ED Questionnaire

It is common to develop erectile dysfunction and/or prolonged bladder health issues in association with other health conditions, as one ages, or following prostate cancer treatment. Complete both pages of this questionnaire to assess your sexual and bladder health. Treatment options are available to you, as needed.

We encourage you to download the questionnaire below, complete it as best you can and bring it to your initial consultation.

Download the Questionnaire


Urologic Surgeons of Washington is a proud member of Privia Medical Group. The best doctors in our community have joined together to form Privia Medical Group (PMG), a multi-specialty, high-performance medical group that puts patients first. Our physicians are united by the mission of providing better, more coordinated care for their patients.

Visit Our Urologic Urgent Care
Urology Urgent Care

Visit Our Urologic Urgent Care

Every patient that would otherwise have gone to a generic urgent care for their urologic can now be seen at a specialist-level urologic urgent care with same-day appointments.

Online Appointments Learn More
Discreet & Convenient ED Medication Online
ED Medications

Discreet & Convenient ED Medication Online

Take advantage of exceptional prices on generic ED medication while avoiding the pharmacy and anonymous websites. Available for same-day pick-up.

(202) 223-1024 Learn More