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Transition Care from Adolescence to Adulthood: A 10-Year Service Review of the Gynecological Implications for Young Women and Girls Born with Cloacal Anomalies

Lookup NU author(s): Ursula Blyth, Bruce Jaffray, Dr Meenakshi Choudhary

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Abstract

© 2021Study Objective: To establish the gynecological and reproductive outcomes for girls born with a cloacal anomaly, seen in a pediatric specialist cloaca clinic. Design: Local approval was granted to conduct this review. Outcomes were retrospectively identified using healthcare records. Participants: Girls with known cloacal anomaly, seen in the cloaca clinic between 2009 and 2019, who had attained menarche or received gynecological input. Results: Nine females met the inclusion criteria, who were 12-30 years old. The mean age of menarche was 12 years (SD = 1.29). Two developed obstructed menstruation, requiring surgical intervention. Vaginal stenosis affected all women. Three women underwent revision surgery, and 1 is awaiting surgery. None of the women have attempted a pregnancy, to our knowledge. Conclusion: Cloacal anomaly is a rare complex condition. Female individuals with cloacal anomaly require multidisciplinary gynecology specialist care throughout adolescence and adulthood. Provision of a dedicated gynecological service could improve the quality of life of these women.


Publication metadata

Author(s): Blyth UEB, Lall A, Jaffray B, Choudhary M

Publication type: Article

Publication status: Published

Journal: Journal of Pediatric and Adolescent Gynecology

Year: 2021

Pages: epub ahead of print

Online publication date: 12/01/2021

Acceptance date: 02/04/2018

ISSN (print): 1083-3188

ISSN (electronic): 1873-4332

Publisher: Elsevier Inc.

URL: https://doi.org/10.1016/j.jpag.2021.01.001

DOI: 10.1016/j.jpag.2021.01.001

PubMed id: 33444778


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