Long-term obstetric and gynecologic care for 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 (GYN), 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, and Long-term Obstetric and Gynecologic Care for Patients with Anorectal Malformations. In this article, we discuss considerations for long-term gynecologic care including preventive screening, fertility and sexual function as patients transition care from the pediatric to the adult setting. Recommendations for GYN care are based on patient-specific anatomy as well as desires for fertility potential and sexual function. Patient autonomy and shared patient-provider decision-making are the cornerstone of long-term GYN care in this population.