Urology/Urology

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Question
Hello Dr. Leslie,
Thank you for taking my question.  I have two concerns that Id love to hear your feedback.
The first deals with Frequent Urination.  Throughout the day I get the feeling I have to use the restroom and when I go very little comes out.  I had my prostate checked, doc said no issue there.  He put me on Antibiotics thinking I had prostatitis.  Still to this day I get the irritation feeling in lower stomach, upper thigh area.  What are your thoughts?

My second is premature ejaculation. This is something I struggle with and have seen my Urologist.  He wants me to get on an anti-anxiety, is there anything I can do to help with this naturally?  Im 31, eat pretty health and can do a little better when it comes to exercising.  Im 6ft about 170 lbs

Thanks for your help

Ryan

Answer
Ryan:

Frequent urination can mean prostatitis, prostate enlargement, overactive bladder, scarring or a variety of other problems.  I would start by doing a 24 hour voiding diary to see exactly how much you void and when.  This information can really help.  I would tend to doubt from your description that you have prostatitis.  A urinary flow test and a post-void residual would be very helpful in determining what is going on.  For example, if the flow and residual are normal, then the problem is too much fluid.  

I can't explain the irritatino in the lower stomach or upper thighs.

Premature ejaculation is typically treated with either sex therapy by a certified therapist or one of various SSRI type meds that have ejaculatory delay as a side effect.  You were not given this drug for its anxiety effects.  There is no known way to treat this problem "naturally".

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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 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved 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. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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