Persistent Cloacal Repair With Posterior Sagittal Anorectoplasty and Total Urogenital Mobilization : A Case Report

Abstract

We performed total urogenital mobilization in a 9-month-old girl with persistent cloaca. After the rectum was separated from the common channel (urogenital sinus) through a posterior sagittal incision, both the urethra and the vagina were mobilized together as a single unit, and orifices were created on the vertibule. The appearance of external genitalia was almost normal with the well-created perineal body. One year after this procedure, there was no evidence of urinary incontinence, vaginal stricture or other complications.