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.
Considering the small semicular fold, not obstructive at 6 cms from the urethral meatus which was once healed by Dried Ferrous Sulphate capsules, but recurred owing to an overdoze, what would be your recommendation?
Since I did not have Insurance for quite some time, I had to get in touch with the Indian doctor and give a detailed explaination to which he suggested 30 days of Tamsulosin (Urimax / dynapress 0.4 mg) to 1 cap be taken at night.
The prob from overdoze has been that the previous prob has recurred: the sperm does not emit in ejaculation but spills in drops, and in a much reduced quantity along with pre-mature ejaculation and the penis resting in a slightly raised angle (like 7:30) rather than in a 6 0'clock position as it used to be when normal.
I stopped tamsulosin once mid-month and like you said, the sperm began flowing again, but I noticed there was a very slight improvement, and so I resumed the course 2 nights back.
Your brilliant diagnosis is most welcome.
Cordially,
Glen
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Followup To
Question -
Dear Doctor
I would like to know the functioning of Tamsulosin Hydrochloride.
A very good Doctor in India had recommended Ultiron (brand name) capsules to rectify a small semicular fold, not obstructive at 6 cms from the urethral meatus.
This had caused the ejaculation and quantity of ejaculation to be quite effected.
While this medicine, which was dried ferrous sulphate and used to treat menstural disorders etc., worked a wonder, I took an overdoze with the healing being turned around and the problem recurring.
He has now suggested that I take Tamsulosin Hydrochloride caps for 30 days. While I see a healing, while being on the course, the ejaculation is hindered and there is no emmission.
Once I stop it, it returns; hence I wish to know how this works. I have another 20 capsules to go.
With apprecation.
Glen
Answer -
Tamsulosin or Flomax is an alpha blocker medication. It causes relaxation of the bladder neck and prostate which is normally used for prostate blockage. I am uncertain why it was recommended for you. One of the side effects is retrograde ejaculation which is when the semen goes into the bladder. This is not painful or harmfull but it explains why you have noticed the ejaculation problem. This will resolve when you stop the tamsulosin.
Answer This other problem sounds like a stricture. This is usually fixed with surgery. I am unaware of ferrous sulfate being of any use in this condition.
An alternative would be serial, periodic dilations. These can often be taught to the patient to do themselves to keep the passage open.
