Dr. Ryan Stewart, DO
Ryan Stewart, DO
Fellowship-Trained Urogynecologist
Urogynecology & Reconstructive Pelvic Surgery
Green Bay, Wisconsin
✓ Medically reviewed May 14, 2026

What is a urogynecologist?

A urogynecologist is a physician who specializes in pelvic floor disorders. After medical school and residency, we complete an additional fellowship focused on diagnosing and treating these conditions. That means either a 3-year fellowship after an OB/GYN residency or a 2-year fellowship after a urology residency. This extra training makes urogynecologists the most deeply trained specialists for conditions like urinary incontinence, pelvic organ prolapse, and overactive bladder.

What sets them apart

That fellowship training gives urogynecologists expertise in:

  • All types of urinary incontinence, including stress, urge, mixed, and complex cases
  • Pelvic organ prolapse, from non-surgical treatment to advanced surgical repair
  • Overactive bladder, including therapies like Botox and sacral neuromodulation
  • Fecal incontinence and bowel control problems
  • Complex pelvic floor disorders where multiple issues overlap
  • Advanced pelvic surgery, including minimally invasive and robotic approaches
  • Bladder function testing (urodynamics)

Research shows this training matters. In a study of over 2,200 surgeries across 9 health systems, fellowship-trained urogynecologists performed more thorough pre-surgery evaluations and had fewer 30-day hospital readmissions than non-fellowship surgeons.

My fellowship at the University of Louisville was three years of intensive focus on the pelvic floor. Surgery, diagnostics, research, and patient care. That depth of training means I’ve seen the full spectrum of pelvic floor conditions and have the tools to address them.

When to see a urogynecologist

You might benefit from seeing a urogynecologist if:

  • You have bladder leakage that affects your daily life
  • You feel pressure, bulging, or heaviness in your pelvic area
  • You have urgency or frequency that hasn’t responded to treatment
  • Your OB/GYN has suggested a specialty referral for a pelvic floor condition
  • You need a surgical opinion for prolapse or incontinence
  • You’ve had previous pelvic surgery that hasn’t fully resolved your symptoms
  • You have overlapping pelvic floor symptoms

The consultation

A urogynecologist visit is similar to a gynecology visit. You’ll discuss your symptoms in detail and have a focused physical exam. Then we develop a treatment plan together, based on your goals and what matters most to you.

The word “doctor” comes from the Latin word “docere,” meaning “to teach.” I want every patient to leave understanding their condition better than when they arrived. When you understand what’s happening and why, you can make informed decisions about your care.

References

  1. Erekson EA, Whitcomb EL, Kamdar N, et al. Performance of perioperative tasks for women undergoing anti-incontinence surgery. Urogynecology. 2023. doi:10.1097/SPV.0000000000001392
  2. Tarnay CM, Ferzandi TR, Northington GM, et al. Information and guidance on the adoption of surgical innovation and technology in urogynecology. Urogynecology. 2023. doi:10.1097/SPV.0000000000001321

← Learn more about Urinary Incontinence


Frequently Asked Questions

How is a urogynecologist different from an OB/GYN? An OB/GYN completes a 4-year residency in general obstetrics and gynecology. A urogynecologist goes further, completing either a 3-year fellowship after an OB/GYN residency or a 2-year fellowship after a urology residency. That extra training is focused on pelvic floor disorders, incontinence, and reconstructive surgery.
Do I need a referral to see a urogynecologist? In most cases, no. Many urogynecologists accept self-referrals. Dr. Stewart welcomes patients directly — no referral is needed.
What conditions does a urogynecologist treat? Urogynecologists treat urinary incontinence, pelvic organ prolapse, overactive bladder, fecal incontinence, recurrent UTIs, vaginal fistulas, and other pelvic floor disorders. They offer both non-surgical and surgical treatments.

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The information provided is for educational purposes only and should not be considered medical advice. Always consult with a qualified healthcare professional for personalized medical guidance.

Page last modified: Mar 14 2026.