The pediatric surgeon should be a member of the perinatal multidisciplinary team. Prenatal pediatric surgical consultations have a significant impact on the perinatal management of a fetus with congenital anomalies by providing obstetric colleagues and families with valuable information into the surgical management of anomalies.

The long-term results of a standard Duhamel's pull-through for TCA are good in terms of continence, bowel motion, and physical development.

The association between ARM and intestinal dysganglionosis is not rare. We recommend not using the distal rectal pouch and parts of the fistula in the reconstruction of anorectal malformations as this may solve the constipation if the pathology is limited. In cases of aganglionosis beyond the rectal pouch and fistula, surgical intervention is needed. Delay in diagnosis may lead to morbidity or even mortality.

Pediatric surgeons and pediatric urologists should consider child sexual abuse when dealing with patients in whom the signs and symptoms do not fit the original pathology. The main factor that would protect and prevent child sexual abuse would be to establish a program of collaboration between all authorities involved.