Urinary Incontinence | W. Hardy Hendren Pediatric Surgical and Urological Education Foundation

Female Patient 9 Years Old with Late Diagnosis of Anorectal Malformation

Case Summary

3-Year-Old Female Patient with Total Urinary Incontinence and Unusual Cloacal Variant (Hendren Patient Case)

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

17-Year-Old Female Patient with Total Urinary and Fecal Incontinence Despite Multiple Procedures for Basic Cloacal Malformation (Hendren Patient Case)

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

18-Month-Old Female Patient Referred with Total Urinary Incontinence (Hendren Patient Case)

18-month-old female patient referred with total urinary incontinence
Prior colostomy at birth
Soave type rectal pullthrough at 1 year, and later colostomy closure.

Cloaca in 4-Year-Old Female Patient with Total Urinary Incontinence (Hendren Patient Case)

4-year-old female patient with total urinary incontinence
Cloaca with features seen in clocal exstrophy
Ileocolic junction originally joined bladder
Distal colon originally joined bladder
Distal colon originally ended blindly
Two adjoining bladders
After an endoscopy 2 weeks later there was reasonable outlet resistance