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History & Physical

The bedside evaluation — structured history, validated assessment instruments, and systematic urogenital examination — is the substrate on which every subsequent test, image, or operation is built. Done well, it establishes the surgical question before any catheter, scope, or scan; done poorly, it sends patients down the wrong workup pathway.

This section covers the three elements of a modern reconstructive-urology and urogynecology H&P: the validated assessment tools that translate subjective symptoms into quantifiable severity, the male urogenital examination, and the female pelvic examination with POP-Q.

  • Assessment Tools & QuestionnairesValidated PROMs, severity grading scales, and objective instruments — SHIM/IIEF, POP-Q, pad tests, MSIGS, IPSS, PFDI-20/PFIQ-7, PISQ-IR, USS-PROM, NIH-CPSI, ICIQ family
  • Male Urogenital ExamMeatal assessment and calibration, BXO/lichen sclerosus mapping, urethral palpation for spongiofibrosis, Peyronie's plaque exam, perineal assessment, DRE, neurological exam
  • Female Pelvic Examination & POP-Q7-step examination sequence, all 9 POP-Q measurement points with worked examples, PERFECT levator scoring, levator avulsion detection, Q-tip test, occult SUI, documentation template