Children's Hospital Colorado
International Center for Colorectal and Urogenital Care
International Center for Colorectal and Urogenital Care

Our Treatment Approach at the International Center for Colorectal and Urogenital Care

Our dedicated team of doctors, nurses and physician assistants make up the most experienced program in the world. We treat kids from our local communities in Colorado, the entire Rocky Mountain region and from overseas. Our Center supports, educates and counsels, while also providing surgical options and management techniques for patients dealing with bowel and/or genitourinary problems.

Our treatment approach to colorectal and urogenital conditions includes:

Pull-through procedure (PSARP)

Dr. Alberto Peña, our internationally renowned pediatric colorectal surgeon, transformed colorectal treatment by introducing the posterior sagittal anorectoplasty (PSARP), also known as the "Peña Pull-Through Procedure." This method is widely used by top surgeons all over the world and has since been adapted to treat multiple conditions such as anorectal malformations, Hirschsprung's disease and urogenital anomalies.

How we treat anorectal malformations through PSARP:

If you are a parent or caretaker of a child who is preparing for, or recently had the PSARP procedure, please refer to the 14-day post-operative dilation schedule.

Antegrade continence enema (ACE) procedure

The antegrade continence enema (ACE) procedure (also called a Malone procedure) is a surgical procedure that uses your child’s appendix or a small piece of the intestine to create a tube through which an enema is given. This provides an alternative option for children who need long-term enema therapy, but who do not want to have daily enemas given through the rectum.

Enema administration guidelines

If your child currently requires an enema through the rectum, please see our at-home care instructions. Keep in mind your doctor will give you specific guidelines on how to administer your child's enema. 

Bowel Management Week

Bowel Management Week is an intensive six-day outpatient program in which parents and children learn the techniques necessary to stay clean in normal underwear. For the vast majority of patients, we can improve the function of the colon by "training" it to empty at a specific time. Bowel Management Week is held every month.

Colorectal prenatal consultations and childbirth

Prenatal consultations are available for parents who have just learned that their child may be born with a colorectal or urogenital disorder. For women with colorectal and urogenital disorders, the International Center for Colorectal and Urogenital Care, in partnership with specialists at the Colorado Fetal Care Center will help women conceive and give birth to their babies in a safe environment.

Pediatric to Adult Transition Program

This program works hand-in-hand with the care team at the University of Colorado Hospital to help your child transition seamlessly to adult care. 

Psychological support

A clinical psychologist counsels and supports patients and families who are struggling with a new diagnosis, having a difficult time providing care, experiencing teasing or bullying at school and other similar problems. We also lead a parent support group that meets every month at Children’s Colorado’s Anschutz Medical Campus in Aurora. Please contact us at 720-777-9880 for more information.

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