Case Overview:
- 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
Follow Up:
At age 7 years
- Patient was dry on self-catheterization, but unable to void
- Vagina and openings were enlarged
At age 14 years
- Elective endoscopy was performed
- Bowel management by self-enema washouts
- ACE procedure was declined
At age 19 years
- In 2000, Z-plasties were done to anus and vagina
- Large buttocks flap was later inserted into the originally small vagina to enlarge it
At age 30 years
- Patient in good health, self-catheterizing, taking oral medication to stool
Publications & Educational Resources
Repair of Cloacal Anomalies: Current Techniques
Urological Aspects of Cloacal Malformations
THP Source: