Clin Colon Rectal Surg 2018; 31(02): 108-116
DOI: 10.1055/s-0037-1609025
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Pediatric Rectal Prolapse

Rebecca M. Rentea
1   Deparment of Surgery, Children's Mercy Hospital, Kansas City, Missouri
,
Shawn D. St Peter
1   Deparment of Surgery, Children's Mercy Hospital, Kansas City, Missouri
› Author Affiliations
Further Information

Publication History

Publication Date:
25 February 2018 (online)

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.

 
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