Official websites use. Share sensitive information only on official, secure websites. AIM: To evaluate the role and our experience of injection sclerotherapy with cow milk in the treatment of rectal prolapse in children. In this study we included children who failed to respond to conservative treatment and we perform operative treatment.
In In children who needed operative treatment we performed Thiersch operation and without any complications. Prolapse of the rectum is a herniation of the rectum through the anus[ 1 ].
The herniation may be mucosal and may involve only a small ring of mucosa or involve all layers of the rectum procidentia. These conditions are most common from years of age and usually first detected by the childs' parents and usually spontaneously reduce. Prolapse of the rectum, which involve only the mucosa, is the least serious form and is most common in the pediatric population[ 3 ].
The most common form of rectal prolapse is idiopathic. Children with conditions such as rectal polyps, diarrhea, malnutrition, worms, proctitis, ulcerative colitis congenital megacolon, Ehlers-Danlos syndrome and cystic fibrosis also may have rectal prolapse. Rectal prolapse is common in children with exstrophy of bladder and myelomeningocoele or in similar conditions associated with weakness pelvic musculature or its innervation[ 5 ].
Rectal prolapse often occurs with defecation or crying and reduces spontaneously. Failure to reduce may lead to venous stasis, edema and possibly ulcerations. When prolapse is present it is not possible to insert fingers in the space between the prolapsed bowel and anus. The prolapsed bowel may be grasped with lubricated fingers and pushed back in by the parents. If rectal prolapse persists for a long time the bowel becomes edematous and firm steady pressure for several minutes may be necessary to reduce the swelling and allow for reduction[ 6 ].
