Update Course Rewind: Perineal Body Sparing PSARP 2023
With Dr. Steven Lee · StayCurrentMD
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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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 DC.
The Boston technique includes 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 DC technique uses an incision just through the sphincter alone, preserving the perineal body skin in its entirety.
For non-diverted patients undergoing dilations, the perineal body seeing stool right away creates a setup for postoperative 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 postoperative infection risks in patients undergoing dilations.