Treatment of benign tumours of the rectum

The methods of treatment for benign tumours of the rectum are by local removal or local destruction. The benign status of the tumour must be determined histologically or by gross morphology before treatment is instituted. The approaches are either transanal or by posterior proctotomy. The following procedures have been employed with excellent results for the past thirty years at the Ferguson Clinic: 1. Transanally, by local excision, local destruction or snare removal. 2. By the posterior proctotomy approach for benign tumours that could not be removed transanally because of size or inaccessibility. A new 'Two scope technique' first devised in 1969 has been used with great success since.