In this insightful podcast, Drs. Marc Levitt, Jason Frischer, and Chris Westgarth-Taylor discuss the challenging anatomy and surgical strategies for complex female anorectal malformations. They walk us through a unique case involving a cloacal malformation with a high blind-ending rectum, highlighting the importance of detailed preoperative planning, multidisciplinary collaboration, and a tailored surgical approach.Key Topics Covered:Case Presentation: A young patient with a rare cloacal anomaly presenting with a single perineal orifice and absent Mullerian structures.Surgical Strategy: Using laparoscopic-assisted PSARP, considerations for colostomy, and preserving future options for gynecological reconstruction.Anatomy & Vascular Concerns: Managing unexpected vascular anomalies and protecting critical structures.Future Planning: Long-term follow-up for continence, bladder function, and possible tissue engineering solutions for gynecologic needs.Join us for a fascinating discussion on managing rare anorectal malformations and the careful planning that goes into achieving successful outcomes.

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