Colorectal Quiz Episode 33: Cloaca Extrophy

Topic overview

Key takeaways

• Cloacal exstrophy requires multidisciplinary surgical planning involving colorectal, urology, and orthopedic teams.
• Traditional staged reconstruction includes bladder closure, osteotomy, and eventual bowel management procedures.
• Newer techniques focus on early primary closure and preservation of the omphalocele sac for tissue expansion.
• Long-term continence outcomes depend on bladder template size and neurologic function at presentation.
• Patient selection for anoplasty versus permanent stoma is critical—only 8.7% undergo anoplasty per national data.

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