Pelvic floor problems are common, yet many women wait years before asking for help. Pressure in the vagina, leaking urine, a bulge that was not there before, or pain that will not settle can all point to a pelvic floor disorder. The good news is that California has some of the strongest pelvic medicine programs in the country, and effective treatment exists.
This guide covers ten of the leading urogynecology centers in California, what makes each one stand out, and how to choose the right team for your needs. If you already know you want expert advice, you can book an appointment with California Urogynecology Center today.
What Is Urogynecology and Who Needs It?
Urogynecology, formally called Female Pelvic Medicine and Reconstructive Surgery, is the subspecialty that treats conditions of the pelvic floor. A urogynecologist completes residency in obstetrics and gynecology or urology, then trains further in pelvic floor disorders and reconstructive surgery.
You may benefit from a urogynecology visit if you have:
- A feeling of heaviness or a bulge in the vagina, which can signal pelvic organ prolapse
- Leaking when you cough, laugh, or exercise, or a sudden urge you cannot control
- Frequent urination, incomplete emptying, or recurrent bladder infections
- Accidental bowel leakage or trouble with bowel movements
- Pelvic pain or discomfort during intimacy
- Symptoms that returned after a previous repair
Not sure where you fit? Contact our team and we will point you in the right direction.
How This List Was Built
This is an editorial list, not an official ranking. No single agency ranks urogynecology programs, so we weighed five things: subspecialty training, teamwork between urology and gynecology, the range of nonsurgical and surgical options, public recognition, and how easy it is for patients to get care. Hospital rankings usually cover broad fields such as obstetrics and gynecology, so confirm that a center offers the exact pelvic floor service you need before you book.
The 10 Urogynecology Centers in California
1. California Urogynecology Center (Riverside and Pomona)
Best for: personalized, surgeon-led care from first visit to recovery
Dr. Bilal Kaaki leads this practice with more than 20 years of experience. He has performed over 5,000 pelvic reconstructive surgeries and 3,000 robotic laparoscopic procedures, and his research centers on neuromodulation for overactive bladder and urgency incontinence. The center was also recognized with a BusinessRate Best of 2026 award.
Patients receive care for uterine prolapse, bladder prolapse, rectal prolapse, stress incontinence, urgency incontinence, menopause, and sexual wellness. The team also treats complex problems such as vesicovaginal and rectovaginal fistulas.
Take the next step: Schedule a consultation at the Riverside or Pomona office.
2. UCLA Center for Women’s Pelvic Health (Los Angeles)
Best for: coordinated care between urology and gynecology
This center unites urologists and urogynecologists who focus on female pelvic medicine and reconstructive surgery. Its doctors are board certified in urology or obstetrics and gynecology, with added certification in the pelvic subspecialty. Patients with layered problems, such as prolapse plus bladder dysfunction, often value having both specialties in one program.
3. UC San Diego Women’s Pelvic Medicine Center (San Diego)
Best for: academic care in Southern California
The clinic describes itself as the first multidisciplinary center in the San Diego region for incontinence and prolapse care. UC San Diego Health also placed in the national top 10 for obstetrics and gynecology in the 2025-2026 U.S. News survey. A university setting means access to newer techniques and clinical research.
4. UCSF Health Women’s Bladder and Pelvic Health (San Francisco)
Best for: Bay Area patients who want treatment tailored to personal goals
Specialists here hold advanced training in female pelvic medicine, urology, and reconstructive surgery, and they shape recommendations around what you feel comfortable with. In-office care includes pelvic floor physical therapy and bladder treatments, so surgery is not the only path.
5. Keck Medicine of USC (Los Angeles)
Best for: complex or recurrent cases
USC trains fellows in urogynecology and reconstructive pelvic surgery, and its faculty includes recognized experts in female pelvic reconstructive urology. Patients whose symptoms returned after a first repair may find this depth of experience helpful.
6. UC Irvine Health (Orange County)
Best for: a wide menu of treatment techniques
The UCI training program has described exposure to robotic, laparoscopic, vaginal, and open prolapse surgery, along with sacral nerve modulation and pelvic floor physical therapy. That range suits women who want to compare several approaches before deciding.
