Conclusions

Intussusception is an epiphenomenon rather than a cause for evacuatory dysfunction and should be conservatively managed. Solitary rectal ulcer syndrome is a consequence of excessive chronic straining, and therapy should be geared toward restoration of normal defecatory habit. Surgical therapies described for SRUS are reserved for patients with severely refractory ulcers, particularly those with persistent hemorrhage. Optimal treatment of sig-moidoceles depends largely on symptomatology and associated conditions. Repair involves sigmoid resection with additional pelvic floor reconstruction for coexisting defects.

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