Treatment of cloacas
Anorectal Malformations in Children: Embryology, Diagnosis, Surgical Treatment, Follow-up
Persistent cloaca was, in the past, considered an unusual defect, with a high incidence of rectovaginal fistula reported in the literature. In retrospect, it seems that cloaca represents a much more common defect in female patients than previously thought, and rectovaginal fistula is an almost nonexistent defect that is present in fewer than 1% of all cases, except in a few specific geographical areas. Most patients suffering from a persistent cloaca were erroneously thought to have a rectovaginal fistula. Many of those patients underwent surgery with repair of the rectal component only and were left with the urogenital sinus untouched, requiring a complete redo operation. © 2006 Springer-Verlag.
Levitt, M., & Peña, A. (2006). Treatment of cloacas. Anorectal Malformations in Children: Embryology, Diagnosis, Surgical Treatment, Follow-up, (). http://dx.doi.org/10.1007/978-3-540-31751-7_22