Austin Urogynecology

What Austin Urogynecology does

Austin Urogynecology is a single-location, private medical practice in Austin, Texas, founded in March 2010 by Dr. George Shashoua, MD. The practice specializes in female pelvic medicine and reconstructive surgery (urogynecology), treating conditions including pelvic organ prolapse (cystocele, rectocele, enterocele, uterine prolapse), stress urinary incontinence, perineal descent, bowel incontinence, labial hypertrophy, and clitoromegaly. It also delivers elective cosmetic procedures (labiaplasty, vaginal rejuvenation, clitoropexy) and bioidentical hormone replacement therapy via the SottoPelle pellet platform.

The core technology stack centers on the da Vinci robotic surgical system, used for minimally invasive sacrocolpopexy and sacrocolpoperineopexy procedures, complemented by mesh-based midurethral slings (TVT), traditional vaginal colporrhaphy, hysterectomy (robotic, abdominal, and vaginal approaches), and colpocleisis. The practice reports procedure volumes of 200+ midurethral slings annually, 150-260 sacrocolpoperineopexy procedures per year, and 150+ labiaplasties annually, with stated success rates above 90% for prolapse and incontinence procedures. A 2019 sister practice, Austin Labiaplasty and Vaginal Rejuvenation (ALVR), operates a separate brand for cash-pay elective procedures.

Revenue is generated through four streams: insurance-reimbursed surgical procedures (the primary line), in-office elective cosmetic procedures (cash-pay, with reduced cost from avoiding facility and anesthesia fees), clinical consultations including urodynamics, and recurring SottoPelle hormone replacement therapy on a 4-6 month pellet cycle. The practice operates with three clinical providers (Dr. Shashoua plus two nurse practitioners) and approximately six support staff across a single facility. Distribution relies on direct patient scheduling (phone and website), physician referrals, and online reputation channels (Google reviews, RealSelf 4.9/5, Healthgrades 5-star).

Name

Austin Urogynecology

Legal name

Austin Urogynecology

Website

https://austinurogynecology.com

Company type

Private

Founded year

2010

Operating status

Operating

Short description

Austin Urogynecology is a private Austin, Texas medical practice specializing in female pelvic medicine and reconstructive surgery, treating pelvic organ prolapse, urinary incontinence, and related conditions using da Vinci robotic surgery, midurethral slings, and elective cosmetic procedures.

Ownership category

akta.pro rank

Product category

Urogynecology and Pelvic Reconstructive Surgery Services

NAICS

Offices of Physicians (62111), Offices of Physicians (except Mental Health Specialists) (621111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Urogynecology & Pelvic Reconstructive Surgery (Female Pelvic Medicine) (HLAKAJAE)

akta.pro secondary industries

Minimally Invasive Gynecologic Surgery (Laparoscopy/Hysteroscopy) (HLAKAJAF), Endourology & Minimally Invasive Urologic Surgery (HLAKAOAF)

Keywords

• Urogynecology services
• Pelvic reconstructive surgery
• Female pelvic medicine
• Robotic surgery services
• Pelvic floor disorders

Headquarters

HQ city

Austin

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales

Revenue model

1. Clinical Consultations and Office Visits: Revenue generated from patient consultations, follow-up appointments, and diagnostic services including urodynamics testing for bladder function assessment.
2. Surgical Procedures: Primary revenue stream from surgical procedures including da Vinci sacrocolpopexy, hysterectomy, midurethral sling placement, vaginal prolapse repair, and colpocleisis. Most procedures are covered by health insurance.
3. Elective Cosmetic Procedures: Revenue from elective procedures such as labiaplasty and vaginal rejuvenation performed in-office to minimize costs. These may or may not be covered by insurance depending on medical necessity.
4. Hormone Replacement Therapy: SottoPelle testosterone replacement therapy with pellet placements performed in-clinic, requiring replacement every 4-6 months.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Austin Urogynecology is a specialized medical practice focused on female pelvic medicine and reconstructive surgery. The practice diagnoses and treats pelvic floor disorders including pelvic organ prolapse (cystocele, rectocele, enterocele, uterine prolapse), urinary incontinence, perineal descent, and bowel incontinence, and performs elective vaginal procedures such as labiaplasty and vaginal rejuvenation. Treatment offerings include da Vinci robotic-assisted sacrocolpopexy, vaginal prolapse repair, hysterectomy, midurethral sling placement, colpocleisis, SottoPelle hormone replacement therapy, clitoropexy, and related surgical and non-surgical interventions.

Product overview

Austin Urogynecology is a specialized urogynecology practice offering a comprehensive portfolio of surgical and non-surgical treatments for female pelvic floor conditions. The practice operates as a single unified practice providing core surgical procedures including da Vinci Sacrocolpopexy, Vaginal Prolapse Repair, Robotic Uterosacral Colpopexy with Graft, Hysterectomy, Midurethral Sling (TVT), SottoPelle Testosterone Replacement Therapy, Labiaplasty, Vaginal Rejuvenation, Clitoropexy, and Colpocleisis. The practice specializes in female pelvic reconstructive surgery with a focus on robotic-assisted procedures using the da Vinci surgical system, and offers a related elective surgery practice through sister practice Austin Labiaplasty and Vaginal Rejuvenation.

Differentiator

Problem solved

Functional benefit

Brands

• Austin Labiaplasty and Vaginal Rejuvenation (ALVR): Sister practice focusing on elective vaginal surgeries and women's sexual wellness treatments including labiaplasty, vaginal rejuvenation/vaginoplasty, labia majora reduction, and hormone replacement therapy.

