Urogynecology is one of medicine's most under-explained subspecialties. Patients are often referred without ever being told what it means. Here is what it actually is — and why fellowship training matters for what you're dealing with.
Urogynecology, the subspecialty formally certified as Urogynecology and Reconstructive Pelvic Surgery (U.R.P.S.), is a recognized medical subspecialty requiring an additional three years of fellowship training beyond OB/GYN residency. The training is dedicated entirely to the pelvic floor: bladder function, bowel function, vaginal support, pelvic pain, and the surgical and non-surgical care of these conditions.
The reason this matters: most pelvic floor disorders involve more than one system at once. A patient with prolapse very often has incontinence. A patient with chronic pelvic pain often has pelvic floor muscle dysfunction. A urogynecologist sees these connections every week — and that is fundamentally different from a general OB/GYN seeing pelvic complaints occasionally.
What Urogynecology Treats
Stress, urge, and mixed types. Non-surgical first.
Learn moreCystocele, rectocele, uterine, and vault prolapse.
Learn moreTiered, well-studied treatment for urgency and frequency.
Learn moreOne of medicine's most under-discussed — and treatable — conditions.
Learn moreMulti-system evaluation and coordinated care.
Learn moreThe umbrella, organized by system.
Learn moreOur Approach
A real conversation about all three systems, bladder, bowel, support, even if you came in for one, with no clock-watching.
Urodynamic testing, anorectal manometry, in-office cystoscopy where indicated. No extra appointments at a separate facility.
You see Dr. Johnson. Not a rotating panel. The same physician evaluates, plans, performs, and follows up.
Most urogynecologic conditions respond beautifully to physical therapy, behavioral retraining, pessary support, and in-office procedures — long before surgery enters the conversation.
If you have been told a pelvic symptom is “just part of aging” or “part of childbirth,” or if you have been managing it on your own for years — a single visit will tell you whether there is something to be done. Almost always, there is.
