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Understanding Abdominal Rectopexy Surgery

Rectal prolapse happens when the rectum, which is part of the large intestine, slips down into the anus. This occurs due to weakened muscles that normally support it. Rectal prolapse might resemble or feel like haemorrhoids, but unlike haemorrhoids, it does not resolve on its own. Surgery will eventually be necessary to correct the issue.

Generally, for healthy adults, the preferred option is a rectopexy, a surgical procedure to mend the rectum through the abdomen. This operation put the rectum back to its initial position in the pelvis. The surgeon will secure the rectum to the back wall of the pelvis (sacrum) using permanent stitches.

Abdominal Rectopexy Treats:

Check IconRectal prolapse
Check IconInternal rectal prolapse
Check IconObstructed defecation syndrome (ODS)
Check IconPelvic floor dysfunction
Check IconProlapse of other pelvic organs
Check IconChronic rectal bleeding or mucus discharge
Check IconRectal ulcers
 

Understanding Abdominal Rectopexy Surgery

Rectal prolapse happens when the rectum, which is part of the large intestine, slips down into the anus. This occurs due to weakened muscles that normally support it. Rectal prolapse might resemble or feel like haemorrhoids, but unlike haemorrhoids, it does not resolve on its own. Surgery will eventually be necessary to correct the issue. Generally, for healthy adults, the preferred option is a rectopexy, a surgical procedure to mend the rectum through the abdomen. This operation put the rectum back to its initial position in the pelvis. The surgeon will secure the rectum to the back wall of the pelvis (sacrum) using permanent stitches.

Abdominal Rectopexy Treats:

Check IconRectal prolapse
Check IconInternal rectal prolapse
Check IconObstructed defecation syndrome (ODS)
Check IconPelvic floor dysfunction
Check IconProlapse of other pelvic organs
Check IconChronic rectal bleeding or

mucus discharge
Check IconRectal ulcers

How Does the Abdominal Rectopexy Procedure Work?

Abdominal Rectopexy Procedure

Abdominal rectopexy is a surgical procedure that repositions the rectum to its original place within the pelvis. During this procedure, the surgeon will use permanent stitches to secure the rectum to the back wall of the pelvis (sacrum) and may also use mesh for support. These measures are intended to maintain the position of the rectum until scar tissue forms, which will then provide long-term support.

Depending on the surgeon’s decision and experience, rectopexy may be performed using open abdominal surgery, minimally invasive laparoscopic, or robotic surgery.

Open abdominal rectopexy: It involves opening the abdominal cavity to access the organs and making an abdominal incision to reposition and secure the rectum to the sacrum. However, there is a possibility of experiencing increased discomfort and pain following the surgical procedure.

Laparoscopic rectopexy: A thin tube with a camera (laparoscope) and medical instruments is inserted through small abdominal incisions to secure the rectum in place.

Robotic rectopexy: This procedure is like laparoscopic surgery, but a robotic device is used to help repair the prolapse. If necessary, a bowel resection or placement of a mesh sling may also be performed.

Treatment At a Glance

Purpose

Purpose

Rectal prolapse
Procedure Duration

Procedure Duration

2-3 Hours
Anaesthesia

Anaesthesia

General

Purpose

Rectal prolapse

Pain

Moderate

Procedure Duration

2-3 Hours

Recovery Time

6-12 Weeks

Drive

After 2 weeks

Anaesthesia

General

Recovery Time

Recovery Time

6-12 Weeks
Pain

Pain

Moderate
Drive

Drive

After 2 weeks

Benefits of Abdominal Rectopexy Surgery

Restores Normal Bowel Function

Abdominal rectopexy helps restore healthy bowel movements by correcting rectal prolapse and reducing constipation and discomfort.

Improves Quality of Life

The surgery improves prolapse issues and helps patients feel much more comfortable and healthier in their daily lives.

Minimally Invasive Option

Laparoscopic rectopexy is a minimally invasive procedure, offering faster recovery and smaller scars compared to open surgery.

Reduces Recurrence

Abdominal rectopexy surgery provides long-term relief, significantly lowering the risk of prolapse recurrence and complications.

Boosts Self-Confidence

Eliminating embarrassing symptoms like incontinence or frequent prolapse can restore confidence in social situations.

Long-Lasting Results

Abdominal rectopexy provides a durable solution, with most patients enjoying long-term relief from prolapse symptoms.

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Cost of Abdominal Rectopexy Surgery

Consultations start at £200. Please request a callback by filling out the contact form. We look forward to assisting you!

Why Choose Leicester Bowel Clinic?

