Persistent cloaca is a rare congenital anomaly characterized by a single opening in the perineum for the urinary, genital, and gastrointestinal tracts. This case report presents a pediatric patient with persistent cloaca who underwent vaginal reconstruction using the Singaporean flap, or the pudendal artery thigh flap in our institution. The vaginal reconstruction aimed to create a functional and aesthetically acceptable vaginal canal, allowing normal sexual function and urinary continence. The importance of multidisciplinary care involving urologists, gynecologists, and plastic surgeons is emphasized for optimal management of this complex condition.

This is a case of an 11 year old female presented with a common channel or persistent cloaca who underwent double barrel transverse colostomy as a neonate from a different institution and was referred to our institution for definitive surgical management. Vaginoplasty was performed using an ipsilateral Singaporean pudendal artery perforator thigh flap created as a tunnel for the neovaginal canal by the Plastic surgery team. A posterior anorectoplasty was done by the Pediasurgery team, and urethroplasty was done by the Urosurgery team with comanagement with the Gynecology team preoperatively and postoperatively as well.