Texas Urogynecologist Malpractice Lawyer
Written by: Hastings Law Firm | Reviewed by: Brady D. Williams | Updated: May 6, 2026
Urogynecology involves delicate pelvic floor care where small errors can cause lasting harm. When a specialist deviates from accepted standards during evaluation, diagnosis, surgery, or follow up, patients may face chronic pain, worsening symptoms, additional procedures, infections, or worse. These situations often turn on informed consent, whether appropriate testing was done, and whether surgical technique met safety expectations. Clear records and qualified medical opinions can be central to understanding what happened. If you or a loved one were harmed or worse due to urogynecologist malpractice in Texas, contact Hastings Law Firm for a free, confidential case review.
Trusted Legal Representation for Medical Specialist Negligence in Texas
What You Should Know About Pelvic Floor Doctor Negligence Claims in Texas:
- Lasting pelvic floor injuries can follow urogynecology errors, including chronic pain, infections, and the need for additional surgery.
- Options can depend on whether the outcome reflects a preventable error rather than a known complication of a properly performed procedure.
- A lack of meaningful informed consent can be central when serious risks were not explained before a procedure.
- Recovery can be shaped by whether preoperative testing and documentation supported the procedure that was chosen.
- Severe complications can occur when organ perforations are not identified during surgery, including sepsis and emergency reoperation.
- Long term disruption can result from fistulas after pelvic surgery, including continuous leakage and recurring infections.
- Accountability can hinge on objective records such as surgical logs, urodynamic testing, imaging, and device identification details.
- Legal viability in Texas can be limited when required expert support is not obtained or key timing rules are missed.
A Healthcare Focused Law Firm
If you or someone you love has been harmed during treatment for a pelvic floor condition, the confusion and frustration you feel are completely understandable. Urogynecology, the medical specialty focused on disorders of the pelvic floor (the muscles and ligaments supporting the pelvic organs), involves delicate procedures where precision matters. When a specialist’s care falls below accepted standards, the injuries can be life-altering.
Finding a Texas Urogynecologist Malpractice Lawyer who understands both the medicine and the law behind these cases is an important first step. At Hastings Law Firm, our team includes in-house medical professionals and former defense attorneys who know how to evaluate what happened and why. If you believe your injury was preventable, we welcome the chance to review your records and explain your options at no cost.
Identifying Negligence in Urogynecology and Pelvic Floor Care
Urogynecology malpractice occurs when a specialist deviates from the standard of care during the diagnosis or surgical treatment of pelvic floor disorders, resulting in preventable injuries such as nerve damage, perforated organs, or chronic pain. The standard of care is the level of treatment a reasonably competent physician would provide under similar circumstances.
The scope of urogynecology covers conditions like urinary incontinence, pelvic organ prolapse (a condition where pelvic organs drop from their normal position due to weakened support tissues), and related functional problems. A urogynecologist’s duty of care applies at every stage: initial evaluation, diagnostic testing, surgical planning, the procedure itself, and post-operative monitoring. Texas medical malpractice claims involving specialists are governed by the Texas Civil Practice and Remedies Code, Chapter 74, which sets specific requirements for filing and proving these cases.
One area we closely examine is informed consent. Before any procedure, a doctor is required to explain the risks involved. For example, research published in the International Neurourology Journal has documented risks associated with midurethral slings, including mesh erosion and long-term pain.
Patients must be fully apprised of these possibilities to make an educated decision about their bodies. If a patient was not warned about the possibility of permanent sexual dysfunction, known medically as dyspareunia (chronic pain during intercourse), that failure may support a negligence claim.
Understand the difference between a known complication and malpractice. Not every poor outcome is negligence. A known complication is a recognized risk that can occur even when the surgeon performs correctly. Negligence involves a preventable error, something that should not have happened if proper care was followed.
Common injuries that may indicate malpractice in urogynecology include:
- Chronic pelvic pain that persists long after expected recovery
- Worsening or new-onset urinary incontinence after a corrective procedure
- Nerve damage causing numbness, weakness, or loss of bladder control
- Organ perforation during surgery
- Mesh erosion through vaginal tissue
- Dyspareunia or loss of sexual function not disclosed as a risk
An experienced malpractice lawyer for urogynecology cases in Texas can help determine whether your injury resulted from a deviation in care or an accepted risk.
Surgical Errors During Pelvic Floor Reconstruction and Hysterectomy
Surgical errors in urogynecology often involve improper mesh placement, accidental bladder or bowel perforation during hysterectomy, or ureter damage during reconstructive surgery. These errors can require additional surgeries and permanently alter quality of life. A Texas urogynecologist malpractice lawyer can help identify actionable negligence.
