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

Colorectal and Urogenital Care Medical Education Videos

At Children's Hospital Colorado, we are constantly innovating colorectal and urogenital care to improve outcomes for our patients, as well as children across the country and beyond. That's why we have created a series of colorectal medical education videos to share our expertise and advance colorectal care guidelines with colorectal surgeons and other providers around the world.

In the following videos, our experts share their advanced treatments and wisdom on anorectal malformation repair, PSARP surgery, cloaca repair and more. You will find a number of insights and strategies to help address the unique challenges of pediatric colorectal and urogenital care.

In this video, internationally renowned pediatric colorectal surgeon Dr. Peña explains why the first 24 hours of life for a newborn with an anorectal malformation are critical.

Diagnostic information and associated medical management decisions made during this period can have significant health consequences and may greatly impact the baby's prognosis. Learn what the associated defects of anorectal malformations are and how they can be identified in the first day of life.



To support the medical education of colorectal and urogenital providers, Dr. Peña describes the now universally accepted surgical method for treating anorectal malformations that he developed. The posterior sagittal anorectoplasty (PSARP), also known as the Peña pull-through procedure, transformed the surgical treatment of anorectal malformations.

Learn about the meticulous surgical steps Dr. Peña takes while performing the PSARP to preserve bowel function and avoid damage to pelvic structures.



Prior to 1980, surgeons were performing colorectal malformation surgeries "blindly," according to Dr. Peña. The limited surgical approach used at the time led to poor bowel and urinary functional outcomes and other serious complications.

In this video, Dr. Peña shares how he developed the now widely accepted PSARP surgery. Also known as the "Peña Pull-Through Procedure," Dr. Peña's technique allows for direct visualization of the malformation and greatly improved the functional prognosis for children born with colorectal malformations.



Fecal incontinence is a devastating health problem that greatly impacts a patient's quality of life. Leading pediatric colorectal surgeon Dr. Bischoff describes the "A-B-C-D-Es" of effective fecal incontinence management used within the Bowel Management Program at the International Center for Colorectal and Urogenital Care at Children's Colorado.

Learn about the trial-and-error methods Dr. Bischoff uses over a one-week period to tailor bowel management programs to each child that have resulted in a 95% success rate.



Cloacal exstrophy represents a spectrum of rare anomalies that prevent normal development of a baby's lower abdominal wall. At Children's Colorado, we believe that executing a unified management plan from the first day of life is necessary to achieve the best possible outcomes.

In this video, Dr. Bischoff, along with pediatric urologist Duncan Wilcox, MD, and pediatric gynecologist Veronica Alaniz, MD, discuss their multidisciplinary approach to treating cloacal exstrophy.

Learn about the team-based approach they take in the operating room after the baby is born and how important their initial surgical approach is to future reconstructions that babies will need as they grow.



Cloaca is a condition in which the urethra, vagina and rectum are fused together as a common channel that opens as a single perineal orifice. Cloaca has a spectrum of anomalies, which are related to the length of the common channel.

In this medical education video, Dr. Bischoff describes the anatomic variations of cloaca and the different surgical strategies that are required for successful reconstruction of each type.



When misdiagnosed, Hirschsprung disease can lead to serious medical conditions. Luis De La Torre, MD, explains how to provide a comprehensive and accurate diagnosis of Hirschsprung disease in newborns and babies. As the Assistant Director of the International Center for Colorectal and Urogenital Care at Children’s Hospital Colorado, Dr. De La Torre emphasizes how important it is to avoid misdiagnosis. It is not uncommon to misdiagnose Hirschsprung disease as idiopathic constipation; this error can translate to significant complications and sequelae.


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