Patient Note — 266974

4/21/26, 1:38 AM Print Preview [PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 04/07/2026 [PATIENT_NAME] [AGE] Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Guarantor: [GUARANTOR_NAME] Insurance: Anthem BCBS PCP: PCP NO Referring: PCP NO Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge 04/07/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. AQUABLATION CONSULT History of Present Illness BPH screening: [AGE]yM, new patient, with a history of BPH with LUTS presents today for Aquablation consult. The patient endorses bothersome urinary symptoms, including nocturia x 2 per night. He underwent PAE monotherapy in September 2019. ---------------------------- The patient's previous work-up history is listed below: IPSS: 12 (April 2026) PSA: 5.4 (December 2025-verbal), 3.2 (Before December 2025-verbal) Prostate volume: 68 g. Bladder Cancer: The patient has a prior history of urothelial carcinoma and underwent surgical management in 2015, following which he has been maintained on active surveillance. Erectile Dysfunction screening: The patient is not sexually active currently. Current Medications Taking Multivitamin Magnesium Xarelto(Rivaroxaban) 20 MG Tablet Oral Omega 3 Tamsulosin HCl 0.4 MG Capsule Oral Ezetimibe 10 MG Tablet Oral Jardiance(Empagliflozin) 10 MG Tablet Oral Medication List reviewed and reconciled with the patient Past Medical History Hypertension. Hypercholesterolemia. Stage 3 Kidney Disease. Pre-diabetes. Kidney stones. Arthritis. Progress Note: [PROVIDER_NAME], MD 04/07/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/21/2026 04:38 AM EDT 1/6 4/21/26, 1:38 AM Print Preview [PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 04/07/2026 Surgical History Right Hip Replacement. 2024 PAE Family History Father: deceased Mother: deceased Social History Smoking: no Recreational drug use: no. Exercise: yes. Caffeine: yes. Sexually active: no. 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, CQ. Vital Signs HR: Not Taken - Collection Device Broken, BP: Not Taken - Collection Device Broken, Ht: 70, Wt: 176 lbs, BMI: 25.25 Index. Examination Assessments 1.BPH loc w urin obs/LUTS - N40.1 (Primary) 2.Urothelial carcinoma - C68.9 Treatment 1.BPH loc w urin obs/LUTS PROCEDURE: Uroflow PROCEDURE: Bladder Scan/PVR (Performed Date - 04/07/2026) 55mL Notes: [AGE]yM, new patient, with a history of BPH with LUTS presents today for Aquablation consult. Uroflow: Q max 5.5 peak flow rate, voided vol 74ml PVR 55mL - CQ. (CMA) The patient endorses bothersome urinary symptoms. Treatment options were discussed including PAE/Aquablation combination therapy. However, the patient elects to proceed with Aquablation monotherapy at