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Management of idiopathic rectal prolapse in children

Tayyaba Batool1, Jamshed Akhtar, Soofia Ahmed

  • 1Department of Paediatric Surgery, Paediatric Surgical Unit B, National Institute of Child Health, Karachi. docnich@hotmail.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|October 9, 2009
PubMed

Insights

Idiopathic rectal prolapse in children often resolves spontaneously. Injection sclerotherapy offers a faster, cost-effective treatment with high success rates and minimal complications.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Idiopathic rectal prolapse is a common condition in pediatric patients.
  • Management strategies range from conservative observation to surgical interventions.

Purpose of the Study:

  • To evaluate the spontaneous resolution rate of idiopathic rectal prolapse in children.
  • To assess the efficacy and outcomes of injection sclerotherapy for pediatric idiopathic rectal prolapse.

Main Methods:

  • A quasi-experimental study conducted in two phases.
  • Phase I: Observation of 40 pediatric patients with idiopathic rectal prolapse without intervention.
  • Phase II: Treatment of 50 pediatric patients with idiopathic rectal prolapse using injection sclerotherapy.

Main Results:

  • In Phase I, over 50% of patients experienced prolapse resolution within 3 months (TSR 50%).
  • In Phase II, 41 out of 50 patients treated with injection sclerotherapy achieved prolapse resolution within two months, with all patients resolving by three months.
  • Injection sclerotherapy demonstrated a significantly higher resolution rate compared to spontaneous resolution (p=0.001) with no reported complications.

Conclusions:

  • Both non-operative management and injection sclerotherapy are effective for pediatric idiopathic rectal prolapse.
  • Injection sclerotherapy is recommended for earlier recovery, reduced morbidity, and cost-effectiveness in managing pediatric idiopathic rectal prolapse.
Abstract

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