Case Overview:
- 15-month-old baby girl with a cloaca and a very large intrapelvic sacrococcygeal teratoma
- Prior suprapubic cystostomy and sigmoid colostomy at birth
Follow Up:
At age 4 years
- Prolapsed rectum was trimmed flush with perineum
At age 12 years
- Late stricture of upper urethra opened endoscopically (all care given thereafter elsewhere as required by HMO)
- Bowel evacuation with enemas changed to ACE procedure, with saline washout every other day, with no soiling
- Bladder emptying changed to umbilical Mitrofanoff procedure, for partially neuropathic bladder, with excellent result
At age 19 years
- Hysterectomy done elsewhere age 19
THP Source: