CPT® Code 45541

Proctopexy, specifically CPT® Code 45541, is a surgical procedure aimed at addressing rectal prolapse through a perineal approach. Rectal prolapse occurs when the rectum protrudes through the anus, which can lead to discomfort, incontinence, and other complications. This procedure involves a circumferential incision at the rectoanal junction, allowing for the mobilization of the rectum. Once mobilized, the rectal prolapse is reduced, meaning the rectum is repositioned back into its normal anatomical location. The rectum is then secured to the sacrum or sacral promontory using sutures, which helps to prevent future occurrences of prolapse. Following the fixation, the perineum is meticulously repaired in layers to ensure proper healing and restoration of the anatomical structure. This approach is distinct from other methods, such as those described in CPT® Codes 45540 and 45550, which involve different surgical techniques and incisions. The perineal approach is particularly beneficial for certain patients, providing a less invasive option compared to abdominal approaches while effectively addressing the condition.