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Cloacal malformation variants in male
Tahmina Banu1, Tanvir K Chowdhury, Mozammel Hoque
1Department of Pediatric Surgery, Chittagong Medical College and Hospital, Chittagong 4000, Bangladesh. proftahmina@gmail.com
Pediatric Surgery International
|May 14, 2013
Summary
Cloacal malformations, rare in males, present later in life with hypospadias and sometimes a vagina. Surgical outcomes for these rare cloacal anomalies are generally satisfactory.
Area of Science:
- Pediatric Surgery
- Urology
- Developmental Biology
Background:
- Cloacal defects are predominantly reported in females, with limited data on their incidence and presentation in males.
- Embryological development involves a cloacal stage in both sexes, suggesting potential for cloacal anomalies in males.
Observation:
- A retrospective review identified four cases of male cloacal variants among 1,837 anorectal malformation patients over 19 years.
- These male patients presented after the neonatal period (46 days to 28 years) with varying common channel lengths (0.5-8 cm).
Findings:
- Three of the four male patients had proximal hypospadias; two had a vaginal remnant.
- One patient with multiple anomalies did not survive, while the remaining three are recovering well post-reconstruction.
Implications:
- Male cloacal malformations are rare, often presenting late with specific genital abnormalities like hypospadias.
- Further research is needed to understand the scarcity of reported cases and optimize management strategies for male cloacal anomalies.
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