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Urology/rine infection


QUESTION: with frequent utis infections will doxycycline cure infection caused by enteroccous

ANSWER: Howard:

Doxycycline is often effective for enterococcus, but if there is a recurrent source, focus or other urinary problem like bladder emptying issues due to prostate enlargement, no antibiotic will permanently cure the infections.  The proper treatment is to eliminate the underlying contributing factors as well.

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QUESTION: I have taken z-pack  for pneymonia macrobid for uninary and am now on doxycycline for urine infection.if doxycycline.arethe bacteria getting resistant.whats next macroboyd longterm or hospital.i urinate every hour and don't see hoe I only have small amount of urine left in my bladder

ANSWER: Howard

These are good questions for your urologist.

Frequency can be treated with medication if your urinary flow is decent. If not, then prostate medication may also be needed or possibly surgery.

Unable to determine resistance from the available info.  Hospitalization is rarely done for infections unless quite serious like sepsis.

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QUESTION: dr leslie,last week after a month of testicle pain I went to   to my urologist.he examined my testicles and said I had a cyst.he did not say wheather cyst was inside my testicle.he said no testicular cancer but ordered testiclat ultrasound.think hhe is looking for testicular 83


Testicular cancer would be exceedingly rare in your age group. A cystic would be the most likely cause of persistent pain. Ultrasond is the best imaging modality for this.  A cystic causing pain would most likely be in the epididymis which is part of the testicle.  


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Stephen W. Leslie, MD


Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.


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.

American Urological Association, Ohio State Medical Association, Sexual Medicine Society

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.

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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