Pelvic Rehabilitation

Pelvic Floor Dysfunction

Pelvic Floor Rehabilitation (PFR) is a personalized program designed to help those with bladder problems regain control. The program consists of muscle stimulation, pelvic floor muscle exercises, bladder retraining, and dietary changes.

There are thousands of women and men who believe that incontinence (loss of bowel or bladder control) is a normal part of aging. It is NOT a normal part of aging. We do not have to endure pads and medication - there are non-surgical options for retraining the bladder and pelvic floor that are proven through research as effective and efficient.

For Women, normal pelvic function also means that there is not supposed to be pain in the pelvic floor. Insertion of tampons, sexual intercourse, gynecological examinations and clothing should never cause pain. The muscles and tissues of the pelvic floor can be aggravated by many conditions including vulvodynia, vestibulitis, prolapse or cystocele/rectoceles. We can work with your doctors to provide comprehensive treatment to train or ‘down train’ the muscles of the pelvic floor, and to help restore normal flexibility and tolerance to the soft tissues both externally and internally.

Men have pelvic floors also – for men, these techniques are done rectally. They are beneficial for treating men that experience pelvic pain with prolonged sitting, erectile dysfunction and post surgical procedures to return pelvic floor to pre surgery function as much as possible.

Occupational Therapists and Physical Therapists trained in internal pelvic floor techniques can help retrain the muscles of the pelvic floor and assist with bladder and bowel training to return women and men to normal function.

Some of the conditions that may be improved with Pelvic Floor Rehabilitation and Stimulation include:

  • Stress Incontinence
  • Urge Incontinence
  • Urinary Frequency Urgency
  • Interstitial Cystitis
  • Chronic Pelvic Pain
  • Overactive Bladder
  • Pelvic Floor relaxation
  • Frequent Nighttime Urination

Normal function means you can:

  • Allow the bladder to expand (fill) and contract (empty) normally and without pain.
  • Have the sensation and awareness of when the bladder is full – and be right.
  • Have the ability to get to the bathroom.
  • Have the ability to remove your clothing.
  • Participate in sexual intercourse without pelvic pain
  • Sit comfortably
  • Tolerate gynecological examinations

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