Suprapubic Cystostomy

6½-Year-Old Female Patient Referred for Extensive Secondary Surgery of Her Cloacal Malformation (Hendren Patient Case)

  • 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

4-Year-Old Female Patient with Right Colostomy at Birth (Hendren Patient Case)

  • 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