Please download and fill out the appropriate forms prior to your office visit. Note: You will need Adobe reader to view these forms » GET READER

» First Visit Forms

» Surgery Instructions

» Treatment Information

Patient Forms for Urological Surgery & Treatment

» First Visit Checklist

First Visit Forms: Please download and complete these forms prior to your first office visit

  1. Insurance form
  2. Release of information form
  3. Health History Form

Surgery Instructions

  1. About cystoscopy: what you should know in preparation for cystoscopy (visual inspection of the urinary bladder)
  2. Instructions after prostate cancer surgery
  3. Instruction after kidney removal surgery
  4. Instructions after laser prostate surgery, TURP, and bladder tumor resection
  5. Instructions after kidney stone treatment (ESWL)

Treatment Information

  1. Voiding diary: instructions for recording your urination pattern
  2. Kegel exercise information for treatment of urine leakage
  3. Kidney stone diet recommendations
  4. Prostatitis recommendations
  5. Catheter care: general recommendations for home care and catheter removal in instructions

Patient Questionnaires

  1. Erectile Function Form (SHIM)
  2. Urinary Continence Form (UDI-6)
  3. Urination Symptom Form (IPSS)

 

 

 

 

 


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