Medications
Trospium Chloride
traZODone HCl
Progress Note: STELLA Y BASOAH 12/15/2025
Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
Generated for Printing/Faxing/eTransmitting on: 04/12/2026 04:33 PM EDT
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[PATIENT_NAME] DOB: [DOB] (58 yo M) Acc No. [ACCOUNT_ID] DOS: 12/15/2025
Atorvastatin Calcium
Sertraline HCl
Medication List reviewed and reconciled with the patient
Clinical Summary (HPI)
Kidney Stone: 58yM w/ hx of kidney stones, s/p L URS LL (11/04/2025) presents today with gross hematuria. He notes that he went to ER 12/8 with recurrent LLQ/ left flank pain which improved over time. No acute findings on repeat imaging. He was discharged with Toradol. He says since the ER, he experienced episodes of gross hematuria, unsure if he's been passing stones, but also dissipated over time. ++++++++++++++++++++++++++++++ The patient's previous workup history is listed below: CT a/p: 1. No acute abnormality.2. Cholelithiasis.3. Nonobstructing left renal calculi.4. Small bowel adhesions (12/8/225) S/p Cystoscopy, Ureteral Catheter Insertion, Interpretation of Fluroscopic Images, Left Flexible Nephroscopy, Left Flexible Ureteroscopy, Laser Lithotripsy, Left 6F x 30 cm double J Ureteral Stent Insertion: Left renal stones. (11/04/2025) CT A/P (Sentara): Mild left hydronephrosis secondary to UPJ obstructing 8mm calculus. Additional left renal nonobstructing calculi measure up to 11mm. Gallstones. Partial sigmoidectomy. [10/07/2025]. Overactive Bladder: Also, w/ hx of overactive bladder. Continues Trospium 20 mg BID. BPH screening: Pt w/ hx of ED and BPH, s/p Aquablation Monotherapy (02/27/2025), ++++ Cysto: Open prostate [06/30/2025] surg path (Feb 2025): Benign PSA: 0.66 (Oct 2024) Cysto: lateral lobe enlargement, bladder trabeculation (Jan'25) Urocuff study has an obstructed appearance with a peak flow rate of 9.9 ml/s, cuff pressure of 200 cmH2O, voided volume of 125 mL
Raw Note (de-identified preview)
4/13/26, 2:03 AM Print Preview
[PATIENT_NAME] DOB: [DOB] (58 yo M) Acc No. [ACCOUNT_ID] DOS: 12/15/2025
[PATIENT_NAME]
58 Y old Male, DOB: [DOB]
Account: [ACCOUNT_ID]: [ACCOUNT_ID]
[ADDRESS]
Home: [PHONE]
Guarantor: [GUARANTOR_NAME] Insurance: Sentara
Health Plans (FNA Optima)
PCP: MELANY WIEST Referring: ALOK S DESAI
Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge
12/15/2025 Progress Notes: STELLA Y BASOAH
Reason for Appointment
1. Blood in urine
History of Present Illness
Kidney Stone:
58yM w/ hx of kidney stones, s/p L URS LL (11/04/2025) presents today with gross hematuria.
He notes that he went to ER 12/8 with recurrent LLQ/ left flank pain which improved over time. No acute findings on repeat
imaging. He was discharged with Toradol.
He says since the ER, he experienced episodes of gross hematuria, unsure if he's been passing stones, but also dissipated over
time.
++++++++++++++++++++++++++++++
The patient's previous workup history is listed below:
CT a/p: 1. No acute abnormality.2. Cholelithiasis.3. Nonobstructing left renal calculi.4. Small bowel adhesions (12/8/225)
S/p Cystoscopy, Ureteral Catheter Insertion, Interpretation of Fluroscopic Images, Left Flexible Nephroscopy, Left Flexible
Ureteroscopy, Laser Lithotripsy, Left 6F x 30 cm double J Ureteral Stent Insertion: Left renal stones. (11/04/2025)
CT A/P (Sentara): Mild left hydronephrosis secondary to UPJ obstructing 8mm calculus. Additional left renal
nonobstructing calculi measure up to 11mm. Gallstones. Partial sigmoidectomy. [10/07/2025].
Overactive Bladder:
Also, w/ hx of overactive bladder.
Continues Trospium 20 mg BID.
BPH screening:
Pt w/ hx of ED and BPH, s/p Aquablation Monotherapy (02/27/2025),
++++
Cysto: Open prostate [06/30/2025]
surg path (Feb 2025): Benign
PSA: 0.66 (Oct 2024)
Cysto: lateral lobe enlargement, bladder trabeculation (Jan'25)
Urocuff study has an obstructed appearance with a peak flow rate of 9.9 ml/s, cuff pressure of 200 cmH2O, voided volume of
125 mL, and PVR: 30 mL. (Oct 2024).
Current Medications
Taking
Trospium Chloride 20 MG Tablet 1 tablet Orally Twice a day
traZODone HCl 50 MG Tablet TAKE ONE-HALF TO ONE TABLET BY MOUTH NIGHTLY AS NEEDED Oral
Progress Note: STELLA Y BASOAH 12/15/2025
Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
Generated for Printing/Faxing/eTransmitting on: 04/12/2026 04:33 PM EDT
1/4
4/13/26, 2:03 AM Print Preview
[PATIENT_NAME] DOB: [DOB] (58 yo M) Acc No. [ACCOUNT_ID] DOS: 12/15/2025
Atorvastatin Calcium 20 MG Tablet Oral
Sertraline HCl 50 MG Tablet TAKE ONE TABLET BY MOUTH EVERY DAY Oral
Medication List reviewed and reconciled with the patient
Past Medical History
Enlarged Prostate.
ED.
Surgical History
colon resection
Aquablation 02/2025
CYSTO LEFT URS LL with stent placement 11/04/25
Family History
Father: deceased
Mother: deceased, colon cancer, breast cancer
Social History
Smoking: no
Recreational drug use: no.
Exercise: no.
Caffeine: yes.
Sexually active: no.
Occupation: no.
Toba