Long-term urological outcomes in cloacal anomalies

Cloacal anomalies are the most complex and severe form of congenital anorectal (ARM) and urogenital malformations, and it has been well documented that increased severity of ARM leads to worse outcomes. While short-term data on persistent cloaca are available, a paucity of data on long-term outcomes exists, largely due to a lack of uniform terminology, inclusion with other ARM and evolution of the operative technique. On comprehensive review of the published literature on long-term urological outcomes in patients with cloacal anomalies, we found a significant risk of chronic kidney disease and incontinence, however, with improvements in surgical technique, outcomes have improved.
Source: Seminars in Pediatric Surgery - Category: Pediatrics Authors: Source Type: research