CConsent Forms for Common Procedures / Urogynecology

 

BLANK CONSENT FORM

Abdominal sacrocolpopexy

Colpoperineorrhaphy

D&C / Dilation and Curettage (No indication specified)

Posterior repair

Rectocele repair

Sacrocolpopexy, abdominal

Sacrospinous ligament suspension ( SSLS)

Sacrospinous ligament suspension / TVT

TAH (Total Abdominal Hysterectomy)

TAH/BSO (Total Abdominal Hysterectomy, BSO)

Tension free vaginal tape placement

Vaginal Hysterectomy

Vaginal Hysterectomy, BSO

 

UG Abdominal sacrocolpoplexy

UG APR (SSLS)

UG LeFort Partial colpocleisis

UG Pubovaginal Sling

UG Posterior colporrhaphy (rectocele)

UG Sacrospinous ligament suspension, TVT

UG Sacrospinous ligament suspension & colporrhaphy

UG SSLS (APR)

UG Tension free vaginal tape placement

UG Total abdominal hysterectomy

UG Vaginal hysterectomy, APR, SSLS, TVT

UG Vaginal hysterectomy, APR, SSLS

UG Vaginal hysterectomy (removal of uterus & cervix)

Note: UG forms are specific to John DeLancey's surgeries.