Assessment of Müllerian Patency in Patients with Cloacal Anomaly using Saline Pertubation: A Retrospective Cohort Study

36-41% of females with cloaca experience menstrual obstruction, which can result in significant morbidity. No established evaluation exists to determine the patency of the pre-pubertal Müllerian system. Saline pertubation (SP)-- cannulating the fallopian tubes and injecting sterile saline-- can be performed during other indicated abdominal procedures. This study sought to assess the sensitivity and specificity of SP in predicting future patency of the Müllerian system among females with cloaca.