Dr. Domingo E. Galliano Jr.,

Dr. Domingo E. Galliano Jr.,


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 1600 DaVinci Robotic procedures!

General Surgery

Board Certified by
the American Board of Surgery

Colon and Rectal Surgery

Board Certified by the The American Board of Colon and Renal Surgery (ABCRS)

Surgical Critical Care

Board Certified by The American Board of Surgery


Murdock Surgical Center

Fawcett Memorial Hospital

Bayfront Health

Dr. Galliano is Medical Director of Bayfront Health's Colorectal Center of Excellence.

Why is it important you choose a Board Certified Surgeon?

A surgeon certified in general surgery by the American Board of Surgery has training, knowledge and experience related to the diagnosis and comprehensive management of surgical conditions.

Read more about Board Certified Surgeons

Solesta for Fecal Incontenence

What is it?

Solesta is a sterile gel that is injected into the anus to treat the symptoms of fecal incontinence (FI). It is composed of naturally-made materials called dextranomer (dex-stran-OH-mer) and sodium hyaluronate (SO-dee-um hi•uhl-YOU•ro-nate).

How does it work?

The Solesta gel is injected into a layer of tissue beneath the lining of the anus. Typically, there are 4 injections of Solesta during each treatment. Solesta is believed to work by building or "bulking" up tissue in the anal area. By narrowing the opening of the anus, the muscles used to prevent waste from escaping may be able to close better until the patient is ready to empty their bowels.

When is it used?

Solesta is used for the treatment of FI in adult patients who have first tried and failed other "conservative" therapies, such as change in diet, fiber therapy or anti-diarrhea medicines.

What will it accomplish? Solesta does not work for everyone. In a clinical study of Solesta, more than half of the patients in the study who were treated with Solesta (72 out of 136) had the number of FI episodes cut in half as measured in a two-week period 6 months after treatment. However, about one-third (21 out of 70) of the patients who received a "sham" treatment (no Solesta injected) saw the same decrease in the number of FI episodes over the same period. At this time, it is not known for sure who will benefit from Solesta and who will not.

The most common risks of treatment with Solesta are mild to moderate pain or how the colon worksdiscomfort in the rectum or anus, (experienced by about 54 out of 197 patients) and minor to moderate bleeding or spotting from the rectum following treatment (experienced by about 39 out of 197 patients). Some experienced a fever (14 out of 197 patients), abdominal pain (6 out of 197 patients), or diarrhea or constipation (12 out of 197 patients) after treatment.

More serious risks include infection and inflammation of the anal tissues, but these are not common. In clinical studies, about 22 of 197 patients experienced infection or symptoms of infection and 14 of 197 patients experienced inflammation.

When should it not be used? Solesta is not to be used in patients aged 17 years and under.

Solesta is not for people who have:

  • An active infection or who are currently experiencing bleeding in the rectum or anus.
  • Previously received radiation treatment in the pelvic area.
  • Problems in the rectum or anus, such as tumors, abnormal anatomy, large dilated blood vessels (hemorrhoids) or cracks in the tissue (anal fissures).
  • An active inflammation of the bowels (Crohn’s disease or ulcerative colitis).
  • Trouble fighting off infection (immunodeficiency disorder such as HIV/AIDS) or who take medicine to suppress the immune system, such as those used in cancer treatments or organ transplants.
  • A device or a material already placed in their rectum or anus.
  • An allergy to any of the materials in the gel.

Additional Information:

Summary of Safety and Effectiveness and labeling
are available online

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.

Same day appointments available. Call today!


Clinic for Fecal and Urinary Incontinence, Constipation and Pelvic Disorders

Psych and Nutrition Center for IBS and IBD

IBS Irritable Bowel Syndrome Clinic

Ostomy, Ileostomy and Colostomy Clinic

Chronic Abdominal Pain Clinic

Heartburn Clinic (GERD)

Hernia Clinic

Hemorrhoid Clinic

Breast Cancer Clinic

Skin Cancer Clinic

Colorectal Clinic

GI GU Testing Center

Minimally Invasive Procedures

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

Robotic Surgery
via Da Vinci

Laparoscopic Surgery

TEM Transanal Endoscopic Microsurgery

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

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