Endoscopic transanal resection of rectal lesions: facilitation by adaptation of Lord's dilator

A wide variety of techniques are available to remove lesions within the anal canal and rectum. Endoscopic transanal resection is a well tolerated procedure which achieves good palliation. Leakage of glycine from the rectum during the procedure can be problematic. To overcome this problem a Lord's dilator has been specially adapted to enable the passage of a urological resectoscope so preventing leakage of glycine during the procedure and improving operator acceptability. This technique of transanal resection with the adapted Lord's dilator provides a cheap and effective way of treating some rectal lesions largely utilizing existing equipment.