At Sunshine Pediatric Day Centers, we are dedicated to providing comprehensive care to children with complex medical needs. In this informative blog post, we will delve into the topic of the Malone Antegrade Continence (MAC) procedure, a surgical intervention that can greatly enhance the quality of life for children dealing with various medical complexities.

The Malone Antegrade Continence Procedure: An Overview

The Malone Antegrade Continence procedure, commonly referred to as the “MAC procedure,” is a surgical technique designed to help children with urinary incontinence or difficulties with bladder emptying. This procedure offers a way to manage and improve these challenges, allowing children to experience greater independence and comfort in their daily lives.

Understanding the Procedure

The MAC procedure involves creating a passageway, called a channel, from the appendix to the belly button area. This channel serves as a conduit through which urine can be catheterized directly into the bladder. By creating this pathway, children can effectively manage their bladder function, reducing the need for traditional catheterization methods.

Ideal Candidates for the MAC Procedure

Children who can benefit from the MAC procedure often have conditions that affect their ability to control their bladder or empty it fully. Some of these conditions include:

  • Neurogenic Bladder: Children with neurological conditions like spina bifida or cerebral palsy may experience challenges with bladder control due to nerve dysfunction.
  • Congenital Anomalies: Certain congenital conditions can result in urinary tract abnormalities that lead to incontinence or difficulties with bladder emptying.
  • Functional Disorders: Children with functional bladder disorders, such as posterior urethral valves or bladder exstrophy, may benefit from the MAC procedure.
  • Recurrent Urinary Tract Infections: Children prone to frequent urinary tract infections may opt for the MAC procedure to better manage their bladder function and reduce infection risk.

The Benefits of the MAC Procedure

The MAC procedure offers several key benefits for children and their families:

  • Improved Quality of Life: The procedure empowers children to take control of their bladder management, fostering independence and boosting self-esteem.
  • Reduced Infection Risk: By bypassing the traditional catheterization route, the MAC procedure can reduce the risk of urinary tract infections.
  • Enhanced Comfort: Children can experience increased comfort as they manage their bladder function in a more efficient and controlled manner.
  • Fewer Interruptions: The MAC procedure may lead to fewer disruptions in daily activities, allowing children to focus on school, play, and social interactions.

Supporting Families at Sunshine Pediatric Day Centers

At Sunshine Pediatric Day Centers, we recognize the importance of providing comprehensive care that addresses the unique needs of each child. Our multidisciplinary team collaborates closely with families to determine the most suitable treatment options, including surgical interventions like the MAC procedure. We offer education, emotional support, and post-operative care to ensure that families are well-prepared for the journey ahead.


The Malone Antegrade Continence procedure is a remarkable advancement in pediatric urology, offering children with complex medical needs the opportunity to achieve greater autonomy over their bladder function. At Sunshine Pediatric Day Centers, we are committed to supporting families in making informed decisions about their child’s healthcare. If you believe the MAC procedure could benefit your child, we encourage you to reach out to our experienced team for guidance and support.

About Sunshine Pediatric Day Centers

From medical administration to tube feed and tracheostomy care to physical, speech, and occupational therapy, we provide the essential special needs child care you are looking for while also incorporating enriching educational activities. Additionally, our program offers stimulation and safe interaction with other children. Rest assured that our medical team focuses on helping your special needs child achieve as much function and independence as possible. Our mission has always been to enhance the growth and development of each child with an individualized Plan of Care that sets measurable goals for progress. This involves clinical care, therapy services, and enriching educational activities. Under our medical director, our pediatric registered nurses follow an individualized plan of care developed in coordination with each child’s physician and family. 

Contact us today to schedule a consultation or tour by calling 972-882-9498 or emailing us at and let us be a part of your child’s health and happiness.

Disclaimer: This blog post is for informational purposes only and should not be considered medical advice. Always consult a qualified healthcare professional for accurate diagnosis and treatment.