- 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
- 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.
- 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
- 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 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
- 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
