Physicians completing residency training in the medical specialty of Obstetrics and Gynecology can elect to sub-specialize by extending their 4 years of initial training by completing a fellowship. For example, completing a fellowship in the treatment of female pelvic cancers allows a physician to become a Gynecologic Oncologist. The other sub-specialty traditionally available to OB/GYN physicians is in the care of women with high-risk pregnancies, called Maternal Fetal Medicine.
The most recent sub-specialty to evolve is Urogynecology. This involves a 3-year training program in the evaluation and management of pelvic floor disorders. Examples include problems with bladder control (i.e. leakage) and problems with weakening of pelvic supports where the uterus, bladder and/or rectum can “drop” (i.e. descend or prolapse). While these problems have traditionally been cared for by general Gynecologists, this sub-specialty has developed as our understanding has grown regarding the complexity of these problems. Additionally, with the aging population larger and more active than ever, the need for Urogynecological solutions are increasing. We are faced with the fact that older and more traditional approaches to treatment have simply become inadequate.
Because Urogynecology is a newer sub-specialty, there are relatively few academically-trained Urogynecologists around. This is just one reason why we are so proud to have Dr. Deeptha Sastry, a fellowship-trained Urogynecologist, on our staff.