Complications and Long-Term Outcomes of Patients With Cloacal Malformation After Bowel Neovagina...

The study was a single institution retrospective study of 40 patients with cloacal malformations who underwent bowel neovagina creation during reconstruction

Overall outcomes were similar between small bowel and colonic neovaginas

Major complications were uncommon but not negligible

Enterroidal stenosis was more common with colonic grafts

A subset of patients required roidoplasty

Vaginal prolapse was rare

Menstrual obstruction occurred in only a few patients

About 25% of patients reported bothersome discharge

Among the small number who were sexually active, dyspareunia was reported

Bowel neovaginas are a reasonable and durable option

Patients with bowel neovaginas need long term follow up with attention to function, stenosis and quality of life