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/
