Surgical treatment of traumatic cloaca.
OBJECTIVE
To assess the functional results of surgical treatment of traumatic cloaca by a technique including reconstructive plastic surgery of the perineal body and of the rectovaginal septum using the puborectal and external sphincter muscles.


METHODS
Six female patients were submitted to surgical treatment for correction of the cloaca over a period of 5 years (2002 to 2007). Loop sigmoidostomy was parformed in two patients. The mean duration of symptoms before surgical treatment was 97.5 months (4 months to 36 years), mean patient age was 36 years (17 to 58 years) and the follow-up period was 14.6 months (6 months to 2 years).


RESULTS
Five patients (83.3%) regained fecal and flatus continence and one patient had flatus incontinence.


CONCLUSIONS
Surgical treatment yields good results, is safe and involves low rates of complications.
Division of Coloproctology, Departament of Surgery and Anatomy, Ribeirão Preto Faculty of Medicine, University of São Paulo, SP, Brazil.
Roberta Lages das
RL
Mercês
Paulo Henrique
PH
Pisi
Antônio
A
Balestrim Filho
Thiago Agostini
TA
Braga
José Joaquim Ribeiro da
JJ
Rocha
Omar
O
Féres
D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000293:injuries* / Q000601:surgery*; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D007744:Obstetric Labor Complications / Q000601:surgery*; D010502:Perineum / Q000601:surgery; D011247:Pregnancy; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult