Fig. 6From: Persistent cloaca: persistence of the challengeType 3 (high urogenital confluence) cloaca. The patient was initially managed in the neonatal period by a colostomy and a vaginostomy (black arrow points to site of vaginostomy on the skin). Vaginal pull-through: a the vaginostomy (V) is detached from the abdominal wall (UB, urinary bladder). b The vagina is separated from the back of the bladder and reconstructed to form a tube that is ready for a pull-through procedureBack to article page