Rectal Prolapse Repair Following a Posterior Sagittal Anorectoplasty
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Video
How I Do It Levitt PSARP
7 min · Published Sep 2016
Video
Morbidity of Rectal Prolapse Repair After Surgery for Anorectal Malformation
39 s · Published Sep 2025
Podcast
Colorectal Quiz Episode 2: When to redo a PSARP
18 min · Published Jan 2021
Video
Colorectal Quiz Episode 38: Transitional Care in Colorectal Surgery
25 min · Published Mar 2024
Podcast
Colorectal Quiz: Episode 2
Marc Levitt · 18 min · Published Jan 2021
Podcast
Colorectal Quiz: Episode 2
Marc Levitt · 18 min · Published Jan 2021
Video
Posterior Rectal Advancement Anoplasty (PRAA) in a male with an anorectal malformation and rectoperineal fistula
9 min · Published Mar 2026
Video
Sphincter Reconstruction in a patient who suffered from Fournier’s gangrene
5 min · Published Mar 2026
Video
Total colonic Hirschsprung disease: Ileostomy take down and ileoanal pull-through
9 min · Published Mar 2026
Podcast
Colorectal Quiz: Episode 50 - 16th Annual European Pediatric Colorectal and Pelvic Reconstruction Conference, Stockholm, Sweden, October 2025 - What did we learn?
24 min · Published Mar 2026
Video
Turnbull Stoma
4 min · Published Feb 2026
Video
Rectal Atresia - a Unique Anorectal Malformation
4 min · Published Oct 2025
What the experts said
The anoplasty location should be checked with an electrical stimulator to confirm it is well located with circumferential contractions.
Full thickness rectum is incised off of the skin edge while preserving the sphincter muscle.
Leaving the right side of the anoplasty untouched reduces the risk of a postoperative stricture.
The rectum is mobilized out until there is slight tension, and the intended cut line will comfortably reach the anal skin.
Extra stitches placed into the redundancy help straighten out the rectal tissue prior to incising it.
The Lone Star retractor is very helpful to set up the anoplasty.
The anoplasty is performed by taking a bite of anal skin to full thickness rectal wall.
Dividing the upper and lower quadrants of the left-sided prolapse creates two triangles.
All sutures are tied under slight tension, so that once cut, the anoplasty retracts back nicely.
Rectal prolapse is a very common problem following repair of an anorectal malformation.
Rectal prolapse can cause mucous production and bleeding.
Rectal prolapse can interfere with the patient's ability to close the anus and thereby affect their bowel control.