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Pre-pubertal gynecologic evaluation and management of patients with anorectal malformations

Y Frances Fei1, Allison C Mayhew2, Hira Ahmad3

  • 1Division of Pediatric and Adolescent Gynecology, Nationwide Children's Hospital, and The Ohio State University College of Medicine, Department of Obstetrics and Gynecology, Columbus OH, USA.

Journal of Pediatric Surgery
|July 9, 2026
PubMed

Insights

Pediatric anorectal malformation (ARM) care requires early gynecologic evaluation. This prepubertal assessment aids surgical planning and long-term health for affected individuals.

Area of Science:

  • Pediatric Surgery
  • Gynecology
  • Congenital Anomalies

Background:

  • Congenital colorectal and associated anomalies impact quality of life.
  • The Pediatric Colorectal and Pelvic Learning Consortium (PCPLC) addresses these conditions.
  • Gynecologic care is a crucial component of comprehensive management.

Purpose of the Study:

  • To review prepubertal gynecologic screening and management for patients with anorectal malformations (ARM).
  • To emphasize the importance of gynecologic evaluation in surgical decision-making and long-term planning.
  • To highlight the role of the PCPLC Gynecology Committee in developing consensus statements.

Main Methods:

  • Review of timing and methods for prepubertal gynecologic screening.
  • Integration of gynecologic evaluation into the comprehensive care of ARM patients.
  • Development of consensus statements by the PCPLC Gynecology Committee.

Main Results:

  • Prepubertal gynecologic evaluation is essential for surgical planning.
  • Anticipatory long-term gynecologic planning is facilitated by early assessment.
  • Gynecologic care is a vital part of holistic ARM management, alongside functional outcomes.

Conclusions:

  • Early and ongoing gynecologic evaluation is critical for patients with ARM.
  • This proactive approach supports optimal surgical outcomes and lifelong health.
  • Comprehensive care for ARM must include dedicated gynecologic assessment and counseling.

Keywords:
Anorectal malformationsMüllerian anomaliesPersistent cloacaPrepubertal counselingReproductive healthcare

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