Urological Surgery Post-Operative Follow-up Form
Patient Details
Patient Name
Patient ID
Date of Birth
Gender
Phone
Surgery Information
Date of Surgery
Type of Surgery
Operating Surgeon
Post-Operative Follow-up
Date of Follow-up
Symptoms since Surgery
Physical Examination Findings
Wound/Incision Status
Fever/Signs of Infection
Catheter (if present):
Catheter Type
Catheter Removal Date
Medications
Laboratory/Imaging Results
Complications
Additional Notes/Comments
Physician Name
Date