Robotic Pelvic Floor Surgery

← Return to Female Urinary Incontinence

Advanced robot-assisted minimally invasive reconstruction for pelvic organ prolapse, bladder prolapse, and selected complex pelvic floor conditions.

Dr. Mariana Bubucea specializes in minimally invasive and robot-assisted pelvic reconstructive surgery. These procedures are performed at Memorial Hospital Miramar after a complete surgical evaluation and individualized preparation plan.

Conditions That May Be Treated

Pelvic organ prolapse
Bladder prolapse (cystocele)
Uterine prolapse
Vaginal vault prolapse
Complex or recurrent pelvic floor support problems
Urinary symptoms occurring together with prolapse

Robotic Surgery Compared With Open Abdominal Surgery

Robot-assisted surgery allows Dr. Bubucea to perform selected pelvic reconstructive procedures through several small incisions rather than the larger abdominal incision used in traditional open surgery. The surgeon controls every movement of the robotic instruments throughout the procedure.

For appropriately selected patients, potential advantages compared with open abdominal surgery may include:

Smaller incisions and less visible scarring
Minimal blood loss
Less postoperative pain
Shorter hospital stay
Lower risk of some wound-related complications
Faster recovery and less downtime
Earlier return to work and normal daily activities

Recovery is individual, and no surgical procedure is completely without downtime. The exact benefits, risks, restrictions, and expected recovery depend on the procedure performed and your overall health.

Your First Step: Surgical Consultation in Hallandale Beach

Before an operation can be scheduled, you must first make an appointment with Dr. Mariana Bubucea at our Hallandale Beach clinic. During the consultation, Dr. Bubucea will:

Review your symptoms, medical history, and previous treatments or operations
Perform a pelvic examination and evaluate the degree of prolapse
Assess urinary leakage and the severity and type of incontinence
Perform or order appropriate bladder and pelvic floor testing
Determine whether robotic surgery is the right treatment for you
Explain the procedure, alternatives, risks, hospital course, and expected recovery

Not every urinary incontinence procedure requires robotic assistance. Pelvic floor therapy, urethral bulking, and many sling procedures are performed without robotic surgery. Robotic reconstruction is generally considered when prolapse or a more complex pelvic support problem requires an abdominal minimally invasive approach.

Where Is Surgery Performed?

Dr. Bubucea performs these operations at Memorial Hospital Miramar located 1901 SW 172nd Avenue in Miramar, Florida. Hospital scheduling, insurance authorization, preoperative testing, and medical readiness must be completed before the surgical date can be finalized.

Plan Your Surgery in Advance

Please begin planning your operation early. Surgery is generally scheduled one to two months in advance and may require additional time. A longer preparation period may be necessary if an infection must be treated, a medical condition needs to be stabilized, additional testing is required, or the body needs more time to be medically optimized before surgery.

Completing all requested testing and obtaining the required medical documentation on time is the patient’s responsibility. Delays in laboratory results, medical clearance, insurance authorization, or treatment of an infection may require the operation to be postponed or rescheduled.

Medical Clearance and Preoperative Testing

Patients younger than 50 generally may not need a separate medical clearance from a primary care physician unless it is requested because of their medical history, symptoms, medications, planned procedure, anesthesia requirements, or hospital protocol.

Patients age 50 and older are generally required to obtain medical clearance from their primary care physician and complete the following preoperative evaluation:

CBC — Complete Blood Count
CMP — Comprehensive Metabolic Panel
PT, PTT, and INR — coagulation studies
Urinalysis
Urine culture and sensitivity (Urine C&S)
Urine hCG pregnancy test, when applicable
Type and Screen
EKG
Chest X-ray (CXR)

Written medical clearance from the primary care physician

Important: These are general preparation requirements. Dr. Bubucea, the anesthesiology team, or Memorial Hospital Miramar may request additional or different testing based on your age, health, medications, and the planned procedure. Do not complete testing too early without instructions, because some results must fall within a specific time window before surgery.

Recovery and Return to Daily Life

Many patients undergoing minimally invasive robot-assisted surgery recover faster than after a traditional open abdominal procedure and can return to their work schedule and daily life sooner. Your individual timeline will depend on the reconstruction performed, your health, and the physical demands of your job.

You will receive personalized instructions regarding walking, driving, lifting, exercise, work, travel, and sexual activity. Following these restrictions is essential even when you feel well, because internal tissues need time to heal.

Frequently Asked Questions

Do I need medical clearance if I am under 50?

Not always. Patients younger than 50 generally may not require separate PCP clearance, but it may still be requested based on medical history, medications, anesthesia needs, or hospital requirements.

How far in advance should I plan surgery?

Most operations should be planned at least one to two months in advance. More time may be needed for testing, insurance authorization, infection treatment, or medical optimization.

Will I have no downtime?

Robot-assisted surgery usually involves less downtime than open abdominal surgery, but it is still a major operation. Every patient needs a recovery period and must follow postoperative restrictions.

Can I return to work quickly?

Many patients return to work and normal routines sooner than after open surgery. Dr. Bubucea will give you an individualized timeline based on your procedure and the physical demands of your work.

For related treatment options, visit Minimally Invasive Incontinence Surgery.