- 4-month-old girl referred in 1990 with a complex cloaca and prior colostomy 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
- 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
- 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
