Patient Note — 132125

4/8/26, 3:56 PM Print Preview [PATIENT_NAME] DOB: [DOB] (88 yo M) Acc No. [ACCOUNT_ID] DOS: 04/06/2026 Progress Notes Patient: [PATIENT_NAME] Provider: Alok Desai, MD Account: [ACCOUNT_ID] DOB: [DOB] Age: 88 Y Sex: Male Date: 04/06/2026 Phone: [PHONE] Address: [ADDRESS], ALEXANDRIA, VA-[ZIP] Pcp: [PATIENT_NAME] Structured Data: How did you hear about us? : Other; Patient's temperature : 97.1; : 03/14/2023 Subjective: Chief Complaints: 1. Renal Mass. HPI: Hematuria: 88 year old male with a history of hematuria and BPH presents today for assessment of renal mass. He had a stroke in 1980 and takes blood thinners for AFib. No prostate meds currently. Nocturia x 1. Flow is good. Frequency during the day is 4-5x. His biggest complaint is that he can't get back to sleep despite nocturia x 1. He has done some research and he wants to consider a TUMT or TUNA. His RBUS showed a 25 cc gland. UA and UC from 05/2025 was neg. UA (Feb 2024): trace protein, 3+ blood, 15-20 RBC Negative hematuria workup in November 2023 (RBUS and Cysto). Patient is on Pradaxa. No gross hematuria. Pt is on Pradaxa and does not want to come off of it. His ex wife stopped her anticoagulation and suffered a CVA. No family history of prostate cancer. - - - - - - - - - - - - - - The patient's previous work-up history is listed below: Treatment: alfuzosin, tamsulosin (d/c due to lack of efficacy) Cysto: Normal, lateral lobe enlarged prostate (Nov 2023) RBUS: unremarkable (Nov 2023) CT Chest findings: Stone in the right kidney measuring 4.7 mm. (Nov 2023) IPSS: 10, primary complaint nocturia 1x Urocuff study has an unobstructed appearance with a peak flow rate of 25.4 ml/s, cuff pressure of 60 cmH2O, voided volume of 58.8 ml, and PVR: 134 mL (Mar 2023) 86yM with a history of hematuria and BPH presents today for follow-up. UA (Feb 2024): trace protein, 3+ blood, 15-20 RBC Negative hematuria workup in November 2023 (RBUS and Cysto). Patient is on a blood thinner. Patient is ok with the urination but would like a procedure soon. He is on alfuzosin. He has nocturia x 1. Flow is better. Frequency 3-4 hrs. No dysuria or gross hematuria. Works better than Tamsulosin. Pt is on Pradaxa and does not want to come off of it. His ex wife stopped her anticoagulation and suffered a CVA. Provider: Alok Desai, MD Date: 04/06/2026 1/3 4/8/26, 3:56 PM Print Preview [PATIENT_NAME] DOB: [DOB] (88 yo M) Acc No. [ACCOUNT_ID] DOS: 04/06/2026 No family history of prostate cancer. - - - - - - - - - - - - - - The patient's previous work-up history is listed below: Treatment: alfuzosin, tamsulosin (d/c due to lack of efficacy) Cysto: Normal, lateral lobe enlarged prostate (Nov 2023) RBUS: unremarkable (Nov 2023) CT Chest findings: Stone in the right kidney measuring 4.7 mm. (Nov 2023) IPSS: 10, primary complaint nocturia 1x Urocuff study has an unobstructed appearance with a peak flow rate of 25.4 ml/s, cuff pressure of 60 cmH2O, voided volume of 58.8 ml, and PVR: 134 mL (Mar 2023). ROS: 11 system Review of System