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

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 review the timing and recommended methods of gynecologic screening and management in the prepubertal period. During this period, evaluation of gynecologic systems aids the surgical decision-making, and provides anticipatory long-term gynecologic planning. Although stooling and voiding function are high priorities for patients with an ARM in the prepubertal period, evaluation and management of the gynecologic system and gynecology-targeted counseling remain important aspects of comprehensive ARM care.