Pelvic Organ Prolapse Specialist

Prema Kothandaraman, MD

OB-GYN located in Arcadia, CA

Pelvic Organ Prolapse is a common occurrence in women. It affects up to 50% of women after the age of 50. Women with prolapse experience symptoms that impact common daily activities, sexual function, and exercise. The presence of prolapse can have a high negative impact on body image and sexuality. Dr. Prema is the only female Urogynecologist in the San Gabriel Valley specially trained to treat these conditions. View the life changing experiences from our patients who had gone through various treatment options in the Video Testimonials

Pelvic Organ Prolapse Q & A

What is Pelvic Organ Prolapse?

Pelvic organ prolapse is a hernia (bulging of an organ like uterus) of the pelvic organs through the vaginal opening. All of the pelvic organs (bladder, uterus, and rectum) are supported by a complex “hammock” of muscles, ligaments, and fibers that attach to the bony anatomy of the pelvis. Overtime, these muscles and tissue develop problems. Some women develop pelvic floor disorders following childbirth. And as women age, pelvic organ prolapse and other pelvic floor disorders become more common.

In severe cases of prolapse, patients commonly feel or see a “ball” or protrusion from the vagina. Usually, symptoms for a specific pelvic floor problems should prompt questioning for all other related pelvic organs as well.

What are the various types of Pelvic Organ Prolapse?

Depending on where the weakness in the pelvic floor occurs, it may affect one or multiple organs of the pelvis. Weakness of the front side vaginal wall near the bladder results in a cystocele, often called a dropped bladder. An enterocele refers to a weak spot in the vaginal ceiling causing uterine prolapse. Defects of the backside vaginal wall near the rectum results in a rectocele. Dr. Prema uses special techniques to identify the correct type or types of prolapse and offer the best, effective treatment.

What are the various treatment options available?

At Prema Kothandaraman M.D, custom treatment solutions are available based on the symptoms and diagnosis.  The individual patient’s comfort level, desires, life styles and other personal factors allow Dr. prema to decide the best option for everyone on an individual basis.

Depending upon the severity one or more of the following treatment options are available:

Behavioral modifications

Muscle Excercises


Pelvic floor simulation

Surgical treatments.

Dr. Prema Kothandaraman is the leading Urogynecological surgeon in the San Gabriel Valley. She is the most sought after surgeon for these types of surgeries in the Huntington Memorial Hospital.

Insurance Plans

If you don’t see your insurance company listed above, please check with the office, since we might be still contracted with them without being listed here. Uninsured? Under-insured? Can’t afford private Insurance Plans? We have several options if you are un-insured, under-insured or cannot afford private Insurance. The doctor can provide service on a cash basis with payment plans. Contact the office for fee schedule. For cash patients we offer two monthly installment payment options with Care Credit and Lending USA. We outsource our billing service. Please contact them at 818-265-308.

Anthem Blue Cross
Blue Shield
EHS Medical Group
Greater Covina Medical Group Inc.
HealthCare Partners
Imperial Health Holdings
Lending USA
Preferred IPA of CA
Primary Care Associates of CA
Regal Medical Group