Educational Goals and Objectives for Training

To understand how to evaluate and treat patients with pediatric colorectal problems.

Understand the newborn assessment of associated malformations and anorectal malformations

  • Urologic
  • Spinal
  • Sacral
  • Gastrointestinal
  • Gynecologic

Recognize the different types of anorectal malformations

  • Rectoperineal fistula
  • Rectourethral fistula
  • Rectovestibular fistula
  • No fistula
  • Cloacal malformation

Understand the proper newborn radiologic evaluation for anorectal malformations

  • AP Spine
  • Sacral xrays
  • Abdominal ultrasound
  • Renal ultrasound
  • Spinal ultrasound
  • Cross-table lateral xray

Determine the correct newborn surgical intervention in anorectal malformations

  • Anoplasty
  • Colostomy
  • Need for hydrocolpos drainage

Understand the newborn assessment and treatment of Hirschsprung’s disease

  • Radiologic evaluation
  • Irrigations
  • Primary pull-through
  • Colostomy

Develop expertise in the surgical management of index colorectal conditions

  • PSARP for male (rectobulbar, rectoprostatic and no fistula)
  • PSAP for male (rectoperineal fistula)
  • PSARP + laparoscopy/laparotomy for male wit rectobladderneck fistula
  • PSARP for female (rectovestibular fistula)
  • PSAP for female (rectoperineal fistula)
  • PSARVUP for cloacal malformations
  • Pull-through for Hirschsprung’s (transanal techniques, laparoscopic techniques)

Understand multidisciplinary medical and surgical management for the variety of colorectal problems

  • Management of idiopathic constipation
  • Management of constipation in anorectal malformation
  • Management of constipation in Hirschsprung disease
  • Management of hypermotility in anorectal malformations
  • Management of hypermotility in Hirschsprung disease
  • Management of entercolitis
  • Management of fecal incontinence

Understand surgical interventions for fecal incontinence

  • Sigmoid resection
  • Malone procedure

Understand the assessment of complex Hirschsprung’s disease with postoperative soiling or obstructive symptoms

  • Medical management
  • Rectal biopsy
  • Indications for re-operation

Understand the medical and surgical management of intractable idiopathic constipation

  • Laxative trial
  • Colonic resection therapies
  • Motility evaluation