Female Patient

Early Cloacal Reconstruction Case: Evolution of Treament Strategies (Hendren Patient Case)

  • Neonate treated in 1975--early in experience with cloacal reconstruction
  • Sigmoid colostomy was done, but transverse colostomy now preferred
  • Demonstrated repair in lithotomy position to be possible, although today a posterior sagittal approach might be used
  • Hendren's first cloacal repair in 1962 had the vagina exteriorized with a perineal flap, and the rectum was repaired by a posterior sagittal approach and pullthrough

Infant Female Patient with Wide Urogenital Sinus Opening with Bladder Neck at Upper End, Double Diverging Vaginas, and Rectal Fistula Anterior to Vaginas (Hendren Patient Case)

  • 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