TY  - BOOK
AU  - Belal Mosaad Kamel Ibrahim Elezaby,
AU  - Sherif Nabhan Kaddah
AU  - Wesam Mohamed Mahmoud
AU  - Mostafa Ahmed Gad
AU  - Ahmed Ezzat Abdelnabi Arafat
TI  - Effect of hypertonic saline injection for treatment of idiopathic partial rectal prolapse in children
U1  - 618.92 
PY  - 2024///
KW  - Pediatric
KW  - qrmak
KW  - Idiopathic rectal prolapse
KW  - children
KW  - sclerotherapy 15% hypertonic saline
KW  - hypertonic
N1  - Thesis (Ph.D)-Cairo University, 2024; Bibliography: pages 83-94; Issues also as CD
N2  -  Introduction: 
 Idiopathic rectal prolapse is a relatively common self-limiting condition in infants and 
children. When conservative management fails, often sclerotherapy or surgical intervention is 
recommended. Injection 15% hypertonic saline is one of the safe, cost effective and technically 
readily available sclerosants. 

 

Objective: 
 To describe outcome of sclerotherapy with 15% hypertonic saline in patients with 
idiopathic partial rectal prolapse. 
Setting: 
 Specialized Pediatric Hospital (CUSPH), Cairo university, Cairo , Egypt . 
 Materials and Methods: 
 We enrolled 40 patients with idiopathic partial rectal prolapse, in whom conservative 
management failed, including 24 males and 16 females (M: F 1:0.6). Th is study carried out for 
12 months from January 2023 till January 2024. The mean duration of rectal prolapse was 14.4 ± 
4.04 months. Under GA 15% hypertonic saline was injected submucosally at 4 anal quadrants 
avoiding anterior anal aspects owing to proximity with urethra or vagina. Up to two sessions 
were given where required and results analyzed through SPSS 21. 
 Results: 
 In 95% of patients’ resolution of prolapse occurred with single session of sclerotherapy. 
In 5% rectal prolapse resolved with two sessions of sclerotherapy. Two patients developed 
perianal abscess which resolved with conservative management. There was no recurrence in any 
patient on follow-up of at least 6 months. 
Conclusion: 
 Injection 15% hypertonic saline is safe, easy to inject, cost effective sclerosing agent 
which could be prepared in hospital pharmacy. We found 100% success rate with up to two 
sessions of injections. Injection 15% hypertonic saline can be safely chosen as the sclerosing 
agent for idiopathic rectal prolapse in children.
ER  -