Online Consultation

PERSONAL INFORMATION

CASE HISTORY

Sr. Signs & Symptoms YES (Y) / NO(N) Duration
1 Frequency of urination
2 Urgency
3 Nocturia (Frequency during the night)
4 Incontinence (Leakage of urine)(Urge / Stress / Nocturnal)
5 Pelvic pain
6 Incomplete emptying of the bladder
7 Episodes of near retention
8 Voiding small volume of urine
9 Spraying / Double streaming
10 Haematuria (Blood in urine)
11 Burning & Dysuria
12 Straining
13 Hesitancy (Difficulty in starting flow)
14 Poor flow of urine
15 Dribbling of urine
16 Intermittency (Interrupted flow)
17 Haemospermia (Blood in the semen)
18 Retrograde ejaculation (semen doesn’t express during sexual activity)
19 Reduced ejaculation force
20 Discharge from the urethra
21 Pain in the Scrotum / Testicles
22 Dyspareunia (Painful sexual activity)
23 Fever with chills & rigors

OTHER INFORMATION

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