Cdr 1 from Vaginal Anomalies 6xcdr boxset "released" on Absence Tapes.
Limited to 10 copies.
What are cloacal anomalies?
Cloacal anomalies encompass a wide array of complicated defects that occur during development of the female fetus during pregnancy. In cloacal anomalies, the reproductive, gastrointestinal and urinary tracts merge to drain out of one common channel instead of three separate openings. But if the point where they come together is low, a child has no visible anus (the duct through which feces exit the body), even though the remaining anatomy appears normal. In these patients, urinary tract obstructions are unusual because the tract typically opens into a wide common channel that drains freely.
However, if the coming together of these structures is high, then the common channel is long and urinary tract infections are common. Moreover, the clitoris looks like a penis, causing gender confusion. Cloacal-related anomalies can also result in multiple vaginas, a malformed anus and other defects of the ureters and kidneys.
How are cloacal anomalies diagnosed?
Cloacal anomalies are discovered typically at the time of birth. Upon physical examination, the newborn usually has only one opening which is usually a hooded, elongated structure. The infant also commonly has abdominal swelling.
Patients who have a cloacal anomaly undergo many radiologic examinations including X-rays, ultrasounds and MRI.
An abdominal ultrasound is performed to see if there is swelling of the bladder, vagina and rectum. It will also show if there is a condition called hydronephrosis, in which there is a buildup of urine in the kidneys and ureters. This is usually due to compression of the bladder outlet caused by buildup of urine in the bladder.
In addition, a retrograde genitogram will be done where dye is injected into the common channel and an X-ray is taken. The dye helps the doctor understand the anatomy that cannot be seen and it may also reveal any of the associated anatomical defects that are associated with this disorder. In all, this information helps the surgeon decide which procedure is best suited for treatment.
Lastly, an MRI of the pelvis and spine will be done, which can detect if there are any spinal defects present.
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