Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Cloacal malformations: experience with 105 cases.

¹Department of Surgery, Children's Hospital, Boston, MA 02115.

Journal of Pediatric Surgery

|July 1, 1992

Summary

This study details 105 cases of cloacal malformations, highlighting anatomical variations and long-term outcomes. Surgical repair of these complex congenital anomalies can achieve satisfactory urinary, bowel, and sexual function.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Vaginal delivery after cloacal malformation repair.

Obstetrics and gynecology·2002

Same author

Life-threatening anomalies of the thoracic duct: anatomic delineation dictates management.

Journal of pediatric surgery·2001

Same author

Construction of female urethra using buccal mucosa graft.

The Journal of urology·2001

Same author

Cloacal exstrophy: a 25-year experience with 50 cases.

Journal of pediatric surgery·2001

Same author

Sibling vesicoureteral reflux in multiple gestation births.

Pediatrics·2000

Same author

Normal urodynamics in patients with bladder exstrophy: are they achievable?

The Journal of urology·1999

Area of Science:

Pediatric Surgery
Congenital Malformations
Urology

Background:

Cloacal malformations represent a spectrum of complex congenital anomalies involving the genitourinary and gastrointestinal tracts.
Understanding the diverse anatomical presentations is crucial for effective surgical planning and management.

Observation:

A cohort of 105 patients with cloacal malformations was analyzed, with follow-up on 98.
Significant anatomical variability was observed in the urogenital sinus, vagina(s), rectum, and perineum.
Vesicoureteral reflux was present in 57 patients.

Findings:

Long-term data on urinary control, bowel control, and sexual function were collected for adult patients.
Two patients successfully achieved pregnancy and delivery.
Surgical interventions often necessitate complex multi-positional approaches, including posterior sagittal, laparotomy, and lithotomy.
Isolated rectal pull-through is contraindicated due to the complexity and life-threatening nature of the urogenital components.

Implications:

The findings underscore the importance of a comprehensive surgical approach, prioritizing the urogenital reconstruction.
Successful functional outcomes for urinary, bowel, and sexual function are achievable with appropriate management.
Further research into optimizing surgical techniques for cloacal malformations is warranted.

Related Experiment Videos