title: [Therapeutic strategy in cloacal exstrophy].
abstract: Cloacal exstrophy is a complex multisistemic anomaly that involves gastrointestinal and genitourinary issues. The aim of our paper is to report our experience in dealing with genital reconstruction and faecal and urinary continence in patients with female cloacal anomalies. We reviewed the clinical records from the three patients we have achieved a final reconstruction. We recorded the surgical management and both functional and anatomic results. The three of them required a bladder neck closure associated with a continent stoma, they are dry with intermittent catheterization and free of upper urinary complications. Genital reconstruction required a unique plan for each one, according to their anatomy and their cosmetic desires. One of the patients reported satisfactory sexual intercourse. Management of patients with cloacal exstrophy has major concerns about urinary and fecal continence and about genital reconstruction and function. Knowing the long-term results may help to develop management strategies and improve counselling for patients who have under-gone reconstruction.
authors.affiliation: Servicio de Cirugía Pediátrica, Hospital Infantil Gregorio Marañón, Madrid. romero_online@mac.com
authors.forename: R M
authors.initials: RM
authors.lastname: Romero Ruiz
authors.forename: E
authors.initials: E
authors.lastname: Molina Hernando
authors.forename: J
authors.initials: J
authors.lastname: Cerdá Berrocal
authors.forename: J M
authors.initials: JM
authors.lastname: Angulo Madero
authors.forename: E
authors.initials: E
authors.lastname: Hernández Calvarro
authors.forename: O
authors.initials: O
authors.lastname: Sánchez Paris
authors.forename: A
authors.initials: A
authors.lastname: Del Cañizo
authors.forename: A
authors.initials: A
authors.lastname: Parente Hernando
authors.forename: J
authors.initials: J
authors.lastname: Vázquez Estévez
mesh_terms: D000293:Adolescent; D001746:Bladder Exstrophy / Q000601:surgery*; D002648:Child; D002988:Cloaca / Q000002:abnormalities*; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000002:abnormalities / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*