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Gynecologic Care

Female Incontinence Treatments in San Francisco

Over 25 Years at Helping Women Who Experience Urinary & Fecal Incontinence


The Secca procedure is for fecal incontinence. It involves the delivery of radiofrequency energy to the muscle of the anal canal. Through the body’s natural response to collagen denaturization, the tissue contracts and muscle tone is improved. This is a minimally invasive procedure which takes no more than 30 minutes. Up to 84% of patients experienced a positive response to treatment with fewer side effects than with surgery. Clinical studies have shown durable improvement of symptoms over 5-years as well as significant improvement in quality-of-life scores.
Mederi Company provides this technology.

Bulking Agents for Urinary and Fecal Incontinence.

Urethral Bulking

Stress urinary incontinence can be from having a stiff open urethra that acts like a lead pipe rather than a sphincter. While urethral hammocks are used for this condition, urethral bulking may also be used. Several biocompatible materials have evolved in the market. Durasphere from Coloplast and Macroplastique from Uroplasty are two of the non- dissolvable options available to bulk of the urethral sphincter and decrease the caliber of the lumen. This allows the mucosal walls to coapt and acts like a road block to passive loss of urine, as well as, leaking from slightly higher pressures.


Bulking the anal canal to treat fecal incontinence. Biocompatible material is injected into the internal anal sphincter to help bulk up a weak or open sphincter. This decreases the lumen caliber and can help with accidents by up to 60%. This is also minimally invasive and can be done in the office. FDA approved 5/2011.