J Korean Soc Coloproctol.  2009 Dec;25(6):437-440. 10.3393/jksc.2009.25.6.437.

Perineal Reconstructive Surgery of a Cloaca-Like Perineal Defect: A Case Report

Affiliations
  • 1Department of Surgery, Soonchunhyang University, College of Medicine, Cheonan, Korea. bestoperator@schca.ac.kr
  • 2Department of Plastic Surgery, Soonchunhyang University, College of Medicine, Cheonan, Korea.

Abstract

The perineal defect in female genitalia results from multiple etiologies, including obstetric injury, sexual assaults, and perineal trauma. Untreated defects may lead to significant physical, functional, and esthetic complaints. Numerous reconstruction methods are used for a perineal defect, but various complications, such as fecal impaction, fecal incontinence, and wound disruption, are introduced. We report a case of a 40-yr-old woman with a cloaca-like perineal defect, who was treated with reconstructive surgery of the perineal defect and recovered with a good anatomical and functional outcome.

Keyword

Perineal defect; Cloaca-like perineal defect; Reconstructive surgery

MeSH Terms

Fecal Impaction
Fecal Incontinence
Female
Genitalia, Female
Humans
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