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<p>Urogynecology is evolving from a&#xa0;marginal overlap between gynecology and urology into an independent, highly specialized field of pelvic floor reconstructive medicine. Driven by demographic change, technological innovation, and a&#xa0;broader concept of women’s health, prevention, refined diagnostics, and interdisciplinary care are moving to the center of clinical practice. Using the German working group AGUB (Arbeitsgemeinschaft für Urogynäkologie und plastische Beckenbodenrekonstruktion) as an example, the article illustrates how structured training and well-defined certification (AGUB&#xa0;I–III), dedicated pelvic floor centers, and guideline-based quality assurance improve care in German-speaking countries. While national efforts focus on standardization of diagnostics, treatment and structural quality, and guidelines, many international settings emphasize formal subspecialty fellowships. Perinatal pelvic floor protection, regenerative therapies, and systematic implant surveillance emerge as key future domains on the path towards life course-oriented, evidence-based pelvic floor medicine by 2030.</p>

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Urogynäkologie 2030 – von der Nische zur wichtigen Subspezialisierung

  • 期刊论文

  • 发表日期：

    2026年7月29日

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  • Miriam Deniz,
  • Markus Hübner

摘要

Urogynecology is evolving from a marginal overlap between gynecology and urology into an independent, highly specialized field of pelvic floor reconstructive medicine. Driven by demographic change, technological innovation, and a broader concept of women’s health, prevention, refined diagnostics, and interdisciplinary care are moving to the center of clinical practice. Using the German working group AGUB (Arbeitsgemeinschaft für Urogynäkologie und plastische Beckenbodenrekonstruktion) as an example, the article illustrates how structured training and well-defined certification (AGUB I–III), dedicated pelvic floor centers, and guideline-based quality assurance improve care in German-speaking countries. While national efforts focus on standardization of diagnostics, treatment and structural quality, and guidelines, many international settings emphasize formal subspecialty fellowships. Perinatal pelvic floor protection, regenerative therapies, and systematic implant surveillance emerge as key future domains on the path towards life course-oriented, evidence-based pelvic floor medicine by 2030.