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ATSM: Urogynaecology and vaginal surgery

The urogynaecology and vaginal surgery ATSM will provide you with the clinical foundation for managing women with pelvic floor disorders and future development of an interest in urogynaecology. It’s designed for trainees who want to practise urogynaecology as part of a generalist job.

The GMC has approved the optional laparoscopic Urogynaecology module (Word document 174kb) for trainees undertaking the Urogynaecology and vaginal surgery ATSM which takes effect from February 2018. This optional module should be integrated into the ATSM delivery on an optional basis where the opportunity exists and this form of surgery is integral to patient service provision in the units that it is offered. The optional LU module for the ATSM can only be undertaken either concurrently with the UGVS ATSM or after completion of the ATSM. It is not possible to undertake the module as a standalone module with the exception of already accredited subspecialists in UG or those who have completed the UGVS ATSM but did not have the option of undertaking the module.

If you undertake the optional laparoscopic Urogynaecology module concurrently with the Urogynaecology and vaginal surgery ATSM, there is no extra registration fee to pay. You will need to indicate that you are undertaking the optional laparoscopic module concurrently with the Urogynaecology and vaginal surgery ATSM. However if you undertake this optional laparoscopic Urogynaecology module after you have completed the Urogynaecology and vaginal surgery ATSM you will be required to pay the ATSM registration fee and submit a registration form.

If you do not progress in the optional module this will not affect the completion of the Urogynaecology and vaginal surgery ATSM. However, before registering for the module, please discuss with your trainer your aptitude for laparoscopic surgery.

The GMC has approved revisions to the curriculum and logbook for the ATSM in Urogynaecology and Vaginal Surgery in October 2018. Find out more about the changes and how they affect you:

1) Due to the announcement from NHS Improvement and NHS England to temporarily pause mesh procedures the Urogynaecology and Vaginal Surgery ATSM has been revised. These changes apply with immediate effect. Guidance has been issued to Heads of School, ATSM Directors and currently registered trainees to keep the impact to a minimum. Please liaise with your ATSM Director and Head of School for further advice.

2) Sacrospinous fixation has been added to the ATSM curriculum and logbook.

  • If you start the Urogynaecology and Vaginal Surgery ATSM in October 2018 you will have to use the 2018 version which includes sacrospinous fixation.
  • All registered trainees for the ATSM will need to switch to the revised curriculum as the changes to the procedures for treatment of incontinence will take effect immediately due to the announcement from NHS Improvement and NHS England. The changes will be made to the ATSM curriculum the individuals’ ePortfolio accounts.
  • If you envisage that you will complete your ATSM before October 2019 you will be exempt from achieving competence in sacrospinous fixation but you can complete this competency if feasible. You will not be penalised if you don’t achieve it.
  • If you envisage that you will complete your ATSM after October 2019 you will have to ensure that you are also achieving competence for sacrospinous fixation.
  • If you started the pre-October 2018 version and you have switched to the post-October 2018 version you will have to indicate this on the notification of completion form.
  • If you are working less than full time (LTFT), you can allow 12 months whole time equivalent to complete your pre-2018 ATSM curriculum.
  • If you are on out of programme then the final cut-off date for switching will be 24 months, i.e. October 2020. If you have completed less than 50% of the ATSM you will be required to move to the new curriculum on your return. If you have completed more than 50% before going out of programme, this will need to be discussed before you commence your out of programme activity and an agreement reached locally.



This ATSM has a work intensity score of 2.0.

Conferences and courses

Clinical guidelines


Workplace-based assessments (WPBAs)

For guidance on how WPBAs work, please go to the workplace-based assessments page.


You have to be competent in the below (click on each bullet point for full details):


Log of experience

The log of experience is designed to help you monitor your clinical experience and record your training. You don’t need to submit this log to the RCOG, but your School may want to see evidence of your experience. You can develop your own spreadsheet if you prefer.

Keep this log of experience in your Training ePortfolio. Record your training in as much detail as possible, for your own benefit as well as for your ATSM Preceptor and deanery.


Find out more

If you need any help or advice, please email the Trainees' Coordinator at or call +44 20 7772 6348.


Elsewhere on the site

Assessment of training
Information about sign-off of competencies, workplace-based assessments, ARCPs and more
Resources and support for trainees
Training guidelines, advice, useful resources and sources of support for trainees