Patient Note — 137062

4/15/26, 5:15 AM Print Preview [PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 03/10/2026 [PATIENT_NAME] [AGE] Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Medicare VA (Palmetto) PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge 03/10/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. ELEVATED PSA History of Present Illness Prostate Cancer (localized): [AGE]M patient with a history of Gleason 3+3=6 prostate cancer (on AS), bladder cancer s/p TURBT [Nov 2024], BPH with LUTS, and elevated PSA, presents here today for a follow up with elevated PSA. The patient reports no new complaints today. He is currently not on any medications for BPH with LUTS. *********************************** Patient denies bothersome urinary symptoms at this time. ******************************* He is voiding better after his TURBT. His path showed high grade noninvasive urothelial carcinoma. - - - - - - - - - - - - - - The patient's previous work-up history is listed below: PSA: 12.2 (January 2026) Cytology with FISH (October 2025): Negative for malignancy. Cytology with FISH (September 2025): Atypia. Prostate Biopsy Path (March 2025): Benign Prostate MRI (2/17/21): Moderate BPH with overall size measured at 65 g. He had a prior consultation to discuss PAE, but has additional questions prior to proceeding. Elevated PSA/Screening: Prostate biopsy Hx Previous biopsy? Yes Most recent biopsy result negative Current Medications Not-Taking Rosuvastatin Calcium 20 MG Tablet TAKE 1 TABLET BY MOUTH EVERY DAY IN THE EVENING Oral Ammonium Lactate 12 % Lotion External Past Medical History Memory issues. Surgical History shoulder surgery prostate biopsy PAE Family History Progress Note: [PROVIDER_NAME], MD 03/10/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/15/2026 08:15 AM EDT 1/3 4/15/26, 5:15 AM Print Preview [PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 03/10/2026 Father: deceased, alzheimer's dementia Mother: deceased Social History Recreational drug use: no. Exercise: yes. Caffeine: yes, frequency:. Sexually active: yes. Occupation: no, Retired. 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, afg. Vital Signs Assessments 1.Benign prostatic hyperplasia with lower urinary tract symptoms, symptom details unspecified - N40.1 (Primary) 2.Elevated prostate specific antigen (PSA) - R97.20 3.Malignant neoplasm of prostate - C61 4.Urothelial carcinoma - C68.9 Treatment 1.Benign prostatic hyperplasia with lower urinary tract symptoms, symptom details unspecified Notes: [AGE]M patient with a history of Gleason 3+3=6 prostate cancer (on AS), bl