Patient Note — 266415

4/14/26, 7:54 AM Print Preview [PATIENT_NAME] DOB: [DOB] (72 yo M) Acc No. [ACCOUNT_ID] DOS: 04/10/2026 Progress Notes Patient: [PATIENT_NAME] Provider: [PATIENT_NAME], MD Account: [ACCOUNT_ID] DOB: [DOB] Age: 72 Y Sex: Male Date: 04/10/2026 Phone: [PHONE] Address: [ADDRESS] Pcp: [PATIENT_NAME], MD Subjective: Chief Complaints: 1. Unable to urinate. ROS: 11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient, adg. Medical History: Medical History Verified. Surgical History: Denies Past Surgical History. Hospitalization/Major Diagnostic Procedure: retention 2026. Family History: No Family History documented.. Screening: Social History: Smoking: yes . Recreational drug use: no. Exercise: yes. Caffeine: yes, frequency:. Medications: None Allergies: N.K.D.A. Objective: Vitals: HR: Not Taken - Collection Device Broken, BP: Not Taken - Collection Device Broken, Ht: 5 ft 10 in, Wt: 165 lbs, BMI: 23.67 Index. Assessment: Assessment: 1. Phimosis - N47.1 (Primary) Plan: Treatment: 1. Phimosis Notes: I discussed that they will benefit most from circumcision and detailed the surgical procedure for them. I discussed that this will be performed under ***general anesthesia and he will have a penile block for local anesthesia. I informed them that this would be an outpatient procedure and they will have stitches in place that will dissolve over time. They understand that the penis will appear bruised and swollen over the initial few weeks but this will soon improve and resolve. Additionally, they understand that there is glans hypersensitivity to be expected following circumcision and this can persist for up to 6 weeks. ***Additionally, I informed them that after circumcision, they are to refrain from sexual intercourse or masturbation for at least 1 month until Provider: [PATIENT_NAME], MD Date: 04/10/2026 1/2 4/14/26, 7:54 AM Print Preview [PATIENT_NAME] DOB: [DOB] (72 yo M) Acc No. [ACCOUNT_ID] DOS: 04/10/2026 their postoperative visit. Risks and complications of circumcision were discussed in layman's terms, including but not limited to: meatal stenosis; changes in sexual sensation; irritation of the distal shaft for several months; bleeding; infection; cosmetic difference distal to the circumcision line. Procedure Orders: Procedure: Bladder Scan/PVR 30 ml Procedure Codes: [ADDRESS] US URINE CAPACITY MEASURE Billing Information: Visit Code: [ADDRESS] Office Visit, Est Pt., Level 4. Procedure Codes: [ADDRESS] US URINE CAPACITY MEASURE. Provider: [PATIENT_NAME], MD Date: 04/10/2026 2/2