18-month-old female patient with unusual cloaca Colostomy for imperforate anus and thoracotomy for esophageal atresia at birth
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
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
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
20-year-old female totally incontinent of urine and stool when referred in 1979 Prior operations included colostomy, colon pullthrough, right nephrectomy, and a flap to enlarge the UGS opening She was in diapers
