Urogynecology and Reconstructive Pelvic Surgery (Urology) ACGME case minimums
Fellows in Urogynecology and Reconstructive Pelvic Surgery (Urology) have a published ACGME minimum in 30 of 31 case categories, and the largest single minimum is 130. Each row below cites the ACGME requirement it was read from; the minimums are effective June 30, 2025.
By Chris, CA-1, anesthesiology
Urogynecology and Reconstructive Pelvic Surgery (Urology) minimums by category
| Category | Counted roles (varies by category) |
|---|---|
| Diagnostic Studies* | 100 |
| Complex urodynamics | 25 |
| Procedures for Urinary Incontinence | 95 |
| Stress Incontinence | 65 |
| Periurethral injection | 5 |
| Sling procedures | 50 |
| Urgency Incontinence | 25 |
| Sacral nerve modulation | 10 |
| Botox Injection | 10 |
| Surgery for Prolapse | 130 |
| Sacrocolpopexy | 20 |
| Colpocleisis | 10 |
| Vaginal colpopexy | 40 |
| Extraperitoneal | 10 |
| Intraperitoneal | 10 |
| Posterior repair | 20 |
| Surgery on Urinary System** | 25 |
| Urinary fistula repair | 2 |
| Urethral diverticulectomy | 2 |
| Ureteral stent placement | 3 |
| Retrograde pyelogram | 1 |
| Removal or revision of sling | 5 |
| Urethrolysis | — |
| Closure of cystotomy | 1 |
| Surgery on Genital System** | 30 |
| Vaginal hysterectomy | 15 |
| Lap hysterectomy (total and supracervical) | 10 |
| Revision/removal prosthetic vaginal graft | 2 |
| Surgery on Gastrointestinal System** | 4 |
| Repair of anal sphincter laceration | 1 |
| Rectovaginal fistula repair | 1 |
Urogynecology and Reconstructive Pelvic Surgery (Urology) · ACGME specialty 486 · minimums effective June 30, 2025.
Capnolog counts these live for anesthesiology and neurological surgery; other specialties are reference only.
What counts toward a minimum?
- Fellows log each case against its CPT procedure codes, and the ACGME sorts those codes into the categories below.
- Every number is a count in one column, “Counted roles (varies by category)”.
- 25 rows are drawn from a larger row: those cases count toward that row too, never on top of it.
- 1 row carries no published number and shows an em-dash, which is not a minimum of zero.
- The Review Committees for Obstetrics and Gynecology and Urology sets these requirements.
Where do these numbers come from?
- Case Log categories and minimum numbers, September 2024
- Program Requirements, July 1, 2026
- Review Committee FAQ, October 2024
Capnolog is independent of the ACGME. Where a number here and the ACGME's own document disagree, the document is right.