The PPP - Perineal Body Preserving PSARP (Posterior Sagittal Anorectoplasty) for Anorectal Malformation with Rectovestibular Fistula in Females—Report of Early Outcomes

Topic overview

Key takeaways

• PPP technique eliminates perineal body dehiscence risk by accessing through intended anoplasty only, avoiding posterior sagittal incision.
• 93% of patients resumed normal feeds on postoperative day 1, with 73% discharged same day—faster recovery than traditional PSARP.
• 13% anal stricture rate may relate to altered distal rectal mobilization; no routine postoperative dilations were performed.
• All 15 patients achieved spontaneous stooling at follow-up (median 11 months), though 73% required laxative support.
• Technique is feasible across age range (2 days to 19 months) including neonatal repairs, with or without prior diverting ostomy.

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