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This webinar was presented on Wednesday 14 June by Dr. Dominic Thompson, Paediatric Neurosurgeon at Great Ormond Street Hospital, London and Dalia Aminoff, head of the patient organisation AIMAR. It was moderated by Professor Ivo de Blaauw, Pediatric Surgeon at Radboudumc, Nijmegen. It is aimed at both health care professionals and patient groups. Patients with anorectal malformation (ARM) may present associated congenital defects, including spinal dysraphism with cord tethering (TC). During growth and development, the increased traction on the tethered cord can result in progressive symptoms and signs involving motor-sensory, orthopaedic, urinary, and bowel function leading to the tethered cord syndrome. As urinary and fecal symptoms are frequent encountered in patients with ARM also without TC, it is difficult to conclude whether they are secondary to TC or to ARM itself. Therefore, the impact of TC on functional prognosis remains unclear in ARM patients. Moreover, the definition and management of TC are still extremely variable among pediatric surgeons. This webinar will focus on TC in the context of ARM. The Colorectal webinar series covers all aspects of paediatric colorectal surgery. They are joint presentations between ERNs eUROGEN and ERNICA and are supported by both EUPSA and ARM-Net. eUROGEN is the ERN for rare and complex urogenital diseases and conditions (www.eurogen-ern.eu). ERNICA is the ERN for rare Inherited and Congenital (digestive and gastrointestinal) Anomalies (https://ern-ernica.eu). ARM-Net is a group of professionals and patient representatives that aim to exchange data and knowledge to improve clinical care and to perform research on congenital anorectal malformations (https://www.arm-net.eu). EUPSA promotes surgical care for the paediatric patients in Europe and enhances the capacity of its members to gain new knowledge to the benefit of their patients, along the highest ethical standards in paediatric surgery (www.eupsa.info) ERN eUROGEN is a European Reference Network (ERN) approved by the ERN Board of Member States (BoMS). For more information about the ERNs and the EU health strategy, please see https://ec.europa.eu/health/european-.... The ERNs are funded by the European Union. The views and opinions expressed in this webinar are those of the author(s) only and do not necessarily reflect those of the European Union or HaDEA. Neither the European Union nor HaDEA can be held responsible for them.