Description of Medical ServiceVentral rectoplexy involves dissecting between the rectum (the last part of the large intestine) and vagina (or bladder, seminal vesicles and prostate in the rare occasions when the condition effects a man) and then suturing a strip shaped prostheses (synthetic mesh or biological graft) to the ventral surface (front portion) of the rectum and dorsal surface (back portion) of the vagina, and attaching the other end of the implant to the sacral promontory (the first vertebrae of the flat triangular shaped bone nested between the hip bones). The procedure is very similar to, the gynaecological procedure for vaginal prolapse, Sacral Colpopexy. The prostheses then suspends the rectum and stops the rectum sliding out into and past the anal sphincter.
Description of Medical ConditionRectal prolapse is a condition resulting from the rectum intussuscepting (sliding) past the anal sphincter such that the rectum slides through the anal opening. It causes pain, faecal incontinence, mucous discharge and bleeding. If the rectum intussuscepts into the anal canal but not past the sphincter (anal opening) this too can cause symptoms of faecal incontinence, pain, disordered evacuation and ulceration of the rectal mucosa.
Reason for ApplicationNew MBS item
Medical Service TypeTherapeutic technology
Previous Application Number/sNot Applicable
Application FormApplication Form (PDF 934 KB)
Application Form (Word 103 KB)
Consultation SurveyConsultation Survey (PDF 689 KB)
Consultation Survey (Word 72 KB)
PASC consultation closed
MSAC consultation input must be received by no later than Friday, 7 October 2022 for it to be considered by MSAC at its November 2022 meeting.
For further information please refer to PASC, ESC, MSAC Key Dates
For further information on the consultation process please refer to MSAC Consultation Process
PICO ConfirmationPICO Confirmation (PDF 1453 KB)
PICO Confirmation (Word 204 KB)