Urethroplasty and vaginoplasty by a single small bowel interposition graft: A novel technique for cloacal reconstruction

Authors

Alp Numanoglu, University of Cape Town
Marc A. Levitt, Cincinnati Children's Hospital Medical Center
Heinz Rode, University of Cape Town

Document Type

Journal Article

Publication Date

8-1-2011

Journal

Journal of Pediatric Surgery

Volume

46

Issue

8

DOI

10.1016/j.jpedsurg.2011.04.009

Keywords

Cloaca; Neovagina; Small bowel graft; Urethroplasty; Vaginal replacement; Vaginoplasty

Abstract

Despite the advances in surgical management of anorectal malformations, repair of cloacal malformations remains a challenging condition for many pediatric surgeons. Posterior cloaca is present where urogenital sinus deviates posteriorly to form a cloaca with rectum. Often, achieving adequate urethral and vaginal length can be challenging. We describe a novel technique where a loop of small bowel on a single mesenteric blood supply could be constructed in 2 functional tubular structures: one for urethral and the other for vaginal replacement. © 2011 Elsevier Inc.

APA Citation

Numanoglu, A., Levitt, M., & Rode, H. (2011). Urethroplasty and vaginoplasty by a single small bowel interposition graft: A novel technique for cloacal reconstruction. Journal of Pediatric Surgery, 46 (8). http://dx.doi.org/10.1016/j.jpedsurg.2011.04.009