Malone procedure.An appendicostomy (Malone procedure) is a surgery for children who have problems with leaking of stool (incontinence).This can be due to a birth anomaly that makes the child not able to hold in their stool. This can also happen when the child has severe constipation and is not able to feel or hold in their stool. This procedure allows you to empty out the bowel by giving an enema through a small tube in the belly.

The Malone procedure is a choice for patients with fecal incontinence (leaking stool) that are: 

  • Able to clean out their bowels with a rectal enema each day
  • Able to wear normal underwear
  • Ready to manage more of their care