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Gynecologic care in patients with anorectal malformations: A primer and call to action
Krista Childress1, Hira Ahmad2, Andrea Badillo3
1Division of Pediatric and Adolescent Gynecology, Department of Surgical Services, Cincinnati Children's Hospital and Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Insights
The Pediatric Colorectal and Pelvic Learning Consortium (PCPLC) developed consensus statements for gynecologic care in patients with anorectal malformations. This overview highlights current research and calls for improved collaborative care and research.
Area of Science:
- Pediatric Gynecology
- Congenital Anomalies
- Anorectal Malformations
Background:
- The Pediatric Colorectal and Pelvic Learning Consortium (PCPLC) addresses health inequities in congenital colorectal disorders.
- The Gynecology Committee focuses on associated urologic and gynecologic anomalies.
- Anorectal malformations (ARMs) often present with complex gynecologic issues.
Purpose of the Study:
- To introduce and overview five consensus statements on gynecologic care for patients with ARMs.
- To review current research and identify gaps in gynecologic care for this population.
- To serve as a call to action for improved clinical care and research.
Main Methods:
- Development of five consensus statements by the PCPLC Gynecology Committee.
- Review of existing literature and clinical expertise.
- Synthesis of recommendations for gynecologic care in patients with ARMs.
Main Results:
- Five consensus statements cover primer, evaluation methods, prepubertal, post-pubertal, and long-term care.
- Identified strengths and weaknesses in current research and recommendations.
- Established a foundation for future collaborative care and research.
Conclusions:
- Consensus statements provide a framework for standardized gynecologic care in patients with ARMs.
- There is a need for ongoing collaborative clinical efforts.
- High-quality research is essential to strengthen future care and recommendations.
Abstract:
The Pediatric Colorectal and Pelvic Learning Consortium (PCPLC) is a group of medical providers dedicated to equitably improving the health and quality of life of individuals affected by congenital colorectal disorders and associated urologic, gynecologic, and other anomalies. Using research and medical expertise, the Gynecology Committee within the PCPLC has developed five consensus statements on gynecologic care of patients born with anorectal malformations: Gynecologic Care in Patients with Anorectal Malformations: A Primer and Call to Action, Methods of Gynecologic Evaluation for Patients with Anorectal Malformations, Prepubertal Gynecologic Evaluation and Management of Patients with Anorectal Malformations, Post-pubertal Gynecology Evaluation and Management of Patients with Anorectal Malformations, Long-term Obstetric and Gynecologic Care for Patients with Anorectal Malformations. In this article, we will provide an introduction and overview of the subsequent consensus statements while also reviewing the strengths and weaknesses of current research and recommendations for gynecologic care in this population. This article serves as an overview, but also as a call to action for ongoing collaborative clinical care and high-quality research to strengthen care and consensus recommendations going forward.
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