Mesh and Sling Injuries
A midurethral sling (MUS), a synthetic strip placed under the urethra to treat stress incontinence, requires precise tension. Improper placement can cause erosion, obstruction, or chronic pain. Transvaginal mesh, implanted through the vagina to support prolapsed organs, carries similar risks.
Evaluating the placement and tension of these devices helps determine if a healthcare provider met the safety standards required for your care. The U.S. Food and Drug Administration’s review of urogynecologic surgical mesh has highlighted serious safety concerns with these devices. When a surgical injury does occur, identifying the device through systems like the FDA’s Unique Device Identification System can be critical evidence in a pelvic floor doctor negligence case, especially if it leads to mesh erosion.
Organ Perforation
During minimally invasive procedures such as laparoscopic hysterectomy or reconstructive surgery, accidental cuts to the bladder or bowel can occur. During pelvic floor surgery, undetected perforation can lead to severe complications. When a perforation is recognized and repaired during surgery, the outcome may be manageable. But when it goes undetected, the patient may develop serious infections, sepsis, or require emergency reoperation.
| Procedure | Potential Surgical Error | Possible Consequence |
|---|---|---|
| Midurethral sling placement | Improper tension or positioning | Mesh erosion, urinary obstruction, chronic pain |
| Transvaginal mesh repair | Incorrect placement or device selection | Tissue erosion, infection, need for revision surgery |
| Laparoscopic hysterectomy | Accidental bladder or bowel perforation | Sepsis, emergency surgery, prolonged recovery |
| Pelvic reconstructive surgery | Ureter damage during dissection | Kidney damage, fistula formation |
Common Types of Fistulas Caused by Surgical Error
Surgical trauma to pelvic tissues during urogynecological procedures can create fistulas, which are abnormal connections between two organs that should not be connected. A vesicovaginal fistula, an opening between the bladder and the vagina, can cause continuous urinary leakage. A rectovaginal fistula, an opening between the rectum and the vagina, may result in fecal incontinence and recurring infections.
Both conditions are deeply disruptive and often require additional corrective surgery. When a fistula develops after a urogynecological procedure, our team evaluates whether the surgical technique, instrument use, or failure to identify the injury intraoperatively contributed to its formation.
The Hastings Law Firm Difference
Results matter, but what truly sets us apart is how we achieve them. Every verdict, every settlement, and every Texas courtroom victory comes from one guiding promise: To treat each client’s fight for justice as if it were our own.
This balance of skill, experience, and empathy reflects our core philosophy that justice should not only compensate the injured, but also make healthcare safer nationwide.
Proving Malpractice Using Diagnostic Records and Expert Testimony
Proving a claim requires objective evidence such as urodynamic testing results and surgical logs, combined with expert testimony to demonstrate that the urogyneclogist failed to meet the established standard of care. This process involves a detailed review of all medical records related to your pelvic treatment. As a Texas urogynecologist malpractice lawyer, our job is to connect the objective evidence to the legal elements of your case.
One of the first things we look for is whether adequate diagnostic testing was performed before surgery. Urodynamic testing, a series of tests that measure how well the bladder and urethra store and release urine, should typically be completed before surgical intervention. Cystoscopy may also be used to visually inspect the bladder. If a surgeon proceeded without these evaluations, the wrong procedure may have been selected entirely.
We also examine how prolapse was documented using the Pelvic Organ Prolapse Quantification system (POP-Q), a standardized measurement tool described in research indexed by PubMed Central that grades prolapse severity at specific anatomical points. Discrepancies between POP-Q findings and the surgery performed can indicate that a procedure was unnecessary or inappropriately aggressive.
Under Texas law, expert testimony is mandatory in medical malpractice cases. A qualified physician must review the records and provide an opinion on what went wrong and how it caused harm. Our firm, led by Tommy Hastings, who is Board Certified in Personal Injury Trial Law by the Texas Board of Legal Specialization and a 2025 inductee into ABOTA, an invitation-only organization for elite trial lawyers, works with national experts to build this critical element of your case.
Key evidence we work to secure includes:
- Complete surgical and anesthesia logs
- Pre-operative urodynamic testing and cystoscopy results
- POP-Q staging documentation
- Post-operative imaging (MRI, CT scans)
- Device identification records for any implanted mesh or sling
- Expert medical opinions on standard of care violations and causation
- Assessments of economic damages for lost wages and future care costs
Contact the Texas Doctor Malpractice Attorneys at Hastings Law Firm Today for Help
A poor outcome after pelvic floor surgery is not something you should simply accept as an unavoidable complication. If your recovery has been defined by worsening symptoms, chronic pain, or additional surgeries, you deserve to know whether negligence played a role.
