Long-term obstetric and gynecologic care for patients with anorectal malformations.

Creator(s)

• Lissa X. Yu
• Allison C. Mayhew
• Hira Ahmad
• Andrea Badillo
• Lesley Breech
• Serena H. Chan
• Krista Childress
• Megan M. Durham
• Y Frances Fei
• Christopher Gayer
• Angela Hernandez
• Geri D. Hewitt
• Akemi Kawaguchi
• Chelsea A. Kebodeaux
• Ashli A. Lawson, Children's Mercy HospitalFollow
• Kate McCracken
• Rebecca M. Rentea, Children's Mercy HospitalFollow
• Michael D. Rollins
• Megan F. Sumida
• Cristine S. Velazco
• Stephanie M. Cizek

Document Type

Article

Publication Date

9-2026

Identifier

DOI: 10.1016/j.jpedsurg.2026.163294

Abstract

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.

Journal Title

Journal of pediatric surgery

Volume

61

Issue

9

First Page

163294

Last Page

163294

MeSH Keywords

Humans; Female; Anorectal Malformations; Long-Term Care; Pregnancy; Child; Transition to Adult Care

PubMed ID

42442463

Keywords

Anorectal malformations; Fertility; Long-term care; Müllerian anomalies

Recommended Citation

Yu LX, Mayhew AC, Ahmad H, et al. Long-term obstetric and gynecologic care for patients with anorectal malformations. J Pediatr Surg. 2026;61(9):163294. doi:10.1016/j.jpedsurg.2026.163294