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Conditions treated by Children’s Mercy’s Comprehensive Colorectal Center

 

Hirschsprung disease is a condition which causes blockage of the intestine. Children are born with it and symptoms typically appear shortly after birth. The condition occurs when some of the nerves normally present in the colon, small intestine, or both, are missing.

Rectal prolapse is also known as partial prolapse or mucosal prolapse. The rectum is the lower portion of the large intestine that meets up with the anus. When the rectum slips through the anus and it is exposed, this is known as rectal prolapse.

Fecal incontinence (FI) happens when a child who has been toilet trained either voluntarily or involuntarily passes stool, or poops, in their underwear or in socially inappropriate places.

A condition present at birth where the child’s anal opening and the rectum (last part of the large intestine) do not exit through the sphincter complex (muscles for continence). Surgery can help improve the ability to pass stool.

A malformation in females where the rectum (lower portion of the colon), vagina and urinary tract are fused together, creating a single common channel. Children will need surgery to help correct this malformation.

A condition present at birth where certain inner abdominal organs and structures have some malformation and are exposed on the outside of the body. Cloacal exstrophy equires a series of surgeries.

When a baby is born with the bladder and urethra exposed on the outside of the abdomen, this is called bladder exstrophy. The open urethra is called epispadias. This condition requires one or more surgeries to repair.

We provide care for all types of colorectal and pelvic floor conditions including:

  • Cloacal malformations, including:
    • Cloaca
    • Cloacal exstrophy
    • Bladder exstrophy/epispadias complex
  • Encopresis and idiopathic constipation
  • Motility disorders
  • Anorectal malformations / imperforate anus, including: 
    • VATER (Vertebrae, Anus, Tracheo-Esophageal, Renal)
    • VACTERL (Vertebrae, Anus, Cardiac, Tracheo-Esophageal, Renal and Limbs) Syndromes

Treatments offered by Children’s Mercy’s Comprehensive Colorectal Center

 

  • Abdominal repair or omphalocele closure
  • Anal dilation
  • Appendicostomy
  • Cloaca reconstruction – posterior sagittal anorectal vaginal urethralplasty (PSARVUP)
  • Osteotomy for pelvic repair
  • Posterior sagittal anorectoplasty (PSARP)
  • Pull-through procedure or Swenson Procedure
  • Rectal prolapse repair surgery
  • Spine surgery