Related Experiment Video
Updated: Sep 28, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Long-term management of adult patients with persistent cloaca from adolescence to adulthood
Masahiro Zenitani1, Shohei Hiwatashi2, Yuki Noguchi2
1Department of Pediatric Surgery, Osaka Women's and Children's Hospital, 840 Murodo- cho, Izumi, Osaka, 594-1101, Japan. zenitani@pedsurg.med.osaka-u.ac.jp.
Purpose:
This study aimed to investigate the management of patients with persistent cloaca from adolescence to adulthood.
Methods:
We retrospectively reviewed 21 adult patients with persistent cloaca and investigated their urinary and bowel management, menstrual status, and sexual function during adolescence and adulthood.
Results:
The median age at the last follow-up was 23 years (range: 18-38 years). Antegrade continence enema, irrigation, and stoma were performed in 12 patients (57%) during both adolescence and adulthood. Clean intermittent catheterization via the urethra, vesicostomy, or catheterizable channel was performed in 10 patients (48%) during both periods. In adulthood, two patients (10%) experienced soiling and all the patients, excluding one patient with severe intellectual disability, achieved urinary continence. Surgical interventions for menstrual outflow obstruction and for sexual function were performed for four patients (19%) during adolescence and seven patients (33%) during adulthood, respectively. Vaginal patency was confirmed in seven patients (33%) by pelvic examination. One patient delivered two children via cesarean section.
Conclusion:
Multidisciplinary long-term management for patients with persistent cloaca is crucial to enable them to achieve a better quality of life.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
01:24Ostomy Care
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
01:28Urinary Tract Calculi V: Nursing Management
01:17Urinary Tract Infection IV: Nursing Management