- 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
- Infant female referred in 1988 at 2 months after transverse colostomy elsewhere
- Wide urogenital sinus opening with bladder neck at upper end, double diverging vaginas, and rectal fistula anterior to vaginas
- A complex case that required unraveling the anatomy by radiology and cystoscopy to formulate a plan to reconstruct it
