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Annals of Pediatric Surgery
Fig. 5 | Annals of Pediatric Surgery

Fig. 5

From: Persistent cloaca: persistence of the challenge

Fig. 5

Type 2 (intermediate urogenital confluence) cloaca. Total urogenital sinus mobilization (TUM procedure): a With the patient in the prone position, dissection, and mobilization of the common urogenital sinus (UGS). b The rectum (R) is separated and mobilized from the urogenital tract, incision through the mobilized urogenital sinus (UGS) to expose the vaginal introitus. c The vagina (V) is seen with a longitudinal septum, and a catheter is seen within the urethra (U)

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