4-month-old girl referred in 1990 with a complex cloaca and prior colostomy at birth.
2-year-old girl seen in 1979 with total urinary incontinence and a loop colostomy performed at birth in South America
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
2-year-old female patient with unusual variant of cloacal anatomy Required only marsupialization of UG Sinus and relocation of the anus and rectum
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
2-year-old female patient referred for cloacal repair No prior surgery except endoscopic and radiographic assessment of her cloacal anomalyNormal chromosome study On catheter drainage for several months as infant
15-year-old female patient referred in 1981 for cloacal repair Work up at birth at two University Centers concluded patient had female pseudohermaphroditism without endocrine cause Prior surgery was cutback of UGS and laparotomy to view (normal) pelvic organs.
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
