How is Solitary Rectal Ulcer Syndrome investigated?

When you are seen in clinic the consultant will take a full history and carry out a clinical examination. Usually this will involve a rigid sigmoidoscopy and sometimes a proctoscopy as well.

Most patients will require some form of endoscopic examination of the bowel either by flexible sigmoidoscopy  or colonoscopy. Normally a biopsy is taken.
The most useful test to make a diagnosis of internal prolapse is a videoproctogram. This should confirm the diagnosis it is also useful to detect other areas of prolapse such as a rectocele or an enterocele which would require treatment at the same time.

Most patients will also have tests of their sphincter muscle function (anorectal physiology) and an endoanal ultrasound scan  to look for any damage to the muscle.

What are the next steps?
If you think you have this condition or any of these symptoms
you will need to seek medical advice.
For more information or to make an appointment.
Contact birmingham bowel clinic on 0845 241 7762
or email
If you have private medical care or wish
to pay to see a consultant.
Take this factsheet along to your own
GP and request a referral to one
of our consultants
Search Symptoms
and Conditions
What our patients think...
The aftercare was, and still is, first class. I have no hesitation in thanking Mr Simon Radley, the anesthetist and all who attended to my needs. One can only say I was in very good hands. ”
Cliff Dixon. July 2011