title: A novel percutaneous technique for treating complete rectal prolapse in adults.
abstract: OBJECTIVE
  To evaluate a new technique for treating complete rectal prolapse in adults that combines injection sclerotherapy with anal encirclement.
  
  
  METHODS
  From 2008 to 2012, 20 patients were treated using combined perirectal injection sclerotherapy with anal encirclement. The primary outcome was recurrent full-thickness/mucosal rectal prolapse.
  
  
  RESULTS
  The mean age of the patients was 39 years. The mean operating time was 17 minutes. Patients had short hospital stays (range = 2-4 days) and rapid recovery with no serious postoperative complications. After a mean follow-up of 22 months, recurrence occurred in 9 patients, and was complete in 6 cases and mucosal in 3 patients. Recurrent mucosal prolapse was treated with a mucosectomy, while recurrent complete rectal prolapse was treated with an open rectopexy with mesh.
  
  
  CONCLUSIONS
  The combination of perirectal sclerotherapy and anal encirclement for treating complete rectal prolapse in adults is a simple and safe procedure with reasonable outcome. These findings call for confirmatory trials in larger series.
authors.affiliation: Assiut University Hospitals, Assiut, Egypt samirahmed70@hotmail.com.
authors.forename: Samir Ahmad
authors.initials: SA
authors.lastname: Ammar
authors.affiliation: Assiut University Hospitals, Assiut, Egypt.
authors.forename: Mohamad B M
authors.initials: MB
authors.lastname: Kottb
mesh_terms: D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000601:surgery*; D003113:Colonoscopy; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012005:Rectal Prolapse / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D015911:Sclerotherapy; D016896:Treatment Outcome; D055815:Young Adult
keywords: anal cerclage; injection sclerotherapy; rectal prolapse; sclerosing material