Cloacal defects following obstetrical injury: presenting characteristics and subjective symptoms after sphincteroplasty

Study ID

Cancer Related

Healthy Volunteers

Study Sites

  • Clements University Hospital
  • UT Southwestern Ambulatory Services
  • Zale Lipshy University Hospital
  • Parkland Health & Hospital System

Pedro Maldonado

Principal Investigator
Pedro Maldonado, M.D.


The primary aim of this study is to describe the characteristics, presenting symptoms, perioperative management, and complications in a cohort of women with rectovaginal fistulas associated with complete absence of the anterior portion of the anal sphincter complex and perineal body (cloacal deformities) who underwent an overlapping anal sphincteroplasty in the past 17 years. a secondary objective is to evaluate current anal incontinence, sexual function, and quality of life status in these women by administering validated questionnaires for these measures.

Participant Eligibility

* Women who underwent an overlapping anal sphincteroplasty procedure for a chronic fourth degree laceration or cloacal deformity of the perineum from 1996 to present.

* Women who present in the clinic anytime between now and the next three years for a cloacal deformity and undergo surgical management.

* Surgery was performed by the Urogynecology division at UTSW Medical Center in Dallas.

* Women who speak English or Spanish as the questionnaires on anal incontinence, sexual function, and quality of life to be administered are validated in these two languages only.