The following statements are true regarding rectal prolapse except:
ExplanationD. In the management of rectal prolapse in children the vast majority, if not all, are treated conservatively by digital repositioning. If this is not successful after a 6-week period, submucosal injection usually cures the condition. In adults as it is usually a full-thickness(complete) prolapse, an operation is most often required. There are several procedures, including laparoscopic approach. In children it is a mucosal prolapse (partial prolapse), the cause usually being diarrhoea and weight loss resulting in loss of fat in the ischio-rectal fossa. It might be confused with an ileocaecal intussusception. In a prolapse the finger cannot be insinuated between the mucosa and anal verge whereas in intussusception the finger will enter a gap between the bowel and anus. In adults, women are six times more often affected than men. It is almost always a full-thickness or complete prolapse, and in 50% there is faecal incontinence. There are several choices of surgical treatment, the option taken depending upon the age of the patient and presence of comorbidities.
