani, and solitary rectal ulcer syndrome (SRUS). For proper diagnosis and treatment of these conditions, an understanding of the re...