Dr. Domingo E. Galliano Jr.,
MD, FACS, FASCRS

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

HOSPITALS

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.

Urodynamic Testing

Urodynamic testing is any procedure that looks at how well the bladder, sphincters, and urethra are storing and releasing urine.

Most urodynamic tests focus on the bladder’s ability to hold urine and empty steadily and completely. Urodynamic tests can also show whether the bladder is having involuntary contractions that cause urine leakage. A health care provider may recommend urodynamic tests if symptoms suggest problems with the lower urinary tract. Lower urinary tract symptoms (LUTS) include:

Urine leakage
Frequent urination
Painful urination
Sudden, strong urges to urinate
Problems starting a urine stream
Problems emptying the bladder completely
Recurrent urinary tract infections

Urodynamic tests range from simple observation to precise measurements using sophisticated instruments.

For simple observation, a health care provider may record the length of time it takes a person to produce a urinary stream, note the volume of urine produced, and record the ability or inability to stop the urine flow in midstream.

For precise measurements, imaging equipment takes pictures of the bladder filling and emptying, pressure monitors record the pressures inside the bladder, and sensors record muscle and nerve activity. The health care provider will decide the type of urodynamic test based on the person’s health information, physical exam, and LUTS. The urodynamic test results help diagnose the cause and nature of a lower urinary tract problem.

Most urodynamic tests do not involve special preparations, though some tests may require a person to make a change in fluid intake or to stop taking certain medications. Depending on the test, a person may be instructed to arrive for testing with a full bladder.

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.