4-month-old girl referred in 1990 with a complex cloaca and prior colostomy at birth.
18-month-old female patient with unusual cloaca Colostomy for imperforate anus and thoracotomy for esophageal atresia at birth
6½-year-old female patient was referred in 1976 for extensive secondary surgery of her cloacal malformation Thirteen prior operations included:
Colostomy at birth Bilateral loop ureterostomies Attempted vaginal pullthrough Opening of the urogenital sinus Suprapubic cystostomy Closure of the bladder neck
3-year-old female patient referred for total urinary incontinence in March 1980, with an unusual cloacal variant At birth, exploration showed a short colon attached to the dome of a small bladder by its cecum with two appendices, the usual situation in cloacal exstrophy That was divided and exteriorized An ileostomy was also performed
14-month-old female patient referred in 1993 for cloacal reconstruction Duodenal atresia had been repaired at birth, and right transverse colostomy There was massive reflux bilaterally Bilateral reimplants had been done at age 3 months, but massive reflux persisted
Newborn female patient Esophageal atresia repaired as neonate Had cloaca Loop sigmoid colostomy was done Referred at age 5½ years for cloacal repair Chronic spillover of stool from loop colostomy, filling vagina and bladder with reflux, severe renal scaring
4-year-old girl sent from abroad in 1986 Right colostomy at birth At age 4 months, posterior sagittal operation was attempted, but abandoned after the UGS was inadvertently transected An S.P. tube was placed 8 months later, colostomy was closed and a stricture of the neourethra was opened endoscopically Patient was sullen, unhappy, and uncommunicative when first seen
15-month-old baby girl with a cloaca and a very large intrapelvic sacrococcygeal teratoma Prior suprapubic cystostomy and sigmoid colostomy at birth
20-year-old female totally incontinent of urine and stool when referred in 1979 Prior operations included colostomy, colon pullthrough, right nephrectomy, and a flap to enlarge the UGS opening She was in diapers
