We know that caring for a child with congenital gastrointestinal abnormalities can feel overwhelming. That’s why we created one of the nation’s first dedicated pediatric clinics that focuses on severe constipation, Hirschsprung’s disease, and anorectal malformations (CHARM), bringing expert care from multiple specialists and compassionate support together in one place. 

Our team specializes in expert surgical care and creating personalized daily bowel programs, helping kids regain comfort, confidence, and control in their daily lives. We strive to provide the best comprehensive care for your child while supporting your family’s medical needs. 

Our goal is to provide world-class medical care that supports your child’s health while making sure your family never feels alone. 

When you come to CHARM, you’ll meet multiple specialists in one coordinated visit. This means fewer appointments, less stress, and a clear plan of care tailored to your child. 

Together, we’ll: 

• Use advanced diagnostics to understand your child’s needs 
• Explore surgical and non-surgical options 
• Build a customized bowel management program 
• Provide ongoing support from urology, gynecology, behavioral health, wound nurses, nutrition, social work, and child life experts 

Our multidisciplinary team consists of, pediatric surgeons, pediatric gastroenterologists, pediatric urologists, pediatric gynecologists, charm-dedicated nurses, social workers, psychologists, physical therapists, dietitians, and child life specialists dedicated to the care of patients with CHARM disorders. 

Conditions we treat

• Anorectal malformations 
• Cloacal malformations 
• Hirschsprung disease 
• Chronic constipation 
• Encopresis (soiling) 
• Fecal incontinence 
• Rectal prolapse 
• Rectal stenosis 
• Spinal or sacral disorders affecting the bowel (e.g., spina bifida, spinal trauma, sacral coccygeal teratoma)
• Female Pelvic Organ Anomalies 

Treatments and services 

• Complex anorectal malformation surgical repair 
• Endorectal pull through for Hirschsprung Disease 
• Anal sphincter dilation
• Anal BOTOX® Injections 
• Malone Appendicostomy
• Cecostomy
• Bowel management program 
• Pelvic floor rehabilitation and physical therapy 
• 3-D cloacagram 
• Spinal cord stimulator for bowel control
• Telehealth/remote bowel management
• Family support group