How We Treat Anorectal Malformations
Every child with an anorectal malformation (imperforate anus) has unique needs. The multidisciplinary care team will develop a treatment plan based on your child’s type of anorectal malformation, the presence and type of associated conditions, and overall health.
Some of the conditions that can be associated with anorectal malformation include genital, urinary, kidney and spinal abnormalities. Depending on your child’s needs, the care team may include a specialized pediatric colorectal surgeon, urologist, gynecologist, registered dietician, pelvic floor physical therapist, psychologist, social worker and child life specialist, among other providers. Working together, these specialists can help your child experience the best quality of life possible.
Children who have an anorectal malformation will need a surgery called a posterior sagittal anorectoplasty (PSARP), sometimes called a pull-through procedure, to correct the defect. This involves moving the anus to the appropriate location within the muscles (anal sphincter) that are responsible for bowel control. When possible, the surgeon can use minimally invasive laparoscopic or robot-assisted surgical techniques. This can mean less pain, less blood loss, faster healing and shorter hospital stays, compared to what patients may experience with an “open” or traditional surgery.
Visiting Our Center
At the Colorectal Center, our specialists work together to provide coordinated, integrated care. Over time we develop close relationships with patients, many of whom return to our center for lifelong follow-up care. We understand what patients need to experience an exceptional quality of life.
Before your child’s first visit, one of our experienced nurses will call you to ask questions about your child’s medical history. She also may request test results and medical information from your previous treatment providers. After collecting as much background information as possible, the nurse will share it with the team in a meeting led by one of our colorectal surgeons.
During this meeting, specialists in colorectal surgery, gastroenterology, urology, gynecology and many other fields will talk about your child’s condition and possible treatment options. They will be joined by other team members, such as a dietitian, child life specialist and pelvic floor therapists. Together, they will consider the “big picture,” rather than focusing solely on their own areas of expertise, and create a preliminary treatment plan. The nurse will share that plan with you on the phone.
If, after considering this plan, you decide to bring your child to the Colorectal Center, our team will create a detailed schedule for your visit. This comprehensive visit typically lasts several days, and includes appointments with various specialists, diagnostic tests, extensive family education and, if possible, treatment. If surgery is needed, we try to schedule it during this initial visit so that you do not have to make a second trip.