Patient Note — 263547
progress_notes_263547_1_deid.txt
Demographics & Encounter
Patient ID263547 (PHI redacted)
Age / Gender38 / Male
Date of Service2025-12-30
ProviderNone
FacilityPOTOMAC UROLOGY CENTER - Manassas
PayerAetna
Reason1. Vasectomy Consult
Diagnoses
Z30.09
Encounter for vasectomy assessment
B00.9
Herpes simplex
Medications
NonePast Medical History
- No Reported Medical History
- Medical History Verified
Vitals
RR
16.0
HR
62.0
BP
120/65
BMI
25.1
WEIGHT
180 lbs
HEIGHT_IN
71.0
Clinical Summary (HPI)
Vasectomy Consult: 38yM here for a vasectomy consult. Married: yes Number of children: 2 denies hx of LUTS, GH, UTI, kidney stones, ED no family hx of PCa.
Raw Note (de-identified preview)
4/15/26, 1:56 PM Print Preview
[PATIENT_NAME] DOB: [DOB] (38 yo M) Acc No. [ACCOUNT_ID] DOS: 12/30/2025
[PATIENT_NAME]
38 Y old Male, DOB: [DOB]
Account: [ACCOUNT_ID]: [PHONE] [ADDRESS]
Insurance: Aetna
PCP: PCP NO Referring: RP NO
Appointment Facility: POTOMAC UROLOGY CENTER - Manassas
12/30/2025 NP-SameDay: STELLA Y BASOAH
Reason for Appointment
1. Vasectomy Consult
History of Present Illness
Vasectomy Consult:
38yM here for a vasectomy consult.
Married: yes
Number of children: 2
denies hx of LUTS, GH, UTI, kidney stones, ED
no family hx of PCa.
Current Medications
None
Past Medical History
No Reported Medical History.
Medical History Verified.
Surgical History
rhinoplasty 2009
Family History
Father: alive
Mother: alive
Social History
Smoking: no
Recreational drug use: no.
Exercise: yes, daily.
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? Monthly or less (1 point)
How many drinks did you have on a typical day when you were drinking in the past year? 1 or 2 drinks (0 point)
How often did you have six or more drinks on one occasion in the past year? Less than monthly (1 point)
Points 2
Interpretation Negative
Allergies
N.K.D.A.
Progress Note: STELLA Y BASOAH 12/30/2025
Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
Generated for Printing/Faxing/eTransmitting on: 04/15/2026 04:55 PM EDT
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4/15/26, 1:56 PM Print Preview
[PATIENT_NAME] DOB: [DOB] (38 yo M) Acc No. [ACCOUNT_ID] DOS: 12/30/2025
Hospitalization/Major Diagnostic Procedure
Denies Past Hospitalization
Review of Systems
11 system Review of Systems completed in chart and all pertinent positives and negative reviewed with patient..DS.
Vital Signs
RR: 16, HR: 62, BP: 120/65 mm Hg, Ht: 71, Wt: 180 lbs, BMI: 25.1 Index.
Examination
General:
General appearance: alert, oriented, no apparent distress.
Urethral meatus: normal.
Scrotum: normal.
Testicles: normal.
Vas normal bilaterally.
Epididymis: normal, nontender.
Lungs: symmetical excursion, nonlabored.
Assessments
1.Encounter for vasectomy assessment - Z30.09 (Primary)
2.Herpes simplex - B00.9
Treatment
1.Encounter for vasectomy assessment
PROCEDURE: UA dip NEGATIVE
Clinical Notes: He comes in today for an initial consultation regarding a vasectomy. I discussed that a vasectomy does not
make him sterile however he does prevent sperm from joining with his ejaculation fluid. I informed him that in
accordance with the American Urological Association guidelines (2012, amended 2015), the vasectomy is intended to be a
permanent form of contraception. Additionally, I informed him it does not produce immediate sterility and requires
another form of contraception until a post-vasectomy confirmatory semen analysis can be obtained. According to the
guidelines, the risk of pregnancy after vasectomy is approximately 1 in 2000 men and he may require a repeat procedure.
I also discussed potential complications including hematom