Cloacal anomalies are congenital malformations of the female genitourinary and anorectal anatomy. The most common is cloaca (or persistent cloaca) where the openings to the bladder, vagina, and rectum are fused into one (called a “common channel”).

Diagnosis as soon after birth as possible is critical to avoid urological problems.

Reconstructive surgery is challenging but usually successful, the goal of which is to restore or maintain urinary and fecal continence and normal sexual function in adulthood. Multiple procedures are usually required.