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The PEDIATRIC CENTER OF COLORECTAL and associated UROGENITAL DISORDERS (PCCUD) offers the highest standard care using a personalized and mutidiciplinary approach to treat for children with disorders of the colon and especially of the anorectal region, but also with associated disorders of the urogenital and nervous systems.

At PCCUD, the specialized team of doctors, nurses, nutritionists, physiotherapists, psychologists and child psychologists, provides comprehensive diagnosis, treatment and support for children when caring for these disorders. Treatment can be conservative (diet, medication, physiotherapy, etc.), endoscopic (removal of polyps, treatment of fistulas, etc.) and surgical.

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“There are no dead ends, only roads you have not thought of”
Nikos Kazantzakis

Diseases

Diagnostic & therapeutic approach

The treatment of anorectal and accompanying urogenital conditions begins with a comprehensive diagnostic approach thereby guiding the most appropriate therapeutic management (conservative-endoscopic-surgical). Following any intervention, we offer immediate and distant postoperative care (bowel management program, long-term follow-up where necessary), as well as nutritional and psychological support.

Concerning congenital diseases, special emphasis is given to prenatal diagnosis, prenatal counselling, as well as immediate postnatal investigation and management.

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Anorectal malformations – imperforate anus

 

Anorectal malformations (AM) are also known as anal atresia or imperforate anus (IA). This is a general term for a group of congenital anomalies located affectingin the anorectal arearegion.

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Hirschsprung’s disease

 

Hirschsprung’s disease is a congenital anomaly where the terminal part of the large bowel cannot adequately empty from stool due to an anomaly of intestinal inervation.
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Bowel Management program

The BOWEL MANAGEMENT PROGRAM is aimed at helping children suffering from severe constipation, or diarrhea, or fecal incontinence.
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Constipation

Constipation is a common problem in infancy and childhood. Epidemiological studies have shown that it is the cause for 3% of visits to the pediatrician and for 25% of referrals to the specialist gastroenterological clinic.
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Constipation in children with neurological diseases

 

Gastrointestinal problems are a major chronic problem for 80 to 90% of children with neuromotor disabilities and various neurodevelopmental disorders.

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Fecal incontinence

 

Fecal incontinence is a serious problem affecting children. It can be caused by chronic constipation or by diseases that can disrupt bowel control, such as spina bifida, Hirschsprung’s disease, anorectal malformations, etc.
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Prenatal assessment and counseling

 

Prenatal ultrasound often raises suspicion of congenital diseases. In this case, it is necessary to perform a detailed diagnostic testing (fetal magnetic resonance imaging etc.) in order to approach the potential problem in a more appropriate way.
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Nutritional support

 

Managing constipation and fecal incontinence is very important tois crucial in improvinge the a child’s quality of life.
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Pelvic floor muscle physiotherapy and its contribution to incontinence and constipation

The pelvic floor is located between the pubic symphysis and the coccyx and supports passively and actively vital organs, such as the bowel, bladder, urethra, and genitals.
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Idiopathic inflammatory bowel disease

 

IBDs are the clinical expression of chronic intestinal inflammation and are attributed to the interaction of genetic, environmental factors and microbiome.
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Laser treatment of anal fistula

  Anal abscess is the collection of pus near the anal ring, which is usually connected by a fistula to the rectum. Most often it occurs in boys, with a higher frequency in infants aged 3-8 months.
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Rectal prolapse

  Rectal prolapse is the partial or complete projection of the anal mucosa. It usually occurs between infancy and 4 years of age with a higher frequency during the first year of life and is more frequent in boys.
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Fleming 15, 151 23 Maroussi, Athens (opposite MITERA main building)