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.
Jack wrote at 2007-03-27 10:47:55
To this answer, I would simply add that some medications were better on some people than others. In my case, Avodart was dramatically more effective in reducing the bathroom trips. The side effect of semen reduction was significant with Flomax. Add to that the likelihood that Avodart can help avoid getting the procedure.
Bob A wrote at 2008-09-30 18:15:25
I originally started with Flomax but switched to Avodart for an enlarged prostate. Flomax was always superior for cutting down on trips to the bathroom (one per night), whereas on Avodart, I usually take about five trips. I mainly switched to Avodart due to the semen reduction and impotence problem I had with Flomax. Initially, Avodart was a vast improvement in this area, but lately, after two years of Avodart, I'm having similar semen reduction symptoms as I originally had with Flomax.