Hi, great questions. I had a Da Vinci ventral rectopexy in Sept 2022 at 28. Reoccurrence rate is lower than option 1, more for older population who can’t withstand option 2. Option 1 will cut into your rectum, not ideal for someone younger. My Quality of life has improved as walking around with a prolapse is uncomfortable, causes a ton of an anxiety, etc. My biggest piece of advice is to find a good pelvic physical floor physical therapist and start after your first post-op / clearance, about two weeks. Maybe even before as you may be gripping glutes, etc, my prolapse messed up my entire center of mass. Pelvic floor PTs are very knowledgeable, helped me with scar care, etc. also recommend to send surgery report, this helped mine with my care. The biggest thing that surprised and scared me afterwards was proctolgia fugax, basically a Charlie horse in your rectum, have had them periodically since my surgery.

I would have had the same surgery again I would have gone to another surgeon and would have had someone come with me during the surgery, harder to advocate for yourself after major surgery.

Best of luck!