Case Three: Persistent Cloaca, Double Rectum, Accessory Urethra
The first image shows:
- A complex cloaca consisting of a rectal duplication
- A very wide common channel
- In addition, the patient had a urethral type of channel that ended in the tip of a pseudophallus (accessory urethra)
The patient had megaureter and an absent kidney. A posterior sagittal operation successfully resected the duplicated part of the rectum and reduced the size of the common channel to create a functional urethra and mobilize the vagina down to the perineum.
The rectum was then placed as usual within the limits of the muscle structures. The tiny, accessory urethra that opened at the tip of the clitoris (pseudophallus) was not functional and therefore, was left in place, as seen in the second image.
Complex Cloaca | 
Pseudophallus |
For more information or to request an appointment, please contact the Colorectal Center at Cincinnati Children's.
