Update Course Rewind: Perineal Body Sparing PSARP 2023
With Dr. Steven Lee · hosted by Dr. Em Gootee · StayCurrentMD
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Only a few other public items share this diagnosis — go deeper there →
Only a few other public items share this expert — go deeper there →
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What the experts said
Two variations of perineal body sparing PSARP have been published in the last 6 months, one from Boston and one from Washington DC.
The Boston technique involves a slight posterior sagittal extension of the incision.
These techniques aim to spare the perineal body and preserve long-term gynecologic function for female patients.
The perineal body is important for sexual function and obstetric outcomes in the future.
The Washington DC technique uses an incision just through the sphincter alone, preserving the perineal body skin in its entirety.
For patients undergoing dilations who are not diverted, the perineal body seeing stool right away is a setup for post-operative infection.
One study has 6 patients and the other has 4 patients.
The techniques are similar but slightly different.
Perineal body sparing techniques can reduce post-operative infection risks in patients undergoing dilations.