Treatments for the Best Possible Outcome
The first step in treating colorectal disorders is to ensure the most accurate diagnosis and obtain a thorough understanding of each patient’s anatomy prior to treatment, through diagnostic testing such as contrast enemas and distal colostograms. A colostomy may be needed depending on the type of colorectal condition.
Historically, there were many surgical techniques to repair anorectal malformations, including endorectal dissection, anterior perineal approaches and many different types of anoplasties. Most pediatric surgeons now use the posterior sagittal approach to repair these malformations with or without laparotomy or laparoscopy. After surgery, anal dilations and colostomy closure may occur if indicated.
The bowel management program is offered to fecal incontinence patients as a method to avoid bowel accidents, permanent colostomy or dependence on diapers. For patients who are successful at bowel management, an appendicostomy procedure may be performed, which allows patients an easier method of administering enemas.
The goal of the Colorectal Center for Children at Cincinnati Children’s is to achieve the best possible functional outcome to help each patient enjoy an exceptional quality of life.
Treatment options include:
