: Pediatric Bowel Management Program

The UF Health Pediatric Bowel Management Program is the only program in north central Florida to provide care and treatment options for children born with congenital anomalies that make it difficult to anticipate or control their bowel activity.

While treatment options vary, our UF Health board-certified and fellowship-trained pediatric surgeons and specialized nurse practitioners are proud to offer therapies that are individualized for patients based on their unique needs. This includes enema-based programs, antegrade continence enemas and sacral nerve stimulation, or SNS, for patients suffering from fecal incontinence.

Children face bowel management issues from a variety of causes such as severe idiopathic constipation, slow transit motility, connective tissue disorders and congenital issues (i.e., anorectal malformations, Hirschsprung’s disease and spina bifida).

Sacral Nerve Stimulation

UF Health Shands Children’s Hospital is one of a select number of children’s hospitals in the nation to offer SNS for lower gastrointestinal motility issues, as well as fecal and urinary incontinence. With SNS, our pediatric surgeons implant a device that sends a low-voltage electrical current to the sacral nerve, which affects the bladder, bowel and pelvic floor. The implant stimulates the sacral nerve to manage incontinence; however, it does not cure it.

At UF Health, the bowel management team includes pediatric surgeons Saleem Islam, MD, MPH; Shawn Larson, MD; Moiz Mustafa, MD; Robin Petroze, MD, MPH and Janice Taylor, MD, MEd along with nurse practitioner Erin Murray, APRN.