<prompt> Not true regarding solitary rectal ulcer ?20 are multipleRecurrent rectal prolapse is a causeInvolves Posterior wall.Managed by digital reposition  <response>: Ans is c ie Involves posterior wall Causes of solitary rectal ulcer syndrome Due to a combination of - internal intussusception anterior rectal wall prolapse - increase in intrarectal pressure Symptoms -4 pain, bleeding, mucus discharge or outlet obstruction Treatment Nonoperative therapy high fibre diet, defecation training to avoid straining, and laxatives or enemas is effective in the majority of patients. Surgery either abdominal or perineal repair of prolapse is reserved for highly symptomatic patients, who have failed all medical intervention e.g. rectopexy 