Palliation of carcinoma of the rectum and pararectum using the urologic resectoscope.

Palliation of low lying anorectal and pararectal lesions frequently involves a colostomy. Using the urologic resectoscope for transanal resection of these lesions, a colostomy was avoided in 14 of 15 patients. There was good palliation of obstruction, bleeding and pain. The procedure does not require anesthesia, extreme positioning, surgical assistants, new equipment, new techniques or prolonged operative time. In selective instances, transanal resection of low lying anorectal and pararectal lesions offers excellent palliation.