Built in Direct Collaboration with Practicing Urology Physicians

Urology Clinical Notes in Seconds

Dictate. Generate. Go home.

Built in direct collaboration with practicing urologists, ExamScribe handles the full spectrum of urological documentation — from BPH management and stone disease to oncology follow-ups and surgical planning. Notes that capture your clinical reasoning with proper urological terminology.

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ExamScribe — Urology Encounter
🎤 Your Voice Recording

"67-year-old male with BPH, here for follow-up. AUA symptom score is 18, up from 14 last visit. He's been on tamsulosin 0.4mg for 2 years. PSA today is 4.2, up from 3.1 last year. DRE shows enlarged, smooth, non-nodular prostate, estimated 60 grams. Post-void residual on ultrasound is 180cc. I'm concerned about the PSA velocity. Going to add finasteride 5mg. Referring for prostate MRI and urology oncology consultation given PSA rise. Uroflow showed max flow rate of 9 mL/s."

📄 Generated Clinical Note
CHIEF COMPLAINT: BPH follow-up, PSA elevation HISTORY OF PRESENT ILLNESS: 67-year-old male with known benign prostatic hyperplasia presenting for follow-up. AUA Symptom Score 18 (moderate-severe), increased from 14 at last visit. Currently on tamsulosin 0.4mg daily for 2 years with partial response. PHYSICAL EXAMINATION: Digital Rectal Exam: Prostate enlarged, estimated 60 grams. Smooth, symmetric, non-nodular. No induration. No tenderness. DIAGNOSTICS: PSA: 4.2 ng/mL (increased from 3.1 ng/mL — PSA velocity 1.1 ng/mL/year, exceeding 0.75 ng/mL/year threshold) Post-void residual: 180 mL (elevated) Uroflowmetry: Maximum flow rate (Qmax) 9 mL/s (reduced; normal >15 mL/s) ASSESSMENT & PLAN: 1. BPH with worsening LUTS — add finasteride 5mg daily to tamsulosin; counsel on 6-month onset of effect 2. PSA elevation with concerning velocity (>0.75 ng/mL/year) — prostate MRI (mpMRI) ordered 3. Urology oncology consultation requested given PSA kinetics 4. Elevated PVR (180 mL) — monitor for urinary retention; return immediately if unable to void 5. Follow-up in 3 months with repeat PSA and symptom score

Built for How Urology Physicians Actually Work

Not a generic scribe with "Urology" added. Every template, every prompt, and every output was purpose-built for urology workflows.

Urology-Specific Clinical Documentation

Generates complete urological assessments including DRE findings, voiding symptom scores (AUA/IPSS), uroflowmetry interpretation, and post-void residual documentation — using proper urological terminology throughout.

Oncology Surveillance Documentation

PSA kinetics, Gleason grading, TNM staging, active surveillance criteria, and treatment response documentation — ExamScribe captures the complexity of urological oncology with the precision that oncology follow-up requires.

Procedure and Surgical Documentation

Cystoscopy findings, stone treatment planning, catheter procedures, and surgical candidacy documentation — all generated with the specificity required for accurate CPT coding and prior authorization.

Urology-Specific Context Template Builders

AI can hear your words but cannot see your exam. These structured builders push real clinical findings to the AI in one click — eliminating hallucination and ensuring every note reflects what you actually did.

BPH / LUTS Management

AUA score, DRE findings, PVR, uroflowmetry, medication management, surgical candidacy

Prostate Cancer Surveillance

PSA kinetics, Gleason/Grade Group, TNM staging, active surveillance criteria, treatment response

Kidney Stone Management

Stone size/location, CT findings, spontaneous passage probability, SWL vs ureteroscopy vs PCNL

Bladder Cancer Follow-up

Cystoscopy findings, tumor grade/stage, BCG response, surveillance interval, cystectomy candidacy

Overactive Bladder

Voiding diary, urgency/frequency/incontinence, conservative therapy failure, medication, neuromodulation

Erectile Dysfunction

IIEF score, cardiovascular risk, PDE5 inhibitor response, testosterone level, penile prosthesis candidacy

Testosterone Deficiency

Total/free testosterone, symptoms, TRT candidacy, monitoring parameters, fertility considerations

Hematuria Workup

Gross vs microscopic, CT urogram findings, cystoscopy results, etiology, follow-up plan

Hydrocele / Scrotal Mass

Transillumination, ultrasound findings, malignancy workup, surgical vs observation

UTI / Recurrent UTI

Culture results, antibiotic selection, risk factors, prophylaxis, urologic workup indication

Integrated Compliance Engine

Urology Coding Complexity Requires Documentation Precision.

