Evidence map›Paper›PMID 42406134›Full record

ArticlePediatric surgery international2026

Potential benefits of simultaneous anorecto-vaginoplasty for patients with persistent cloaca: insights from a nationwide survey in Japan.

Koshiro Sugita, Toshio Harumatsu, Keisuke Yano, Ayaka Nagano, Yudai Tsuruno, Shun Onishi, Takafumi Kawano, Satoshi Ieiri, Masayuki Kubota

Abstract read
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In one paragraph

Article in Pediatric surgery international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Koshiro SugitaDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8520, Japan.
Toshio HarumatsuDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8520, Japan.
Keisuke YanoDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8520, Japan.
Ayaka NaganoDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8520, Japan.
Yudai TsurunoDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8520, Japan.
Shun OnishiDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8520, Japan.
Takafumi KawanoDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8520, Japan.
Satoshi IeiriDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8520, Japan. sieiri@m.kufm.kagoshima-u.ac.jp.
Masayuki KubotaRepresentative Research Team for the Establishment of Treatment Guidelines for Persistent Cloaca, Cloacal Exstrophy, and Mayer-Rokitansky-Küster-Häuser Syndrome for the Proper Transitional Care of Patients, The Research Project for Rare and Intractable Diseases of the Ministry of Health, Labour and Welfare (MHLW), Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOne of a key topic for patients with persistent cloaca is determining when and which procedure to perform vaginoplasty. The purpose of the present study was to clarify the treatment outcomes of simultaneous and metachronous anorecto-vaginoplasty, and to define limit for timing of simultaneous surgery.

methodsThe present study was retrospective cohort study reviewed based on the results of a national survey in Japan. A total of 299 patients underwent both vaginoplasty and anorectoplasty were enrolled in the present study. We compared patient characteristics, surgical outcomes, and menstrual related surgical outcomes between the simultaneous (n=237) and metachronous surgery (n=62) groups.

resultsThe median follow-up term after vaginoplasty of all patients was 144 [77-223] months. The ages at the first redo-vaginoplasty and anorectoplasty were significantly younger in the simultaneous group than in metachronous surgery group (p=< 0.01). The incidence of surgical management for menstrual outflow obstruction showed a lower trend in the simultaneous surgery group (p=0.08). The cutoff surgical timing based on defecation function in the simultaneous surgery group was 18 months (p=< 0.01).

conclusionsSimultaneous surgery can be comparably feasible to metachronous surgery without increasing the need for redo-vaginoplasty or redo-anorectoplasty.

Indexed as

Anal CanalCloacaPlastic Surgery ProceduresRectumVaginaChildChild, PreschoolColorectal Surgical ProceduresFemaleFollow-Up StudiesHumansInfantJapanRetrospective StudiesTreatment OutcomeAnorectoplastyMetachronous surgeryPersistent cloacaSimultaneous surgerySurgical outcomeVaginoplasty

Identifiers

PMID42406134

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.