Posterior sagittal rectopexy in the management of persistent and recurrent complete rectal prolapse in children

Abstract

Aim The aim of this study was to evaluate the clinical and functional results of posterior sagittal rectopexy (PSR) in children with persistent and recurrent rectal prolapse. Patients and methods All patients with recurrent rectal prolapse after injection sclerotherapy or previous anal cerclage and patients with prolonged persistent prolapse needing surgery were subjected to PSR. Follow-up extended in the outpatient clinic for 6 months, and the patients were observed for any change in bowel habits, continence, and postoperative complication (incontinence and bleeding). Results This study included 12 patients with persistent rectal prolapse not responding to conservative treatment for 1 year and eight patients with recurrent rectal prolapse. Their ages at the operation ranged from 3 to 10 years. The mean operative time was 60 min (range, 40–80 min). Early postoperative complications include wound infection in four cases, which responded to antibiotics and daily dressings, and four patients with temporary constipation responding to laxatives and regulation of diet habits. Recurrence occurred in one patient in the form of partial mucosal prolapse. Conclusion PSR is a safe and effective procedure for persistent and recurrent rectal prolapse in children with excellent clinical and functional results.