Minimally Invasive Incontinence Surgery

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Dr. Mariana Bubucea specializes in minimally invasive treatment for female stress urinary incontinence and related pelvic floor disorders.

Surgery may be considered when leakage is bothersome, the diagnosis is clear, and conservative care has not provided adequate relief—or when a patient prefers a procedural option after informed discussion. Not every woman with bladder leakage needs surgery.

Minimally Invasive Treatment Options

Urethral Bulking

A bulking agent is placed around the urethra to improve closure and reduce stress leakage. It can be appropriate for selected patients and may involve limited downtime, although results and the possible need for repeat treatment vary.

Midurethral Sling Procedures

A sling supports the urethra during coughing, sneezing, exercise, and lifting. Dr. Bubucea discusses expected benefits, alternatives, potential complications, and whether this procedure fits your anatomy, symptoms, and goals.

Combined Pelvic Floor Surgery

If urinary incontinence occurs with pelvic organ prolapse, treatment may need to address both bladder control and pelvic support. Selected reconstructive procedures may be performed with robot-assisted minimally invasive techniques. Learn about robotic pelvic floor surgery.

How Do I Prepare for Surgery?

Preparation is specific to the procedure and may include medical clearance, laboratory testing, medication instructions, fasting guidance, arranging transportation, and planning help at home. Do not stop prescription medications unless instructed by your surgical team. You will receive written instructions after your plan and facility are confirmed.

Where Will My Operation Be Performed?

The hospital or surgical facility depends on the procedure, medical needs, insurance authorization, and scheduling. The office will give you the confirmed location, arrival instructions, and facility contact information during surgical coordination.

How Long Is Recovery?

Recovery varies. An office-based bulking procedure may require minimal downtime, while sling or reconstructive surgery generally requires a longer period of activity restrictions. Driving, work, exercise, lifting, intercourse, and travel instructions depend on the procedure and your healing. Dr. Bubucea will provide a personalized timeline rather than a one-size-fits-all promise.

Insurance and Authorization

Coverage depends on your insurer, plan, diagnosis, procedure, facility, and authorization requirements. Our office can verify participation and help coordinate required authorization, but verification is not a guarantee of payment. Please visit the website’s Insurance page or contact the office with your insurance card.