Products and services

• da Vinci Sacrocolpopexy Robotic-assisted surgical procedure using the da Vinci surgical system to correct pelvic organ prolapse. The surgeon uses polypropylene mesh to hold the vagina in the correct anatomical position, attaching it to the sacrum. For women with pelvic organ prolapse.
• Vaginal Prolapse Repair (Colporrhaphy) Traditional vaginal repair procedure including anterior and/or posterior repair. During anterior repair, connective tissue between bladder and vagina is brought together to reestablish support. Posterior repair addresses rectocele by treating the wall between rectum and vagina. For women with cystocele and rectocele.
• Robotic Uterosacral Colpopexy with Graft Mesh-free robotic surgical approach where uterosacral ligaments are shortened with sutures to elevate and support the top of the vagina, combined with Biosure Graft for cystocele and rectocele repair. For women seeking mesh-free options for prolapse repair.
• Hysterectomy Surgical removal of the uterus, performed for painful/heavy periods or uterine prolapse. Available as da Vinci robotic, abdominal (pfannenstiel), or vaginal hysterectomy approaches. For women requiring uterine removal.
• Midurethral Sling (TVT) Synthetic polypropylene mesh sling placed without tension around the urethra to treat stress urinary incontinence. The gold standard treatment with over 90% success rate, performed as a minimally-invasive outpatient procedure. For women with stress urinary incontinence.
• SottoPelle Testosterone Replacement Therapy Bioidentical hormone pellet therapy using plant-derived testosterone pellets inserted under local anesthetic. Provides steady-state hormone secretion for 4-6 months per treatment cycle. For women experiencing symptoms of low testosterone or hormonal imbalances.
• Labiaplasty Surgical removal of excess or uneven labia minora tissue to reduce discomfort with clothing, exercise, or intercourse. May include clitoral hood reduction and posterior fourchette reduction. For women with labial hypertrophy or related functional/aesthetic concerns.
• Vaginal Rejuvenation (Vaginoplasty) Surgical procedure to restore vaginal anatomy by lifting, lengthening, and tightening the vaginal canal. Includes vaginoplasty (tightening vaginal muscle with sutures) and perineoplasty (rebuilding the perineum). For women seeking vaginal laxity correction.
• Clitoropexy Surgical procedure to elevate erectile tissue of the clitoris and reduce enlarged clitoral tissue (clitoromegaly), often caused by testosterone replacement therapy. Typically combined with clitoral hood reduction. For women with clitoromegaly.
• Colpocleisis Surgical approach that corrects pelvic organ prolapse by bringing vaginal wall muscles together to significantly shorten or close the vaginal canal. Available as Le Fort (uterus preserved) or Total (with hysterectomy) approaches. For women with severe prolapse who do not desire future vaginal intercourse.

Quantifiable outcome

• Over 90% success rate for prolapse and incontinence procedures using mesh and da Vinci robot
• +3 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Two partnerships are on record, tiered core.

• Austin Urology Institute / Dr. Koushik ShawcoreStrategic or Co-development PartnerDr. Shashoua partners with Dr. Koushik Shaw of Austin Urology Institute, with relationship dating back to 2007 when both operated together in their early da Vinci days, culminating in formal partnership in March 2011. Together they built a state-of-the-art office custom-fit for both urology and urogynecology specialties. The two physicians lean on each other's expertise to provide comprehensive urologic and urogynecologic care.
• North Austin Medical CentercoreStrategic or Co-development PartnerDr. Shashoua serves as Chief of Surgery at North Austin Medical Center, part of St. David's HealthCare system, where he provides expertise and knowledge to both patients and medical professionals in the area.

Scale indicators6 records

Recent moves10 records

Expansion highlights5 records

Direct peers

• Coyle Institute: Independent urogynecology specialty practice in Pensacola, FL offering robotic pelvic reconstruction, midurethral slings, labiaplasty, and hormone therapy. Highly comparable single-specialty physician practice model in the same clinical niche.
• Urogynecology Associates of Virginia: Independent specialty practice focused on female pelvic medicine and reconstructive surgery, offering sacrocolpopexy, sling, and prolapse repair. Comparable as a single-specialty urogynecology practice serving a regional patient base.

Broad incumbents

• Unified Women's Healthcare: PE-backed national platform of OB/GYN and women's specialty physician practices. Relevant as a comparator for what a scaled, multi-site women's specialty care platform looks like in the broader market.
• Cleveland Clinic - Center for Urogynecology: Academic medical center urogynecology program offering pelvic floor reconstruction, robotic surgery, and incontinence treatment. Comparable clinical services but embedded within a much larger health system.
• Mayo Clinic - Urogynecology: National health system's urogynecology subspecialty delivering robotic sacrocolpopexy, sling, and prolapse repair. Comparable services; relevant as a competitor for complex referral patients and credentialed talent.
• Johns Hopkins Urogynecology & Pelvic Health: Academic tertiary urogynecology program performing the same pelvic floor reconstructive and incontinence procedures. Comparable services and a potential competition for tertiary referrals and FPMRS-trained physicians.

Regional players

• Texas Urogynecology / Female Pelvic Medicine (North Texas): Independent Texas-based urogynecology practice offering sacrocolpopexy, sling, and prolapse surgery. Comparable in clinical scope and payer environment but serves a different metro from Austin, reducing direct patient overlap.

Others

• Intuitive Surgical: Manufacturer of the da Vinci robotic surgical platform used by Austin Urogynecology. Key ecosystem supplier rather than a competitor; relevant for understanding capital equipment economics and platform partner opportunities.
• SottoPelle: Provider of bioidentical hormone pellet therapy offered by Austin Urogynecology. Ecosystem partner supplying the recurring hormone therapy service line rather than a competitor.
• athenahealth: Cloud-based EHR and practice management vendor whose patient portal the practice uses. Technology infrastructure vendor rather than a peer; relevant for understanding operating leverage and documentation capability.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Austin Urogynecology