Board-Certified · FPMRS
Subspecialty · South Miami
Female Pelvic Medicine &
Reconstructive Surgery
Dr. Sepulveda offers specialized surgical and diagnostic care for pelvic floor disorders — from prolapse and
incontinence to complex reconstructive procedures — with over 25 years of dedicated experience.
Prolapse & Reconstructive Surgery
Enterocele & Vault Prolapse Repair
Repair of apical prolapse defects, including post-hysterectomy vaginal vault prolapse.
Salpingectomy at Hysterectomy
Prophylactic removal of fallopian tubes to reduce ovarian cancer risk during hysterectomy.
Cystocele Repair
Surgical repair of the bladder-side vaginal wall to correct bulge, difficulty urinating, and leakage.
Rectocele Repair
Repairs the tissue separating the vagina and rectum — resolving bulge and difficult defecation.
Vaginal Hysterectomy
Uterus removal through the vagina — no abdominal incision. Standard treatment for uterine prolapse.
Fistula Repair
Surgical correction of vesicovaginal and rectovaginal fistulas — 25 years of specialized experience.
Urinary Incontinence & Bladder
Interstitial Cystitis
Multimodal management of chronic bladder pain per American Urological Association guidelines.
Complex Urodynamic Testing
20+ years of in-office urodynamic studies — 10,000+ tests performed. Painless, no downtime.
Office Cystoscopy
In-office bladder and urethra evaluation — no anesthesia needed, no downtime.
Midurethral Slings
Gold-standard surgical treatment for stress urinary incontinence — over 85% cure rate at 17 years.
Recurrent UTI Management
Comprehensive approach to chronic urinary tract infections — lifestyle, suppression, and targeted treatment.
Implant Revision Surgery
Expert revision of continence and prolapse implants — one of the largest world experiences with continence devices.
Pelvic Pain & Diagnostics
Vulvodynia Treatment
Multimodal care for chronic vulvar pain — physical therapy, pain modulators, and local treatments.
Painful Intercourse (Dyspareunia)
Diagnosis and treatment of painful intercourse — addressing hormonal, surgical, and structural causes.
Anorectal Physiology Testing
Evaluation of defecatory dysfunction, constipation, and sphincter function — in-office, no downtime.
3D Pelvic Floor Ultrasound
High-resolution imaging for musculoskeletal and implant assessment — in-office, no downtime.
Episiotomy Repair & Revision
Surgical revision of painful episiotomy scars — with PRP to promote optimal healing.
