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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.

You are here: Experts > Health/Fitness > Urology > Urology > enlarged meatus and related issues

Urology - enlarged meatus and related issues

Expert: Stephen W. Leslie, MD - 11/7/2009

Question
So here is my problem:

It started 6 monthes ago. Initially I noticed that my urethral opening has become considerably enlarged, as if wide open I can even see in my urethra. It's almost as if I have two openings now and when I urinate the stream splits in two and doesn't go straight ahead but bent to the left. I also have painful urination and post-void dribbling. My erections are very weak now and painful. The ejaculate has been significantly reduced both in amount and force. Frequently I have pain in the testicles.
Futhermore when semi-erect my penis seems to curve to the left.

I don't know what's happening. I live in Bulgaria and I've been to a dozen of doctors who claim there's nothing wrong with me. I've passed all tests including urofluometry and all of them turned negative but still I'm almost devastated because I don't even take any medicines.

Can please just give a hint to what might possiblw be going on. I would be very grateful.

Answer
Vasil:

There is no logical explanation I can think of for an enlargement in the urethral meatus opening. Painful urination suggests inflammation or infection. Post void dribbling is relatively common and has no clinical significance. Reduced ejaculation suggests a medication effect or weakness in the internal sphincter allowing semen to go into the bladder. Not harmful and we usually don't treat this.

The pain in the testicles and the curvature to the side suggests prostatits and Peyronie's disease respectively. I suggest you consult a really good urologist to sort this out for you.

The uroflow test you passed only indicates that you have a normal urinary flow. That was not your problem.

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