Importance of Gynecologic Evaluation in Patients with Perineal Fistula

Abstract

Background: It is highly likely that most gynecologists will treat girls with an anorectal malformation (ARM), as they constitute a significant proportion of congenital conditions. An increased incidence of associated uterovaginal anomalies has been described in patients with anorectal malformations, including rectovestibular fistula and cloaca. Failure to recognize uterovaginal anomalies puts female patients at risk for gynecologic complications. In this study, we will define the risk of concurrent gynecologic anomalies in patients with imperforate anus and recto-perineal fistula (perineal fistula).