RT Book, Section A1 Howell, Charles G. A1 Donohoe, Jeffrey A2 Ziegler, Moritz M. A2 Azizkhan, Richard G. A2 Allmen, Daniel von A2 Weber, Thomas R. SR Print(0) ID 1100953584 T1 Cloacal Exstrophy T2 Operative Pediatric Surgery, 2e YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-162723-8 LK accesspediatrics.mhmedical.com/content.aspx?aid=1100953584 RD 2024/04/24 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.