- Newborn female patient
- Esophageal atresia repaired as neonate
- Had cloaca
- Loop sigmoid colostomy was done
- Referred at age 5½ years for cloacal repair
- Chronic spillover of stool from loop colostomy, filling vagina and bladder with reflux, severe renal scaring
- 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
- 15-month-old baby girl with a cloaca and a very large intrapelvic sacrococcygeal teratoma
- Prior suprapubic cystostomy and sigmoid colostomy at birth
- Ostensibly a “usual” cloaca with normal-appearing introitus and imperforate anus
- However, pelvic contents were highly abnormal
- 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
- 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
- 4-year-old female patient with very unusual cloacal anatomy was referred in 1989
- Divided loop colostomy had been done at birth and remained
- There was urinary incontinence as well
- 5-year-old cloaca patient was referred in 1980 as a "nightmare" case
- All prior surgery had failed including rectal, vaginal, and ureteral operations
- Previous colostomy and vesicostomy.
- Patient referred in 1986 at age 16 months for cloacal repair
- Colostomy and cutback of urogenital sinus to relieve hydrophrenosis previously done as neonate
- Straightforward anatomy repairable using posterior sagittal exposure in prone position
