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.

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