Pelvic Floor

Incontinence and Constipation are not a "normal part of aging"

They may be symptoms of a highly treatable Pelvic Floor disorder

Do you suffer from any of these symptoms?

  • Urine, bowel or gas incontinence?
  • Leaking urine when laughing, coughing or sneezing?
  • Leaking urine during or after pregnancy?
  • Going to the bathroom more than eight times a day?
  • Difficulty starting or completing a bowel movement?
  • Frequent or persistent urinary tract infections?
  • Episodes of vaginal or rectal bulge or protrusion?
  • Pain in your abdominal, vaginal or rectal area?
  • Fear of leaving home due to bladder or bowel problems?

Take Back Control of Your Life

If you have experienced even one of these symptoms, we urge you to take action.
Speak with your physician or call the experts at the PBMC Health Pelvic Floor Institute today.

Call 631-727-5065 for a confidential consultation or to schedule a Pelvic Floor and Continence Health Screening.

Colo-Rectal Specialist:
Brett E. Ruffo, MD
Board Certified in Colorectal Surgery
Trained and experienced in use of the daVinci Robotic Surgical System

A Comprehensive Continuum of Advanced Medical Technology and Capabilities
The PBMC Health continuum of care includes the region’s top community hospital, Peconic Bay Medical Center—rated in the top three hospitals in all of New York State for patient safety—as well as leading edge home care, skilled nursing, laboratory and rehabilitation facilities and a range of community-based primary care and specialist physician practices throughout Suffolk County.

PBMC Health Pelvic Floor Institute


A team of experts, specializing in bladder and bowel dysfunction

Affiliated with Peconic Bay Medical Center and supported by the entire PBMC Health continuum of care, the PBMC Health Pelvic Floor Institute offers a complete range of the most advanced diagnostic and treatment options available.

Staffed by a multi-disciplinary team of health care professionals each with advanced training and experience in treating bladder and bowel dysfunction, we offer you a comprehensive solution to your problem in a supportive setting to ensure you are completely comfortable at all times.

  • For Anorectal call 631-727-5065 to make an appointment with Dr. Brett Ruffo.
What is the "Pelvic Floor"?

It’s the network of muscles, ligaments and nerves that interconnect around your urethra, bladder, rectal area and, in women, vagina. Injury or strain to any part of your pelvic floor area can cause a variety of health issues, including urinary and bowel incontinence, constipation, hernias, pelvic organ prolapse and pelvic pain.

What causes Incontinence?

Incontinence is an involuntary loss of bladder or bowel control. It can be caused by injuries to the pelvic region or spinal cord, infection, pelvic surgery, neurological or other diseases such as diabetes, multiple sclerosis or poliomyelitis, as well as by birth defects or degenerative changes to the body. It can also follow pregnancy or childbirth.

Any of these issues can damage the muscles, ligaments and nerves of the pelvic floor. When this occurs, it can become difficult or impossible to control urine and bowel movements.

What causes Constipation?

Constipation affects millions of people, and as with incontinence, there can be a range of causes including low fiber diet, Irritable Bowel Syndrome, problems with the colon and rectum, as well as neurologic, endocrine and systemic disorders.

Can they be treated successfully? YES!

In the past, many people who suffered from these conditions would not seek help because they were embarrassed to talk about their problems, or thought they were normal symptoms of aging. Today, thanks to advances in diagnosis and treatment methods, thousands of patients are experiencing complete cures or significant improvements to their conditions.

Diagnostic Screenings

Our staff of experienced physicians, nurse practitioners and therapists will take a thorough history of your symptoms to begin a comprehensive assessment of your condition and its causes. Supported by the advanced technology of Peconic Bay Medical Center, the Pelvic Floor Institute’s diagnostic procedures can include:

  • Urodynamics
  • Anorectal manometry
  • Electrophysiological (EMG) studies, including pudendal nerve terminal motor latency (PNTML)
  • Transanal ultrasound
Treatment Options

From simple diet and exercise plans to the most advanced minimally invasive robotic surgical techniques, our board-certified physicians and support staff will work with you to provide the most effective treatment plan to help cure or improve your problem.

  • Diet and medication
  • Pelvic floor exercises
  • Biofeedback
  • Minimally invasive robotic surgery
  • Behavoral therapy
  • Supportive measures

For more information, or to schedule a private, confidential consultation, call today: 631-727-5065

The PBMC Health Pelvic Floor Institute

Part of the PBMC Health Continuum of Care

Located just off the Long Island Expressway, at 496 County Rd 111, Building B, Manorville.

Convenient Outpatient Therapy Location

Fully integrated into our program, the state-of-the-art Peconic Bay Outpatient Therapy and Rehabilitation Center at 64 Commerce Drive, Riverhead.