Voiding Health

  • LUTS/BPH (IPSS)
  • Hematuria
  • UTI
  • Genitourinary pain
  • Associated bowel dysfunction

Sexual Health

  • Sexual activity/erectile function
  • Facilitated with the IIEF (or EF portion of the IIEF, or modified IIEF called SHIM)
  • Androgen deficiency

Focused Exam

  • Weight and blood pressure
  • BMI/WC
  • Full genitourinary exam
  • DRE

Health Maintenance

  • Weight/physical activity/nutrition
  • Polypharmacy
  • Bone health
  • Mobility

Health Screening

  • PSA (only after discussing patient preference and life expectancy)
  • Urinalysis
  • ECG, at least every 5 years
  • Vascular ultrasound and CXR if history of smoking
  • Diabetes screening (if family history)
  • Eye examination (intra-ocular pressure)

Cancer Screening

Annual:

  • DRE
  • Bladder cancer – urinalysis
  • Colorectal cancer screening