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Updated: May 18, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Reconstructive surgery in a patient with persistent cloaca
Altaf Begum1, Afzal Sheikh, Bilal Mirza
1Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health Lahore, Pakistan.
Insights
Surgical correction of cloacal malformations presents challenges. This case report details a successful abdomino-perineal anorecto-urethro-colo-vaginoplasty in a 6-year-old, achieving urinary and fecal continence.
Area of Science:
- Pediatric Surgery
- Congenital Malformations
- Urology
Background:
- Cloacal malformations are complex congenital anomalies requiring specialized surgical intervention.
- Early management, including neonatal colostomy, is often necessary.
- Reconstructive surgery aims to restore anatomical integrity and function.
Abstract:
Cloacal malformations are challenging as to the surgical correction. A case of cloacal malformation who underwent reconstructive surgery is being reported. The patient had colostomy in the neonatal period and reconstruction was performed at the age of 6 year. The surgical management included abdomino-perineal anorecto-urethro-colo-vaginoplasty. The patient is fully continent of urine and achieved fair continence of feces at 9 months of follow up.
