Pediatric Rectal Prolapse Questions & Answers

Updated: Dec 12, 2019
  • Author: Jaime Shalkow, MD, FACS; Chief Editor: Carmen Cuffari, MD  more...
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Questions & Answers

Overview

What is pediatric rectal prolapse?

How is pediatric rectal prolapse classified?

What is the anatomy of the anal canal relevant to pediatric rectal prolapse?

What is the pathophysiology of pediatric rectal prolapse?

What causes pediatric rectal prolapse?

What are the sexual predilections of pediatric rectal prolapse (PRP)?

What is the prognosis of pediatric rectal prolapse?

Presentation

Which clinical history findings are characteristic of pediatric rectal prolapse?

What is the focus of clinical history to evaluate pediatric rectal prolapse?

Which physical findings are characteristic of pediatric rectal prolapse?

What are the possible complications of pediatric rectal prolapse?

DDX

Which conditions are included in the differential diagnoses of pediatric rectal prolapse?

Workup

How is the underlying disorder diagnosed in pediatric rectal prolapse?

What is the role of a sweat chloride test in the workup of pediatric rectal prolapse?

What is the role of stool samples in the workup of pediatric rectal prolapse?

What is the role of MRI in the workup of pediatric rectal prolapse?

What is the role of contrast enema in the workup of pediatric rectal prolapse?

What is the role of video defecography in the workup of pediatric rectal prolapse?

What is the role of proctosigmoidoscopy in the workup of pediatric rectal prolapse?

What is the role of anal manometry in the workup of pediatric rectal prolapse?

What is the role of EMG in the workup of pediatric rectal prolapse?

What is the role of anal endosonography in the workup of pediatric rectal prolapse?

Treatment

How is pediatric rectal prolapse treated?

What is internal rectal prolapse (IRP)?

How is internal rectal prolapse (IRP) treated?

How is manual reduction performed in the treatment of pediatric rectal prolapse?

What is included in the conservative treatment of pediatric rectal prolapse?

When is surgery indicated in the treatment of pediatric rectal prolapse?

What is the optimal surgical approach for the treatment of pediatric rectal prolapse?

How does the abdominal approach compare to the perineal approach for the treatment of pediatric rectal prolapse?

What is the role of injection sclerotherapy in the treatment of pediatric rectal prolapse?

What is included in preoperative care for surgical treatment of pediatric rectal prolapse?

What is the Thiersch surgical procedure for the treatment of pediatric rectal prolapse?

What is the Lockhart-Mummery surgical procedure for the treatment of pediatric rectal prolapse?

What is the role of cauterization in the treatment of pediatric rectal prolapse?

What is abdominal rectopexy for the treatment of pediatric rectal prolapse?

What is the Ekehorn rectopexy for the treatment of pediatric rectal prolapse?

What is the Delorme surgical procedure for the treatment of pediatric rectal prolapse?

What is the role of perineal resection in the treatment of pediatric rectal prolapse?

What is mucosal plication with anal encircling for the treatment of pediatric rectal prolapse?

What is levator repair with posterior suspension for the treatment of pediatric rectal prolapse?

What is closed rectosacropexy for the treatment of pediatric rectal prolapse?

What is the role of laparoscopy in the treatment of pediatric rectal prolapse?

What is the role of radiofrequency ablation in the treatment of pediatric rectal prolapse?

What is the role of diathermy in the treatment of pediatric rectal prolapse?

What is the role of acupuncture in the treatment of pediatric rectal prolapse?

What is the role of behavioral and physical therapies in the treatment of pediatric rectal prolapse?

What are the possible complications following surgery to treat pediatric rectal prolapse?

Which specialist consultations are beneficial to patients with pediatric rectal prolapse?

What is the step-wise approach to evaluating pediatric rectal prolapse?

What is included in patient education about pediatric rectal prolapse?

Medications

What is the role of medications in the treatment of pediatric rectal prolapse?

Which medications in the drug class Stool softeners are used in the treatment of Pediatric Rectal Prolapse?