Patient Note — 126767

4/8/26, 3:51 PM Print Preview [PATIENT_NAME] DOB: [DOB] (46 yo M) Acc No. [ACCOUNT_ID] DOS: 03/30/2026 [PATIENT_NAME] 46 Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS], WOODBRIDGE, VA-[ZIP] Home: [PHONE] Guarantor: [PATIENT_NAME] Insurance: CareFirst BCBS PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge 03/30/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. Frequent Urination History of Present Illness General Urology: 46yM presents today for urinary frequency Pt was last seen here in July 2019 due to urinary urgency/frequency and post-void dribbling, and was started on Alfuzosin and Flomax ---------------------------------- Pt's previous work-up hx is listed below: CT(March 2020): mild fat stranding surrounding the seminal vesicles which is nonspecific and could be seen with mild seminal vesiculitis (Independently reviewed the actual images/tracings and came to my own conclusions) UCx: Neg (July 2019) GC/CT: Neg (July 2019). Current Medications None Past Medical History A-fib. Surgical History Denies Past Surgical History Family History Father: deceased Mother: alive Social History Smoking: no Recreational drug use: no. Exercise: no. Caffeine: no. Alcohol Type: , Frequency: ,Years: , Determination:. Sexually active: no. Progress Note: [PROVIDER_NAME], MD 03/30/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/08/2026 06:21 AM EDT 1/3 4/8/26, 3:51 PM Print Preview [PATIENT_NAME] DOB: [DOB] (46 yo M) Acc No. [ACCOUNT_ID] DOS: 03/30/2026 Occupation: no. Screening Allergies N.K.D.A. Hospitalization/Major Diagnostic Procedure Denies Past Hospitalization Review of Systems 11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient, CQ. Vital Signs HR: Not Taken - Collection Device Broken, BP: Not Taken - Collection Device Broken, Ht: 5 ft 8 in, Wt: 193 lbs, BMI: 29.34 Index. Assessments 1.Urinary frequency - R35.0 (Primary) 2.Nocturia - R35.1 Treatment 1.Urinary frequency Start Alfuzosin HCl ER Tablet Extended Release 24 Hour, 10 MG, 1 tab(s), orally, once a day, 90 days, 90 Tablet, Refills 3 PROCEDURE: UA dip (Performed Date - 03/30/2026) Negative Notes: I discussed and outlined various diagnostic tests and interventions. Medication: alpha-blockers, 5-ARIs, and oral PDE5i -I outlined the various medication options and discussed the risks of alpha-blockers (dizziness, retrograde ejaculation, floppy iris syndrome before cataract surgery), 5-ARIs (erectile/ejaculatory changes, possible increased risk of prostate Ca), and PDE5i (headache/congestion) Diagnostic tests: urocuff, cystoscopy, transrectal US -I explained the urocuff procedure detailing the placement of a small cuff around the patient's penis, and surface electrodes may also be placed on the abdomen and/or perineum. This will allow us to evaluate his flow rate, but m