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

Updated: Nov 12, 2018
  • Author: Jaime Shalkow, MD, FACS; Chief Editor: Carmen Cuffari, MD  more...
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Answer

Surgical consultation is recommended in patients who meet any of the following criteria:

  • Recurrent prolapse with mucosal ulceration

  • Failure to reduce the prolapse despite adequate sedation

  • Recurrent rectal prolapse associated with severe pain and discomfort despite intensive medical treatment

  • Failure of conservative management

  • Full-thickness rectal prolapse in patients with myelomeningocele, exstrophy of the bladder, and postoperative changes after pull-through operations for imperforate anus and Hirschsprung disease


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