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About Stephen W. Leslie, MD
Expertise
Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.
Experience
Full time practicing urologist with 20 years experience. Assistant Clinical Professor of Urology at the Medical College of Ohio. Editor in Chief of eMedicine Urology internet textbook. Author of only book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.
Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society
Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.
Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison
Awards and Honors
Thirlby Award of the American Urological Association.
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You are here: Experts > Health/Fitness > Urology > Urology > blood in the urin
Expert: Stephen W. Leslie, MD
Date: 8/22/2008
Subject: blood in the urin
Question
Male, 67, BPH, on occasion I will urinate red blood at the beginning of urination. It has been several months since late occurrence. 2 yrs. a go when I smoked it was more often & it happened when I took aspirin, or Avadart. It does not occur as often since I quit smoking. My Doc's. will not give me an reasons why this is happening, and what can be done about it. It seams all they want to do is get me in the office so they can apply for Medicare. Will Green light, or microwave help reduce the prostate. All the doctors want to do is check for cancer.
Answer
Hal:
I don't agree that the only thing your physicians want to do is drag you to the office for the sole purpose of being able to charge Medicare. That's not what the vast majority of physicians do. You are having a problem that could potentially be serious. Do you know where the blood is coming from? Are you 100% sure it's not from the kidney or stones or a bladder cancer? You have a history of smoking which makes bladder cancer more likely. If the bleeding is from the prostate, Avodart might help but if you're also having urinary trouble a greenlite might be reasonable. Checking for cancer is necessary before a greenlite or microwave or Avodart treatment can be started. If you haven't already done so, consult a urologist for the specifics.
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