Clinic for Fecal and Urinary Incontinence, Constipation and Pelvic Disordersminmal surgery

Our GI GU tests and anal rectal physiology studies are registered by the ANMS and are available in-house.

To improve bowel incontinence conditions, constipation, and pelvic disorders we will developed an individualized treatment plan that is designed especially for you. If you suffer from this condition, or think you may be experiencing the symptoms, call us inmediately to make an appointment.


FENIX for Accidental Bowel Leakage (ABL) ------- NEW!

FENIX for Accidental Bowel Leakage FENIX is a flexible ring of small magnets placed around the anal canal during the procedure. The strength of the magnets helps keep the weak or damaged anal sphincter muscles closed to prevent unexpected opening of the anal canal, which leads to Accidental Bowel Leakage (ABL). The magnets will separate temporarily to allow the intentional passage of stool.

Read the FENIX brochure here.


Artificial Bowel Sphincter (ABS)

This is an implantable fluid filled device that acts like an anal sphincter to treat anal incontinence.


Sacral Nerve Stimulation

This procedure involves placing electrodes in the spine. It is used for anal incontinence, constipation, anal pain and urinary incontinence.

Information about Interstim from Medtronics here.


STARR (Staple Transanal Rectal Resection)

STARR is a surgical procedure that is performed through the anus, requires no external incisions, and leaves no visible scars. Using a surgical stapler, the procedure removes the excess tissue in the rectum, reducing the anatomical defects that can cause ODS.


minimally invasive surgery imageSolesta

Solesta is indicated for the treatment of fecal incontinence in patients 18 years and older who have failed conservative therapy (for example: diet, fiber therapy, medications that treat diarrhea). Solesta is a sterile gel that is injected into the anus to treat the symptoms of fecal incontinence.


SECCA (for incontinence)

This is a minimally invasive procedure that delivers heat energy into the anal canal, with the aim of improving the barrier function of the anal muscles. It has a much quicker recovery time than the standard highly intensive corrective surgeries.


Anal Fistula Plug

Patients suffering from anal or rectovaginal fistulas experience painful and embarrassing symptoms that completely alter their quality of life. Many do not come forward with their condition and are unaware there is a simple solution.


Pelvic Rehabilitation

This is a behavioral treatment for fecal incontinence, constipation and urinary incontinence. The goal is to modify a person’s behavior and train them in methods to gain bladder control or healthy rectum functioning.


Anorectoplasty

This is also known as surgical muscle repair. It is used when the other more non-invasive procedures have not corrected the problem.


Anal-Rectal Physiology Testing

Anal- Rectal Physiology Testing studies the function of the anus, rectum and pelvic disorders. Physicians order anal rectal physiological evaluation, which combine several diagnostic tests, to help pinpoint the exact bowel or pelvic problem a patient is experiencing.

The results of these tests determine to help correct or eliminate problems anal leakage, constipation, rectal pain, rectcoele, pelvic disorders, etc. The results of these tests determine to help correct or eliminate problems anal leakage, constipation, rectal pain, rectcoele, pelvic disorders, etc.

These tests also helps the physician in diagnosing problems such as: Obstructed Defecation Syndrome (ODS), Rectal Prolapse, Rectocele, Constipation, Chronic Abdominal Pain (CAP), Urinary Incontinence, Fecal incontinence, Pelvic Pain, Colonic Inertia, Anal Pain, Anal Fissure.


Anal- Rectal Manometry

Anal –Rectal Manometry is a strength evaluation of the muscles which control your bowel movements. The test is performed by placing a small tube ( the size of a drinking straw) into the rectum and then slowly withdrawing it. This painless procedure takes approximately 8 minutes.


3D Echo Defecography

This tests the motion of the pelvic floor , the muscles that control bowel movements and the motion of the anus during evacuation. This test is performed by placing a small amount of barium in the rectum and recording the evacuation process. This painless procedure is performed in the radiology department using either X-ray or MRI. This takes approximately 5 minutes. This test allow us to identify Obstructive Defecation Syndrome (ODS), Rectocele, Paradoxical Puborectalis Syndrome (Anismo), Rectal Prolapse, Sigmoidocele, Enterocele, etc.


