Incontinence | W. Hardy Hendren Pediatric Surgical and Urological Education Foundation

Long Colon "Spur" After Duhamel Procedure

Case Summary

10-yr-old female patient presents for evaluation.
Her history included that he presented with a right colon perforation at 7 wk of age.
She underwent partial colon resection and ileostomy.
Incorrectly diagnosed with Hirschsprung disease.

2-Year-Old Female Patient with Total Urinary Incontinence and Loop Colostomy (Hendren Patient Case)

2-year-old girl seen in 1979 with total urinary incontinence and a loop colostomy performed at birth in South America

3-Year-Old Female Patient with Total Urinary Incontinence and Unusual Cloacal Variant (Hendren Patient Case)

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

17-Year-Old Female Patient with Total Urinary and Fecal Incontinence Despite Multiple Procedures for Basic Cloacal Malformation (Hendren Patient Case)

17-year-old female referred in 1979 with total urinary and fecal incontinence despite multiple misdirected procedures for her basic cloacal malformation
Severe hypertension secondary to renal scarring demanded immediate medical treatment

18-Month-Old Female Patient Referred with Total Urinary Incontinence (Hendren Patient Case)

18-month-old female patient referred with total urinary incontinence
Prior colostomy at birth
Soave type rectal pullthrough at 1 year, and later colostomy closure.

Cloaca in 4-Year-Old Female Patient with Total Urinary Incontinence (Hendren Patient Case)

4-year-old female patient with total urinary incontinence
Cloaca with features seen in clocal exstrophy
Ileocolic junction originally joined bladder
Distal colon originally joined bladder
Distal colon originally ended blindly
Two adjoining bladders
After an endoscopy 2 weeks later there was reasonable outlet resistance

20-Year-Old Female Patient Totally Incontinent (Hendren Patient Case)

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

20-Year-Old Female Patient with History of Surgery for Cloaca and Imperforate Anus (Hendren Patient Case)

20-year-old female patient referred in 1987, with a history of surgery for cloaca and imperforate anus
Her problems included bowel incontinence and inability to have coitus