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Pediatric Colorectal and Pelvic Disorders Center

Contact Us (407) 540-1000

Colorectal and pelvic disorders can affect your child at different stages of life, from infancy to puberty and beyond.

The clinicians in the Orlando Health Children's Arnold Palmer Hospital Pediatric Colorectal and Pelvic Disorders Center specialize in caring for infants, children and adolescents with complex colorectal and pelvic conditions, including anorectal malformations, cloacal deformities, Hirschsprung’s disease, chronic constipation, motility and more.

Whether your child has been newly diagnosed with such an anomaly at birth or requires revision of a previous surgery or management of a chronic issue, our skilled clinicians will provide expert, compassionate care.

Our Approach to Colorectal and Pelvic Malformations

At the Orlando Health Children's Arnold Palmer Hospital Pediatric Colorectal and Pelvic Disorders Center, we take a team approach, combining renowned specialists from surgery, gastroenterology, urology, gynecology and other disciplines such as pelvic floor physical therapy to address all aspects of your child’s care. We also partner with the hospital’s Motility and Functional Gastrointestinal Disorders Center, when appropriate. The result is a comprehensive and patient-centered treatment plan that works for your child’s unique situation.

Because your child’s needs may change over time, we offer state-of-the-art evaluation and treatment options, as well as care for developmental and ongoing needs. Your child will have access to treatment with minimally invasive and robotic procedures not typically offered elsewhere, in addition to outpatient medical care such as our bowel management program.

Conditions and Treatments

Our cross-functional team treats all types of functional and surgical colorectal conditions, including:

  • Anorectal malformations/imperforate anus

  • Cloacal malformations

  • Encopresis

  • Fecal incontinence

  • Hirschsprung’s disease

  • Motility disorders

  • Pelvic disorders

  • Rectal prolapse

  • Spina bifida and neurogenic bowel and bladder

The Pediatric Colorectal and Pelvic Disorders Center is a member of Pediatric Colorectal and Pelvic Learning Consortium and Pull-Thru Network.

Leading the Way in Clinical Care for Colorectal and Pelvic Malformations

Our skilled clinicians are experienced in the latest treatment approaches for colorectal and pelvic malformations, including:

  • Pull-through procedure, a surgical technique used to treat Hirschsprung’s disease. In most cases, our surgeons can perform this procedure with minimally invasive techniques.
  • Posterior sagittal anorectoplasty (PSARP), a type of pull-through procedure that treats anorectal malformations. This technique surgically creates a child’s anus within their sphincter muscle. Minimally invasive techniques are also used for complex malformations such as bladder fistulas as well as cloaca.
  • Complex revision surgery following pull-through, anoplasty and other colorectal conditions.
  • J-Pouch procedure
  • Medical management, including medications and injections of botulinum toxin (Botox) into the anal sphincter. This can help with constipation as well as be used as an adjunct to reduce Hirschsprung’s-associated enterocolitis.
  • Bowel management for children who are unable to anticipate or control their bowel activity, which can help reduce the likelihood of accidents. This can be performed through laxative use or enema use – both traditional (through the rectum) as well as surgically created antegrade continence enema systems, such as appendicostomies (Malone) or cecostomies — depending on patient and family preference.
  • Robotic procedures, where appropriate, based on patient size and condition.

Because of the complexity of many conditions related to the colon and rectum, some children require care throughout many lifetime milestones. Children’s care does not end after the initial surgery for congenital colorectal anomalies such as Hirschsprung’s disease or anorectal malformations, and the Colorectal Team is here for long-term medical management as well. From infancy and potty training to school age, adolescence, early adulthood and beyond, care needs change as your child grows.

Our team is committed to providing optimal outcomes and quality of life throughout the child’s life.

To learn more, call (407) 540-1000.

Call (407) 540-1000