7. Harbor-UCLA Medical Center (Torrance)
Best for: South Bay residents seeking a dedicated pelvic division
Harbor-UCLA operates a division devoted to Female Pelvic Medicine and Reconstructive Surgery. It is a practical option for patients in Los Angeles County who prefer care close to home.
8. Kaiser Permanente (Northern and Southern California)
Best for: members who want pelvic care inside their own plan
Kaiser Permanente in Northern California runs a female pelvic medicine fellowship and has named a regional chief for the specialty. Medical centers such as Santa Clara treat urogynecology as a gynecology subspecialty focused on pelvic floor problems. Access is mainly for members, so check your plan.
9. MemorialCare Long Beach Medical Center (Long Beach)
Best for: a nationally recognized women’s health hospital
The hospital has ranked among the top hospitals in the country for obstetrics and gynecology. That recognition covers the broader specialty, so ask directly about pelvic floor and reconstructive services when you call.
10. Naval Medical Center San Diego (San Diego)
Best for: military families
The clinic provides urogynecology and reconstructive pelvic surgery for conditions such as incontinence, overactive bladder, and prolapse. Care is generally open to TRICARE beneficiaries.
What Sets a Great Urogynecology Center Apart
A Surgeon Focused on the Pelvic Floor
Look for board certification in Female Pelvic Medicine and Reconstructive Surgery. A surgeon who does this work every week tends to bring sharper judgment and steadier results.
Honest Talk About Nonsurgical Options
The best centers explain conservative care first, including pelvic floor therapy, medication, and support devices. Our guide to non-surgical treatments vs surgery for prolapse shows what that conversation should include.
Clear Information About Surgery
You deserve plain answers about risks, benefits, and recovery. Before you decide, read about mesh vs native tissue repair, the success rate of pelvic organ prolapse surgery, and whether prolapse surgery is safe.
Support After the Operation
Healing continues long after you leave the operating room. A strong center gives you a written recovery plan and a way to reach the team. Our articles on what to expect after prolapse surgery and pain management after surgery show what good follow-up looks like.
Care for the Whole Woman
Pelvic symptoms often connect with hormones, intimacy, and bowel health. A practice that also handles menopause and a sexual dysfunction consultation can treat the full picture in one place.
Questions to Bring to Your First Appointment
- How often do you treat my condition?
- Which nonsurgical options should I try first?
- If surgery is needed, which technique do you recommend, and why?
- What are the realistic success and recurrence rates?
- What does recovery involve, and when can I return to work and exercise?
- Who do I call if I have a concern after hours?
Write these down and bring them along. A caring specialist will welcome every one.
Frequently Asked Questions
How is a urogynecologist different from a gynecologist?
A urogynecologist completes extra training in pelvic floor disorders and reconstructive surgery. A general gynecologist covers a wider range of women’s health needs.
Do I need a referral to see a urogynecology specialist?
Some insurance plans require one, while many clinics accept direct appointments. Check with your insurer, or call the office to ask.
Is prolapse always treated with surgery?
No. Mild cases often improve with pelvic floor exercises, lifestyle changes, or a support device. Surgery is usually considered when symptoms are bothersome or other treatments have not helped.
Can leaking urine be fixed without surgery?
Often, yes. Bladder training, physical therapy, medication, and neuromodulation can all reduce symptoms. Our page on urinary incontinence explains the options.
How soon should I get help?
Sooner is better. Early treatment can prevent symptoms from worsening and often opens up simpler options.
Take the First Step Toward Relief
You do not have to live with pressure, leaks, or pain. Whichever center you choose, the most important move is to book that first visit.
If you live in the Inland Empire or greater Los Angeles area, Dr. Kaaki and the team at California Urogynecology Center are ready to help. Read about the surgeon on the Our Provider page, explore all of our services, or call us 9519001201 with your questions.
Ready to feel like yourself again? Book your appointment now at our Riverside or Pomona office.