Personalized Evaluation and Treatment for Pelvic Organ Prolapse
Pelvic organ prolapse can affect comfort, bladder and bowel function, sexual health, physical activity, and overall quality of life. Because prolapse may involve different pelvic organs and can range from mild to advanced, effective Prolapse Management begins with a comprehensive evaluation and an individualized treatment plan.
At our Hallandale Beach practice, Dr. Mariana Bubucea provides comprehensive evaluation and treatment for women experiencing symptoms of pelvic organ prolapse, including uterine prolapse, bladder prolapse (cystocele), rectocele, and vaginal vault or apical prolapse.
The goal of your consultation is not simply to identify the presence of prolapse, but to understand which structures are affected, the degree of prolapse, how it is affecting your daily life, and which treatment options are most appropriate for you.
What Happens During Your Prolapse Consultation?
Your visit begins with a detailed conversation with Dr. Mariana Bubucea about your symptoms and concerns.
You may be asked about:
A sensation of pressure, heaviness, or fullness in the pelvis
A bulge or tissue protruding from the vagina
Urinary leakage or difficulty controlling urination
Frequent or urgent urination
Difficulty completely emptying the bladder
Recurrent urinary tract infections
Constipation or difficulty with bowel movements
The need to apply pressure or “splint” to complete a bowel movement
Discomfort during sexual activity
Previous pregnancies and vaginal deliveries
Previous pelvic or gynecologic surgeries
Menopause and hormonal changes
Your medical history and current medications
How your symptoms affect exercise, work, intimacy, and everyday activities
Understanding your personal experience is an important part of Prolapse Management. Two women with the same anatomical stage of prolapse may have very different symptoms and may therefore require different approaches to treatment.
Comprehensive Pelvic Floor Evaluation
A Pelvic Floor Evaluation begins with a detailed discussion of your symptoms, childbirth and surgical history, bladder and bowel function, sexual health, medical conditions, and treatment goals.
The examination may include:
Pelvic examination in different positions
Assessment of the vaginal walls, uterus, cervix, and vaginal apex
POP-Q prolapse measurements to objectively assess the degree of prolapse
Pelvic floor muscle assessment
Urinalysis or urine culture when indicated
Measurement of urine remaining after bladder emptying (post-void residual)
Cough stress testing to evaluate possible stress urinary incontinence
Urodynamic testing when clinically appropriate
Pelvic ultrasound or other imaging when additional evaluation is needed
This comprehensive evaluation helps determine which pelvic organs are involved, the stage of prolapse, whether urinary incontinence or other pelvic floor conditions are also present, and whether conservative treatment or surgery may provide the greatest benefit.
Understanding the Type and Stage of Prolapse
Pelvic organ prolapse occurs when the muscles, ligaments, and connective tissues supporting the pelvic organs become weakened or stretched.
Depending on the structures involved, Dr. Bubucea may identify:
Cystocele — Bladder Prolapse
The bladder descends toward or into the vaginal canal.
Rectocele — Posterior Vaginal Wall Prolapse
The rectum pushes against the posterior vaginal wall, sometimes contributing to difficulty with bowel movements.
Uterine Prolapse
The uterus descends from its normal position into the vaginal canal.
Apical or Vaginal Vault Prolapse
The upper portion of the vagina loses support and descends, which may occur particularly after hysterectomy.
Some women have more than one type of prolapse at the same time. Identifying all affected compartments is essential when developing an effective treatment strategy.
What Happens After Your Evaluation?
After completing your examination and reviewing any necessary diagnostic testing, Dr. Mariana Bubucea will discuss the findings with you and explain your available treatment options.
Treatment recommendations depend on several factors, including:
Type and stage of prolapse
Severity of your symptoms
Bladder and bowel function
Presence of urinary incontinence
Previous pelvic surgeries
Sexual activity and personal preferences
Menopausal status and tissue health
Overall medical condition
Your lifestyle and treatment goals
Not every woman with pelvic organ prolapse requires surgery.
