When it comes to more advanced cases of rectal prolapse, surgical intervention is generally recommended. In this blog, we'll delve into two surgical options—ventral mesh rectopexy and posterior suture rectopexy—to give you a better understanding of these treatments. As a colorectal surgeon based in Houston, Texas, I'm here to offer expert guidance on these procedures, ensuring you're well-informed about your options.

1. Ventral Mesh Rectopexy: This surgical technique involves the use of a flat piece of mesh to provide reinforced support for the rectum as it is repositioned into its proper anatomic location. A ventral mesh rectopexy is minimally invasive, typically performed robotically or laparoscopically using small incisions. The mesh is attached to the tissues overlying the rectum and secured to the tissues overlying the sacrum to provide support for the rectum. This method has gained popularity due to low risk profile, lower rate of recurrence of the rectal prolapse and its shorter recovery time compared to open (big incision) surgery.

2. Posterior Suture Rectopexy: Posterior suture rectopexy does not use mesh. This procedure uses sutures or stitches to secure the rectum back to the tissues overlying the sacrum so that it returns to its natural position. This technique is a viable option for certain patients, especially those with milder forms of rectal prolapse and those who are worried about the use of mesh. Posterior suture rectopexy can be done using minimally invasive techniques as well. If done robotically or laparoscopically, recovery time is also minimal. However, recurrence rates (ie the rectal prolapse comes back) with this procedure are slightly higher than that of a mesh rectopexy. 

As a board-certified colorectal surgeon with a special interest in and focus on pelvic floor disorders, I provide personalized evaluations and can walk you through the most appropriate surgical option for your rectal prolapse. Whether it's ventral mesh rectopexy, posterior suture rectopexy, or another procedure, I'm here to guide you through the process and help you regain your pelvic health. Reach out today to take the first step toward a more comfortable and confident future.