Rectopexy treats rectal prolapse by mobilising and fixing the rectum to the sacrum. Modern ventral rectopexy is done laparoscopically/robotically, with less impact on bowel function and rapid recovery.
What is a rectopexy?
It is the fixation of the rectum in its normal position, correcting the prolapse. In the anterior technique a mesh is used for support, with minimal mobilisation that protects the nerves.
When is it needed?
It is indicated for full rectal prolapse and, in selected cases, internal prolapse/obstructed defaecation syndrome when symptomatic.
Preparation
A proctological assessment is done and, as appropriate, functional/imaging evaluation of the pelvic floor. Planning is individualised to the symptoms.
How it's done
Laparoscopically or robotically, the rectum is mobilised and fixed to the sacrum. In ventral rectopexy a mesh is placed with limited tissue division, reducing the functional impact.
Ventral rectopexy
Ventral mesh rectopexy with limited mobilisation — nerve protection, good function.
Lap./Robotic
Fixation through small incisions with rapid recovery and low recurrence.
By symptoms
Planning adapts to the type of prolapse and bowel function.
Recovery
With the laparoscopic approach, discharge is usually in 1–2 days, with a gradual return. Advice is given on stool regulation and avoiding straining.
Risks & outcomes
An operation with very good results and low recurrence in specialist hands. Possible, usually rare, complications relate to the mesh, bowel function or recurrence.
Frequently asked questions
What is ventral rectopexy?
It is the modern technique that fixes the rectum with a mesh from the anterior side, with limited tissue division — protecting the nerves and bowel function.
Is it done laparoscopically?
Yes, chiefly laparoscopically or robotically, with small incisions and rapid recovery.
Will the prolapse recur?
With the modern technique recurrence is low. Stool regulation and avoiding straining help.
Will my symptoms improve?
The aim is to correct the prolapse and improve related symptoms; outcomes are individualised to the initial picture.