A patient with an anorectal malformation who has been previously repaired and who is “not doing well”

A 4-year-old boy is referred to your clinic for ongoing care of his anorectal malformation. He has undergone surgery for what you suspect may have been a rectobulbar fistula, but the operative notes are missing. The parents inform you that he underwent full VACTERL screening as a newborn infant and no other anomalies were identified. The parents have expressed concerns about fecal incontinence, lower urinary tract infections, and suffering with post-void dribbling.