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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 > prostate cancer and septicemia

Urology - prostate cancer and septicemia

Expert: Stephen W. Leslie, MD - 11/6/2009

Question
Dear Dr. Leslie,
My father is 86 and has had 3 bouts with prostate cancer.Initially he was treated with radiation, than 10 years later it reoccurred and he was treated with chemotherapy which left him impotent and incontinent. Presently, he has been hospitalized with a recurrent infection, I don't know if it is bladder, urinary or kidney infection. However, last night he was vomiting, shaking uncontrollably and burning up with fever and lost consciousness. He presented with septicemia and is on yet another intravenous antibiotic and none seems to be able to figure out what is going on. The Dr.keeps saying that he will keep treating the infections but a week ago he was at his urologist and he didn't have an infection. All of a sudden he is losing control of his bowel function. He has had bone scans and cancer wasn't present. I am besides myself as to what can be done or what other specialist we should go to. Please send me some advice as to what you would do if this was your father.
Thank you for any advice you can send me.
Rochelle

Answer
Rochelle:

Obviously this is a complicated case. The source of the infections needs to be identified, if possible. If his current physicians are not having any luck in tracking down the source of his problem, a transfer to a tertiary care facility like Mayo Clinic or Cleveland Clinic might be a good idea if there is such a center near you.

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