Method and apparatus for endoscopically treating rectal prolapse

1. A method for treating rectal prolapse, the method comprising:

inserting a rectum-gripping and advancement apparatus and a fastener deployment device into a prolapsed rectum via an anus;

securely engaging the prolapsed rectum by maneuvering the rectum-gripping and advancement apparatus;

advancing the rectum-gripping and advancement apparatus distally to return the prolapsed rectum to its normal, non-prolapsed state;

while maintaining the rectum-gripping and advancement apparatus in position within the prolapsed rectum, using the fastener deployment device to advance a fastening device distally to a fastening site, and passing a portion of the fastening device through the wall of the prolapsed rectum at the fastening site, through a mesorectum and through a presacral fascia to fasten the prolapsed rectum to the presacral fascia, whereby to retain the prolapsed rectum in its normal, non-prolapsed state;

wherein the rectum-gripping and advancement apparatus and the fastener deployment device are simultaneously slidably mounted directly to an endoscope via a distal mount.

2. A method according to claim 1 wherein the rectum-gripping and advancement apparatus comprises a shaft having a distal end comprising a tissue support for engaging an interior wall of the prolapsed rectum.

3. A method according to claim 2 wherein the tissue support comprises an opening.

4. A method according to claim 3 wherein the tissue support is generally circular in shape, with the opening located in a middle of the tissue support.

5. A method according to claim 3 wherein the step of securing the prolapsed rectum to the presacral fascia is performed through the opening in the tissue support.

6. A method according to claim 2 wherein an exterior of the tissue support includes texturing.

7. A method according to claim 6 wherein the texturing comprises a layer of at least one selected from the group consisting of suture, foam and fabric secured to the tissue support.

8. A method according to claim 2 wherein the shaft comprises a proximal end having a handle.

9. A method according to claim 2 wherein the step of securing the prolapsed rectum to the presacral fascia is performed around a periphery of the tissue support.

10. A method according to claim 1 wherein the method is performed under visualization provided by an endoscope.

11. A method according to claim 1 wherein the fastening device comprises at least one selected from the group consisting of a fastener and suture.

12. A method according to claim 11 wherein the fastener is selected from the group consisting of shaft-type tacks, legged staples, multi-part fasteners, and tacks comprising a body having a suture extending therefrom.

13. A method according to claim 11 wherein the fastener consists of at least one substantially rigid element having a suture attached thereto.

14. A method according to claim 11 wherein the fastener further comprises a securement band for securing the suture.

15. A method according to claim 1 wherein the prolapsed rectum is secured to the presacral fascia by suturing.

16. A method according to claim 1 wherein a securement location for securing the prolapsed rectum to the presacral fascia is determined by identifying an anatomical landmark.

17. A method according to claim 16 wherein the anatomical landmark is determined from a location within the prolapsed rectum.

18. A method according to claim 16 wherein the anatomical landmark is identified by an ultrasound probe disposed within the prolapsed rectum.

19. A method according to claim 16 wherein the anatomical landmark is identified by an endoscope disposed within the prolapsed rectum.

20. A method according to claim 16 wherein the anatomical landmark is the sacral promontory.

21. A method according to claim 1 wherein the prolapsed rectum is secured to the presacral fascia a plurality of fasteners.