| Physical Exam |
08/06/XX |
60 year old male with difficulty urinating. Nocturia 3 - 4 times, frequency, urgency, hesitancy, intermittence, and a feeling of incomplete bladder emptying. |
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| Genitourinary Exam |
08/06/XX |
Digital rectal exam: enlarged prostate. |
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| X-Rays & Scans |
08/15/XX |
Chest: Unremarkable. CT abdomen: No significant findings. |
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| Scopes |
08/19/XX |
Cystoscopy: Significant obstruction by enlarged prostate. |
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| Laboratory |
08/15/XX |
PSA normal, Alk phos: 123 (normal 69 - 241). |
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| Surgical Findings |
08/19/XX |
TURP: Bladder outlet significantly obstructed by an enlarged prostate. |
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| Pathological Reports |
08/19/XX |
Micro: Prostate: Adenocarcinoma, Gleason grade 2 + 3 = 5, in 3 of 24 total chips. |
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| Treatment |
08/19/XX |
Surgery: TURP. |
| 10/01/XX |
Radiation: 10MV Photons 6 field pelvic technique, total 7380 rads to prostate. |
| 09/15/XX |
Hormone: Lupron injection. |
