What Is Urogynecology?
Urogynecology is a subspecialty that sits at the intersection of gynaecology and urology, focused on diagnosing and treating conditions that affect the pelvic floor — the group of muscles, ligaments, and connective tissues that support the bladder, uterus, and rectum. Pelvic floor disorders are extremely common, affecting up to one in three women at some point in their lives, yet they remain significantly underdiagnosed because many women are reluctant to discuss their symptoms or assume that leakage, prolapse, or pelvic pain are simply normal consequences of aging or childbirth.
At THE FIT CLINIC Bangkok, our specialist doctors offer comprehensive urogynecological care in a private, confidential, and compassionate environment.
Common Conditions Treated
Our urogynecology service addresses stress urinary incontinence — the involuntary leakage of urine during activities such as coughing, sneezing, laughing, or exercise; urgency urinary incontinence, characterised by a sudden, compelling need to urinate that is difficult to defer; pelvic organ prolapse, in which the bladder, uterus, or rectum descend into or beyond the vaginal walls due to weakened support structures; recurrent urinary tract infections; and overactive bladder, which causes frequent urination and urgency without necessarily causing leakage. Many women experience more than one of these conditions simultaneously, particularly following childbirth or in perimenopause.
Non-Surgical Treatment Options
Many pelvic floor conditions can be effectively managed without surgery. At THE FIT CLINIC, we offer pelvic floor rehabilitation and guided exercise programmes; BTL Emsella — a non-invasive electromagnetic chair treatment that performs thousands of pelvic floor contractions in a single 28-minute session to strengthen the entire pelvic floor; Empower RF intravaginal radiofrequency therapy; and lifestyle and dietary modifications that reduce bladder irritation. For cases where surgical intervention is appropriate, we work in close collaboration with partner surgical specialists and provide complete pre- and post-operative support.
When to See a Urogynecologist
You should consider consulting a pelvic floor specialist if you experience any leakage of urine during physical activity; a sensation of urgency that disrupts daily life; a feeling of heaviness, pressure, or bulging in the vaginal area; pelvic pain that persists without clear explanation; or difficulty emptying the bladder completely. These symptoms are not inevitable, and they are not something you have to simply accept. Early specialist evaluation almost always leads to better outcomes. Contact THE FIT CLINIC today to begin your assessment.