Application Detail

Description of Medical Service

Ventral 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 Condition

Rectal 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 Application

New MBS item

Medical Service Type

Therapeutic technology

Previous Application Number/s

Not Applicable

Associated Documentation

Application Form

Application Form (PDF 934 KB)
Application Form (Word 103 KB)

Consultation Survey

Consultation Survey (PDF 689 KB)
Consultation Survey (Word 72 KB)

PASC Consultation
PASC consultation closed

MSAC Consultation
MSAC consultation input closed Friday, 7 October 2022.

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 Confirmation

PICO Confirmation (PDF 1453 KB)
PICO Confirmation (Word 204 KB)

Assessment Report

-

Public Summary Document

Public Summary Document (PDF 787 KB)
Public Summary Document (Word 475 KB)

Meetings for this Application

PASC

9-10 December 2021

ESC

6-7 October 2022

MSAC

24-25 November 2022