Anorectal Malformation - Posterior Sagittal Anorectoplasty (PSARP)
What is posterior sagittal anorectoplasty (PSARP)?
At approximately 3 months old, doctors may perform a type of pull-through procedure called a posterior sagittal anorectoplasty (PSARP).
What is the goal of PSARP?
The goal of the PSARP procedure is ultimately to create an anus so the child can safely poop.
How is the PSARP procedure performed?
During a PSARP procedure, the surgeon creates an anus within the child’s sphincter muscles, resulting in an opening from which the child can poop. Because the child may have had a colostomy at birth, a few weeks later, the colostomy is closed, allowing the child to poop out of the new anal opening.
Your child’s doctor may recommend anal dilation following surgery to prevent scar tissue from forming that could narrow the opening. Our team then follows the child with periodic anatomy checks to make sure the surgery heals properly and that the child’s development is on track.
What are the benefits of the PSARP procedure?
The PSARP procedure helps create a more normal anatomy so the child can poop safely.