A Descriptive Study of the Incidence of Anorectal Prolapse in Children Under 10 Years of Age Attending the General Surgery Department of Herat Regional Hospital in 1403 (Solar Hijri Year)
DOI:
https://doi.org/10.58342/MJ.V.3.I.1.8Keywords:
Anorectal prolapse, chronic constipation, surgical procedure, pediatrics, preventionAbstract
Background and Objective: Anorectal prolapse is a common health issue that can lead to serious complications if not treated promptly. Identifying its causes and appropriate treatment methods is of significant importance. One of the primary causes of this condition is increased intra-abdominal pressure and chronic constipation due to excessive straining during bowel movements, which results in the weakening and stretching of the pelvic floor and anal muscles.
Method: This study was conducted as a descriptive cross-sectional and retrospective analysis in the general surgical department, focusing on the contributing factors and treatment methods for anorectal prolapse. Data were collected and analyzed from 206 patients.
Findings: Anorectal prolapse in children under 10 years in 1403 reveals that out of 206 patients, 120 (58%) were boys and 86 (42%) were girls, indicating a higher prevalence in boys. Additionally, 82% of the patients were aged 1-5 years, while only 3% were infants (0-1 year) and 15% were older children (6-10 years). In terms of treatment, 180 patients (85%) underwent surgical procedures, while 36 patients (15%) received conservative treatment. Chronic constipation was identified as the most common contributing factor, affecting 102 cases, followed by malnutrition and diarrhea.
Conclusion: Based on the findings, there is a clear need for special attention to the physiological, social, and environmental factors in the management and prevention of anorectal prolapse in children. The organization of educational workshops and the improvement of nutritional status are recommended as essential measures to reduce the incidence of this condition.
References
P. Senthamilarasu, J. L. Sharp, S. K. Sampath, D. H. Casson, and M. K. H. Auth, “Rectal prolapse in children: Aetiology and treatment,” 2010.
S. P., S. J.L., S. S.K., C. D.H., and A. M.K.H., “Rectal prolapse in children: Aetiology and treatment,” J. Pediatr. Gastroenterol. Nutr., vol. 50, 2010.
A. Takimoto et al., “Hemi-circumferential mucosal resection and anastomosis procedure for rectal prolapse following anorectoplasty for anorectal malformations,” Surg. Today, vol. 53, no. 5, 2023, doi: 10.1007/s00595-022-02611-7.
P. Stenström et al., “Anorectal prolapse after anorectal reconstruction: Incidence and risk factors according to the ARM-Net Consortium,” Colorectal Disease, vol. 27, no. 2, 2025, doi: 10.1111/codi.70010.
S. He, S. Fang, L. Voltaggio, A. Murphy, and I. Leeds, “Mucosal prolapse: unusual anorectal ‘MASS,’” Dis. Colon Rectum, vol. 62, no. 6, 2019.
A. Fox, P. H. Tietze, and K. Ramakrishnan, “Anorectal conditions: rectal prolapse.,” 2014.
A. K. Sinha, A. Kumar, Rashi, M. M. Ali, and B. Kumar, “Female Anorectal Malformation with Genitourinary Prolapse: A Rare Association,” Afr. J. Paediatr. Surg., vol. 21, no. 3, 2024, doi: 10.4103/ajps.ajps_121_22.
R. E. Colbran, A. M. Warwick, H. G. Krause, J. T. Goh, and C. J. Gillespie, “The Effect of Transvaginal Prolapse Surgery on Anorectal Function,” Journal of Coloproctology, vol. 43, no. 1, 2023, doi: 10.1055/s-0043-1764196.
J. Lodhia, J. Tadayo, A. Mashambo, A. Sadiq, and D. Msuya, “Anorectal prolapse in an infant mimicking gluteal mass,” J. Pediatr. Surg. Case Rep., vol. 85, 2022, doi: 10.1016/j.epsc.2022.102435.
T. Hosokawa et al., “Complications after surgical correction of anorectal malformations,” 2020. doi: 10.12809/hkjr2017047.
K. Kodia, C. T. Huerta, and E. A. Perez, “Rectal prolapse in the pediatric population—a narrative review of medical and surgical management,” Transl. Gastroenterol. Hepatol., vol. 9, 2024, doi: 10.21037/tgh-23-128.
A. Belizon, M. Levitt, G. Shoshany, G. Rodriguez, and A. Peña, “Rectal prolapse following posterior sagittal anorectoplasty for anorectal malformations,” J. Pediatr. Surg., vol. 40, no. 1, 2005, doi: 10.1016/j.jpedsurg.2004.09.035.
V. Melkonian, L. de la Torre, L. Evans, J. Ketzer, A. Pena, and A. Bischoff, “Rectal prolapse in adult patients with anorectal malformations: considerations for adult colorectal surgeons,” Pediatr. Surg. Int., vol. 41, no. 1, 2025, doi: 10.1007/s00383-025-06077-9.
V. Lohsiriwat, “Anorectal emergencies,” 2016. doi: 10.3748/wjg.v22.i26.5867.
G. Kwakye and L. H. Maguire, “Anorectal Physiology Testing for Prolapse-What Tests are Necessary?,” 2021. doi: 10.1055/s-0040-1714246.
V. G. Svarich and V. A. Svarich, “Treatment of rectal prolapse after proctoplasty in a child with rectal atresia,” Pirogov Russian Journal of Surgery, no. 9, 2024, doi: 10.17116/hirurgia2024091106.
A. Elhaddad, E. E. Amerstorfer, G. Singer, A. Huber-Zeyringer, and H. Till, “Laparoscopic posterior rectopexy (Well’s procedure) for full-thickness rectal prolapse following laparoscopic repair of an anorectal malformation: A case report,” Int. J. Surg. Case Rep., vol. 42, 2018, doi: 10.1016/j.ijscr.2017.12.020.
L. Li et al., “Pattern of anatomic disorder and surgical management of anorectal prolapse in anorectal malformation,” Pediatr. Surg. Int., vol. 38, no. 7, 2022, doi: 10.1007/s00383-022-05141-y.
C. Sun, T. Hull, and G. Ozuner, “Risk factors and clinical characteristics of rectal prolapse in young patients,” J. Chir. Visc., vol. 151, no. 6, 2014, doi: 10.1016/j.jviscsurg.2014.07.013.
R. Chaudhary and C. S. Dausage, “Prevalence of Anal Fissure in Patients with Anorectal Disorders: A Single-centre Experience,” JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2019, doi: 10.7860/jcdr/2019/38478.12563.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 محمدصادق یوسفی،مسعوده گیلانی

This work is licensed under a Creative Commons Attribution 4.0 International License.





