It is a condition that occurs when one or more open sores (ulcers) develop in the rectum. Solitary rectal ulcer syndrome is a rare and poorly understood disorder that often occurs in people with chronic constipation and straining during bowel movements. It can cause rectal bleeding, pain or feeling of fullness in the pelvis, and feeling of incomplete passing of stool. Despite the name, sometimes more than one rectal ulcer occurs in solitary rectal ulcer syndrome. Diagnosis is made by inserting a flexible tube with a camera through the back passage (flexible sigmoidoscopy). If a lesion is found, your doctor may take a tissue sample (biopsy) for laboratory testing.
Treatment for solitary rectal ulcer syndrome depends on the severity of your condition. People with mild signs and symptoms may find relief through lifestyle changes, while people with more severe signs and symptoms may require medical or surgical treatment. Dietary changes, biofeedback exercises and trial of certain medications such as topical steroids or sulfasalazine enemas may help ease your rectal ulcer symptoms. Surgical procedures used to treat solitary rectal ulcer syndrome include: Rectal prolapse surgery (Rectopexy) if the condition is thought to be related to rectal prolapse, or Surgery to remove the rectum (Proctectomy) if you have severe signs and symptoms that haven't been helped by other treatments.