Patient Note — 174469

4/15/26, 5:17 AM Print Preview [PATIENT_NAME] DOB: [DOB] (51 yo M) Acc No. [ACCOUNT_ID] DOS: 03/30/2026 Patient: [PATIENT_NAME] Provider: [PROVIDER_NAME], MD Account: [ACCOUNT_ID] DOB: [DOB] Age: 51 Y Sex: Male Date: 03/30/2026 Phone: [PHONE] Address: [ADDRESS] Pcp: [PROVIDER_NAME] Structured Data: How did you hear about us? : Other; Patient's temperature : 0 Subjective: Chief Complaints: 1. VENOUS LEAK CONSULT. HPI: Clinical Trial Data: 51-year-old man with PMH of ED. He is referred by his urologist. He reports his erections are adequate, and he can penetrate and continue to completion. He says his erections are not as strong as they once were, and he can not last as long. He is overall satisfied with medical therapy currently. Penile US Date 06/26/2023 Trimix injected (cc) 0.3 Arterial flow (max, cm/s) 44.58 Venous flow (max, cm/s) 6.74 Findings venous leak Bilateral Venous leak Previous treatments Previous treatment sildenafil/Viagra. Medical History: Screening: Objective: Vitals: Assessment: Assessment: 1. ED (erectile dysfunction) - N52.9 (Primary) 1. Corporo-venous occlusive erectile dysfunction - N52.02 (Primary) Male patient with diffculty maintinaing an erection and mild bilateral venous leak on ultrasound in 2023 otherwise normal work up. He is currently satisfied with medical therapy. The patient understood our conversation and all questions were answered to his satisfaction. Will send him for a repeat penile doppler Plan: Treatment: Billing Information: Visit Code: [ADDRESS] Office Visit, New Pt., Level 3. Modifiers: 93 Procedure Codes: Provider: [PROVIDER_NAME], MD Date: 03/30/2026 Generated for Printing/Faxing/eTransmitting on: 04/15/2026 08:17 AM EDT 1/2 4/15/26, 5:17 AM Print Preview [PATIENT_NAME] DOB: [DOB] (51 yo M) Acc No. [ACCOUNT_ID] DOS: 03/30/2026 Electronically signed by [PROVIDER_NAME] MD on 04/02/2026 at 07:16 AM EDT Sign off status: Completed Addendum: 04/02/2026 08:53 AM EDT [PROVIDER_NAME] > Update to Encounter: Appointment Facility updated from [FACILITY] Provider: [PROVIDER_NAME], MD Date: 03/30/2026 Generated for Printing/Faxing/eTransmitting on: 04/15/2026 08:17 AM EDT 2/2