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Updated: Jan 27, 2026

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
07:41

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse

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A systematic review of management options in pediatric rectal prolapse

Zachary D Morrison1, Melanie LaPlant2, Donavon Hess2

  • 1Marshfield Medical Center, Department of Surgery, 1000 N. Oak Ave., Marshfield, WI 54449, USA.

Journal of Pediatric Surgery
|March 26, 2019
PubMed

Insights

For pediatric rectal prolapse, injection sclerotherapy and laparoscopic rectopexy are effective secondary treatments. Ethyl alcohol sclerotherapy shows promise, while laparoscopic rectopexy demonstrates a high success rate with comparable complications.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Rectal prolapse is common in children, with varied causes.
  • Secondary treatment options lack definitive consensus in pediatric surgical literature.

Purpose of the Study:

  • To systematically review and evaluate secondary treatment methods for pediatric rectal prolapse.
  • To compare the efficacy and complication rates of different interventions.

Main Methods:

  • Systematic review of Pubmed, Medline, and Scopus (1990-2017).
  • Analysis of 27 studies involving 907 pediatric patients.
  • Pooled success rates calculated for grouped procedures.

Main Results:

  • Injection sclerotherapy achieved an initial success rate of 79.5%, with ethyl alcohol being a preferred agent.
  • Perineal repairs showed success rates from 60.8% to 100%.
  • Laparoscopic rectopexy with mesh had a high success rate of 96.1%.

Conclusions:

  • Sclerotherapy and laparoscopic rectopexy are leading secondary treatments for pediatric rectal prolapse.
  • Both methods demonstrate high success rates and low complication profiles.
  • Ethyl alcohol sclerotherapy offers a favorable option due to efficacy, safety, and accessibility.
Abstract

Keywords:
PediatricRectal prolapseRectopexySclerotherapySystematic review

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