Rectal Prolapse
Conditions
Brief summary
To see the outcome of results of Cow Milk & Hypertonic Saline in the treatment of Rectal Prolapse in Children
Detailed description
Sclerotherapy is the least invasive procedure used in management of grade I/II rectal prolapse, with a success rate of around 80%, and generally considered as the first choice for uncomplicated and recurrent prolapse. Several sclerosing agents such as 15% hypertonic saline, 5% Phenol in almond oil and cow milk have been used and reported in the literature. Present study is designed to determine the efficacy of cow milk and 15% hypertonic saline in the management of children with grade I/II rectal prolapse. All the details will be entered on the proforma which will include resolvement of rectal prolapse and which agent has adverse effects like recurrence, fecal incontinence and anal stenosis.
Interventions
Hypertonic saline
Cow Milk
Sponsors
Study design
Eligibility
Inclusion criteria
* All children with Grade I and II rectal prolapse * Age \<12 years * Both genders
Exclusion criteria
* Rectal prolapse secondary to causes like ulcerative colitis and crohn's disease * Past surgical history on the pelvic floor, * Neurological diseases like rectal polyps, congenital megacolon, Hirschsprung disease, sacrococcygeal teratoma, neural tube defects, cauda equina syndrome * Where parents are not willing to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| recurrence (as described by parent s during follow up) | 1 year | Comparison of Cow Milk vs 15% Hypertonic Saline for rectal prolapse |
| Number of participants with fecal incontinence (as described by parents during follow up) | 1 year | Comparison of Cow Milk vs 15% Hypertonic Saline for rectal prolapse |
| Number of participants with anal stenosis (on clinical examination) | 1 year | Comparison of Cow Milk vs 15% Hypertonic Saline for rectal prolapse |
Countries
Pakistan