Patient Note — 185314

4/8/26, 3:59 PM Print Preview [PATIENT_NAME] DOB: [DOB] (53 yo M) Acc No. [ACCOUNT_ID] DOS: 02/26/2026 [PATIENT_NAME] 53 Y old Male, DOB: [DOB] Account: [ACCOUNT_ID] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Anthem BCBS PCP: [PROVIDER_NAME], MD Referring: [PROVIDER_NAME], MD Appointment Facility: TELE-POTOMAC UROLOGY CENTER-MAN Structured Data: How did you hear about us? : Other; Patient's temperature : 0.00 02/26/2026 TV-F/U : [PROVIDER_NAME], MD Reason for Appointment 1. ANNUAL REV CUFF History of Present Illness BPH screening: 52 yM with a history of LUTS presents for annual review cuff. - - - - - - - - - - - - - - - - - - - - He notes worsening frequency, urgency while taking medication - - - - - - - - - - - - - BASELINE: The patient is experiencing nocturia 3-4x, frequency every hour, urgency, occasional straining, hesitancy denies urge incontinence, stress incontinence, slow stream, dribbling Notes his symptoms do not worsen/improve with dietary modification/behavioral changes denies UTI, pyelo, AUR, prostatitis, hematuria, dysuria, testicular/penile pain, kidney stones smoking: no ======================= Treatment: Tamsulosin (d/c), Myrbetriq ER (current) Urocuff (02/2026): VV 158 ml, PVR 93 ml, Qmax 10.9 ml/s. -obstructive. PSA: 1.0 (12/2023). Urocuff information Date 01/23/2024 Peak flow (mL/s) 21.9 Volume voided (cc) 350 Bladder pressure (cm H2O) 200 PVR (mL) 114 Category high pressure/high flow PFS score (%) 65 IPSS Questionnaire Date 01/02/2024 IPSS Total 19 QoL/bother score 6 Erectile Dysfunction screening: The patient reports difficulty achieving a penetrable erection, difficulty maintaining rigid erection after penetration has not trialed prior medication LOW T: fatigue, weight gain/inability to lose weight =================== TEstosterone: 327 (1/2/24)Testosterone panel: FSH 4.6, LH 1.8, PRO 7.7. Progress Note: [PROVIDER_NAME], MD 02/26/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/08/2026 06:29 AM EDT 1/4 4/8/26, 3:59 PM Print Preview [PATIENT_NAME] DOB: [DOB] (53 yo M) Acc No. [ACCOUNT_ID] DOS: 02/26/2026 IIEF/SHIM Questionnaire Date 01/02/2024 IIEF/SHIM Total 15 Current Medications Taking Rosuvastatin Calcium 5 MG Capsule Sprinkle 1 capsule Orally Once a day Lisinopril , Notes to Pharmacist: 20 mg Myrbetriq(Mirabegron ER) 25 MG Tablet Extended Release 24 Hour 1 tab(s) Orally once a day Tadalafil 5 MG Tablet 1 tab(s) orally once a day Not-Taking Tamsulosin HCl 0.4 MG Capsule 1 cap(s) orally once a day Medication List reviewed and reconciled with the patient Past Medical History High Blood Pressure. High Cholesterol. Surgical History back surgery 2019 knee ligament repair hernia repair Family History Father: alive 70 yrs Mother: alive 71 yrs Social History Smoking: no Recreational drug use: no. Exercise: yes. Caffeine: yes. Sexually active: yes. Tobacco Control (Standard) Tobacco use: Nonsmoker AUDIT-C (Standard) Did you have