Skip the telemed appt and just go see the urologist. Clearly something is happening, and you've had an abnormal result on the ultrasound. Go find out what it is.
Good luck and let us know what happens.
I saw the urologist and he said 99.5% chance there is nothing to worry about as it looks benign. But he did recommend a blood test for tumor markers and another ultrasound to confirm nothing has grown since last ultrasound.. I am on the fence on doing those tests as I feel I have the information I need. If I feel the spot growing/changing then I will get the tests then.