Urology faces frequent audits on cystoscopy coding, PSA-related E/M visits, and surgical candidacy documentation. The distinction between diagnostic and therapeutic procedures, and between screening and diagnostic PSA testing, has significant billing implications. ExamScribe's compliance engine catches gaps before they become denials.

PSA Testing Documentation

Screening PSA (G0103) vs diagnostic PSA have different billing rules. The engine checks that your documentation clearly supports the indication — screening vs elevated PSA follow-up — to prevent claim denial.

Cystoscopy Code Selection

Diagnostic cystoscopy (52000) vs cystoscopy with biopsy, fulguration, or other interventions have distinct CPT codes. The engine verifies your procedure note supports the code billed and flags ambiguous documentation.

Active Surveillance Documentation

Active surveillance for prostate cancer requires documented clinical rationale, patient counseling, and monitoring plan. The engine verifies these elements are present — supporting both clinical and billing defensibility.

Stone Procedure Medical Necessity

SWL, ureteroscopy, and PCNL require documented stone size, location, and clinical indication. The engine checks that your note supports the procedure selected and the urgency of intervention.

Testosterone Therapy Documentation

TRT requires documented low testosterone levels, symptoms, and contraindication screening. The engine verifies your note contains the elements required for PA approval and ongoing authorization.

Two-Pass AI Compliance Audit

Every note is analyzed for coding accuracy, documentation sufficiency, and payer-specific requirements. You receive a detailed gap report — reviewed and attested by you before any changes are made.

Three Steps. That's It.

Start generating notes in under a minute.

1

Record

Click record and speak naturally about the encounter — during the visit, after the visit, or just key findings. No special commands.

2

Generate

ExamScribe transcribes your recording and generates a complete, properly structured urology note with accurate specialty terminology in seconds.

3

Review & Export

Review the note, make any quick edits, and copy it into your EHR or export as PDF. Done.

Simple, Transparent Pricing

One plan. Everything included. No per-note fees.

Individual Physician
MonthlyAnnual Save $120/yr
$89/mo

billed annually ($1,068/yr)

  • 400 AI credits per month
  • All Urology template builders
  • Compliance audit engine
  • Document analysis & appeal letters
  • Voice-to-note in seconds
  • PDF & Excel export
  • HIPAA compliant — signed BAA included
  • 30-day free trial
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Your Patients' Data Is Sacred

Built with the same standard of care you bring to your patients.

HIPAA Compliant

  • Signed Business Associate Agreement
  • AES-256 encryption at rest
  • TLS 1.2+ in transit
  • SOC 2 Type II Azure data centers (US only)

Zero Data Sharing

  • Transcripts never used to train AI
  • No third-party data sharing — ever
  • Data never leaves US servers
  • You own your data — delete anytime

Automatic Protection

  • No audio recordings stored
  • Auto-delete on your schedule
  • Complete audit logging
  • Session timeouts enforced

Frequently Asked Questions

Does ExamScribe understand urology-specific scoring tools like AUA/IPSS?

Yes. The BPH template builder captures AUA Symptom Score components and incorporates the total score into the note with clinical interpretation. Similarly, IIEF scores for ED and other validated tools are built into their respective templates.

Can ExamScribe handle prostate cancer active surveillance documentation?

Yes. The prostate cancer template captures PSA kinetics, Gleason/Grade Group, TNM staging, and active surveillance criteria. ExamScribe documents the clinical rationale for surveillance vs treatment — which is critical for both clinical and billing defensibility.

How does ExamScribe handle cystoscopy procedure notes?

The cystoscopy template captures bladder capacity, mucosal findings, ureteral orifice assessment, and any interventions performed. It produces a complete procedure note with the specificity required for accurate CPT code selection.

Can ExamScribe help with testosterone therapy prior authorization?

Yes. The compliance engine checks for the elements most commonly required for TRT PA — documented low testosterone levels, symptom correlation, and contraindication screening. This directly reduces PA denial rates.

Is my patient data used to train the AI?

Never. Your transcripts and patient data are never used to train AI models. All data is processed on HIPAA-compliant Azure servers in the US and auto-deleted on your schedule.

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