Rectal Prolapse
Everything in the library about rectal prolapse — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Surgical Management
1 item
Rectal Prolapse Repair Following a Posterior Sagittal Anorectoplasty
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Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital
video4:55 · Jan 2025
Evidence & Research
1 item
Morbidity of Rectal Prolapse Repair After Surgery for Anorectal Malformation
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Megan A. Read, Liese C.C. Pruitt, Brenna Rachwal, Kristine L. Griffina, Richard J. Wood, Alessandra C. Gasio
Purpose
Rectal prolapse is a known complication of surgery for anorectal malformations (ARM), however morbidity of prolapse r
video0:39 · Sep 2025
Case-Based Learning
2 items
Colorectal Quiz Episode 2: When to redo a PSARP
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In the second installment of the Colorectal quiz, Dr. Jason Frischer and Dr. Marc Levitt discuss a topic of debate - when is the right time to redo an anorectoplasty? Listen as they walk you through their thought process on 2 different case
podcast18:15 · Jan 2021
Colorectal Quiz: Episode 2
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In the second installment of the Colorectal quiz, Dr. Jason Frischer and Dr. Marc Levitt discuss a topic of debate - when is the right time to redo an anorectop
podcast18:15 · Jul 2026
In-Depth Reviews
1 item
Update Course Rewind: 2020 Colorectal Part 2
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Did you miss our annual Update Course? Don't worry, we are summarizing our favorite sessions from years past. In this episode, Dr. Eunice Huang and Dr. Megan Durham talk you through the workup and management for rectal prolapse. Mark your c
podcast11:01 · Mar 2021
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
Rectal Prolapse Repair Following a Posterior Sagittal Anorectoplasty
Rectal prolapse is a very common problem following repair of an anorectal malformation
clinical0:11 ↗
Rectal prolapse can cause mucous production and bleeding
clinical0:19 ↗
Rectal prolapse can interfere with the patient's ability to close the anus and thereby affect bowel control
clinical0:19 ↗
The anoplasty location should be checked with an electrical stimulator to confirm well-located positioning with circumferential contractions
clinical0:44 ↗
Full thickness rectum is incised off the skin edge while preserving the sphincter muscle
clinical1:27 ↗
Leaving the right side of the anoplasty untouched reduces the risk of postoperative stricture
clinical1:35 ↗
The rectum is mobilized out until there is slight tension and the intended cut line will comfortably reach the anal skin
clinical1:47 ↗
Extra stitches placed into the redundancy help straighten out the rectal tissue prior to incising it
clinical2:13 ↗
The Lone Star retractor is very helpful to set up the anoplasty
opinion2:28 ↗
The anoplasty technique involves taking a bite of anal skin to full thickness rectal wall
clinical2:47 ↗
Dividing the upper and lower quadrants of the left-sided prolapse creates two triangles
clinical3:28 ↗
All sutures are tied under slight tension so that once cut, the anoplasty retracts back nicely
clinical4:48 ↗
Morbidity of Rectal Prolapse Repair After Surgery for Anorectal Malformation
A study examined 85 children treated for rectal prolapse after anorectal malformation surgery
epidemiologicalLizzie Lee0:11 ↗
Approximately 30% of children had recurrence of prolapse requiring another repair
epidemiologicalLizzie Lee0:16 ↗
Children without symptoms from prolapse at initial presentation were more likely to develop stricture later
clinicalLizzie Lee0:20 ↗
Surgical repair of asymptomatic rectal prolapse may not be indicated because the treatment itself carries risks
opinionLizzie Lee0:26 ↗
Colorectal Quiz: Episode 2
Anorectoplasty is an incredibly particular procedure where if you don't get it perfect, you might not have the best outcomes
opinionRod Gerardo0:00 ↗
Oftentimes your first shot might be your only shot to give this patient a good outcome
opinionRod Gerardo0:20 ↗
The first case patient has a rectal prostatic fistula as the original malformation
clinicalMarc Levitt4:30 ↗
The first case patient has a tethered cord
clinicalMarc Levitt4:40 ↗
The first case patient has a sacral ratio of 0.66
clinicalMarc Levitt4:45 ↗
A sacral ratio of 0.7 or greater usually means normal or close to normal sphincters
clinicalMarc Levitt6:00 ↗
The higher the malformation, the worse the prognosis
clinicalMarc Levitt5:50 ↗
Patients with myelomeningocele have much more trouble with continence than those with tethered cord
clinicalMarc Levitt6:50 ↗
It's amazingly common to have a mislocated anus
clinicalMarc Levitt7:50 ↗
A key pitfall is opening the PSARP incision first rather than marking the sphincters first
clinicalMarc Levitt8:00 ↗
The second case patient was born with a vestibular fistula, has normal spine and excellent sacrum
clinicalMarc Levitt8:40 ↗
The electrical stimulator used is the same one anesthesia uses for train of four
clinicalMarc Levitt9:40 ↗
Anesthesiologists should not give skeletal muscle relaxant when using the stimulator because it's weaker than traditional stimulators
clinicalMarc Levitt10:00 ↗
In higher malformations like bladder neck fistula, the sphincter complex is sometimes more anterior than anticipated
clinicalJason Frischer10:30 ↗
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