Patient Note — 239591
progress_notes_239591_1_deid.txt
Demographics & Encounter
Patient ID239591 (PHI redacted)
Age / Gender41 / Male
Date of Service2026-03-13
ProviderNone
FacilityPOTOMAC UROLOGY CENTER - Alexandria
PayerCigna Connect EPO
Reason1. AVEED #6
Diagnoses
E29.1
Testicular hypofunction
N52.02
Corporo-venous occlusive erectile dysfunction
Medications
Levothyroxine Sodium
Quad-Mix(Papav-Phentol-Alprost-Atropine) 150-10-0.1-1 MG Solution Reconstituted as directed Intracavernosal
Aveed(Testosterone Undecanoate)
Tri-Mix(Papav-Phentolamine-Alprostadil) 150-5-50 MG-MG-MCG Solution Reconstituted as directed Intracavernosal
Medication List reviewed and reconciled with the patient
Vitals
RR
16.0
HR
92.0
BP
131/89
BMI
29.83
WEIGHT
220 lbs
HEIGHT_IN
72.0
Clinical Summary (HPI)
Low Testosterone: 41yM w/ hx of low testosterone presents for Aveed #6. Labs reviewed today: testo 220; hct 46.8; hepatic WNL; PSA 0.5 (3/2/26). The patient notes increased strength on Aveed. - - - - - - - - - - - - - - The patient's previous work-up history is listed below: Testosterone: 390 (Aug. '25); 153 Free T 36.4 (Sept'24@9:30am) 185 Free T 53.9 (Aug'24@9am) HCT: 46.8 (March '26); 50.1 (Aug. '25); 44.1 (Nov. '24) Hepatic: WNL (March '26); WNL (Aug. '25); WNL (Nov. '24) PSA: 0.5 (March '26); 0.56 (Aug. '25); 0.45 (Nov. '24) HP2: WNL (Aug'24). Erectile Dysfunction screening: Also with hx of erectile dysfunction. He has been using Super Quadmix 0.4cc with mixed results. He reports a burning sensation after injecting as well as occasional dizziness. Pt is interested in the IPP. - - - - - - - - - - - - - - The patient's previous work-up history is listed below: Penile Doppler (Oct'24) Impression: Right Side Venous Leak. 44.58cm/s, 16.11cm/s | 37.46cm/s, 0.00cm/s (0.15cc) Adequacy of erection: Good. General Urology: Pt s/p Vasectomy (2019) The patient had a vasectomy in Fairfax in 2019. His post vas SA was neg. --------------------------------- The patient's previous work-up history is listed below:. Progress Note: ALEC M DODD 03/13/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/12/2026 04:38 PM EDT 1/4 4/13/26, 2:08 AM Print Preview [PATIENT_NAME] DOB: [DOB] (41 yo M) Acc No. [ACCOUNT_ID] DOS
Raw Note (de-identified preview)
4/13/26, 2:08 AM Print Preview
[PATIENT_NAME] DOB: [DOB] (41 yo M) Acc No. [ACCOUNT_ID] DOS: 03/13/2026
[PATIENT_NAME]
41 Y old Male, DOB: [DOB]
Account: [ACCOUNT_ID]: [PHONE] [ADDRESS]
Home: [PHONE]
Guarantor: [GUARANTOR_NAME] Insurance: Cigna Connect EPO
PCP: Sapan Shah Referring: Sapan Shah
Appointment Facility: POTOMAC UROLOGY CENTER - Alexandria
Structured Data: How did you hear about us? : Primary Care Physician
03/13/2026 Aveed: ALEC M DODD
Reason for Appointment
1. AVEED #6
History of Present Illness
Low Testosterone:
41yM w/ hx of low testosterone presents for Aveed #6.
Labs reviewed today: testo 220; hct 46.8; hepatic WNL; PSA 0.5 (3/2/26).
The patient notes increased strength on Aveed.
- - - - - - - - - - - - - -
The patient's previous work-up history is listed below:
Testosterone: 390 (Aug. '25); 153 Free T 36.4 (Sept'24@9:30am) 185 Free T 53.9 (Aug'24@9am)
HCT: 46.8 (March '26); 50.1 (Aug. '25); 44.1 (Nov. '24)
Hepatic: WNL (March '26); WNL (Aug. '25); WNL (Nov. '24)
PSA: 0.5 (March '26); 0.56 (Aug. '25); 0.45 (Nov. '24)
HP2: WNL (Aug'24).
Erectile Dysfunction screening:
Also with hx of erectile dysfunction.
He has been using Super Quadmix 0.4cc with mixed results. He reports a burning sensation after injecting as well as
occasional dizziness.
Pt is interested in the IPP.
- - - - - - - - - - - - - -
The patient's previous work-up history is listed below:
Penile Doppler (Oct'24) Impression: Right Side Venous Leak.
44.58cm/s, 16.11cm/s | 37.46cm/s, 0.00cm/s (0.15cc)
Adequacy of erection: Good.
General Urology:
Pt s/p Vasectomy (2019)
The patient had a vasectomy in Fairfax in 2019. His post vas SA was neg.
---------------------------------
The patient's previous work-up history is listed below:.
Progress Note: ALEC M DODD 03/13/2026
Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
Generated for Printing/Faxing/eTransmitting on: 04/12/2026 04:38 PM EDT
1/4
4/13/26, 2:08 AM Print Preview
[PATIENT_NAME] DOB: [DOB] (41 yo M) Acc No. [ACCOUNT_ID] DOS: 03/13/2026
Current Medications
Taking
Levothyroxine Sodium 150 MCG Tablet Oral
Quad-Mix(Papav-Phentol-Alprost-Atropine) 150-10-0.1-1 MG Solution Reconstituted as directed Intracavernosal
Aveed(Testosterone Undecanoate) 750 MG/3ML Solution as directed intramuscularly every 10 weeks
Not-Taking
Tri-Mix(Papav-Phentolamine-Alprostadil) 150-5-50 MG-MG-MCG Solution Reconstituted as directed Intracavernosal
Medication List reviewed and reconciled with the patient
Past Medical History
Hypothyroidism.
Surgical History
No Surgical History documented.
Family History
Father: alive
Mother: alive
Social History
Smoking: no
Recreational drug use: no.
Exercise: yes.
Caffeine: frequency:.
Sexually active: yes.
Occupation: yes.
Screening
Allergies
N.K.D.A.
Hospitalization/Major Diagnostic Procedure
Denies Past Hospitalization
Review of Systems
11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the
patient..mc.
Vital Signs
RR: 16, HR