Cloacal Anomalies

What is Cloacal Exstrophy?

This is the most severe form of exstrophy in which not only is the bladder on the outside of the abdomen, though also, the bowel. There is no anus and the pelvis is particularly widely separated.

There may be many other abnormalities associated with cloacal exstrophy and commonly, spinal anomalies, kidney anomalies and limb anomalies are found. More rarely, there may be severe abnormalities of the small intestine, leading to malnutrition and occasionally, severe cardiac abnormalities, which require cardiac surgery for correction.

Cloacal exstrophy and its associated problems is the most challenging condition treated by Paediatric Urologists. Great Ormond Street is a major national and international centre for the treatment of this, and Professor Cuckow is the lead Surgeon treating this severe condition.