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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

Urologic Objectives

  • 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

Gynecologic Objectives

  • 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