About our service

The primary focus of the General Surgery Bowel Management Programme at the IWK is to provide children, youth and their families with the knowledge, skills and ongoing support needed to manage stool incontinence and eliminate the social stigma and embarrassment associated with incontinence.

Many patients treated for imperforate anus/anal stenosis and Hirschsprung's disease, who are considered to have successful surgical outcomes, suffer from significant stool incontinence and/or constipation. We work to ensure that children and their families have easy access to information and guidance to enable them to better manage their individual care. In some cases bowel training is effective, but for many long term management is required.

Through a team approach focused on consistent and long-term follow-up, we work to coordinate a care plan that puts strong supports in place for our patients and their families.

The programme is committed to:

  • Providing seamless care
  • Ensuring patients and families understand their diagnosis
  • Encouraging self-management with programme support
  • Encouraging patients/families to support each other
  • Enabling patients/families to make informed decisions based on the most current research and technology

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