AboutStephen 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.
Expert: Stephen W. Leslie, MD Date: 6/13/2007 Subject: Flomax/Tamsulosin Hydrochloride
Question Since Flomax enters the bloodstream and is therefore carried throughout the body, exactly how does Floxmax CR target only the prostate and bladder sphincters and why does it not affect other muscles or sphincters?
Answer Flomax is a more selective agent in that it targets only the type 1A receptors which are predominantly in the lower ureters and prostate. The effect on other muscles and sphincters is drastically diminished to the point that there is usually so noticeable effect elsewhere.