
Pelvic Physiology
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Why choose UCSF Health for pelvic physiology care?
Our pelvic physiology specialists have cared for the Bay Area community for decades. We are one of the only programs in the region using advanced technology and innovative therapies to diagnose and treat pelvic floor disorders including:
Anal and rectal tumors
Anal fistulas
Constipation
Fecal incontinence
Pelvic floor dysfunction
We listen to your concerns and find solutions that work for you. Our team helps restore your quality of life with effective pelvic floor therapies.
Why choose UCSF Health for pelvic physiology care?
Our pelvic physiology specialists have cared for the Bay Area community for decades. We are one of the only programs in the region using advanced technology and innovative therapies to diagnose and treat pelvic floor disorders including:
Anal and rectal tumors
Anal fistulas
Constipation
Fecal incontinence
Pelvic floor dysfunction
We listen to your concerns and find solutions that work for you. Our team helps restore your quality of life with effective pelvic floor therapies.
Get care
Expert care
Our team includes board-certified colorectal surgeons and nurses with advanced training. We provide comprehensive care and thorough evaluations.Advanced technology
We use leading technology to evaluate pelvic floor muscle function. Results often enable us to find the right diagnosis and treatment.Personalized approach
Everyone's pelvic floor physiology is different. We take time to understand your unique concerns and health history to provide tailored treatments.Access to clinical trials
When traditional treatments aren't working, you may get access to clinical trials and promising therapies that aren't widely available yet.
Our pelvic physiology services
We help you manage pelvic floor challenges with advanced diagnostic tools and effective therapies, including:
Anorectal manometry. During this 30-minute procedure, we use a small straw-like catheter to test the muscles that work together to produce a bowel movement. The results help us confirm or rule out certain pelvic floor conditions, such as Hirschsprung's disease, so we can plan your treatment.
Endoanal ultrasound. Our providers use a small ultrasound to evaluate the internal and external function of the anal sphincter. We also look for signs of anal fistulas.
Treatments Biofeedback therapy. This therapy helps you regain control of the rectum, anal sphincter and pelvic floor muscles. We often use this effective, drug-free approach for constipation and fecal incontinence treatment. You receive biofeedback therapy monthly for six to eight months.
Lifestyle changes. We provide nutritional counseling and relaxation techniques that may help reduce symptoms of pelvic floor conditions.
Electrical stimulation therapy. This noninvasive treatment uses small electrical currents to strengthen pelvic floor muscles.
Pelvic floor physical therapy. We may coordinate your care with a pelvic floor physical therapist. You learn techniques to help relax or strengthen your pelvic floor muscles.
Medications. We may recommend suppositories (medication placed in the rectum or vagina) to help relax pelvic muscles.
Botox injections. Our providers offer Botox injections when other treatments, like biofeedback therapy, are not enough.
Biofeedback therapy. This therapy helps you regain control of the rectum, anal sphincter and pelvic floor muscles. We often use this effective, drug-free approach for constipation and fecal incontinence treatment. You receive biofeedback therapy monthly for six to eight months.
Lifestyle changes. We provide nutritional counseling and relaxation techniques that may help reduce symptoms of pelvic floor conditions.
Electrical stimulation therapy. This noninvasive treatment uses small electrical currents to strengthen pelvic floor muscles.
Pelvic floor physical therapy. We may coordinate your care with a pelvic floor physical therapist. You learn techniques to help relax or strengthen your pelvic floor muscles.
Medications. We may recommend suppositories (medication placed in the rectum or vagina) to help relax pelvic muscles.
Botox injections. Our providers offer Botox injections when other treatments, like biofeedback therapy, are not enough.
Pelvic floor conditions often require long-term treatment. We provide a supportive, consistent environment to help you reach your recovery goals.
Locations
Providers

Dina Cehand, NP, BSN
Colon and Rectal Surgery
Recognized excellence

Best in Northern California for gastroenterology & GI surgery
Related conditions & treatments
Conditions
- Anal Cancer
- Anal Fistula
- Constipation
- Fecal Incontinence
- Pelvic Floor Dysfunction
- Pelvic Organ Prolapse
- Rectal Mass
- Rectal Cancer
- Urinary Incontinence
Treatments
- Biofeedback
- Botox Injection





