Cloaca
VIDEO: Cloaca Repair with Total Urogenital Mobilization
Presentation Summary
In this video, Alberto Peña, M.D., provides an in-depth description of cloacal repair with total urogenital mobilization.
8-Month-Old Female Patient Born with a Cloaca Described as a "2-mm Common Channel"
Case Summary
- 8-mo-old patient is referred for evaluation in the Colorectal Center.
- She was born with a cloaca described as “2 cm common channel”.
- She underwent diverting colostomy on day of life 2 but the mucous fistula had closed.
- Patient had a normal sacrum and normal kidneys.
Female Patient, Age 3 Months, with Unusual Cloaca after Prior Right Transverse Colostomy (Hendren Patient Case)
- Female patient, age 3 mo, with unusual cloaca
- She had a prior right transverse colostomy
4-Month-Old Female Patient With Complex Cloaca and Prior Colostomy
- 4-month-old girl referred in 1990 with a complex cloaca and prior colostomy at birth.
18-Month-Old Female Patient with Unusual Cloaca (Hendren Patient Case)
- 18-month-old female patient with unusual cloaca
- Colostomy for imperforate anus and thoracotomy for esophageal atresia at birth
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
2-Year-Old Female Patient with Unusual Variant of Cloacal Anatomy (Hendren Patient Case)
- 2-year-old female patient with unusual variant of cloacal anatomy
- Required only marsupialization of UG Sinus and relocation of the anus and rectum
14-Month-Old Female Patient Referred for Cloacal Reconstruction (Hendren Patient Case)
- 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
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