Make An Appointment

Urogynecology What is it? Some Quick Facts

October 2, 2023

Urogynecology, a surgical subspecialty of gynecology and urology, specializes in treating problems with the female pelvic floor.

The American Urogynecologic Society states that “the pelvic floor is a set of muscles, ligaments and connective tissue in the lowest part of the pelvis that provides support for a woman’s internal organs, including the bowel, bladder, uterus, vagina and rectum.”

Among the problems of the female pelvic floor are fecal incontinence, organ prolapse, stress urinary incontinence, and overactive bladder.

After graduating from medical school, a physician must complete a residency in either obstetrics and gynecology OR urology before becoming a urogynecologist. The doctor will next undergo additional training and certification in reconstructive surgery and female pelvic medicine. These fellowship programs, which normally run two to three years, give the doctor extra knowledge.

Table of content

● Problems related to Urogynecology.
● Signs and Symptoms
● Seeking doctor

What are the Problems related to Urogynecology?

Urogynecology problems like incontinence or discomfort during sex may be greatly reduced or eliminated with therapy. To help you get back to living life to the fullest, you and your medical team will collaborate to identify the optimum therapy or treatment combination.

Non-operative therapies

● Injections for urine leakage and incontinence: Bulking substances can be used to treat stress incontinence. Urge incontinence or overactive bladder can be treated with injections of the Botulinum toxin. Both procedures can be performed in-office or as an outpatient by using a local anesthetic.

● Medications: Medication may be used to treat some illnesses and incontinence problems.

● Nervous system stimulation: Nerve stimulation similar to acupuncture may be used to treat overactive bladder.
● Kegel exercises, commonly referred to as prolapse exercises, which strengthen the pelvic floor muscles, may help with some of the symptoms of the illness. In these exercises, the pelvic muscles are contracted and relaxed. They are unable to fix more severe prolapses, even if they might help with some symptoms.

Treatment that Needs Surgery

Procedures for Prolapse

These techniques strengthen the pelvic floor while repairing the prolapse. There are numerous treatments available for prolapsed organs. The options include

● construction of a new vagina

● Small intestinal or rectal support

● The support of the sphincter

● Uterus-removing surgery

● an operation to regain bladder control

Having incontinence surgery

Surgery might be a viable approach to treat incontinence brought on by bladder pressure.

● Techniques for slings: A hammock or possibly your muscle supports the urethra.

● An artificial bladder pacemaker: An implanted device may be used to treat urine incontinence and overactive bladder.


Pelvic organ prolapse is a disorder when one or more pelvic organs slide into the vagina. The uterus, colon, bladder, or vaginal apex are all potential suspects. Do not become alarmed if an incontinence prolapse is causing you pain and suffering. Usually, strengthening the pelvic floor muscles and making lifestyle changes are enough to reduce symptoms, but occasionally, medical intervention is necessary.

Urinary Incontinence

Urinary incontinence, or the inability to control one’s urine, affects many people. The degree of urgency might range from the infrequent leakage of urine when you sneeze or cough to the sudden, intense urge to urinate that causes you to miss the bathroom.

Although urinary incontinence is becoming more prevalent as people age, it is not a given. If your daily activities are being affected by urine incontinence, speak with your doctor. The majority of the time, the symptoms of urinary incontinence can be addressed with simple dietary and activity modifications or by seeing a doctor.

Pelvic Augmentation

Pelvic organ prolapse is the term used to describe the prolapse of the pelvic organs when the pelvic floor tissues are torn or destroyed, which happens frequently after delivery. Surgery, extended illness, or recurrent heavy lifting could possibly be to fault. A procedure called pelvic reconstruction uses many techniques to fix the prolapse.

What Signs Might a Woman Have That a Urogynecologist Should Examine?

Women often feel uncomfortable discussing their pelvic floor issues with their doctors because of the symptoms they encounter. In this situation, it makes sense to consult with a professional who has received specialized training to assist with these feminine concerns.

It’s possible for symptoms to appear gradually and worsen over time. Women may encounter the following signs:

● a problem entirely emptying the bladder or urinating

● When you laugh, exercise, or cough, urine leaks.

● Need to urinate immediately

● Urinary tract infections frequently

● A lump on the genital wall

● pulling or discomfort in the cervix

Frequently, these symptoms will get worse at night or right after a bowel movement.

A Pelvic Floor Disorder: What Is It?

The bladder, uterus, vagina, and rectum are all supported by the pelvic floor in women. It is supported by the nearby muscles, ligaments, connective tissues, and nerves. These tissues and muscles support the body parts in carrying out their specific functions.

The structures that hold various body components in place are frequently referred to as the sling or hammock. The bladder, uterus, vagina, and rectum are all affected by the bladder, uterus, vagina, and rectum when these supports are damaged or compromised. The fundamental problem with the pelvic floor is this.

Fecal incontinence, urine incontinence, or prolapse of the pelvic organs are the three most prevalent pelvic floor disorders.

What Leads to a Prolapse and Why?

One of the varieties of pelvic prolapse can occur for a number of different reasons.

A woman who vaginally delivers a baby may have prolapse issues. Births by C-section can also result in a prolapse. Multiple pregnancies increase a woman’s likelihood of developing this illness.

Smoking, genetics, and other factors can all affect the problem. It could be troublesome if a lady experiences persistent constipation or a persistent cough.

The age of the person is one of the main causes. Women who are past childbearing age frequently have a higher risk of pelvic floor rips or weakness.

When to See a Doctor

If you encounter any of the above-mentioned diseases or symptoms, as well as other symptoms like:

● An obvious protrusion or bulging in the vagina

● Feelings of fullness, heaviness, tugging, or pain in the vagina, particularly at night or when passing stool

● Having trouble urinating or completely emptying your bladder

● when you cough, laugh, or move quickly causes incontinence

● frequent and urgent urination needs

● having frequent urinary tract infections


All about Urinary Incontinence: Symptoms, Causes & Prevention

Urinary incontinence, or the inability to control one's bladder, is a frequent and frequently embarrassing issue. The intensity can range from occasionally dribbling pee when you cough or sneeze to having a sudden, intense urge to urinate that prevents you from...

All about Pelvic Organ prolapse: Symptoms, Causes and Treatment

Pelvic organ prolapse, a disorder in which one or more pelvic organs droop or sag out of place, affects more than 40% of women. Your uterus, bladder, bowel, vagina, urethra, and rectum are all considered to be pelvic organs. As the prolapse develops, these organs may...

7 Unknown Symptoms of Uterine Fibroids: Here’s what to Know

Uterine fibroids can occur in a lot of people at some point in their lives. But because they frequently have no symptoms, you might not even be aware that you have them. During a pelvic exam or pregnancy ultrasound, your doctor can by chance discover fibroids....

What are the difference between Gynecologist and Urogynecologist?

When female concerns develop, it can be difficult to know who to turn to for assistance. We normally consult a gynecologist for day-to-day issues such as menstruation, fertility, birth control, and the overall health of our vagina. As a woman, addressing challenges...

Menstrual Disorders

Menstrual periods usually last four to seven days. Periods that are less than 21 days between or more than 35 days apart, skipping three or more periods in a row, and menstrual flow that is substantially thicker or lighter than usual are all examples of menstrual...

Pelvic Floor Prolapse

A pelvic organ prolapse is a form of pelvic floor problem that affects around 3% of women in the United States. Some women suffer from many pelvic floor disorders. Pelvic organ prolapse occurs when the muscles and tissues that support the pelvic organs (uterus,...

Pelvic Pain

Pelvic pain can be felt in the lower abdomen. The discomfort might be abrupt and severe (acute pelvic pain) or linger for 6 months or longer.  Pelvic pain can be a sign of infection or it can be caused by pain in the pelvic bone or non-reproductive organs like the...

What are the procedures in Urogynaecology Surgery?

There's no need to suffer in silence if anyone has a pelvic or bladder problem. The urogynaecology group's doctors offer thorough and compassionate care that is customized to each patient's condition. The treatment approach will be determined by the nature and source...

Why do women require the services of both a gynecologist and a urogynecologist?

When it comes to female concerns, it can be difficult to know where to turn for support. For day-to-day issues including menses, fertility, birth control, and the overall health of our vagina, we usually consult a gynecologist. But what if we have a problem that...

What is The Role of a Urogynecologist?

Urogynecologists deal with problems involving the pelvic floor and bladder. Overactive bladders, weak pelvic muscles, reproductive difficulties, and bladder or rectal incontinence are all examples of this (the loss of control when going to the bathroom). Patients are...

If you have questions regarding any of the above you have seen Or if you have any issues. Please contact us, a representative will be able to assist you.

Related Articles