ArticleFrontiers in surgery2026
Tailoring surgical approaches in different cloacal cases.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Aim of the study: This study describes surgical approaches for different cases of cloaca tailored to anatomical diversity and severity. Methods: A retrospective cohort study was conducted at Cairo University Specialized Pediatric Hospitals (2021-2024). Data included imaging findings [ultrasound, magnetic resonance image (MRI), distal loop gram, cloacogram, cystoscopy] and surgical techniques (single-stage or staged). Cases were categorized by vaginal depth and common channel length. Results: Among 20 patients, management was tailored to anatomy. For vaginal depth >2 cm: 4 cases with long common channels (>3 cm) had one-stage laparoscopic rectal and vaginal pull-through; 6 cases with short channels (<3 cm) underwent posterior sagittal rectal pull-through 2 partial urogenital mobilization (PUM),4 total urogenital mobilization (TUM). For staged procedures: 3 cases with long channels and rectal endings below the coccyx underwent rectal pull-through followed by vaginal pull-through; 5 short-channel cases had laparoscopic rectal pull-through followed by TUM (2) or PUM (3). Vaginal depth <2 cm required colon replacement in 2 cases. Conclusion: Surgical management of cloacal malformations requires individualized approaches based on anatomical factors.
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