Vaginal considerations in anorectal malformations: Current opinions

In brief

This review examines vaginal considerations in the surgical management of anorectal malformations, addressing anatomic variations, reconstructive techniques, and long-term gynecologic outcomes. The authors provide current expert consensus on multidisciplinary approaches to optimize both functional and reproductive health in affected patients.

• Anorectal malformations often involve vaginal anomalies requiring coordinated surgical planning between pediatric surgery and gynecology.
• Early assessment of vaginal anatomy is critical for optimal timing of reconstructive procedures in female patients with ARM.
• Multidisciplinary collaboration improves long-term outcomes for continence, sexual function, and quality of life in ARM patients.
• Current surgical approaches balance functional reconstruction with preservation of future reproductive potential.
• Standardized protocols for vaginal evaluation help identify associated anomalies that may impact surgical strategy.

Written by the GCMD Library team from the article.