Laparoscopic Rectopexy in Jordan

Laparoscopic rectopexy is an operation for rectal prolapse, in which the rectum slips from its normal position and its full thickness protrudes through the anus on straining or after opening the bowels. It is performed through small abdominal incisions: the rectum is mobilised, lifted back into place and fixed to the ligament in front of the sacrum, either with a mesh strip or with sutures, restoring the anatomy and reducing the tendency to slip on straining. Surgery is considered for full-thickness prolapse that appears with straining or after defaecation, often accompanied by faecal incontinence, mucus leakage, minor bleeding or a persistent sense of incomplete emptying. Diagnosis is essentially clinical — seeing the prolapse while the patient strains — and is completed with colonoscopy at appropriate ages to exclude another cause, plus pelvic functional studies when incontinence or chronic constipation coexist. Distinguishing full-thickness prolapse from prolapsing internal haemorrhoids matters, because they look similar to the patient yet are treated in completely different ways. There are two broad approaches: abdominal, done laparoscopically or with robotic assistance, and perineal, done through the anus. The laparoscopic abdominal route is preferred in many cases because prolapse tends to recur less often than after perineal approaches, and the small incisions mean less pain and faster mobilisation. A perineal approach remains reasonable for those who cannot tolerate lengthy anaesthesia or abdominal surgery. The limits deserve emphasis. The operation corrects the anatomical prolapse; it does not necessarily repair a weak sphincter already damaged by years of prolapse or by previous childbirth, so some degree of incontinence or wind leakage may persist and may need pelvic floor rehabilitation or biofeedback. Nor is it a treatment for haemorrhoids or for chronic constipation in itself. In fact continued repeated straining after surgery raises the chance of recurrence, which is why regulating bowel habit stays a permanent part of the plan. Candidacy, the type of fixation and the best route are decided by clinical examination together with an assessment of your general health and bowel function, not by comparison with someone else case.