Urogenital: History (M)
  1. Presenting complaint
  2. History of presenting complaint
  3. Sexual history
  4. Urinary history
  5. Past medical, surgical history
  6. Family, social, drug history
Presenting complaint
  • What is the problem lately [pt. may omit sexual items, cover with questions].
History of presenting complaint
  • SOCRATES.
  • Discharge: colour, consistency, amount.
  • Weight changes.
  • Feverish.
  • Itch, dryness, irritation: relieved by cream?
  • Hirsutism, hair loss: severity, how controlled.
  • Does it interfere with your day-to-day life.
  • General health: good?
Sexual history
  • Sexually active.
  • Any physical, other difficulties during intercourse.
  • Pain during, after intercourse: 
    Deep vs. superficial
    Always vs. sometimes.
  • Painful erections (priapism).
  • On erection, abnormal bend.
Urinary history
  • Colour change.
  • Blood in urine.
  • Pain, burning sensation.
  • Frequency, urgency,  nocturia
  • Amount changes.
  • Feeling of incomplete emptying.
  • Hesitancy, dribbling.
  • Incontinence, overflow incontinence, stress incontinence.
Past medical, surgical history
  • Similar problem in the past. If so, how treated.
  • Previous operations, recent groin injuries.
  • Seen a urologist before?
  • UTIs, urinary obstructions.
  • STD's.
  • Hypertension.
  • Hemophilia, other bleeding disorders.
  • TB, appendicitis. 
  • Diabetes, gout [urinary].
  • Childhood bedwetting after 3 [urinary].
  • MI, cerebrovascular dz [urinary].
  • Impotency treatments [if impotent].
Family history
  • The current complaint in parents or siblings: health, cause of death, age of onset, age of death.
  • Hereditary dz suspected: do a family tree.
  • Thyroid dz, diabetes.
  • ADKD, Alport's [urinary].
Social history
  • Smoking: ever smoked, how many per day, for how long, type [cigarette, pipe, chew] (bladder CA).
  • Alcohol: do you drink. If yes: type, how much, how often.
  • Present, past occupations:
    Rubber industry (bladder CA 2 to aromatic amines).
  • Travel to Africa (bladder CA 2 to schistosomiasis).
  • Who is with you there at home.
  • Any other factors that you wish to mention?
Drug history
  • Prescriptions currently on.
  • Steroids, immunosuppressants, drugs with disturb renal-function.
  • Over-the-counters.
  • Recreational drugs.
  • Any hormone drugs.
  • Allergies, including latex allergy (condom).
  • Allergies to drugs: allergic reaction or common side effect.

Urogenital (M) Exam