RÉSUMÉ
This prospective study was conducted in the Department of Paediatric Surgery, Civil Hospital, Karachi on all patients with rectal prolapse who underwent sclerotherapy [ST] alone or in combination with Thiersch ligature from April 1994 to December 2003, to assess the efficacy of sclerotherapy in rectal prolapse [RP] and the role of combination of ST with Thiersch ligature[TL] in refractory cases. Out of the 104 patients that underwent sclerotherapy, 69 were males and 35 females, with an age range between 13 months to 12 years. After one session of sclerotherapy the cure rate was 86% [89 patients] and after second session 91% [95 patients], the remaining nine patients responded to Thiersch ligature with 3rd session of sclerotherapy. Postoperative complications were minimal. It is therefore concluded that sclerotherapy is a cheap, safe and effective method of treatment for paediatric rectal prolapse not responding to conservative treatment