I'm confused am I wasting my time with a urologist if this is more of a gyn problem?
I would say yes personally I saw urologist for two years and he was treating me for in Intersistal cystitis which it turned out I didn't have I then went to a gynecologist and she was no help finally found a urologist/gynecologist specialist… She was the one that diagnosed me with vaginal atrophy I did my homework on the Mona Lisa and talked to her about it and she said that she thought it was a very good idea but that they did not have the machine at her facility so she recommended me somewhere else. It's a long road. I wish you luck
Yes; forget about the urologists; if you have atrophic vaginitis (which means the tissues of the vagina, bladder and the whole area you sit on are not getting enough estrogen. (This often feels like a urinary tract infection.) The tissues then get prone to infections, which have to be treated but nothing will improve until the tissues get enough Estrogen. See a gynecologist who knows how to treat it (not all do; they think its another yeast infection). Make sure you are given bio-identical estrogen ie the same kind our bodies make- either as pills, patches or a gel. Also you will need estrogen locally ie in the vagina a few times a week locally, like Vagifem. Often reproductive endocrinologists who are well versed in menopause are better at dealing with this than gynecologists. You dont necessarily have to be in menopause to have this; it is just a result of low estrogen. Once you have the right estrogen, the condition responds very well. Good luck.
Also, people do get very good results with the Mona Lisa treatment as well
Vagifem worked well for me, oh if only i didnt have to quit using them 
why did you have to stop using it?