Update Course Rewind: Perineal Body Sparing PSARP 2023

Two variations of perineal body sparing PSARP have been published in the last 6 months, one from Boston and one from Washington DC.

The Boston technique involves 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 Washington DC technique uses an incision just through the sphincter alone, preserving the perineal body skin in its entirety.

For patients undergoing dilations who are not diverted, the perineal body seeing stool right away is a setup for post-operative infection.