Cloacal Exstrophy

An interactive discussion about cloacal exstrophy between Todd Ponsky, MD and Alberto Peña, MD. Dr. Peña is is the founding director of the Peña Colorectal Center at Cincinnati Children's Hospital and clinical professor of surgery at the University of Cincinnati Table of Contents 00:00 Introduction 01:24 What is cloacal exstrophy? 06:24 Management of cloacal exstrophy 07:56 Sexual function in males 11:38 Team approach 12:50 Role of the pediatric surgeon 13:21 Differentiating urothelium from intestinal mucosa 13:51 Bladder closure 14:04 End colostomy creation 15:11 Consequences of end ileostomy creation 16:41 Rescue operation 18:51 Common mistake: Failure to separate bowel from bladder 20:15 Pelvic osteotomies for pelvic approximation 21:37 End colostomy complications 23:23 Reversal of colostomy and pull-through 24:09 Bladder augmentation 24:41 Stoma reversal candidates 25:43 Importance of colon length preservation 26:29 Bowel management program through stoma 27:31 Age for stoma reversal 27:59 Bladder augmentation options 29:22 How to determine if patient has an ileostomy 30:43 Surgical planning 32:56 Surgical technique 37:13 Prognosis 38:42 Female reproduction in cloacal exstrophy 40:40 Role of Mitrofanoff 42:17 Patient follow-up 43:42 The Pull-Thru Network 45:46 Summary 47:49 Prenatal diagnosis Intro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626 License: creativecommons.org/licenses/by/3.0/