Every hospital and children’s center encounters children who suffer from fecal incontinence, and treatments may be suboptimal. This book features a case-based approach with reproducible algorithms and examples of x-ray interpretation enabling any clinician to care for children with these problems.

PART I: BOWEL MANAGEMENT. General guidelines for bowel management. Bowel management program setup: The basics and long-term follow-up. PART II: ANORECTAL MALFORMATIONS. A patient with good surgical anatomy after anorectal malformation (ARM). repair with good potential for bowel control. A patient with good surgical anatomy following anorectal malformation (ARM). repair with fair potential for bowel control. A patient with a well done anatomic anorectal malformation (ARM) repair, but with poor potential for bowel control. A patient with a history of a cloacal malformation who needs colorectal, urological, and gynecological collaboration. A young adult with prior surgery for anorectal malformation (ARM) with fecal incontinence. A patient with an anorectal malformation (ARM) with fecal incontinence. who is a candidate for a sacral nerve stimulator (SNS). PART III: HIRSCHSPRUNG DISEASE. A patient with good surgical anatomy and hypomotility after a Hirschsprung pull-through. A patient with good surgical anatomy and hypermotility after a redo pull-through. for Hirschsprung disease. An older child with Hirschsprung disease (HD) and hypomotility. A patient with total colonic Hirschsprung disease and soiling. A teenager with prior surgery for Hirschsprung disease who has constipation. PART IV: SPINAL ANOMALIES. A patient with a hypodeveloped sacrum and fecal and urinary incontinence. A patient with a spinal anomaly and fecal incontinence. A pediatric patient with spina bifida in need of a urological reconstruction. A young adult with quadriplegia and fecal incontinence due to spinal cord injury (SCI). PART V: INTRODUCTION TO FUNCTIONAL CONSTIPATION. A case of diffuse colonic dysmotility. A patient with chronic constipation and sphincter dysfunction. A patient with severe functional constipation, fecal impaction, and no soiling. A patient with severe functional constipation, fecal impaction, and soiling. Success with a rectal enema regimen, but now unable to tolerate rectal administration. A patient with severe functional constipation who has failed laxative treatment. and both antegrade and rectal enemas. A patient who has recurrent constipation and soiling following colonic resection. A young adult with intractable constipation and diffuse colonic dysmotility. An adult with pelvic floor dyssynergia. A patient with severe constipation and a behavioral disorder. An adult with incontinence after a low anterior resection. Two adults with incontinence after childbirth. A young adult with rectal pain and fecal urgency who is a candidate for sacral. nerve stimulation. An adult with soiling following an ileoanal pouch. PART VI: RADIOLOGY. Which X-ray is worse?. Interesting radiological findings. PART VII: MYTHS. Colorectal surgical myths. PART VIII: MEDICATION PROTOCOLS. Medication protocols. Index.