Patient Information

Patient Information

If you are being seen for any of the problems below, please print and complete the appropriate questionnaires and give to the front desk at your appointment. This will help us learn more about your problem and provide us a baseline such that we can track your response to treatment. 

Adrenal Nodule

Bladder Satisfaction Survey

Erectile Dysfunction (SHIM)

Erectile Dysfuntion Evaluation

Fluid Diary

Fertility Evaluation

Kidney Stone Questionnaire

Low Testosterone (hypogondism)

Pediatric Hematuria (Blood in the Urine in Children)

Prostate Symptom Score Sheet IPSS/AUASS

Prostatitis: NIH Chronic Prostatitis Symptom Score 

Recurrent Urinary Tract Infection in Women

Urinary Distress and Impact

Urinary History