Our Summary

This research paper discusses the different methods used to treat children with rectal prolapse, a condition where the rectum, the last part of the large intestine, slips outside the anus. There’s disagreement among pediatric surgeons about the best way to handle this issue.

Most of the time, rectal prolapse in babies and children gets better on its own or through treating constipation. However, a small but important number of patients may need intervention if symptoms persist. The paper talks about the causes and physical changes brought on by rectal prolapse in both babies and children, possible medical treatments, detailed interventions and surgical options and their results, and future possibilities for research and study.

FAQs

  1. What is the common treatment for rectal prolapse in infants and children?
  2. What are the surgical options for children with persistent symptoms of rectal prolapse?
  3. What are the current areas of research and investigation in the treatment of rectal prolapse in children?

Doctor’s Tip

One helpful tip a doctor might tell a patient about rectal prolapse surgery is to follow post-operative care instructions closely, including taking prescribed medications, maintaining proper hygiene, avoiding strenuous activities, and attending follow-up appointments as scheduled. It is important to communicate any concerns or changes in symptoms to your healthcare provider promptly. Additionally, incorporating dietary and lifestyle changes to prevent constipation can help reduce the risk of recurrence.

Suitable For

Patients who are typically recommended for rectal prolapse surgery include those who have persistent symptoms despite medical management, such as chronic rectal prolapse, fecal incontinence, rectal bleeding, and difficulty with bowel movements. Additionally, patients with underlying conditions that contribute to rectal prolapse, such as neurological disorders, connective tissue disorders, or anatomical abnormalities, may also be candidates for surgery. It is important for patients to be evaluated by a healthcare provider to determine the most appropriate treatment plan for their individual case.

Timeline

Before rectal prolapse surgery:

  1. Onset of symptoms such as rectal bleeding, mucous discharge, and protrusion of the rectum.
  2. Diagnosis through physical examination and possibly additional tests such as colonoscopy or imaging studies.
  3. Attempted medical management with measures such as dietary changes, stool softeners, and pelvic floor exercises.
  4. Continued symptoms and worsening prolapse leading to consideration of surgical intervention.

After rectal prolapse surgery:

  1. Pre-operative evaluation and preparation for surgery, including discussion of risks and benefits.
  2. Surgical procedure to correct the prolapse, which may involve various techniques such as rectopexy, perineal stapled prolapse resection, or anal encirclement.
  3. Post-operative recovery period, including monitoring for complications such as infection or bowel dysfunction.
  4. Follow-up visits with the surgeon to assess healing and address any ongoing issues.
  5. Resumption of normal activities and improvement in symptoms, with the goal of preventing recurrence of rectal prolapse.

What to Ask Your Doctor

  1. What are the potential risks and complications of rectal prolapse surgery?
  2. How long is the recovery period after rectal prolapse surgery?
  3. What is the success rate of rectal prolapse surgery in children?
  4. Are there any alternative treatments or therapies that could be considered before opting for surgery?
  5. How many rectal prolapse surgeries have you performed, and what is your experience with this procedure?
  6. Will there be any long-term effects or implications of the surgery on my child’s bowel function?
  7. How will the surgery impact my child’s quality of life and daily activities?
  8. What is the expected outcome and prognosis after rectal prolapse surgery?
  9. Are there any special precautions or lifestyle changes my child will need to follow after the surgery?
  10. Are there any specific follow-up appointments or care instructions that I should be aware of post-surgery?

Reference

Authors: Saadai P, Trappey AF, Langer JL. Journal: Eur J Pediatr Surg. 2020 Oct;30(5):401-405. doi: 10.1055/s-0040-1716725. Epub 2020 Sep 13. PMID: 32920799