The purpose of your consultation is to determine the least invasive and most appropriate treatment capable of addressing your symptoms and functional needs.
Conservative Prolapse Management
For mild or moderate prolapse, or for women who prefer to avoid or postpone surgery, conservative treatment may be appropriate.
Depending on your individual condition, Dr. Bubucea may discuss options such as:
Pelvic floor muscle rehabilitation
Lifestyle and activity modifications
Management of constipation and chronic straining
Treatment of chronic cough or other factors that increase abdominal pressure
Weight management when appropriate
Vaginal pessary support
Local vaginal therapy when clinically indicated
Ongoing monitoring and reassessment
Conservative management may help reduce symptoms and support pelvic floor function, particularly when prolapse is mild or surgery is not currently desired.
Surgical Prolapse Repair
When prolapse is advanced, significantly affects quality of life, or does not respond adequately to conservative treatment, Prolapse Repair may be considered.
The specific procedure depends on the location and severity of the prolapse and the individual patient's anatomy and goals.
Surgical options may include repair of the anterior or posterior vaginal wall, restoration of apical support, uterine or vaginal suspension procedures, and comprehensive Pelvic Floor Reconstruction when multiple areas of support are affected.
Whenever appropriate, Dr. Mariana Bubucea may consider minimally invasive approaches designed to restore pelvic anatomy while reducing surgical trauma and supporting recovery.
Robotic Pelvic Floor Surgery
For selected patients, Robotic Pelvic Floor Surgery may provide a minimally invasive option for treating certain forms of pelvic organ prolapse.
Robotic-assisted surgery allows the surgeon to work through small incisions with enhanced visualization and precise instrument control.
Depending on the patient's anatomy, previous surgeries, type of prolapse, and treatment goals, robotic techniques may be considered as part of a comprehensive Pelvic Floor Reconstruction or prolapse repair strategy.
Dr. Bubucea will explain whether a minimally invasive or robotic approach is appropriate for your particular condition after completing your evaluation.
Your Treatment Plan Is Individualized
There is no single treatment that is appropriate for every woman with pelvic organ prolapse.
Some patients may benefit from observation or pelvic floor therapy. Others may require additional bladder testing, pessary management, or surgical correction. Women with prolapse and urinary incontinence may require evaluation of both conditions before deciding on treatment.
Your consultation with Dr. Mariana Bubucea is designed to provide a clear understanding of:
What type of prolapse you have
How advanced it is
Which pelvic structures are affected
Whether bladder or bowel dysfunction is also present
Whether additional testing is recommended
Which conservative treatments may be appropriate
Whether Prolapse Repair should be considered
Whether minimally invasive or Robotic Pelvic Floor Surgery may be an option
Together, you and Dr. Bubucea can discuss the benefits, limitations, and expected outcomes of the available options and determine the treatment approach that best fits your health and personal goals.
Schedule a Pelvic Floor Evaluation
If you are experiencing vaginal pressure, pelvic heaviness, a vaginal bulge, difficulty emptying your bladder or bowels, urinary leakage, or other symptoms that may be related to pelvic organ prolapse, a comprehensive Pelvic Floor Evaluation can help determine the cause and appropriate next steps.
Schedule a consultation with Dr. Mariana Bubucea for personalized Prolapse Management and evaluation of conservative, minimally invasive, and surgical treatment options.
Dr. Mariana Bubucea, MD
2500 E Hallandale Beach Blvd, Suite 401
Hallandale Beach, FL 33009
4th Floor
Phone: 954-395-2585
Fax: 954-395-2584
Office Hours:
Monday–Friday: 9:00 AM–5:00 PM
Saturday–Sunday: Closed
Serving patients in Hallandale Beach, Aventura, Hollywood, Miami, Fort Lauderdale, and throughout South Florida.
Languages spoken: English, Russian, and Romanian.
Schedule your consultation today to discuss your symptoms, receive a comprehensive pelvic floor evaluation, and learn which treatment options may be right for you.