Curriculum

The goal of the Pelvic Reconstruction Fellowship is to understand how to evaluate and treat patients with pediatric pelvic reconstruction problems.

Colorectal Objectives

Understand the newborn assessment of associated malformations and anorectal malformations
Recognize the different types of anorectal malformations
Understand the proper newborn radiologic evaluation for anorectal malformations and Hirschsprung disease
Develop expertise in the surgical management of the index colorectal reconstructive conditions, particularly as they relate to the indications for reoperative surgery
Develop expertise in the surgical management of ARM and HD cases requiring reoperations for male (rectobulbar, rectoprostatic and no fistula)
Understand the medical management for the variety of colorectal problems
Understand the surgical interventions for fecal incontinence/functional constipation
Understand the assessment of complex Hirschsprung disease with postoperative soiling or obstructive symptoms

Describe the physiology of normally functioning lower urinary tract
Understand how to perform and interpret complex urodynamic studies
Read and interpret uroradiologic studies
Describe the relationship between bladder dysfunction and renal injury
Detail the medical and behavioral treatments for urinary incontinence
Develop expertise in complex urologic reconstruction
Develop expertise in genital (male and female) reconstruction in children with anorectal malformations
Radiographic evaluation and management of vesicoureteral reflux
Radiographic evaluation and management of hydronephrosis
Interpret urodynamic studies
Evaluate urinary tract infections
Understand factors in renal injury
Understand treatment of urinary incontinence
Evaluate genital abnormalities

Understand normal vs abnormal perineal anatomy
Understand the physiology of female pubertal change, indications and management of menstrual suppression and assessment of the outflow tract
Develop tools to recognize and best assess anomalies associated with pelvic floor, vagina and Mullerian structures
Attain skills to surgically correct gynecological anomalies
Gain skills to counsel patients regarding long term gynecologic outcomes, including sexual functioning and obstetrical risks, outcomes and best mode of delivery