Urinary Incontinence

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

 

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