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Abstract

Introduction. Rectal prolapse is a common condition in pediatric surgery, characterized by intussusception of the terminal portion of the rectum through the anus. Although generally of good prognosis, its management remains controversial, ranging from conservative treatment to surgery. Sclerotherapy has emerged as a simple and effective alternative. This study aimed to describe the epidemiological, clinical, therapeutic, and prognostic aspects of rectal prolapse in children at the University Hospital for Mother and Child in N'Djamena. Materials and Methods. This was a retrospective and prospective study from January 1 to December 31, 2025. The study included children aged 0 to 15 years who were treated for rectal prolapse with sclerotherapy during the study period. Data were entered and analyzed using SPSS version 26.0. Results. Among 407 anorectal pathologies, 31 cases of rectal prolapse were identified (7.6%). Females predominated (77.4%, sex ratio 3.4). The mean age was 2 years ± 2, with a predominance of infants (48.4%). Contributing factors were constipation (38.7%), diarrhea (29.0%), and straining during defecation (19.4%). Mucosal prolapse accounted for 74.2% of cases. All patients underwent sclerotherapy, with infiltration at 3, 6, and 9 o'clock positions. Postoperative course was uncomplicated in 93.6% of cases. Hospital stay was less than 24 hours in 93.6% of patients. Outcomes were satisfactory in 100% of cases. Conclusion. Sclerotherapy appears as a simple, minimally invasive, and effective therapeutic option for managing rectal prolapse in children. Its advantages include short hospital stay and low complication rate.

Keywords

rectal prolapse, children, sclerotherapy, CHUME, Chad prolapsus rectal, enfant, sclérothérapie, CHUME, Tchad.

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How to Cite
Bembo Lamega, Salhadine Yacoub Ahmat, Ngaringuem Olivier, Mahamat Nour Abakar, Moyalbaye Yireta, Mariam Mahamat, … Choua Oucheimi. (2026). Management of Rectal Prolapse Using Sclerotherapy at the University Hospital for Mother and Child in N’Djamena (Tchad): Prise en Charge des Prolapsus Rectaux par Sclérothérapie au Centre Hospitalier Universitaire de la Mère et l’Enfant de N’Djamena (Tchad). HEALTH SCIENCES AND DISEASE, 27(9), 119–122. https://doi.org/10.67260/hsd.v27i9.7881
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References

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