title: Cloaca and hydrocolpos: laparoscopic-, cystoscopic- and colposcopic-assisted vaginostomy tube placement.
abstract: Hydrocolpos presenting at birth in a neonate with a cloacal malformation may lead to massive distension, with compression of adjacent structures. At times, the hydrocolpos requires urgent drainage. Additionally, these neonates need a divided colostomy to divert their fecal stream and prevent genitourinary contamination. We present a novel approach by which these two procedures can be performed as a single operation guided by a combination of cystoscopy, colposcopy, and laparoscopy. This provides a minimally invasive technique with excellent outcome and potentially superior visualization of the necessary intra-abdominal structures.
authors.affiliation: Section of Pediatric Surgery, Department of Surgery, University of Michigan.
authors.forename: K Elizabeth
authors.initials: KE
authors.lastname: Speck
authors.affiliation: Section of Pediatric Surgery, Department of Surgery, University of Michigan.
authors.forename: Meghan A
authors.initials: MA
authors.lastname: Arnold
authors.affiliation: Section of Pediatric Urology, Department of Urology, University of Michigan.
authors.forename: Vesna
authors.initials: V
authors.lastname: Ivancic
authors.affiliation: Section of Pediatric Surgery, Department of Surgery, University of Michigan. Electronic address: dttlbm@umich.edu.
authors.forename: Daniel H
authors.initials: DH
authors.lastname: Teitelbaum
mesh_terms: D000005:Abdomen / Q000601:surgery; D000818:Animals; D001006:Anus, Imperforate / Q000601:surgery; D002988:Cloaca / Q000002:abnormalities* / Q000601:surgery*; D003125:Colostomy; D003127:Colposcopy / Q000379:methods*; D003558:Cystoscopy / Q000379:methods*; D003560:Cysts / Q000601:surgery; D004322:Drainage; D005260:Female; D006801:Humans; D052202:Hydrocolpos / Q000601:surgery*; D007231:Infant, Newborn; D007440:Intubation; D010535:Laparoscopy / Q000379:methods*; D014621:Vagina / Q000601:surgery
keywords: Cloacal malformation; Colposcopy; Hydrocolpos; Laparoscopic; Minimally invasive surgical technique; Vaginostomy tube