Patient Note — 263254

4/21/26, 1:37 AM Print Preview [PATIENT_NAME] DOB: [DOB] (72 yo M) Acc No. [ACCOUNT_ID] DOS: 03/03/2026 [PATIENT_NAME] 72 Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Guarantor: [GUARANTOR_NAME] Insurance: Humana Choice (PPO) PCP: [PROVIDER_NAME], MD Referring: [PROVIDER_NAME], MD Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge 03/03/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. US REVIEW History of Present Illness Hydrocele: 72yM patient with complaints of scrotal pain and right hydrocele, presents here today for a follow-up with scrotal ultrasound review. Patient reports no new complaints at this time. **************************************** The patient reports swelling of the right testicle, which he first noticed approximately 1 year ago. He underwent a hernia repair in 1991. The patient also reports nocturia x 2 -3. ---------------------------- The patient's previous work-up history is listed below: Scrotal u/s (February 2026): 1. Large right hydrocele containing echogenic debris. 2. Trace left hydrocele. 3. Intermittent testicular torsion cannot be excluded by ultrasound. Current Medications Taking Rosuvastatin Calcium 10 MG Tablet Oral amLODIPine Besylate 10 MG Tablet Oral Past Medical History Hypertension. Pre-diabetes. Surgical History No Surgical History documented. Family History No Family History documented. Social History Smoking: no Recreational drug use: no. Exercise: yes. Caffeine: yes. Sexually active: yes. Screening Progress Note: [PROVIDER_NAME], MD 03/03/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/21/2026 04:37 AM EDT 1/3 4/21/26, 1:37 AM Print Preview [PATIENT_NAME] DOB: [DOB] (72 yo M) Acc No. [ACCOUNT_ID] DOS: 03/03/2026 Allergies N.K.D.A. Hospitalization/Major Diagnostic Procedure chest pain 2025 Review of Systems 11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient, adg. Vital Signs Assessments 1.Right hydrocele - N43.3 (Primary) 2.Scrotum pain - N50.82 Treatment 1.Right hydrocele Notes: 72yM patient with complaints of scrotal pain and right hydrocele, presents here today for a follow-up with scrotal ultrasound review. I personally reviewed the scrotal ultrasound performed in February 2026, which demonstrates a large right-sided hydrocele containing echogenic debris, as well as a smaller left-sided hydrocele. Given the size and symptomatic nature of the right hydrocele, surgical management with Right Hydrocelectomy is recommended. Hydrocelectomy: this is surgical correction of the hydrocele. The success rate of this procedure is 80%, and for the 20%, it is not that the hydrocele doesn't work, but that there might be a recurrence in 5-10 years. I recommend a hydrocelectomy for the patient if he is experiencing persistent pain/discomfort from his hydroceles despite conservative management. I answered all of his questions to