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
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
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.
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
4-year-old girl sent from abroad in 1986 Right colostomy at birth At age 4 months, posterior sagittal operation was attempted, but abandoned after the UGS was inadvertently transected An S.P. tube was placed 8 months later, colostomy was closed and a stricture of the neourethra was opened endoscopically Patient was sullen, unhappy, and uncommunicative when first seen
