Techniques in coloproctology – controversies in coloproctology resection: rectopexy is an underutilised procedure in the management of both symptomatic high-grade internal and external rectal prolapse - Takeaways - MDSpire

Techniques in coloproctology – controversies in coloproctology resection: rectopexy is an underutilised procedure in the management of both symptomatic high-grade internal and external rectal prolapse

  • By

  • J. Bunni

  • E. D. Courtney

  • December 4, 2025

  • 0 min

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  • 1

    Ventral mesh rectopexy (VMR) is preferred for managing full-thickness external rectal prolapse and selected high-grade internal rectal prolapse.

  • 2

    Resection rectopexy combines sigmoid colon removal with rectal mobilization, but has a higher complication rate compared to VMR.

  • 3

    Negative media attention on pelvic mesh has led to increased use of resection rectopexy for rectal prolapse in some regions.

  • 4

    Understanding colonic motility and pathophysiology of obstructed defaecation syndrome supports selective use of resection rectopexy.

  • 5

    Laxity of utero-sacral ligaments contributes to internal rectal prolapse and associated symptoms like faecal incontinence and obstructed defaecation.

Original Source(s)

Techniques in coloproctology – controversies in coloproctology resection: rectopexy is an underutilised procedure in the management of both symptomatic high-grade internal and external rectal prolapse

  • by J. Bunni, E. D. Courtney

  • December 4, 2025

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