Gynaecological Concerns in Cloaca Anomaly: A 20-Year Single-Centre Experience

jpedsurg.org

Persistent cloaca is a rare form of anorectal malformation, and the literature on long-term gynecological outcomes is limited. We present our experience with cloacal malformations, focusing on gynecological concerns and outcomes in adolescent patients. We also describe our standard assessment and follow-up protocol during puberty and evaluate the concurrence of renal and Müllerian anomalies.

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Article · Feb 2026 · 1 min read

In brief

This single-center retrospective study examines long-term gynecological outcomes in adolescent patients with persistent cloaca, a rare congenital anorectal malformation. The authors present a 20-year experience including standardized puberty assessment protocols and document the frequency of associated renal and Müllerian anomalies in this patient population.

- Persistent cloaca requires long-term gynecological follow-up into adolescence due to complex anatomical reconstruction. - High concurrence of renal and Müllerian anomalies necessitates systematic screening in cloaca patients. - Standardized pubertal assessment protocols improve detection of gynecological complications in this population. - Long-term outcomes data remain limited; single-center experiences contribute valuable evidence for management. - Multidisciplinary care coordination between pediatric surgery and gynecology is essential for optimal outcomes.

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