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Advice on treatment of SRUS - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
User :   i want to know some information regarding SRUS?
Doctor :   Hi
User :   hi
Doctor :
User :   hello dr xxx
User :   actually i need some info regarding SRUS
Doctor :   the gross pathology of SRUS can range from a typical crater-like ulcer with a fibrinous central depression to a polypoid lesion.
Doctor :   It is always located on the anterior aspect of the rectum 4-12 cm from the anal verge and is thought to correspond to the location of the puborectalis รข??sling.
Doctor :   It is frequently, though not exclusively, associated with internal intussusception or full-thickness rectal prolapse.
User :   what i want to know is tht how long the therapy takes
Doctor :   Patients are typically young and female with an average age of 25 and a history of straining and difficult evacuation.
User :   how long does the therapy takes
User :   hello
User :   hello
Doctor :   Data regarding the treatment of this unusual disorder is retrospective and studies are small, but several common observations have been made
Doctor :   In general, a third of patients with SRUS also suffer from full-thickness rectal prolapse.
Doctor :   Abdominal prolapse repairs have resulted in a cure rate of 80% in patients with SRUS and full-thickness rectal prolapse.
User :   hello
Doctor :   only 25% of patients responded to operative intervention.18 In most studies, dietary management, pelvic floor retraining (biofeedback), and short-term use of topical anti-inflammatory medications containing mesalamine result in remission for those with either internal prolapse or pelvic muscle dysfunction.
Doctor :   Treatment for solitary rectal ulcer syndrome depends on the severity of your condition. People with mild signs and symptoms may find relief by making lifestyle changes to control chronic constipation. People with more severe signs and symptoms may require treatments such as behavior therapy and surgery.
Doctor :   An operation to remove the rectum may be an option for people with severe rectal ulcer signs and symptoms
Doctor :   An operation to remove the rectum may be an option for people with severe rectal ulcer signs and symptoms
Doctor :   the duration of treatmnet depends on the severity of your disease
Doctor :   and also on the type of treatment you choose
Doctor :   Discuss that with your surgeon
Doctor :   Some people strain during bowel movements out of habit. Behavior therapy can help you learn to relax your pelvic muscles and avoid straining during bowel movements.
Doctor :   is there anything else i can helpy ou with now?
Doctor :   Thanks for consulting
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