Long-term management of adult patients with persistent cloaca from adolescence to adulthood.

IF 1.8 3区医学 Q2 PEDIATRICS

Pediatric Surgery International Pub Date : 2026-09-26 DOI:10.1007/s00383-026-06627-9

Masahiro Zenitani, Shohei Hiwatashi, Yuki Noguchi, Satoshi Umeda, Futoshi Matsui, Kisa Matsuo, Keigo Nara

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引用次数: 0

Abstract

Purpose: This study aimed to investigate the management of patients with persistent cloaca from adolescence to adulthood.

Methods: We retrospectively reviewed 21 adult patients with persistent cloaca and investigated their urinary and bowel management, menstrual status, and sexual function during adolescence and adulthood.

Results: The median age at the last follow-up was 23 years (range: 18-38 years). Antegrade continence enema, irrigation, and stoma were performed in 12 patients (57%) during both adolescence and adulthood. Clean intermittent catheterization via the urethra, vesicostomy, or catheterizable channel was performed in 10 patients (48%) during both periods. In adulthood, two patients (10%) experienced soiling and all the patients, excluding one patient with severe intellectual disability, achieved urinary continence. Surgical interventions for menstrual outflow obstruction and for sexual function were performed for four patients (19%) during adolescence and seven patients (33%) during adulthood, respectively. Vaginal patency was confirmed in seven patients (33%) by pelvic examination. One patient delivered two children via cesarean section.

Conclusion: Multidisciplinary long-term management for patients with persistent cloaca is crucial to enable them to achieve a better quality of life.

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青少年至成年期持续性泄殖腔患者的长期治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Surgery International 医学-外科

CiteScore

3.00

自引率

5.60%

发文量

215

审稿时长

3-6 weeks

期刊介绍： Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children. The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include: -Review articles- Original articles- Technical innovations- Letters to the editor