233. The timing of gynecologic management during cloaca repair with co-existing Müllerian agenesis: a paradigm shift
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Read the article on sciencedirect.com ↗Article · Aug 2026 · 1 min read
In brief
In brief
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.
Written by the GCMD Library team from the article.
… We believe these patients do not require gynecologic surgery during the primary repair, and thus our reconstructive team has shifted away from early vaginal grafting to delayed …
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