title: Urethroplasty and vaginoplasty by a single small bowel interposition graft: a novel technique for cloacal reconstruction.
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.
authors.affiliation: Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, University of Cape Town, Rondebosch, 7700 Cape Town, South Africa. alp.numanoglu@uct.ac.za
authors.forename: Alp
authors.initials: A
authors.lastname: Numanoglu
authors.forename: Marc A
authors.initials: MA
authors.lastname: Levitt
authors.forename: Heinz
authors.initials: H
authors.lastname: Rode
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D000071056:Anorectal Malformations; D001006:Anus, Imperforate / Q000601:surgery*; D002675:Child, Preschool; D002988:Cloaca / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D006801:Humans; D007421:Intestine, Small / Q000637:transplantation*; D014521:Urethra / Q000002:abnormalities / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities / Q000601:surgery*