Cloaca-Like Anomalies in the Male: A Report on Two Cases

• Published in: European journal of pediatric surgery reports Vol. 10; no. 1; pp. e93 - e97
• Main Authors: AbouZeid, Amr AbdelHamid, Mohammad, Shaimaa Abdelsattar, Sos, Marco Rady, Guirguis, Nader Nassef, Mahmoud, Heba A., El-Mahdy, Manal
• Format: Journal Article
• Language: English
• Published: Rüdigerstraße 14, 70469 Stuttgart, Germany Georg Thieme Verlag KG 01-01-2022
• Subjects: anorectal malformation; Case Report; cloacal variant; penoscrotal transposition; urorectal septum; urorectal septum malformation sequence; cloacal variant; UroRectal Septum; UroRectal septum malformation sequence; penoscrotal transposition; anorectal malformation
• ISSN: 2194-7619; 2194-7627
• DOI: 10.1055/s-0042-1750409

Abstract
“Cloaca” is a term used to describe an anomaly in the female where a single orifice is located in the perineum draining both urogenital and gastrointestinal tracts. Few reports used the same term “cloaca” to describe the counterpart anomaly in the male. We present two “male” cases of anorectal anomalies associated with significant penile deformity (caudally displaced penis) that were managed during the period between January 2010 and September 2021. Characteristically, both cases had a single “central” perineal orifice. The latter was located anterior to the predestined site of the normal anus and just beneath a caudally positioned hypospadiac phallus. The caudal displacement of the penis was strikingly obvious by the presence of severe form of penoscrotal transposition. Both cases were associated with a perineal swelling (hamartoma) just beside the central perineal orifice. The urethra was very short (like that in the female), besides the single perineal orifice, which makes the presentation very similar to cloacal anomalies.