TY - CHAP M1 - Book, Section TI - Cloacal Exstrophy A1 - Howell, Charles G. A1 - Donohoe, Jeffrey A2 - Ziegler, Moritz M. A2 - Azizkhan, Richard G. A2 - Allmen, Daniel von A2 - Weber, Thomas R. PY - 2014 T2 - Operative Pediatric Surgery, 2e AB - Initial total repair versus staged repair has shown no difference in outcome.Preservation of the hindgut is critical to avoiding nutritional and metabolic issues.Gender reassignment is controversial and all phallic structures should be preserved if there is any possibility of raising the 46xy infant as a male.Posterior sagittal anorectoplasty is a viable option in selected patients with help of an ACE procedure for bowel management.Urinary reconstruction is preferable with a plan for a catheterizable stoma in a urinary reservoir. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=1100953584 ER -