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Updated: Jun 4, 2026
04:53
Surgical Management of Meatal Stenosis with Meatoplasty
Published on: November 30, 2010
Newborn with persistent cloaca presenting with accessory phallic urethra and ambiguous genitalia
Luis H P Braga1, Kaitlyn Whelan, Jorge DeMaria
1Division of Pediatric Urology, McMaster Children's Hospital, McMaster University, Hamilton, Ontario, Canada. lhpbraga@gmail.com
Urology
|February 22, 2011
Summary
Persistent cloaca, a rare condition, presents diagnostic and management challenges. A novel surgical technique utilized an accessory phallic urethra to create a more natural vaginal introitus in an infant girl.
Area of Science:
- Pediatric Surgery
- Urology
- Genetics
Background:
- Persistent cloaca is a complex congenital urogenital anomaly.
- It requires specialized diagnostic and surgical management strategies.
- Ambiguous genitalia are often associated with cloacal malformations.
Observation:
- A case of an infant girl with persistent cloaca and ambiguous genitalia is presented.
- The patient had a single perineal orifice and an accessory phallic urethra.
- The anomaly presented significant challenges for reconstruction.
Findings:
- A surgical technique involving total urogenital sinus mobilization was employed.
- The distal accessory phallic urethra was repurposed to create a mucosa-lined vestibule.
- This approach aimed for a more natural vaginal introitus.
Implications:
- This technical maneuver offers improved cosmetic outcomes in persistent cloaca cases.
- It may enhance the functional potential of the reconstructed vagina.
- This case highlights innovative surgical solutions for rare urogenital malformations.
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