title: Total urogenital mobilization by posterior sagittal approach and ileal neovaginoplasty in cloacal repair by a common channel of 4 cm.
abstract: OBJECTIVE
  The total urogenital mobilization (TUM) technique avoids dissection of the vagina from the urinary tract. However, in the case of a long common channel, bowel interposition for vaginal replacement may be necessary. We present a video of the TUM technique in cloacal repair with ileal neovaginoplasty.
  
  
  METHODS
  An 8-month-old female patient with cloaca, presenting a 4-cm common channel, was operated on by the TUM technique, through a perineal sagittal with additional abdominal approach. She had undergone decompressing colostomy at birth. Total urogenital sinus mobilization was performed with ileal neovaginoplasty.
  
  
  RESULTS
  The patient had a good postoperative outcome, an endoscopy of all structures reconstructed was performed at PO day 30, and home dilatation of colon and vagina by parents was initiated.
  
  
  CONCLUSIONS
  TUM with neovaginoplasty bowel interposition is an effective technique for repairing long common channels.
authors.affiliation: Division of Urology, Universidade Federal de São Paulo, São Paulo, Brazil.
authors.forename: Antonio
authors.initials: A
authors.lastname: Macedo
authors.forename: Atila
authors.initials: A
authors.lastname: Rondon
authors.forename: Ricardo
authors.initials: R
authors.lastname: Frank
authors.forename: Bruno
authors.initials: B
authors.lastname: Leslie
authors.forename: Herick
authors.initials: H
authors.lastname: Bacelar
authors.forename: Sérgio
authors.initials: S
authors.lastname: Ottoni
authors.forename: Valdemar
authors.initials: V
authors.lastname: Ortiz
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D002988:Cloaca / Q000002:abnormalities* / Q000601:surgery; D003106:Colon / Q000473:pathology; D003251:Constriction, Pathologic; D004106:Dilatation; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D007223:Infant; D019651:Plastic Surgery Procedures / Q000379:methods*; D014521:Urethra / Q000002:abnormalities; D013519:Urogenital Surgical Procedures / Q000379:methods*; D014621:Vagina / Q000473:pathology / Q000601:surgery*
keywords: Cloaca; Cloacal anomalies; Urogenital abnormalities; Urogenital surgical procedures; Vaginal reconstruction