For more than two decades, Stuart Hart, MD, MBA, MS, treated women with bladder control and pelvic health conditions as a board-certified urogynecologist and reconstructive pelvic surgeon. Over time, he began noticing the same troubling pattern repeated across countless patient experiences. Women were waiting years to seek care for these issues.
Not because treatment options didn’t exist. And not because these conditions were uncommon. Many delayed care because of embarrassment, stigma, or the belief that symptoms like bladder leakage and urgency were simply a normal part of aging or childbirth. Others struggled to navigate a healthcare system that often felt fragmented, time-consuming, and difficult to access.
By the time many women finally reached a specialist, their symptoms had already begun to reshape their daily lives. Some planned outings around bathroom access. Others avoided exercise, travel, or social events. Many relied on pads or temporary workarounds without ever receiving a clear diagnosis or coordinated treatment plan.
What stood out most was that many of these women were highly motivated to improve their situation. The problem was that the healthcare system was not designed to support them early enough.
“What I realized over time was that this wasn’t just a clinical problem,” Dr. Hart says. “It was an access problem, an education problem, and ultimately, a systems problem.” This became the foundation for Urology Health.
A Massive Healthcare Problem Hiding in Plain Sight
Half of all women will experience some form of incontinence in their lives; it affects more people than diabetes and heart disease combined, and yet it represents one of the largest underserved areas in healthcare today. Despite how common these conditions are, many patients never receive evidence-based treatment.
Part of the issue is access. More than 60% of U.S. counties do not have a urologist, and far more lack a urogynecologist. Wait times for specialty care can stretch for months, particularly in rural and underserved areas.
But the larger problem is the traditional care model itself. Bladder and pelvic health care is often fragmented across multiple providers, reactive instead of proactive, and heavily focused on diagnostics or procedures rather than long-term management. Patients frequently receive limited education about conservative therapies, lifestyle interventions, or pelvic floor muscle rehabilitation, even though clinical guidelines recommend many of these approaches as first-line treatment.
At the same time, clinicians are managing rising patient demand, workforce shortages, and healthcare systems that often prioritize volume over coordinated chronic care. The result is a growing number of patients falling through the cracks.
The Problem Was Bigger Than Medicine Alone
Through his work in both clinical medicine and healthcare innovation, Dr. Hart came to believe that improving access was only part of the solution. Patients also needed better guidance, clearer treatment pathways, ongoing support, and a healthcare experience that fit more naturally into everyday life.
“Access alone doesn’t solve healthcare problems,” Dr. Hart explains. “Patients need education they can actually understand, follow-up that keeps them engaged, and care models designed around how people really live.”
Over the years, he watched many effective first-line therapies become overlooked or underutilized, not because they didn’t work, but because traditional healthcare systems often lacked the time, coordination, and infrastructure to support them properly. Treatments like pelvic floor rehabilitation, bladder retraining, behavioral therapy, nutritional counseling, and home-based pelvic health therapies can significantly improve symptoms and quality of life, yet many patients never receive a structured plan that incorporates them.
That realization led Dr. Hart to a larger conclusion: The industry did not simply need another clinical model or telehealth platform. It needed a more connected, patient-centered infrastructure for chronic bladder care.
Building Urology Health
Urology Health was founded to rethink how chronic urologic conditions are managed. Rather than treating bladder health with a series of appointments with disconnected providers, Dr. Hart developed a hybrid care platform designed to combine digital health, evidence-based treatment pathways, clinician oversight, and long-term patient engagement into one coordinated system.
The platform integrates:
- Telehealth-based specialty care
- AI-powered clinical decision support
- Validated assessment tools
- Patient dashboards and progress tracking
- Conservative therapies and medication management
- Coordinated referrals for higher-acuity care when needed
The company also developed structured wellness and coaching programs designed to engage patients in care earlier instead of waiting until symptoms become severe. The goal is not to replace specialists, but to improve access, reduce friction, and help patients receive the right care earlier while allowing specialists to focus on more complex cases.
Why This Matters Now
Healthcare is increasingly moving toward more personalized, value-based, and technology-enabled care models. Patients expect healthcare to be proactive, connected, and easier to navigate. But bladder health still lags behind.
Millions of people continue to suffer quietly with conditions that are highly treatable because stigma, fragmented systems, and limited access still delay care. At its core, Urology Health has been built around the belief that bladder care should function differently.
Patients should not have to wait years to be taken seriously. They should not have to navigate disconnected systems alone. And they should not feel ashamed for seeking care for conditions that affect millions of Americans every day.
“Too many patients are still being told to wait until symptoms become severe enough to justify treatment,” Dr. Hart says. “By then, quality of life has often already been significantly impacted.”
For Dr. Hart, starting Urology Health was about more than launching another healthcare company. It was about creating a better system for patients who have been underserved for far too long.
