In life-threatening emergencies, find the emergency room location nearest you. For non-life-threatening medical needs when your pediatrician is unavailable, visit one of our convenient urgent care locations.
Cloaca is a complex condition that requires multiple surgeries. The surgical treatment a child will need depends on the type of cloaca they have and any other health problems they were born with.
Knowing your baby needs one surgery is scary, but knowing they need more than one surgery can feel overwhelming. Tashi's parents share their experience with the surgeries she has had and how their family has managed the journey.
Colostomy and PSARVUP surgery
After a baby with cloaca is born, they usually need a colostomy within 24 hours. A colostomy is a surgical procedure that creates an opening on the abdomen through which stool passes. The next surgery a female with cloaca needs is a reconstructive surgery called posterior sagittal anorecto-vagino-urethroplasty (PSARVUP).
During PSARVUP, the surgeon separates the urethra, vagina and rectum so there are three perineal openings at the end of the operation, instead of one. The type of surgery your child needs depends on the length of the common channel.
Cloacal repair and treatment timeline
Cloaca treatment occurs in stages. The treatment a child will need depends on the type of cloaca they have and any other health problems they have. The timeline below is an example of the treatment a child with cloaca may need.
24 hours to 2 months old
Tests to rule out other health problems
Drainage of hydrocolpos (fluid buildup in the vagina)
Mitrofanoff procedure (if intermittent catheterization is needed for life and urethral catheterization is not possible)
Our multidisciplinary treatment approach
Our multidisciplinary care team is dedicated to helping your child achieve the best outcomes possible to improve their quality of life. Our expert team includes pediatric colorectal surgeons, urologists, gynecologists, neurosurgeons, gastroenterologists, orthopedists, psychologists and dietitians.
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Browse and connect with world-class colorectal and urogenital surgeons at Children's Colorado.