Rectopexy is a type of rectal prolapse surgery that lifts the rectum back into its normal position and fixes it to the back of the pelvis with stitches or mesh. It is usually done through the abdomen, often with keyhole (laparoscopic) techniques. Surgeons recommend it when the rectum slips out through the anus and simple measures no longer help. In this guide, you will learn what rectal prolapse is, the main types of rectopexy, and how the operation works. We also cover preparation, recovery, risks, and practical ways to protect your results after surgery.
What Is Rectal Prolapse?
Rectal prolapse happens when the rectum, the last part of the large intestine, loses its normal support and slides out through the anus. It may first appear only during bowel movements.
Common features of this rectal prolapse condition include:
Without treatment, the prolapse often grows larger over time. An early assessment helps you understand every option available.
- A reddish bulge from the anus
- Mucus or blood on underwear
- Feeling of incomplete emptying
- Leakage of stool or wind
- Discomfort when sitting or walking
What Is Rectopexy?
Rectopexy is an operation that restores the rectum to its proper place inside the pelvis. The surgeon frees the rectum and secures it to the sacrum, the bony base of the spine.
The repair may be held in place by:
Because it is done from the abdomen, rectopexy usually offers durable support. It is often preferred for adults fit enough for general anaesthesia.
- Permanent or absorbable stitches
- A strip of surgical mesh
- Natural scar tissue that forms
- A combination of mesh and sutures
Have questions about rectopexy? Speak with the colorectal team at Lux Hospitals today.
Who Needs Rectal Prolapse Surgery?
Surgery is the main lasting treatment for full-thickness rectal prolapse in adults. Fibre, fluids, and exercises may ease symptoms, but they rarely reverse the prolapse.
Your specialist may suggest rectopexy if you have:
The final decision depends on your age, health, and bowel habits. A colorectal surgeon will weigh these factors with you, including any fecal incontinence symptoms.
- Prolapse you must push back by hand
- Ongoing bleeding or mucus discharge
- Worsening control of stool or gas
- Severe straining or blocked emptying
- Pain affecting daily activities
Types of Rectopexy Procedures
Several rectopexy techniques exist, and each suits different patients. Common approaches include laparoscopic rectopexy, ventral mesh rectopexy, and resection rectopexy.
The main options include:
Your surgeon will choose based on your anatomy, bowel function, and past surgeries. Minimally invasive methods are now used for most patients.
- Laparoscopic — keyhole, faster recovery
- Ventral mesh — mesh at front of rectum
- Resection — removes part of sigmoid colon
- Suture only — stitches without mesh
- Robotic — added precision in the pelvis
- Open — larger cut, selected cases
Perineal Alternatives for Older or Frail Patients
Not everyone is fit for abdominal surgery. Perineal operations repair the prolapse from below, through the anus, often with lighter anaesthesia.
Options may include the Delorme procedure and the Altemeier procedure:
These operations are gentler but may carry a higher chance of the prolapse returning. They remain valuable for elderly or high-risk patients.
- Delorme — removes excess rectal lining
- Altemeier — removes prolapsed rectal segment
- Thiersch — tightens the anal opening
- Often done under spinal anaesthesia
- Shorter hospital stay for many
Unsure which repair suits you? Book an assessment at Lux Hospitals.
How to Prepare for Rectopexy
Good preparation makes surgery safer and recovery smoother. Your care team will give instructions tailored to you.
Preparation often involves:
Ask questions early so you feel confident on the day. Bring a list of your current medicines to your consultation.
- Blood tests and heart check
- Colonoscopy or defecography if needed
- Reviewing medicines, including blood thinners
- Stopping smoking before surgery
- Following bowel preparation advice
- Fasting for several hours beforehand
What Happens During the Surgery?
Keyhole rectopexy is done under general anaesthesia. The surgeon works through small cuts using a camera and fine instruments.
The typical steps are:
The exact technique and length of surgery vary by patient. Your surgeon will explain which approach suits your body.
- Small incisions are made in the abdomen
- The rectum is gently freed from nearby tissue
- The rectum is lifted to its normal position
- Mesh or stitches fix it to the sacrum
- Incisions are closed with stitches or glue
Recovery After Rectal Prolapse Surgery
Many people go home within a few days after minimally invasive rectopexy. Full recovery usually takes several weeks.
During recovery, you can expect:
Bowel habits may take time to settle. Report fever, severe pain, or heavy bleeding to your doctor promptly.
- Mild pain controlled with medicines
- Early walking to prevent clots
- Gradual return to normal diet
- Stool softeners to avoid straining
- No heavy lifting for some weeks
- Follow-up visits to check healing
Get guided, step-by-step recovery support from the specialists at Lux Hospitals.
Risks and Possible Complications
Rectopexy is generally safe, but every operation carries some risk. Knowing these helps you make an informed choice.
Possible complications include:
Choosing an experienced colorectal team helps lower these risks. Discuss your personal risk profile before surgery.
- Infection or wound problems
- Bleeding during or after surgery
- New or worsened constipation
- Mesh-related problems, though uncommon
- Return of the prolapse
- Rare injury to nearby nerves
Tips to Protect Your Results
Daily habits play a big role in keeping the rectum in place. Avoiding straining is the most important step.
Helpful habits include:
Treating chronic constipation early reduces pressure on the repair. Guided pelvic floor therapy can also strengthen the muscles that support your bowel.
- Eat plenty of fibre daily
- Drink enough water
- Never strain on the toilet
- Use a footstool while passing stool
- Stay active with gentle exercise
- Keep a healthy body weight
Why Choose Lux Hospitals?
Lux Hospitals offers expert colorectal care for rectal prolapse and related pelvic floor problems. Our team focuses on safe, minimally invasive treatment.
Patients choose us for:
We explain every option clearly so you can decide with confidence. Your comfort and long-term bowel health guide every plan.
- Experienced colorectal and laparoscopic surgeons
- Advanced imaging and pelvic floor tests
- Full range of abdominal and perineal repairs
- Personalised treatment plans
- Supportive recovery and follow-up care
Take the first step—schedule your rectal prolapse consultation at Lux Hospitals today.
Conclusion
Rectopexy is a proven form of rectal prolapse surgery that lifts the rectum back into place and secures it for lasting support. Most patients today benefit from keyhole techniques, while perineal repairs remain helpful for older or frail patients. The right choice depends on your health, bowel habits, and symptoms.
Living with a prolapse can feel embarrassing, but it is a common and treatable condition. Good preparation, careful recovery, and healthy bowel habits all help protect your results. If you notice a bulge, bleeding, or leakage, do not wait for it to worsen. Speak with a colorectal specialist at Lux Hospitals to understand your options and plan safe, personalised care.
