{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T06:24:32Z","timestamp":1787207072939,"version":"build-2736575974"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Curr Urol Rep"],"DOI":"10.1007\/s11934-026-01353-0","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T05:41:38Z","timestamp":1787204498000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Multidisciplinary Perspective on the Evaluation and Management of the M\u00fcllerian System with Attention to Urologic Considerations in Patients Born with Persistent Cloaca"],"prefix":"10.1007","volume":"27","author":[{"given":"Jessica","family":"King","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn D.","family":"Brookhart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Staniorski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Badillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Levitt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Mayhew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7770-9785","authenticated-orcid":false,"given":"Briony K.","family":"Varda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"1353_CR1","doi-asserted-by":"publisher","first-page":"1493","DOI":"10.1097\/01.ju.0000086702.87930.c2","volume":"170","author":"SA Warne","year":"2003","unstructured":"Warne SA, Wilcox DT, Creighton S, Ransley PG. Long-term gynecological outcome of patients with persistent cloaca. J Urol. 2003;170:1493\u20136. https:\/\/doi.org\/10.1097\/01.ju.0000086702.87930.c2.","journal-title":"J Urol"},{"key":"1353_CR2","doi-asserted-by":"publisher","first-page":"2164","DOI":"10.1016\/j.jpedsurg.2018.05.009","volume":"53","author":"S Pradhan","year":"2018","unstructured":"Pradhan S, Vilanova-Sanchez A, McCracken KA, Reck CA, Halleran DR, Wood RJ, et al. The Mullerian Black Box: Predicting and defining Mullerian anatomy in patients with cloacal abnormalities and the need for longitudinal assessment. J Pediatr Surg. 2018;53:2164\u20139. https:\/\/doi.org\/10.1016\/j.jpedsurg.2018.05.009.","journal-title":"J Pediatr Surg"},{"key":"1353_CR3","doi-asserted-by":"publisher","first-page":"151543","DOI":"10.1016\/j.sempedsurg.2025.151543","volume":"37","author":"E Lehembre-Shiah","year":"2025","unstructured":"Lehembre-Shiah E, Brookhart CD, Varda BK, Ho C, Badillo A, Levitt MA, et al. Vaginal considerations in anorectal malformations: Current opinions. Semin Pediatr Surg. 2025;37:151543. https:\/\/doi.org\/10.1016\/j.sempedsurg.2025.151543.","journal-title":"Semin Pediatr Surg"},{"key":"1353_CR4","doi-asserted-by":"publisher","first-page":"2178","DOI":"10.1016\/j.jpedsurg.2018.03.018","volume":"53","author":"A Vilanova-Sanchez","year":"2018","unstructured":"Vilanova-Sanchez A, Reck CA, Sebasti\u00e3o YV, Fuchs M, Halleran DR, Weaver L, et al. Can sacral development as a marker for caudal regression help identify associated urologic anomalies in patients with anorectal malformation? J Pediatr Surg Elsevier. 2018;53:2178\u201382.","journal-title":"J Pediatr Surg Elsevier"},{"key":"1353_CR5","doi-asserted-by":"crossref","unstructured":"Warne S, Wilcox D, Ledermann S, Ransley P. Renal outcome in patients with cloaca. J Urol. Wolters Kluwer Philadelphia, PA; 2002;167:2548\u201351.","DOI":"10.1016\/S0022-5347(05)65034-3"},{"key":"1353_CR6","doi-asserted-by":"publisher","first-page":"1988","DOI":"10.1016\/j.jpedsurg.2021.02.051","volume":"56","author":"ME Fuchs","year":"2021","unstructured":"Fuchs ME, Halleran DR, Bourgeois T, Sebasti\u00e3o Y, Weaver L, Farrell N, et al. Correlation of anorectal malformation complexity and associated urologic abnormalities. J Pediatr Surg. 2021;56:1988\u201392. https:\/\/doi.org\/10.1016\/j.jpedsurg.2021.02.051.","journal-title":"J Pediatr Surg"},{"key":"1353_CR7","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1016\/j.urology.2020.08.010","volume":"148","author":"A Rehfuss","year":"2021","unstructured":"Rehfuss A, Bourgeois T, Thompson B, Sebasti\u00e3o YV, Wood RJ, Jayanthi VR, et al. Baseline Renal Volumes in Children Born With Cloacal Anomalies. Urology. 