ABSTRACT

Rectal prolapse is a relatively common problem in young children, with a peak age of incidence of 1-3 years. In this age group, most cases are idiopathic and frequently self-limiting. Prolapse is also associated with tenesmus and excessive straining at stool associated with diarrhea, constipation, par-

asitic worms, and rectal polyps. Children with neuromuscular problems such as menigomyelocele or exstrophy of the bladder often have rectal prolapse. There is an increased incidence of rectal prolapse in children with cystic fibrosis associated with tenacious stool, chronic cough, and loss of perirectal fat.