Good luck. My 36 year old son had a total colectomy in Boston - excellent surgeon and done laparoscopically. The surgeon opted not to do a retopexy even tho an MR decfecography showed a “severe descent of posterior compartment”. He is not able to pass solid stool because of this but the Dr doesn’t want to do rectopexy now. It would be an admission I think thst it should have been done. He told us to go get a second opinion somewhere else. We are doing thst but finding the best surgeon and in a timely way to get an appointment is difficult. Make sure you have an MR Defecagraphy and a small bowel follow through to rule out everything that could be anatomically wrong. My son had his colectomy done laparoscopically and the actual surgery went very well. Good luck