Demographics & Encounter
Patient ID222374 (PHI redacted)
Age / Gender57 / Male
Date of Service2026-02-25
Provider[PROVIDER_NAME]
FacilityPOTOMAC UROLOGY CENTER - Fair Oaks
PayerAnthem BCBS
Reason1. 1 YEAR F/U REV UROCUFF
Diagnoses
N32.0
Bladder outlet obstruction
R39.9
Lower urinary tract symptoms (LUTS)
R35.1
Nocturia
N48.89
Penile pain
Clinical Summary (HPI)
General Urology: 57 yM with Hx of BPH presents today for 1 year f/u and urocuff review. He notes occasional hesitancy. -------------------- Prior Hx: He reports occasional weak stream. He reports some frequency and occasional urgency which is improving, with limiting coffee intake. He reports nocturia x1(prior x2-3) for 15 years. He feels that his sx are stable and is not interested in starting medications. His penile pain has resolved. No GH, recent infections. family history of bladder cancer (father) -------------------------------- Prior work-up: Urocuff (02/2026): VV 575 mL, Qmax 10.9 mL/s, PVR 303 mL (reviewed and interpreted) UroCuff (07/2025): PVR 34 ml, VV 515 ml, VT 64s, Pcuff 200, Qmax 14.7 ml/s, Qavg 8.7 ml/s- Normal bell shaped curve UAmicro (07/2025): Negative, UCx NG. IPSS (07/2025): 11, QoL: 4 Labs(06/2025): Cr 1.08, GLU 104, otherwise WNL. UA (5/2025): neg, UCx: NG UA (4/2023): neg, UCx: NG.
Raw Note (de-identified preview)
4/13/26, 7:26 AM Print Preview
[PATIENT_NAME] DOB: [DOB] (57 yo M) Acc No. [ACCOUNT_ID] DOS: 02/25/2026
[PATIENT_NAME]
57 Y old Male, DOB: [DOB]
Account: [ACCOUNT_ID]: [PHONE] [ADDRESS]
Home: [PHONE]
Guarantor: [GUARANTOR_NAME] Insurance: Anthem BCBS
PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME]
Appointment Facility: POTOMAC UROLOGY CENTER - Fair Oaks
Structured Data: How did you hear about us? : Other; Patient's temperature : 0
02/25/2026 Progress Notes: [PROVIDER_NAME], MD
Reason for Appointment
1. 1 YEAR F/U REV UROCUFF
History of Present Illness
General Urology:
57 yM with Hx of BPH presents today for 1 year f/u and urocuff review.
He notes occasional hesitancy.
--------------------
Prior Hx:
He reports occasional weak stream. He reports some frequency and occasional urgency which is improving, with limiting
coffee intake. He reports nocturia x1(prior x2-3) for 15 years.
He feels that his sx are stable and is not interested in starting medications.
His penile pain has resolved.
No GH, recent infections.
family history of bladder cancer (father)
--------------------------------
Prior work-up:
Urocuff (02/2026): VV 575 mL, Qmax 10.9 mL/s, PVR 303 mL (reviewed and interpreted)
UroCuff (07/2025): PVR 34 ml, VV 515 ml, VT 64s, Pcuff 200, Qmax 14.7 ml/s, Qavg 8.7 ml/s- Normal bell shaped curve
UAmicro (07/2025): Negative, UCx NG.
IPSS (07/2025): 11, QoL: 4
Labs(06/2025): Cr 1.08, GLU 104, otherwise WNL.
UA (5/2025): neg, UCx: NG
UA (4/2023): neg, UCx: NG.
Current Medications
Taking
Rosuvastatin Calcium 20 MG Tablet Oral
Not-Taking
Lidocaine 4 % Cream 1 application as needed Externally BID as needed
Medication List reviewed and reconciled with the patient
Past Medical History
High Cholesterol.
Surgical History
Ankle 1980's
Progress Note: [PROVIDER_NAME], MD 02/25/2026
Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
Generated for Printing/Faxing/eTransmitting on: 04/13/2026 10:26 AM EDT
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4/13/26, 7:26 AM Print Preview
[PATIENT_NAME] DOB: [DOB] (57 yo M) Acc No. [ACCOUNT_ID] DOS: 02/25/2026
Family History
Father: alive 82 yrs
Mother: alive 78 yrs
Social History
Recreational drug use: no.
Exercise: yes.
Caffeine: no.
Sexually active: yes.
Tobacco Control (Standard)
Tobacco use: Former smoker
AUDIT-C (Standard)
Did you have a drink containing alcohol in the past year? Yes
How often did you have a drink containing alcohol in the past year? Declined to specify (0 point)
How many drinks did you have on a typical day when you were drinking in the past year? Declined to specify (0 point)
How often did you have six or more drinks on one occasion in the past year? Declined to specify (0 point)
Points 0
Interpretation Negative
Screening
Allergies
N.K.D.A.
Hospitalization/Major Diagnostic Procedure
Urgency / Atra Care 05/2025
Review of Systems
11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the
patient cdw.
Vital Signs
RR: 16, HR: 72, BP: 119/77 mm Hg, Ht: 72, Wt: 185 lbs,