4-month-old girl referred in 1990 with a complex cloaca and prior colostomy at birth.
2-year-old girl seen in 1979 with total urinary incontinence and a loop colostomy performed at birth in South America
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
2-year-old female patient with unusual variant of cloacal anatomy
Required only marsupialization of UG Sinus and relocation of the anus and rectum
3-year-old female patient referred for total urinary incontinence in March 1980, with an unusual cloacal variant
At birth, exploration showed a short colon attached to the dome of a small bladder by its cecum with two appendices, the usual situation in cloacal exstrophy
That was divided and exteriorized
An ileostomy was also performed
2-year-old female patient referred for cloacal repair in November 1981
No prior surgery except endoscopic and radiographic assessment of her cloacal anomaly
Normal chromosome study
On catheter drainage for several months as infant
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.
14-month-old female patient referred in 1993 for cloacal reconstruction
Duodenal atresia had been repaired at birth, and right transverse colostomy
There was massive reflux bilaterally
Bilateral reimplants had been done at age 3 months, but massive reflux persisted