Cloacal exstrophy variant with intravesical phallus: Further description of anatomy and implications for gender reassignment

Jeffrey J. Tomaszewski, Marc C. Smaldone, Glenn M. Cannon, Francis X. Schneck, David Hackam, Steven G. Docimo

Research output: Contribution to journalArticle


Variant presentations of cloacal exstrophy are exceedingly rare. Historically, genetic males with cloacal extrophy were re-assigned to the female gender due to phallic inadequacy. Early recognition of intravesical phallic structures in cloacal exstrophy cases may impact gender reassignment discussions and long-term gender outcomes. We report the case of a male infant with cloacal exstrophy presenting with an intravesical phallus, review and compare the presenting anatomical features of the three previously reported cases, and discuss the potential impact of these findings on gender reassignment in these complex children.

Original languageEnglish (US)
Pages (from-to)426-430
Number of pages5
JournalJournal of Pediatric Urology
Issue number4
StatePublished - Aug 2012
Externally publishedYes



  • Cloacal exstrophy
  • Gender reassignment
  • Intravesical phallus

ASJC Scopus subject areas

  • Urology
  • Pediatrics, Perinatology, and Child Health

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