Urogynecology is a relatively new subspecialty of obstetrics and gynecology. It has grown out of need. Urogynecologists focus on the care of women with bladder issues and symptomatic pelvic floor relaxation.
For time immortal, there has been a need for therapies to treat the problems women face that are related to childbirth, aging, and the forces of gravity. When women go through pregnancy and vaginal delivery, the organs of the pelvis are stretched and rarely return to their pre-baby state. These effects are amplified by age, a genetic predisposition, and other medical conditions such as diabetes. When the uterus and vagina lose their normal support, they begin to fall. They can even fall outside of the vaginal opening. This phenomenon is called pelvic floor relaxation or prolapse. There are several different types of prolapse. [link to types of prolapse] For years, the best treatments doctors had to offer for these issues were exercises, open abdominal surgeries with large incisions and difficult recoveries, or the use of pessaries. Pessaries are devices that must be worn constantly to physically push the organs back up into the vagina and hold them in place.