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Question
In the general population there is a tendency for sexual matters to be subject to humour and to elicit embarrassment. I fear that if I were to go to a urologist to discuss various matters related to sex, the same type of attitude would be true. What would you say to that? Despite urology being the branch that deals with sexual matters, is there still a tendency for levity among urologists when it comes to sexual matters?

what rules are in place to prevent abuse or misconduct?

Lastly, can an ultrasound of the testicles detect how much sperm is contained within it at the time?

Answer
Jim:

While it's impossible to make a 100% guarantee, it would be quite unlikely to encounter anything other than professionalism from your medical professionals about a sexual matter.  We urologists see these sorts of problems all the time and we try not to do anything to make the patient feel uncomfortable.

As far as abuse and misconduct, there are a variety of rules in place to protect patients which vary from one country to another, but most Western countries have a way for patients to file a complaint when warranted.

There is no way for an ultrasound to measure or estimate sperm counts in the testicle.

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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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