Is the New PSARP Technique Actually Better?
Carousel1 min read·Published Oct 2026

Is the New PSARP Technique Actually Better?

Title slide asking if new perineal body-preserving PSARP technique is superior to traditional approach.
Debate slide comparing three PSARP surgical techniques with illustration of surgeons operating.
Slide showing positive 1-year outcomes for perineal body-preserving PSARP procedure in pediatric patients.
Quote from Dr. Aaron Garrison about postoperative recovery benefits in pediatric surgery.
Title slide promoting a detailed video breakdown with Cincinnati Children's branding and GC logo.
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Carousel · Oct 2026 · 1 min read

In brief

In brief

This educational carousel examines a modified PSARP technique for anorectal malformations that aims to preserve the perineal body. The content presents technical considerations for pediatric colorectal surgeons evaluating surgical approaches to ARM repair.

Written by the GCMD Library team from the carousel.

Slides

8 pages · click to turn to one

A structured comparison chart displaying three treatment modalities in vertical columns with icons, percentage metrics, and outcome indicators. Each column uses distinct visual markers to represent different surgical techniques, with success rate percentages prominently displayed and complication data shown below. Color-coded sections differentiate efficacy metrics from safety profiles.

Colorectal surgery. A social-media carousel made possible by Cincinnati Children's.
The text in the image

Pediatric Achalasia: Surgical Approach Comparison | Heller Myotomy | 78% Success Rate | Esophageal Dilatation | 45% Success Rate | POEM (Peroral Endoscopic Myotomy) | 99% Success Rate | 742 Cases Reviewed | Complication Rates | Training Requirements | Ambulation Outcomes | Neuroprotection Data | Clinical Selection Criteria

The text on each slide
  1. Made possible by Cincinnati Children's changing the outcome together | IS THE NEW PSARP TECHNIQUE ACTUALLY BETTER? | COLORECTAL EXPERTS WEIGH IN ON PERINEAL BODY-PRESERVING PSARP. | Swipe right
  2. THE DEBATE: | Surgeons are split between three techniques: | Classic PSARP | Perineal body-preserving PSARP | Anterior sagittal approach | Which delivers the best outcomes? | Swipe right | Cincinnati Children's | changing the outcome together
  3. WHAT THE DATA SHOWS: | 2023 publications on perineal body-preserving PSARP at 1-year follow-up: | No dehiscence | No prolapse | Only 13% needed stricture revision | ⅔ of patients home by POD 1 | Source: 13th Annual Update Course in Pediatric Surgery. | Swipe right | Cincinnati Children's
  4. I like it mainly for the post-op recovery... you're not sweating that breakdown in the perineal body. | Aaron Garrison, MD | Pediatric Surgeon, Cincinnati Children's | Swipe right | Cincinnati Children's changing the future together
  5. This is basically the same thing one would do in a bulbar fistula, but applied to a vestibular fistula. | Nelson Rosen, MD | Pediatric Surgeon, Cincinnati Children's | Nelson Rosen, MD | Pediatric Surgeon, Cincinnati Children's | Swipe right | Cincinnati Children's
  6. !! THE TRADE-OFF: | Better recovery... but a trickier dissection. | "It is harder than opening it all the way anteriorly." | — Aaron Garrison, MD | Pediatric Surgeon, Cincinnati Children's | Swipe right | Cincinnati Children's
  7. WHAT THIS MEANS FOR SURGEONS: | Consider perineal body-preserving PSARP for faster recovery | If in doubt → convert to standard PSARP | Jamie Harris, MD | Pediatric Surgeon, | Phoenix Children's Hospital | "If you're not sure where the anterior wall is, just convert to a standard PSARP." | – Jamie Harris, MD | Pediatric Surgeon, | Phoenix Children's Hospital | Swipe right | Cincinnati Children's
  8. Made possible by Cincinnati Children's changing the outcome together | FULL BREAKDOWN IN OUR LATEST VIDEO, LINK IN BIO! | GC
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