BK Medical Pelvic Floor Ultrasound
What Ultrasound Means and What It Can Do for You

  • Allows fast, multicompartment assessment, facilitating optimal patient throughput.
  • Allows for high resolution assessment of the morphology and function of the different parts of the pelvic floor.
  • Facilitates observation of the entire pelvic floor with minimal disruption to the natural condition of the structures.
  • Pre-operatively, reveals more in-depth information about the nature of incontinence.
  • Post-operatively, helps ensure that corrective devices, such as tension-free vaginal tape (TVT) or mesh implants, are properly placed.
  • Helps you visualize the position and mobility of the bladder neck and urethra, in combination with maneuvers like squeeze and valsalva.
  • Helps you evaluate prolapse, cystocele, rectocele and enterocele.
  • Helps you detect and evaluate anal sphincter tears and fistulas

3D Anal Ultrasound

The Ultrasound is a very useful tool for imaging the anatomy of the internal and external sphincter muscle. Fecal incontinence may be due to postpartum anal sphincter injuries or neurological damage even in the absence of obvious perineal trauma. Anal physiologic testing with transrectal ultrasound, manometry, and pudendal nerve terminal latency studies help to identify those patients with anal sphincter injuries who might benefit from anal sphincter repair.


Anal Electromyography

This test allows us to determine two things: 1) If the nerves that supply your sphincter muscle are intact 2) that your muscle relax and contract normally. This is a painless procedure and takes about 5 minutes.


Pudendal Nerve Latency Test (PNL)

This test allows your physician to determine if the nerves controlling the anal canal muscle have been damage. This takes 2 minutes.


Colonic Transit Study

This test tracks how food moves through the colon, allowing the physician identify the constipation problem area.


SmartPill Capsule-Based GI Testing

This is a crucial test in evaluating patients with gastrointestinal symptoms such as irritable bowel syndrome (IBS), bloating, nausea, abdominal pain, constipation, and fullness. It is pain-free and less invasive than most other GI procedures. Once the capsule is ingested, this device collects important information such as pressure, PH and temperature and transmits this data to a receiver the patient wears on a belt for a period of four days. The physician then downloads the input to his computer and reviews the test results with the patient. This greatly facilitates the patient’s diagnosis and treatment plan without any discomfort or disruption of normal activities for the patient.


BRS-Bulbocavernosus Reflex System

This is a non-invasive mechanical stimulation for Neurogenic Sacral Dysfunction. It is indicated for urinary and fecal incontinence.


Urodynamic Testing

This test is used for patients with problems with urine leakage or blocked urine flow. It assesses how the bladder and the urethra are functioning as to storing and releasing urine. Imaging equipment films urination and pressure monitors record the pressures of the bladder and urethra. It helps explain symptoms such as incontinence, frequent urination, sudden strong urges to urinate, painful urination, problems emptying the bladder completely, and recurrent urinary tract infections.

SmartPill Capsule-Based GI Testing

This is a crucial test in evaluating patients with gastrointestinal symptoms such as irritable bowel syndrome (IBS), bloating, nausea, abdominal pain, constipation, and fullness.

smartpil photoIt is pain-free and less invasive than most other GI procedures. Once the capsule is ingested, this device collects important information such as pressure, PH and temperature and transmits this data to a receiver the patient wears on a belt for a period of four days.

The physician then downloads the input to his computer and reviews the test results with the patient. This greatly facilitates the patient’s diagnosis and treatment plan without any discomfort or disruption of normal activities for the patient.


Dr. Galliano is the most experienced Board Certified Colorectal Surgeon with Da Vinci Robotic Surgery in Lee, Charlotte, Sarasota, and De Soto Counties! He has performed over 100 DaVinci Robotic procedures!


Minimally Invasive Procedures

Experience less pain, minimal scarring, faster recovery, and better results.


Robotic Surgery
via Da Vinci


Laparoscopic Surgery


FENIX for Accidental Bowel Leakage (ABL)


TEM Transanal Endoscopic Microsurgery


NOSCAR/ NOTES Painless Natural Orifice Trans-endoscopic Surgery


Solesta is a sterile gel injected into the anus to treat the symptoms of fecal incontinence.


Esophyx long-term incisionless solution for chronic acid reflux GERD


The LINX System stops acid reflux (GERD) at the source.


The Stretta procedure results in significant GERD symptom control and patient satisfaction.


STARR Staple Transanal Rectal Resection


ENTERRA -- Gastric Electrical Stimulation for Gatroparesis


Barrx - Radiofrequency Ablation in Barrett's Esophagus with Dysplasia


TIF Transoral Incisionless Fundoplication procedure corrects the root cause of GERD


ABS - Artificial Bowel Sphincter


SECCA - for incontinence


Sacral Nerve Stimulation


Anorectoplasty for anal incontinence


Pelvic rehabilitation for incontinence and constipation, anal / pelvic pain


Anal Fistula Plug