At Leicester Bowel Clinic, we focus on bowel health and conditions, digestive issues, and cancer care. Our clinic offers minimally invasive procedures for bowel problems, ensuring effective results and patient comfort. We aim to provide personalised care for our patients and offer the latest treatments for hernias, bowel conditions and rectal disorders

Our Locations

Leicester Bowel Clinic at Spire Hospital

  • Wednesdays evenings (Mr Runau) from 6:00 pm until 9:00 pm at: Spire Leicester Hospital Gartree Road Leicester LE2 2FF
  • To arrange an appointment directly with the Spire Leicester Hospital, please call the booking line on 0116 2653685

*Free on-site parking is available.

Meet The Team

Sanjay Chaudhri

Mr Sanjay Chaudhri

Francois Runau

Mr Francois Runau

Pippa Powley

Pippa Powley

Rebecca West

Rebecca West

FAQs

Frequently Asked Questions about Abdominal Rectopexy Surgery

01. What factors increase the risk of rectal prolapse?

Rectal prolapse is more common in females, especially as they get older. Generally, elderly individuals with a history of constipation or pelvic floor issues are at a higher risk of experiencing a prolapsed rectum.

Other factors that increase the risk of rectal prolapse include:

  • Persistent constipation.
  • Frequent straining during bowel movements.
  • Lower back injury or disc disease.
  • Dementia.
  • Stroke.
  • Hysterectomy.
  • Weakness in the muscles of the anus or pelvic floor.
  • Family history of rectal prolapse.
  • Parasitic infections such as schistosomiasis.
  • Chronic obstructive pulmonary disease (COPD).
  • Harmless prostatic hypertrophy (enlargement of the prostate gland).
  • Injury or issues with the ligaments that support the rectum’s attachment to the intestinal wall.
  • Congenital bowel disorders like Hirschsprung’s disease or neuronal intestinal dysplasia.

02. How can I avoid rectal prolapse from happening or returning after surgery?

To avoid rectal prolapse from happening or returning after surgery, it is important to follow your doctor’s recommendations for post-operative care. Below are some tips you can follow to avoid recurrence.

  • Manage chronic bowel conditions.
  • Do not allow chronic constipation or diarrhoea to continue.
  • Enquire with your healthcare provider about lifestyle changes and medicines.
  • Strengthen your pelvic floor.
  • Engaging in Kegel exercises can help maintain the strength and fitness of your pelvic muscles.
    These exercises have been proven to prevent incontinence and potential pelvic organ prolapse.

03. What are the consequences of not treating rectal prolapse?

If rectal prolapse is not treated, you may be able to manage it at home as long as it’s not causing troublesome symptoms. Managing it involves manually pushing your rectum back inside. Healthcare professionals recommend lying on your side with your knees to your chest and using a wet, warm cloth to gently push your rectum back into place. However, the prolapse will worsen over time.

Leaving rectal prolapse untreated can result in various potential complications, including:

  • Loss of bowel control
  • Difficulty passing stool
  • Ulcers in the rectum
  • Incarceration

04. Will I be able to live normally after rectal prolapse surgery?

After the surgery, you can expect to resume your regular activities in approximately 6 weeks. However, for the first 3 months following the surgery, it’s important to take it easy and avoid lifting heavy objects or standing for long periods of time. If you strain or lift too soon after the surgery, there’s a risk of the prolapse returning.

05. Can a prolapse come back after surgery?

Yes, a prolapse can return after surgery. If you have more than one prolapsed organ, you may still have symptoms even after surgery. Additionally, surgery can lead to other issues, such as incontinence, pain during intercourse, and bladder injury.

06. What should I avoid after pelvic prolapse surgery?

After pelvic prolapse surgery, it’s best to avoid certain things while you’re still recovering:
  • Try not to drink too much tea, coffee, or alcohol because they can make you need to pee more often.
  • Avoid heavy lifting, standing for long periods, or performing strenuous tasks. Some doctors may also advise you to avoid heavy lifting in the long run.
  • Don’t smoke, as coughing from smoking can strain your pelvic floor muscles.
  • Try not to gain too much weight, as it can put pressure on your pelvic area.

07. When can I return to work following abdominal rectopexy surgery?

The time you can go back to work depends on the type of surgery you had, how you’re feeling, and the kind of work you do. If you have a desk job, you may go back after about three weeks. If your job involves physical activity, it might take up to 12 weeks. Your doctor will give you advice and provide a certificate saying you’re fit to work.

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Schedule a consultation to discuss your symptoms and the best treatment options for you. For more information about the treatments, book a consultation and contact our Leicester clinic.