Center for Pelvic Physiology

The UCSF Center for Pelvic Physiology uses advanced technologies to evaluate patients with fecal incontinence, constipation, pelvic floor disorders, anal or rectal tumors, or anal fistulas. The center was established in 1995.

We provide comprehensive evaluations from a board-certified colorectal surgeon as well as a specially trained nurse. We offer biofeedback therapy as well as innovative surgical treatments for fecal incontinence. Patients who don't respond to conventional care may participate in clinical trials or research projects evaluating experimental therapies.

Our services

Services at the center include:

Anorectal manometry – Measures internal and external sphincter pressures, rectal sensation, rectal volume capacity and rectoanal inhibitory reflex, which can confirm or rule out a diagnosis of Hirschsprung's disease

Puborectalis muscle fiber recruitment – Measures neuromuscular activity that helps diagnose pelvic floor dysfunction

Endoanal ultrasound – Evaluates the integrity of the internal and external sphincter (muscle encircling the opening) for incontinence and checks for anal fistula (an abnormal passageway from the anus to the outside of the body)

Biofeedback – Teaches patients to control rectum, anal sphincter and pelvic floor muscles, as a method of treating incontinence or constipation

Referral policy

At this time, we are accepting referrals only from UCSF and MarinHealth.

If you're seeking care for a urinary or gynecologic disorder, please visit the Center for Urogynecology and Women's Pelvic Health. Patients interested in a program to strengthen the muscles that support urinary function and the pelvic organs can read about UCSF's approach to pelvic floor physical therapy.