At Hastings Law Firm, our team of attorneys, nurse consultants, and medical advocates is dedicated to restoring trust for patients who feel let down by their care. We prepare every case as if it will go to trial, because that preparation is what drives fair results. Our firm handles cases on a contingency fee basis, which means you pay no attorney fees or costs unless we secure a recovery for you.
If you or a loved one has been injured by a urogynecologist’s error, contact our Texas urogynecologist malpractice lawyers today for a free, confidential case evaluation. Let us help you find the answers you deserve.
Frequently Asked Questions About Urogynecologist Malpractice in Texas
Key Urogynecologist Malpractice Terms:
- Urogynecology
- A medical subspecialty focused on diagnosing and treating pelvic floor disorders in women, including urinary incontinence, pelvic organ prolapse, and related conditions. In a malpractice case, urogynecologists are held to specialized standards of care when recommending, performing, or managing treatment for these conditions.
- Pelvic floor
- A group of muscles, ligaments, and tissues that support the bladder, uterus, vagina, and rectum. Damage to the pelvic floor—whether from childbirth, surgery, or aging—can cause incontinence, prolapse, or pain. In malpractice claims, injuries to the pelvic floor may result from surgical errors or failure to diagnose weakening before it worsens.
- Pelvic organ prolapse
- A condition in which one or more pelvic organs (such as the bladder, uterus, or rectum) drop from their normal position and press into or out of the vagina due to weakened pelvic floor support. In medical malpractice cases, claims may arise when a doctor fails to diagnose prolapse, recommends unnecessary surgery, or causes worsening prolapse through surgical error.
- Dyspareunia
- Painful sexual intercourse, often caused by scar tissue, mesh erosion, improper surgical repair, or nerve damage. In the context of urogynecology malpractice, dyspareunia may result from a surgical complication that the doctor failed to warn the patient about or caused through negligent technique.
- Midurethral sling (MUS)
- A surgical mesh tape placed under the urethra to treat stress urinary incontinence by providing support when pressure is placed on the bladder. Malpractice claims involving midurethral slings often involve improper placement, excessive tension causing urinary retention or pain, or mesh erosion into surrounding tissue.
- Transvaginal mesh
- A synthetic material surgically implanted through the vagina to repair pelvic organ prolapse or support the urethra. Complications such as mesh erosion, infection, chronic pain, and organ perforation have led to numerous malpractice and product liability claims when patients were not properly warned of risks or when the mesh was improperly implanted.
- Vesicovaginal fistula
- An abnormal opening between the bladder and the vagina that allows urine to leak continuously into the vaginal canal. This serious complication is often caused by surgical trauma during hysterectomy or pelvic surgery and may constitute malpractice if it results from a preventable error such as unrecognized organ perforation.
- Rectovaginal fistula
- An abnormal connection between the rectum and the vagina, causing stool or gas to pass into the vagina. Rectovaginal fistulas can result from surgical injury to the rectal wall during pelvic or colorectal surgery and may indicate malpractice if the injury was due to improper technique or failure to recognize and repair the damage during the operation.
- Urodynamic testing
- A group of diagnostic tests that measure how well the bladder, urethra, and sphincters store and release urine. These tests help identify the type and cause of incontinence or voiding problems. In malpractice cases, failure to perform urodynamic testing before surgery may lead to the wrong diagnosis, unnecessary procedures, or worsening of symptoms.
- Pelvic Organ Prolapse Quantification (POP-Q)
- A standardized measurement system used by doctors to assess the severity and location of pelvic organ prolapse. The POP-Q exam records specific measurements of vaginal and organ support. In malpractice claims, discrepancies in POP-Q documentation or performing surgery on patients with minimal prolapse can help prove that treatment was unnecessary or improperly chosen.
- Texas Civil Practice and Remedies Code, Chapter 74 | Texas Legislature Online
- Twenty Five Years of the Midurethral Sling Lessons Learned | International Neurourology Journal
- FDAs Activities Urogynecologic Surgical Mesh | U.S. Food and Drug Administration
- Unique Device Identification System | U S Food and Drug Administration
- Pelvic Organ Prolapse Quantification System POP Q a new era in pelvic prolapse staging | PubMed Central
Get Answers Today
If you think that medical negligence, a dangerous drug, or a failed medical product caused harm to you or someone you love, our team is standing by to offer guidance. We’ll explain your options under current laws and help you move forward with clarity and understanding. Case reviews are free and 100% confidential.