2021;148:250\u20133. https:\/\/doi.org\/10.1016\/j.urology.2020.08.010.","journal-title":"Urology"},{"key":"1353_CR8","doi-asserted-by":"publisher","first-page":"105704","DOI":"10.1016\/j.jpurol.2025.105704","volume":"22","author":"C Staniorski","year":"2026","unstructured":"Staniorski C, Corbett C, Hisam B, Bowser M, Mayhew A, Ho CP, et al. Glomerular Filtration Rate (GFR) measures in young children with cloacal malformations indicate early baseline renal dysfunction which is independently associated with congenital upper urinary tract anomalies. J Pediatr Urol. 2026;22:105704. https:\/\/doi.org\/10.1016\/j.jpurol.2025.105704.","journal-title":"J Pediatr Urol"},{"key":"1353_CR9","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1007\/s00383-024-05763-4","volume":"40","author":"K Sugita","year":"2024","unstructured":"Sugita K, Harumatsu T, Nagano A, Yano K, Onishi S, Kawano T, et al. The postoperative renal function of persistent cloaca patients treated by posterior sagittal anorecto-urethro-vaginopalsty: results of a nationwide survey in Japan. Pediatr Surg Int. 2024;40:177. https:\/\/doi.org\/10.1007\/s00383-024-05763-4.","journal-title":"Pediatr Surg Int"},{"key":"1353_CR10","doi-asserted-by":"publisher","first-page":"470","DOI":"10.1016\/j.jpedsurg.2003.11.033","volume":"39","author":"A Pe\u00f1a","year":"2004","unstructured":"Pe\u00f1a A, Levitt MA, Hong A, Midulla P. Surgical management of cloacal malformations: a review of 339 patients. J Pediatr Surg. 2004;39:470\u20139. https:\/\/doi.org\/10.1016\/j.jpedsurg.2003.11.033. discussion 470\u2013479.","journal-title":"J Pediatr Surg"},{"key":"1353_CR11","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1007\/s00247-013-2792-0","volume":"44","author":"K Dannull","year":"2014","unstructured":"Dannull K, Sung J. Cloacal dysgenesis diagnosis by prenatal ultrasound and MRI. Pediatr Radiol. 2014;44:230\u20133. https:\/\/doi.org\/10.1007\/s00247-013-2792-0.","journal-title":"Pediatr Radiol"},{"key":"1353_CR12","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1046\/j.1464-410X.2002.02556.x","volume":"89","author":"S Warne","year":"2002","unstructured":"Warne S, Chitty LS, Wilcox DT. Prenatal diagnosis of cloacal anomalies. BJU Int. 2002;89:78\u201381.","journal-title":"BJU Int"},{"key":"1353_CR13","doi-asserted-by":"publisher","first-page":"1843","DOI":"10.7863\/jum.2012.31.11.1843","volume":"31","author":"NS Winkler","year":"2012","unstructured":"Winkler NS, Kennedy AM, Woodward PJ. Cloacal malformation: embryology, anatomy, and prenatal imaging features. J Ultrasound Med. 2012;31:1843\u201355. https:\/\/doi.org\/10.7863\/jum.2012.31.11.1843.","journal-title":"J Ultrasound Med"},{"key":"1353_CR14","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1186\/s12884-025-07530-2","volume":"25","author":"X Xu","year":"2025","unstructured":"Xu X, Yuan H, Tian R, Lu X, Li L. Prenatal sonographic diagnosis of cloacal malformation associated with uterus didelphys and bilateral hydrometrocolpos: a case report. BMC Pregnancy Childbirth. 2025;25:399. https:\/\/doi.org\/10.1186\/s12884-025-07530-2.","journal-title":"BMC Pregnancy Childbirth"},{"key":"1353_CR15","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1159\/000530438","volume":"50","author":"SY Lee","year":"2023","unstructured":"Lee SY, Jackson JE, Hassan A-ES, Kurzrock EA, McLennan A, Hirose S, et al. Prenatal Rupture of Hydrocolpos in a Cloacal Malformation. Fetal Diagn Ther. 2023;50:158\u201364. https:\/\/doi.org\/10.1159\/000530438.","journal-title":"Fetal Diagn Ther"},{"key":"1353_CR16","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1053\/j.sempedsurg.2015.11.004","volume":"25","author":"JL Peiro","year":"2016","unstructured":"Peiro JL, Scorletti F, Sbragia L. Prenatal diagnosis of cloacal malformation. Semin Pediatr Surg. 2016;25:71\u20135. https:\/\/doi.org\/10.1053\/j.sempedsurg.2015.11.004.","journal-title":"Semin Pediatr Surg"},{"key":"1353_CR17","doi-asserted-by":"publisher","first-page":"681","DOI":"10.1016\/j.jpedsurg.2006.12.060","volume":"42","author":"T Shono","year":"2007","unstructured":"Shono T, Taguchi T, Suita S, Nakanami N, Nakano H. Prenatal ultrasonographic and magnetic resonance imaging findings of congenital cloacal anomalies associated with meconium peritonitis. J Pediatr Surg. 2007;42:681\u20134. https:\/\/doi.org\/10.1016\/j.jpedsurg.2006.12.060.","journal-title":"J Pediatr Surg"},{"key":"1353_CR18","doi-asserted-by":"publisher","first-page":"e2111","DOI":"10.1016\/j.jpurol.2015.05.014","volume":"11","author":"DJ Chalmers","year":"2015","unstructured":"Chalmers DJ, Rove KO, Wiedel CA, Tong S, Siparsky GL, Wilcox DT. Clean intermittent catheterization as an initial management strategy provides for adequate preservation of renal function in newborns with persistent cloaca. J Pediatr Urol. 2015;11:e2111\u20134. https:\/\/doi.org\/10.1016\/j.jpurol.2015.05.014.","journal-title":"J Pediatr Urol"},{"key":"1353_CR19","doi-asserted-by":"crossref","unstructured":"Levitt MA, Pe\u00f1a A. Cloacal malformations: lessons learned from 490 cases. Seminars in pediatric surgery. Elsevier; 2010. pp. 128\u201338.","DOI":"10.1053\/j.sempedsurg.2009.11.012"},{"key":"1353_CR20","doi-asserted-by":"publisher","first-page":"e2025075744","DOI":"10.1542\/peds.2025-075744","volume":"157","author":"R Agarwal","year":"2026","unstructured":"Agarwal R, Wang T, Diaz CD, Hackell JM. Section on Anesthesiology and Pain Medicine, Committee on Practice and Ambulatory Medicine. The Pediatrician\u2019s Role in the Evaluation and Preparation of Pediatric Patients Undergoing Anesthesia. Pediatrics. 2026;157:e2025075744. https:\/\/doi.org\/10.1542\/peds.2025-075744.","journal-title":"Pediatrics"},{"key":"1353_CR21","doi-asserted-by":"publisher","first-page":"e2217427","DOI":"10.1001\/jamanetworkopen.2022.17427","volume":"5","author":"C Reighard","year":"2022","unstructured":"Reighard C, Junaid S, Jackson WM, Arif A, Waddington H, Whitehouse AJO, et al. Anesthetic Exposure During Childhood and Neurodevelopmental Outcomes: A Systematic Review and Meta-analysis. JAMA Netw Open. 2022;5:e2217427. https:\/\/doi.org\/10.1001\/jamanetworkopen.2022.17427.","journal-title":"JAMA Netw Open"},{"key":"1353_CR22","doi-asserted-by":"publisher","first-page":"556","DOI":"10.1016\/j.jpedsurg.2013.10.028","volume":"49","author":"HP Versteegh","year":"2014","unstructured":"Versteegh HP, Sloots CE, de Jong JR, Sleeboom C, Rassouli R, van Heurn LE, et al. Early versus late reconstruction of cloacal malformations: the effects on postoperative complications and long-term colorectal outcome. J Pediatr Surg Elsevier. 2014;49:556\u20139.","journal-title":"J Pediatr Surg Elsevier"},{"key":"1353_CR23","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1007\/s00383-023-05526-7","volume":"39","author":"T Harumatsu","year":"2023","unstructured":"Harumatsu T, Sugita K, Onishi S, Nagano A, Murakami M, Yano K, et al. Posterior sagittal anorecto-urethro-vagino-plasty in the late period was associated with the long-term bowel function in patients with persistent cloaca: results of a nationwide survey in Japan. Pediatr Surg Int. 2023;39:244. https:\/\/doi.org\/10.1007\/s00383-023-05526-7.","journal-title":"Pediatr Surg Int"},{"key":"1353_CR24","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1016\/j.jpedsurg.2019.10.045","volume":"55","author":"DR Halleran","year":"2020","unstructured":"Halleran DR, Smith CA, Fuller MK, Durhm MM, Dickie B, Avansino JR, et al. Measure twice and cut once: Comparing endoscopy and 3D cloacagram for the common channel and urethral measurements in patients with cloacal malformations. J Pediatr Surg Elsevier. 2020;55:257\u201360.","journal-title":"J Pediatr Surg Elsevier"},{"key":"1353_CR25","doi-asserted-by":"publisher","first-page":"150988","DOI":"10.1016\/j.sempedsurg.2020.150988","volume":"29","author":"RJ Wood","year":"2020","unstructured":"Wood RJ, Reck-Burneo CA, Vilanova-Sanchez A, Levitt MA. Organizing the care of a patient with a cloacal malformation: Key steps and decision making for pre-, intra-, and post-operative repair. Semin Pediatr Surg. 2020;29:150988. https:\/\/doi.org\/10.1016\/j.sempedsurg.2020.150988.","journal-title":"Semin Pediatr Surg"},{"key":"1353_CR26","doi-asserted-by":"publisher","first-page":"1647","DOI":"10.1016\/j.jpedsurg.2024.04.010","volume":"59","author":"JP Morin","year":"2024","unstructured":"Morin JP, Srinivas S, Wood RJ, Dajusta DG, Fuchs ME. Bladder Management and Continence in Girls With Cloacal Malformation After 3 Years of Age. J Pediatr Surg. 2024;59:1647\u201351. https:\/\/doi.org\/10.1016\/j.jpedsurg.2024.04.010.","journal-title":"J Pediatr Surg"},{"key":"1353_CR27","doi-asserted-by":"publisher","first-page":"371e1","DOI":"10.1016\/j.jpurol.2023.03.017","volume":"19","author":"M Davis","year":"2023","unstructured":"Davis