233. The timing of gynecologic management during cloaca repair with co-existing Müllerian agenesis: a paradigm shift

This article presents a paradigm shift in managing cloacal malformations with Müllerian agenesis, advocating for delayed vaginal reconstruction rather than early grafting during primary repair. The reconstructive team's experience suggests gynecologic surgery can be safely deferred, potentially reducing surgical complexity and complications in neonatal cloacal repair.