Cloaca - Case Presentations

Topic overview

Dr.Belinda His Dickie, surgical director of the Hemangioma and Vascular Malformations Center, presents cloaca cases fordiscussion. Case 1 describes a newborn 34 week old female with a diagnosis of pelvic collection and hydropnephrosis by ultrasound. Aunanimous diagnosis ofhydrocolpos was established among the panel and various plans of action were discussed.Dr. Breech, Division of Pediatric and Adolescent Gynecology, gives apresentation on hydrocolpos andincludes theopen drainage approach to hydrocolpos. Discussion among panel membersincluded hydrocolpos management, interventional radiology, tubed versus openvaginostomy, intermediate catheterization, abdominal approach, EUA cystoscopy and vaginoscopy, trans-abdominal mobilization, urethra vaginalfistula, older cloaca's and changes in the common channel length, and total urogenital mobilization with extended inro-abdominal approach.

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