The EXPRESS procedure for internal rectal prolapse

Abstract

External pelvic rectal suspension (EXPRESS procedure) is a newly developed operation aimed at restoring the anatomical position of the internal rectal prolapse whilst hopefully improving the underlying physiological abnormality. The procedure is carried out transperineally with limited rectal mobilisation, and where appropriate, it can be combined with surgical correction of a rectocele. The operation consists of hitching up the rectum and reinforcing the rectovaginal wall utilising a commercially available, long-lasting collagen biomaterial (Permacol, Tissue Science Laboratories plc, Aldershot, UK). © 2008 Springer-Verlag Italia.