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Pelvic Floor Center


 

The Pelvic Floor Center is a highly specialized, state-of-the-art facility. It is one of the few centers of its kind in this country to offer a multi-disciplinary approach to patient care and the diagnosis of Pelvic Floor Disorders. We are proud to have leading specialists in the areas of colon and rectal surgery, urology and urogynecology on staff to consult with you and help direct your care.

As the largest center of its type in the country, the Pelvic Floor Center provides highly personalized care for over 2500 patients each year as well as being a leader in researching new treatment options. By establishing ourselves as a leading research center and referral site, we can offer advanced treatment options and an individualized, comprehensive treatment approach to every person we see.

The Pelvic Floor Center provides diagnosis, consultation and innovative care options for:

  • Accidental Bowel Leakage 
  • Urinary incontinence
  • Urinary retention and other voiding dysfunctions
  • Chronic constipation
  • Pelvic organ prolapse
  • Rectal cancer

Although most of these disorders are not life threatening, these health issues affect a broad range of patients and can have a devastating effect on quality of life. 

We offer the following diagnostic testing:

Anal Manometry - Measures the strength of the internal and external sphincters, coordination of the muscles of the pelvic floor, and assesses sensations in the rectum. Used to assess constipation, fecal incontinence, to rule out Hirschsprung’s and many other pelvic floor conditions. 

EMG recruitment - Assess patient’s ability to voluntarily contract and relax the pelvic floor muscles.  Used to assess relaxation of the pelvic floor in constipation.

Pudendal nerve EMG - Assesses conduction of the pudendal nerve.  Used primarily in diagnosis of cause of accidental bowel leakage but also in rectal prolapse and enterocele.

Rectal ultrasound - Images the layers of the rectal wall.  Used for staging of rectal tumors and also enlarged nodes.  Is also used for follow-up surveillance after treatment.  Advanced 3-D Ultrasound technology is also available.   Learn more.

Anal ultrasound - Images sphincters and tissues surrounding the anal canal.  Used to assess accidental bowel leakage, fistula, abscess, sphincter injury (post-delivery/surgery), and pain.   Learn more.
 
Cine Defecography - A test using fluoroscopy that evaluates rectal emptying and relaxation of the pelvic floor.  Visualizes rectocele, enterocele, and rectal prolapse. 

Urodynamics/Video Urodynamics – Bladder testing used to assess causes of urinary problems including incontinence, urgency and difficulty emptying. May be done with or without fluoroscopy.

PNE (Peripheral Nerve Evaluation) - Determines whether sacral nerve stimulation for the control of accidental bowel leakage or lower urinary tract dysfunction is appropriate for a given patient. A temporary device is used and, if successful, surgery to implant a permanent device would be the next option. 

Biofeedback - (Pelvic Floor Muscle retraining) – can treat accidental leakage(fecal and urinary) as well as constipation caused by non-relaxation of the pelvic floor.  Sensors are used while a nurse coaches the patient to correctly exercise and relax the pelvic floor muscles. Learn more.

For appointment information, call 651-225-7800 or refer a patient online using our secure referring physician web portal at  https://referral.colonrectal.org/

Map and directions

Colon and Rectal Surgery Associates is affiliated with and has an ownership interest in the Pelvic Floor Center.  Your physician may refer you to a facility or service in which we have a financial or economic interest.  You have the right to choose or request a different facility.