Posterior Sagittal Anorectovagino-Urethroplasty / PSARVUP
Colorectal Center surgeons at Cincinnati Children's Hospital Medical Center provide information about Posterior Sagittal Anorectovagino-Urethroplasty / PSARVUP for females.
Diagram of a typical
cloaca (short common channel)
Urethrovaginal Detail
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Surgical Approach for Treating Persitent Cloaca in Females
Before the colostomy is performed in a neonate in which the presence of a cloaca is suspected, the surgeon must carry out a full urological evaluation to rule out the frequently associated urinary tract obstruction and treat it simultaneously with the colostomy.
It is considered an error to establish a colostomy in a patient with a cloaca, without being aware of the associated urologic defects. The total repair of a cloaca is usually carried out after the baby is two months old, provided the child is growing and developing normally.
The repair of a cloaca requires great expertise, meticulous skill, and finesse. Most operations for the repair of a cloaca take between 4 and 12 hours.
The operator must remember that the rectum and vagina share a common wall, but most importantly, the vagina and urethra also share a common wall.
Separating the vagina from the urinary tract is an even more intricate procedure. The surgeon must keep in mind that the urethra and vagina have an interesting anatomic relationship: the vagina surrounds the urethra on more than 50 percent of its posterior surface.
Colorectal Center surgeons at Cincinnati Children's Hospital Medical Center provide the following information about Posterior Sagittal Anorectovagino-Urethroplasty / PSARVUP:
For more information or to request an appointment, please contact the Colorectal Center at Cincinnati Children's.
