Patient Note — 223175

4/16/26, 12:46 AM Print Preview [PATIENT_NAME] DOB: [DOB] (65 yo M) Acc No. [ACCOUNT_ID] DOS: 04/15/2026 [PATIENT_NAME] 65 Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Anthem BCBS PCP: [PATIENT_NAME] Referring: [PATIENT_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Alexandria Structured Data: How did you hear about us? : Google; Patient's temperature : 36 04/15/2026 Aveed: ALEC M DODD Reason for Appointment 1. AVEED # 10 History of Present Illness Low Testosterone: 65yM with hx of low T presents today for Aveed #10. He reports good results with therapy. Prior labs: testo 554; PSA 0.00; hct 54.5 (H); hepatic WNL except Bili-D 0.24 (H) (12/17/25) Prior hx: Pt reports that he saw his hem/onc in March '25 and received clearance to resume TRT while on Eliquis; will do phlebotomy as needed. Was on Xyosted; developed PE (Apirl 2023); now on Eliquis. - - - - - - - - - - - - - - The patient's previous work-up history is listed below: Treatment: Aveed. IPSS: 4 (May 2023). PSA: 0.01 (July '25); 0.00 (Oct'23); <0.1 (May 2023). Hct: 52 (Jan. '26); 53.7 (July '25); 57.5 (Jan 2024); 53.9 (10/3/24); 49.4 (12/7/23); 56.4, HGB 15.9 (12/07/23); 18.1 (Nov'23); HGB 15.1, HCT 44 (Dec'22). Testosterone: 477 (July '25); 327 (Oct'23); 124 (May'23) (on xyosted); 60 (Dec'22). FSH: 3.3 LH: 3.5 Prolactin: 16.1 Estradiol: 19.2 (May'23). Hematuria: Also with hx of microscopic hematuria. He went to Patient First on 1/16/26 for flank pain. UA showed 3-5 URBCs. He spoke to his PCP about this, and they ordered a CT Urogram. CT Urogram (1/27/26): Impression - 1) No hydronephrosis, nephrolithiasis, solid renal mass, or evidence of urothelial. 2) Brachytherapy seeds in prostate gland. No gross hematuria or dysuria. No smoking hx. Pt did not proceed with cysto. Progress Note: ALEC M DODD 04/15/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/16/2026 03:46 AM EDT 1/5 4/16/26, 12:46 AM Print Preview [PATIENT_NAME] DOB: [DOB] (65 yo M) Acc No. [ACCOUNT_ID] DOS: 04/15/2026 ++++++++++ Prior work-up: UA: 3-5 URBCs, otherwise normal (1/16/25). CT Urogram (1/27/26): Impression - 1) No hydronephrosis, nephrolithiasis, solid renal mass, or evidence of urothelial. 2) Brachytherapy seeds in prostate gland. Erectile Dysfunction screening: Also with hx of ED. Currently managed with ICI. He is using Trimix 0.6cc with great results. - - - - - - - - - - - - - - The patient's previous work-up history is listed below: Testosterone: 124 (May'23). FSH: 3.3 LH: 3.5 Prolactin: 16.1 Estradiol: 19.2 (May'23). Penile Doppler US: Impression - Bilateral Venous Leak. 45.2cm/s, 14.6cm/s | 45.2cm/s, 8.9cm/s (0.55cc). Adequacy of erection: Good. (Dec. '25). Prostate Cancer (localized): S/p brachy in 2011--PSA has stayed low since then despite testosterone replacement. Current Medications Taking Aveed(Testosterone Undecanoate) 750 MG/3ML Solution as directed