Diagnostic Procedures

If an issue is found with your child, doctors will do a number of tests to better understand the problems and to develop a long-term plan for the best outcome.

 These tests might include:

Contrast enema: a special type of X-ray of the colon that shows exactly what part of the colon is diseased. This X-ray helps your child’s surgeon plan the surgery.

Anorectal manometry: this diagnostic procedure uses a small balloon to record pressure changes within the anus and rectum, and determines if the bowel sphincters are functioning normally. This test is only used in older children.   

Colonic manomentry: this diagnostic procedure uses pressure to record contractions with the colon and determine whether it is functioning normally.

Distal colostogram: this is another type of X-ray study that uses special dyes to help the surgical team identify the exact type and placement of the anorectal malformation.  Usually, a distal colostogram will be used once a colostomy or ileostomy has been put in place, and right before the final anorectal repair surgery is performed.

3D Cloacagram: a study using fluoroscopy to show surgeons details about very complex malformations in the bladder, vagina and rectum.