Congenital cloaca : Long-term follow-up results with emphasis on outcomes beyond childhood

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Rintala , R J 2016 , ' Congenital cloaca : Long-term follow-up results with emphasis on outcomes beyond childhood ' , Seminars in pediatric surgery. , vol. 25 , no. 2 , pp. 112-116 . https://doi.org/10.1053/j.sempedsurg.2015.11.011

Title: Congenital cloaca : Long-term follow-up results with emphasis on outcomes beyond childhood
Author: Rintala, Risto J.
Contributor: University of Helsinki, Clinicum
Date: 2016-04
Language: eng
Number of pages: 5
Belongs to series: Seminars in pediatric surgery.
ISSN: 1055-8586
URI: http://hdl.handle.net/10138/223919
Abstract: Persistent cloaca remains a challenge for pediatric surgeons and urologists. Reconstructive surgery of cloacal malformations aims to repair the anorectum, urinary tract, and genital organs, and achieve fecal and urinary continence as well as functional genital tract capable for sexual activity and pregnancy. Unfortunately, even in most experienced hands these goals are not always accomplished. The endpoint of the functional development of bowel, urinary, and genital functions is the completion of patient's growth and sexual maturity. It is unlikely that there will be any significant functional improvement beyond these time points. About half of the patients with cloaca attain fecal and urinary continence after their growth period. The remaining half stay clean or dry by adjunctive measures such as bowel management by enemas or ACE channel, and continent urinary diversion or intermittent catheterization. Problems related to genital organs such as obstructed menstruations, amenorrhea, and introitus stenosis are common and often require secondary surgery. Encouragingly, most adolescent and adult patients are capable of sexual life despite often complex vaginal primary and secondary reconstructions. Also, cloacal malformation does not preclude pregnancies, although they still are quite rare. Pregnant patients with cloaca require special care and follow-up to guarantee uncomplicated pregnancy and preservation of anorectal and urinary functions. Cesarean section is recommended for cloaca patients. The self-reported quality of life of cloaca patients appears to be comparable to that of female patients with less complex anorectal malformations. (C) 2016 Elsevier Inc. All rights reserved.
Subject: Congenital cloaca
Long-term follow-up
Incontinence
Genital function
Fertility
Quality of life
POSTERIOR SAGITTAL ANORECTOPLASTY
BOWEL FUNCTIONAL OUTCOMES
ANORECTAL-MALFORMATIONS
BLADDER FUNCTION
REPAIR
RECONSTRUCTION
ADULTHOOD
SURGERY
ANUS
3123 Gynaecology and paediatrics
3126 Surgery, anesthesiology, intensive care, radiology
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