Cloaca | W. Hardy Hendren Pediatric Surgical and Urological Education Foundation

20-Year-Old Female Patient with History of Surgery for Cloaca and Imperforate Anus (Hendren Patient Case)

20-year-old female patient referred in 1987, with a history of surgery for cloaca and imperforate anus
Her problems included bowel incontinence and inability to have coitus

4-Year-Old Female Patient with Unusual Cloacal Anatomy (Hendren Patient Case)

4-year-old female patient with very unusual cloacal anatomy was referred in 1989
Divided loop colostomy had been done at birth and remained
There was urinary incontinence as well

7½-Year-Old Female Patient Referred with Complex Cloacal Malformation (Hendren Patient Case)

7½-year-old female patient referred in 1985 with a complex cloacal problem

Difficult 5-Year-Old Cloaca Patient (Hendren Patient Case)

5-year-old cloaca patient was referred in 1980 as a "nightmare" case
All prior surgery had failed including rectal, vaginal, and ureteral operations
Previous colostomy and vesicostomy.

16-Month-Old Female with Complex Cloacal Anatomy (Hendren Patient Case)

A 16-month-old female with complex cloacal anatomy referred in 1997. Prior sigmoid colostomy at birth.

16-Month-Old Female Patient Referred for Cloacal Repair (Hendren Patient Case)

Patient referred in 1986 at age 16 months for cloacal repair
Colostomy and cutback of urogenital sinus to relieve hydrophrenosis previously done as neonate
Straightforward anatomy repairable using posterior sagittal exposure in prone position

2-Week-Old Female Patient Referred After Transverse Colostomy (Hendren Patient Case)

2-week-old female infant in 1984, referred after transverse colostomy
Massive vesicoureteral reflux, causing severe bilateral hydronephrosis
Initial goal of surgery was to repair the urinary tract

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