A urogynecologist is an obstetrician/gynecologist who specializes in women's urology and pelvic problems. Some common disorders treated by a urogynecologist include:

• Incontinence: leakage of urine
• Prolapse: dropping down of the organs adjacent to the vagina (bladder, uterus or rectum)
• Incomplete bladder emptying
• Overactive Bladder: sudden urge to urinate (gotta go, gotta, go)

Urogynecologist have completed a four-year OB/GYN residency followed by additional years of specialized training, called a fellowship, in Female Pelvic Medicine/Reconstructive Surgery.

Stated simply fellowship training is subspecialization training. If you have visited a cardiologist, endocrinologist, gastroenterologist, or rheumatologist then you have seen a fellowship-trained internal medicine doctor. Another example is a cardiothoracic surgeon who is a fellowship-trained general surgeon. The specialty of obstetrics and gynecology has four subspecialty fellowships:

• Maternal-Fetal Medicine
• Gynecologic Oncology
• Infertility
• Female Pelvic Medicine/Reconstructive Surgery

And while some obstetrician-gynecologists may dabble in urogynecology they do not possess the additional years of formalized subspecialty training and as such may be inadequately prepared and/or skilled to provide appropriate care for women suffering from pelvic floor dysfunction. When surgery is an option, the best chance for long-term success is with the initial procedure; so it is important to seek expert evaluation from the beginning.