ABSTRACT
The pediatric urologist must be familiar with the management of anorectal malformations (ARMs) and cloacal malformations (CMs). ARMs are commonly associated with surgically relevant urinary tract and vaginal pathology. The pediatric urologist is responsible for the management of these defects. Because these malformations are relatively uncommon, it is vitally important for the reconstructive surgeon to be familiar with the embryology, anatomy, and pathophysiology of each of these. Considerable morbidity ensues if the surgeon fails to manage these defects in a thoughtful, deliberate manner. A multidisciplinary approach to children with complex cloacal malformations is appropriate and involves pediatric general surgeons, pediatric urologists, pediatric anesthesiologists, and pediatric radiologists.
