CPT® Code 45540

Proctopexy is a surgical procedure aimed at correcting rectal prolapse, a condition where the rectum protrudes through the anus. This specific procedure, identified by CPT® Code 45540, utilizes an abdominal approach to address the prolapse effectively. During the operation, a midline incision is made in the abdomen, allowing access to the sigmoid colon and rectum. The surgeon carefully dissects these structures away from the presacral fascia, which is the connective tissue located in front of the sacrum. This dissection enables the mobilization of the rectum and sigmoid colon, facilitating entry into the presacral space. Once the rectum is adequately mobilized, the prolapsed segment is reduced, and the portion of the colon that will be secured to the sacrum is identified. The final step involves suturing the rectum to the sacrum or sacral promontory, ensuring that it remains in its proper anatomical position. This procedure is critical for patients suffering from rectal prolapse, as it restores normal function and alleviates associated symptoms.