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:

3D Cloacagram

A child born with cloaca only has one opening where the vagina, urethra, and rectum are joined. A 3D cloacagram helps plan treatment.

Anal Manometry

Anal manometry is a test is to see how well the internal and external sphincters of the anus and the pelvic floor are working.

Colonic Manometry

Colonic manometry is used to study how the colon is working. A catheter is placed in the colon and attached to a computer that records the strength and coordination of muscle contractions in the colon.

Contrast Enema

A contrast enema is a radiology test that helps to visualize the inside of the colon. Contrast enemas are often used to help determine the extent of the problem and plan for treatment. They can give a sense of how slow or fast the colon is moving.

Distal Colostogram

The repair of an anorectal malformation often requires more than one procedure. Once your child has recovered well from their ostomy procedure, as a next step, surgeons will perform an imaging study called a high-pressure distal colostogram.


Urodynamics are tests to see how well the bladder works and show where blocks or leakages could be.