Study Objective

To establish the gynecological and reproductive outcomes for girls born with a cloacal anomaly, seen in a pediatric specialist cloaca clinic.

Design

Local approval was granted to conduct this review. Outcomes were retrospectively identified using healthcare records.

Participants

Girls with known cloacal anomaly, seen in the cloaca clinic between 2009 and 2019, who had attained menarche or received gynecological input.

Results

Nine females met the inclusion criteria, who were 12-30 years old. The mean age of menarche was 12 years (SD = 1.29). Two developed obstructed menstruation, requiring surgical intervention. Vaginal stenosis affected all women. Three women underwent revision surgery, and 1 is awaiting surgery. None of the women have attempted a pregnancy, to our knowledge.

Conclusion

Cloacal anomaly is a rare complex condition. Female individuals with cloacal anomaly require multidisciplinary gynecology specialist care throughout adolescence and adulthood. Provision of a dedicated gynecological service could improve the quality of life of these women.

中文翻译：

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从青春期过渡到成年期：对患有泄殖腔异常的年轻妇女和女孩的妇科影响的十年服务回顾

研究目的

为了确定患有泄殖腔异常的女孩的妇科和生殖结局，在儿科专科泄殖腔诊所中可以看到。

设计

已获得本地批准以进行此审核。使用医疗记录对结果进行回顾性鉴定。

参加者

在2009年至2019年间的泄殖腔诊所中发现患有已知泄殖腔异常的女孩，她们已经初潮或接受了妇科手术。

结果

9名女性符合纳入标准，年龄在12-30岁之间。初潮的平均年龄为12岁（SD = 1.29）。有两个月经受阻，需要手术干预。阴道狭窄影响了所有妇女。3名妇女接受了翻修手术，其中1名正在等待手术。据我们所知，没有妇女尝试过怀孕。

结论

泄殖腔异常是一种罕见的复杂情况。泄殖腔异常的女性个体在整个青春期和成年期都需要多学科的妇科专科护理。提供专门的妇科服务可以改善这些妇女的生活质量。