What are the reasons for cloacal valgus?

Update Date: 2023-08-05 Source: Network

summary

Cloaca is a rare congenital anomaly in daily life, which is called vesical cleft. The specific performance in male children is that the bladder urethral junction is connected with the rectum. The specific performance in female children is mainly bladder, urethra and vagina and rectum. Children with cloaca excrete urine and feces from the urethra, vagina and rectum. Most of the children had severe organ malformations and could not survive. At present, plastic surgery is used for treatment, but the effect is not very good.

What are the reasons for cloacal valgus?

1. Children with cloaca have everted intestines, swollen umbilicus, and remove urine, stool, and gas from the rectum, urethra, or vagina. In the everted tissue, the intestinal mucosa is in the middle, and the bladder mucosa is on both sides. Male children with double clitoris, scrotal division, etc. Female children with clitoral division, bone abnormalities, etc.

2. The cloaca is mainly caused by the defect of the tissue of the inferior umbilicus. At present, the pathogenesis of cloaca is due to the failure of division of cloaca, the disappearance of cloacal membrane, and the hypoplasia of lumbosacral vertebra with spinal clavicle enlargement.

3. Failure to segment the cloaca will result in permanent cloaca with ureter, ileum and a residual posterior opening. The cloacal membrane disappeared completely, accompanied by cloacal valgus and failure of the junction of genital node and pubic branch. Lumbosacral hypoplasia accompanied by notochord enlargement produces a soft cystic mass covered by skin tissue. Sometimes, the position is asymmetric.

matters needing attention

At present, cloacal valgus can only be treated with western medicine, mainly plastic surgery, repair of omphalocele, bowel, urinary tract and external genitalia. For the treatment of urinary tract, it is generally to separate the two halves of bladder and combine them into one, then intermittent catheterization or artificial sphincter is established.