Posterior Sagittal Anorectoplasty (PSARP)

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What is PSARP?

Posterior Sagittal Anorectoplasty (PSARP) is a precise and reconstructive surgical procedure used to treat anorectal malformations—a group of birth defects where the anus and rectum do not develop properly. In many cases, the rectum may be improperly connected to the urinary or genital tract, or the anal opening may be absent or misplaced.

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Conditions Treated with PSARP

  • Imperforate anus (no anal opening)

  • Rectourethral fistula (rectum connected to the urethra)

  • Rectovestibular fistula (rectum opening into the vagina in girls)

  • High and intermediate anorectal malformations

Symptoms of Anorectal Malformations

  • Absence of visible anal opening at birth

  • Abdominal swelling or inability to pass stool

  • Stool passing from abnormal openings (like the urethra or vagina)

  • Recurrent infections or constipation

How PSARP is Performed

  • The child is placed under general anesthesia.

  • A midline incision is made from the sacrum to the perineum.

  • The misplaced rectum is carefully dissected and mobilized.

  • A new anal opening is created in the correct anatomical position.

  • The rectum is precisely aligned and sutured into the muscle complex to allow voluntary bowel control.

Depending on the condition, the procedure may be staged with a temporary colostomy before final repair.

Why Choose Little Light Clinic, Ghaziabad?

  • Expert Pediatric Surgeons trained in advanced anorectal reconstruction

  • Comprehensive Pre and Post-Operative Care

  • Multidisciplinary Support including pediatricians, gastroenterologists, and nursing staff

  • Family-Centered Approach ensuring compassionate counseling and education

  • Trusted Surgical Center in Ghaziabad with modern OT and neonatal ICU backup

If your child is born with an anorectal anomaly, Little Light Clinic in Ghaziabad offers the expertise, technology, and care to provide the best surgical outcome through PSARP. Early intervention can significantly improve bowel function and quality of life.