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Review
. 2018 Mar;31(2):108-116.
doi: 10.1055/s-0037-1609025. Epub 2018 Feb 25.

Pediatric Rectal Prolapse

Rebecca M Rentea  1 , Shawn D St Peter  1
Affiliations
Review

Pediatric Rectal Prolapse

Rebecca M Rentea et al. Clin Colon Rectal Surg. 2018 Mar.

Abstract

Rectal prolapse is a common and self-limiting condition in infancy and early childhood. Most cases respond to conservative management. Patients younger than 4 years with an associated condition have a better prognosis. Patients older than 4 years require surgery more often than younger children. Multiple operative and procedural approaches to rectal prolapse exist with variable recurrence rates and without a clearly superior operation. These include sclerotherapy, Thiersch's anal cerclage, Ekehorn's rectopexy, laparoscopic suture rectopexy, and posterior sagittal rectopexy.

Keywords: pediatric; rectal prolapse; rectopexy; sclerotherapy; surgery.

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Figures

Fig. 1
Fig. 1
Rectal prolapse. ( A ) Complete rectal prolapse—the everted rectal wall appears as a tubular mass made up of concentric mucosal folds. ( B ) Mucosal rectal prolapse.
Fig. 2
Fig. 2
Algorithm for the management of rectal prolapse in children.
Fig. 3
Fig. 3
Laparoscopic view of the right pelvis during suturing of the seromuscular rectum to the presacral fascia.
See this image and copyright information in PMC

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