Pediatric Surgery

Cloaca - Gynecologic Concerns

November 08, 2018
Dr. Breech, Division of Pediatric and Adolescent Gynecology,  gives a presentation of gynecologic concerns of cloacal anomaly. Here presentation includes topics of menstrual obstruction issues, hydrocolpos, reproductive recommended management, surgical management, hemi uteri, vaginal switch procedure, neovaginal replacements, mucus secretion,  possible disadvantages of bowel neovagina, neovaginal malignancy risks, introitoplasty, long term risk indicators and outcomes, preliminary pregnancy data, and the role of laparoscopy at initial assessment versus definitive surgery. Dr. Breech's discussion was follow by panel questions and discussion. Dr. Breech shows a case of a laparoscopic saline perturbation of a left mullein structure, mobilization of the left mullein structure by laparoscopy, and an atretic appearing right mullein remnant. 

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