LAUSR

Rectal polyps that reach the dentate line (RPDL) can be challenging to manage. This is in part due to the rich innervation of the region below the dentate line with the accompanying rich blood supply, but also due to the limited operating space. Since the development of transanal endoscopic microsurgery (TEMS), this has become the treatment of choice for these polyps, and is proven to be superior to the traditional transanal resection of RPDL [1]. Current guidance for rectal polyps suggests that endoscopic or surgical resection can be used for polyps without malignant features [2]. Endomucosal resection (EMR) is an alternative to TEMS and has been shown to be cost effective and safer when used for polyps above the dentate line [3]. The potential benefits of EMR to excise a RPDL make it a promising alternative to TEMS.