What is Anorectal Malformation / Anal Stenosis?

Anorectal malformation is a serious bowel condition affecting a child’s ability to have proper bowel movement.  The first part of the operation is a posterior sagittal anorectoplasty (PSARP) – a reconstructive  surgery where the surgeon creates the anus within the sphincter muscle.  

The patient is then fitted with a colostomy bag to give them time to heal. 

The second part of the surgery,  once the patient is healed is a colostomy closure to remove the colostomy bag and close the wound. 

This condition is a really important operation for us to fund.  Having a colostomy presents huge hygiene challenges and it’s hard to source the expensive colostomy bags.

The operation requires highly specialised skills and there are very few surgeons who can do perform this operation. We are so lucky that Dr. Ssekabira, the first person to perform such surgery in Uganda, is part of our team.  Dr Ssekabira has subsequently trained other surgeons to now perform this operation.