How is cloaca treated?
Treatment for cloaca requires surgery called posterior sagittal anorecto-vagino-urethroplasty (PSARVUP). During PSARVUP, the surgeon separates the urethra, vagina and rectum so there are three perineal openings in the perineum, instead of a single one. The main reconstructive surgery will be done when your child is about 2 to 6 months of age.
Usually on the second day of life, babies with cloaca will have surgery to create a colostomy, a surgical procedure to allow your baby's stools to pass. They will also have a hydrocolpos drainage to decompress the vagina, if needed.
Once we see that your baby is growing well, we can plan for PSARVUP surgery. The type of surgery your child will have depends on the length of the common channel. Treatment of any other health problems will also be needed.
Why choose Children's Hospital Colorado for the treatment of your child's cloaca?
Our colorectal team is led by internationally renowned pediatric colorectal surgeon Alberto Peña, MD. Dr. Peña developed the surgical technique used to treat cloaca and other anorectal malformations that is now widely used by top surgeons all over the world and has since been adapted to treat multiple conditions. Dr. Peña and Andrea Bischoff, MD, have worked together for more than 10 years diagnosing and treating anorectal malformations such as cloaca.
We apply a multidisciplinary approach to diagnosing and treating children with anorectal malformations. Our team is made up of pediatric specialists such as urologists, gynecologists, nephrologist, psychologists, neurosurgeons and orthopedists. This multidisciplinary approach ensures that your child gets the comprehensive care they need to ensure the best possible outcomes.