Colorectal and Urogenital Program

At CHOC, we know how hard it is for parents to see their child live with a complex colorectal condition. We know you want the best possible care for your child and to see them flourish. That’s why the Colorectal and Urogenital Program at CHOC aims to help kids get back to being kids.

Children’s colorectal disorders often require the care of several specialists. Our program brings together the expertise of our renowned pediatric gastroenterologists, pediatric surgeons, urologists and skin, wound, ostomy nurses to work together with patients and their families to develop short- and long-term plans, including surgery and follow-up care.

Meet our multidisciplinary team of colorectal specialists.

The Only Dedicated Pediatric Colorectal and Urogenital Treatment Program in the Region

The CHOC Colorectal and Urogenital Program specializes in providing expert diagnosis and second opinions for colorectal disorders, as well as developing personalized treatment plans using advanced diagnostics and the latest research-based treatment options. We also provide specialized, ongoing care to children who are experiencing bowel management complications, such as constipation or incontinence, after surgery to correct a colorectal disorder. We are the only program in the region to provide the multidisciplinary care of a pediatric gastroenterologist and pediatric surgeon in one convenient appointment.

Colorectal and Urogenital Services at CHOC

  • Multidisciplinary diagnosis and treatment planning. Upon referral, patients undergo tests to determine the best way to care for their colorectal condition. Families will meet with our expert colorectal surgeons, motility gastroenterologists, urologists, skin and ostomy nurses and a nursing care coordinator during their appointment. Together, the providers will develop a comprehensive treatment plan with the child and family.
  • Specialized colorectal surgery. Our renowned colorectal surgeons offer surgical treatment for patients with anorectal malformation based on individualized treatment plans and comprehensive team-centered planning. Your child’s gastroenterologist and urologist will accompany the surgeon during many procedures, meaning that your child will benefit from the expertise of each physician when they need it most.
  • Long-term postoperative colorectal care. Most children require long-term follow-up care after colorectal surgery. This incredible long-term medical management is available not only to patients who have received surgical treatment at CHOC, but also to those who have not. Some patients may need to be seen in our clinic on a monthly basis while other patients may need to be seen three to four times a year.
  • Gastroenterology Motility Center. We offer extensive gastrointestinal motility testing in our state-of-the-art Motility Procedure Center. Our motility specialists perform anorectal manometery, colonic manometry, anal Botox® injections and biofeedback therapy.

Our Colorectal and Urogenital Program team is dedicated to the long-term well-being and needs of all our patients—throughout childhood and beyond.

What We Treat

Patients are referred to the Colorectal and Urogenital Program for advanced testing and treatment of colorectal disorders, including:

Care and Compassion Now and in the Future

CHOC’s pediatric gastroenterologists and surgeons believe that testing and treatment should be individualized for your child’s medical and emotional needs, while always being mindful of your family’s values. We work with you to make sure all of your concerns regarding your child’s medical issues are addressed, and that you understand the testing strategies and treatment options available for your child’s condition.

Advanced Diagnostics and Individualized Treatment

Colorectal and urogenital disorders are complex. Our multidisciplinary team works together using advanced diagnostics to create treatment plans that are mindful of your child’s medical, physical and emotional needs both now and in the future.

A non-invasive test that measures rectal nerve reflexes, pressure of the anal sphincter, coordination between the muscles involved in defecation, and the ability to squeeze and sense. It provides insight into the underlying problems in the mechanics of defecation.
Scheduled sessions involve patients using their abdominal and rectal muscles to control computer programs much like a video game. The goal of this type of treatment is to “retrain” the coordination between the muscles and nerves that are used for bowel movements.
Botulinum toxin injections are used to relieve increased pressures in the anus in conditions such as anal achalasia or post-surgical Hirschsprung’s disease patients.
This is a procedure to relieve severe constipation that does not respond to medications.
This test measures contractions in the colon. It provides an understanding of the underlying movement in the colon.
This study measures the time needed for stool to pass through the gastrointestinal tract, and utilizes X-rays and radio-opaque markers.
Defecography uses an X-ray to look at the shape and position of the rectum as it empties.

Featured Stories

Dr. Shaul with a patient in the hospital

A former CHOC patient born with imperforate anus offers support to families as the Colorectal and Urogenital Program grows.

CHOC logo  CHOC Pediatrica

Hands holding graphic of intestines

CHOC’s pediatric colorectal program makes a significant impact on children with treatments and tools for correcting colorectal issues.

CHOC logo  CHOC Pediatrica

Head shot of Dr. Shaul

CHOC welcomes a new pediatric surgeon who is considered an expert at treating rare colorectal disorders in patients.

CHOC logo  CHOC Pediatrica