Little boy smiles in garden of pediatric hospital

At Children’s Healthcare of Atlanta, our team of pediatric experts cares for newborns, children and teens with conditions resulting in incontinence due to pelvic and anorectal conditions. Some of the pelvic, anorectal, colonic and spinal cord conditions we treat within our Pelvic and Anorectal Care Program include:

  • Anorectal malformations, including imperforate anus, cloaca and anal stenosis
  • Encopresis
  • Fecal incontinence
  • Fecal or urinary incontinence due to neurological compromise
  • Hirschsprung disease
  • Intestinal motility disorders
  • Intractable constipation
  • Spina bifida
  • Spinal dysraphisms
  • Spinal trauma
  • Spinal tumors

What are anorectal malformations?

Anorectal malformations are birth defects of the anus and rectum. The cause of anorectal malformations is unknown.

A child born with a condition like anorectal malformation or Hirschsprung disease, or who has experienced tumors or trauma in the pelvis, may have bowel accidents, even after surgery earlier in life. At Children’s, we understand how this issue affects all areas of a child’s and family’s life. Through our Pelvic and Anorectal Care Program—the only program of its kind in the Southeast—we can help improve your family’s quality of life with our specialized services and offerings.

Pelvic and Anorectal Care Clinic

Our multidisciplinary team of highly qualified pediatric surgeons and specialists host a weekly clinic at the Center for Advanced Pediatrics. During your child’s initial visit, he will undergo a comprehensive evaluation. Our team will then meet with your family to design a specialized treatment plan tailored to your child.

To schedule an appointment, email Include your child’s name and date of birth and your phone number in the email.

Bowel Management Booty Camp

Booty Camp is a seven-day outpatient program for parents, caregivers and children dealing with fecal incontinence. Not only do children receive medical care for their incontinence, but they feel the camaraderie that comes with being at camp. At the end of the week, you will have:

  • A child who is continent every 24 hours using the customized treatment plan
  • An understanding of how continence works
  • Information on why your child soils
  • A support network of families who understand what you are experiencing

Who can attend Booty Camp?

Children with the following conditions are candidates to attend Booty Camp:

  • Anorectal malformations, such as imperforate anus
  • Hirschsprung disease
  • Spinal or sacral disorders that affect the bowel (spina bifida, tethered cord, myelomeningocele, tumors or absent sacrum)
  • Motility disorders
  • Severe constipation (with poor response to past treatment)

How do I sign up for Booty Camp?

Contact Kathleen T. Hoff, PA-C, Physician Assistant, at 404-785-KIDS (5437) or email to participate.

When is Booty Camp held?

Upcoming camp dates:

  • December 27-1/2/23
  • June 8, 2023-June 14, 2023
  • July 20/2023- July 26, 2023

Led by Megan M. Durham, MD, Pediatric Surgeon and Medical Director of the Pelvic and Anorectal Care Program, our team of pediatric specialists cares for children from birth through early adulthood. In addition to the providers listed below, our team also includes a social worker, child life specialist and nurses.

General surgeons

Gastroenterologist and neuromotility specialist

Advanced practice provider

  • Kathleen T. Hoff, PA-C



Our Pelvic and Anorectal Care Clinic is located on the sixth floor of the Center for Advanced Pediatrics.

Center for Advanced Pediatrics
1400 Tullie Road NE
Atlanta, GA 30329