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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 > urine accompanies ejaculations in sleep

Urology - urine accompanies ejaculations in sleep

Expert: Stephen W. Leslie, MD - 11/8/2009

Question
hello, i am a 43 year old male, unmarried and not sexually active for past several years. i have an enlarged prostate due to excessive masturbation in my late teens and early 20's.

for past 2 years, i am noticing that every 2-3 weeks, i will have a wet dream and i will ejaculate. However, there is also urine discharged about 4-5 teaspoons.

also my erections are weak and i feel an inward withdrawing into the abdomen of the whole apparatus during erection.

what am i suffering from? what can i medically do about this?

a few years ago, i also had urodynamics examination done and the result was that the urologist ended up pushing a steel rod up my urethra to enlarge the diameter and reduce the pressure.

kindly reply.

thank you,

- Alex

Answer
Alex:

First, masturbation does not cause prostate enlargement.

Weak erections is usually due to blood flow issues, early diabetes or other problems.

I can't explain your sensation of inward drawing of the penis.

The procedure you had previously was a urethral dilation, usually done for strictures (scarred or narrowed areas) in the urinary passage.

I would suggest you consult a urologist for an opinion on these problems.

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