The EXPRESS Procedure for Internal Rectal Prolapse

  • Pasquale Giordano
  • Norman S. Williams


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).


Rectal Prolapse Rectal Wall Perineal Wound Sphincter Complex Anterior Rectal Wall 
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Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Pasquale Giordano
    • 1
  • Norman S. Williams
    • 2
  1. 1.Department of SurgeryWhipps Cross University HospitalLondonUK
  2. 2.Centre for Academic SurgeryThe Royal London HospitalLondonUK

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