M, Mohan S, Russell T, Feng C, Badillo A, Levitt M, et al. A prospective cohort study of assisted bladder emptying following primary cloacal repair: The Children\u2019s National experience. J Pediatr Urol. 2023;19:371e1. https:\/\/doi.org\/10.1016\/j.jpurol.2023.03.017.","journal-title":"J Pediatr Urol"},{"key":"1353_CR28","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1016\/j.urology.2008.09.039","volume":"73","author":"A Takenaka","year":"2009","unstructured":"Takenaka A, Soga H, Murakami G, Niikura H, Tatsumi H, Yaegashi N, et al. Understanding anatomy of hilus of detrusor nerves to avoid bladder dysfunction after pelvic surgery: demonstration using fetal and adult cadavers. Urology. 2009;73:251\u20137. https:\/\/doi.org\/10.1016\/j.urology.2008.09.039.","journal-title":"Urology"},{"key":"1353_CR29","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1016\/j.jpedsurg.2019.09.054","volume":"55","author":"A Vilanova-Sanchez","year":"2020","unstructured":"Vilanova-Sanchez A, Halleran DR, Reck CA, McCracken K, Hewitt G, Gasior AC, et al. Factors predicting the need for vaginal replacement at the time of primary reconstruction of a cloacal malformation. J Pediatr Surg. 2020;55:71\u20134. https:\/\/doi.org\/10.1016\/j.jpedsurg.2019.09.054.","journal-title":"J Pediatr Surg"},{"key":"1353_CR30","doi-asserted-by":"publisher","first-page":"162802","DOI":"10.1016\/j.jpedsurg.2025.162802","volume":"61","author":"LL Evans","year":"2026","unstructured":"Evans LL, Vincent SA, Bothwell S, Friedman JC, Alaniz V, Harris K, et al. Characteristics of pelvic anatomy predict need for vaginal replacement during initial reconstruction of cloacal malformations. J Pediatr Surg. 2026;61:162802. https:\/\/doi.org\/10.1016\/j.jpedsurg.2025.162802.","journal-title":"J Pediatr Surg"},{"key":"1353_CR31","doi-asserted-by":"publisher","first-page":"1819","DOI":"10.1016\/j.juro.2014.10.112","volume":"193","author":"A Couchman","year":"2015","unstructured":"Couchman A, Creighton SM, Wood D. Adolescent and adult outcomes in women following childhood vaginal reconstruction for cloacal anomaly. J Urol. 2015;193:1819\u201322. https:\/\/doi.org\/10.1016\/j.juro.2014.10.112.","journal-title":"J Urol"},{"key":"1353_CR32","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1016\/s0022-3468(98)90429-8","volume":"33","author":"MA Levitt","year":"1998","unstructured":"Levitt MA, Stein DM, Pe\u00f1a A. Gynecologic concerns in the treatment of teenagers with cloaca. J Pediatr Surg. 1998;33:188\u201393. https:\/\/doi.org\/10.1016\/s0022-3468(98)90429-8.","journal-title":"J Pediatr Surg"},{"key":"1353_CR33","doi-asserted-by":"publisher","first-page":"150987","DOI":"10.1016\/j.sempedsurg.2020.150987","volume":"29","author":"C Skerritt","year":"2020","unstructured":"Skerritt C, DaJusta DG, Fuchs ME, Pohl H, Gomez-Lobo V, Hewitt G. Long-term urologic and gynecologic follow-up and the importance of collaboration for patients with anorectal malformations. Semin Pediatr Surg. 2020;29:150987. https:\/\/doi.org\/10.1016\/j.sempedsurg.2020.150987.","journal-title":"Semin Pediatr Surg"}],"container-title":["Current Urology Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11934-026-01353-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11934-026-01353-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11934-026-01353-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T05:41:39Z","timestamp":1787204499000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11934-026-01353-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,20]]},"references-count":33,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["1353"],"URL":"https:\/\/doi.org\/10.1007\/s11934-026-01353-0","relation":{},"ISSN":["1534-6285"],"issn-type":[{"value":"1534-6285","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,20]]},"assertion":[{"value":"2 April 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 August 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This article does not contain any studies with human or animal subjects performed by any of the authors.","order":1,"name":"Ethics","label":"Human and Animal Rights and Informed Consent","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","label":"Competing Interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"41"}}