Beyond cloacal malformation. Addressing unclassifiable complexity

Abstract

Cloacal malformations are a spectrum of complex congenital anomalies traditionally classified by common channel length, urethral length, Müllerian configuration, and sacral or spinal abnormalities. Classification guides reconstructive strategy and informs prognosis. However, a subset of patients present with atypical anatomy that defies standard classification systems, complicating surgical planning and prediction of outcomes.

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