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Urology/Questions Answered by Expert Arthur Goldstein, M.D.

SubjectDate Asked
Penis nerve damage8/11/2011
  Q: Well i used to masturbate very rough and usally everyday and i started to get this weird feeling ...
  A: Jairo, the main sensory nerve supply to the penis is via the so called dorsal nerve of the penis. ...
Appendix/Intestines8/11/2011
  Q: I apologise if i have the wrong category but i did not know where else to place my question. I'm 20 ...
  A: Zoe, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Post ejaculation sickness8/10/2011
  Q: I'm a 30 year old male in Illinois. Following ejaculation I become sick with what feels like a very ...
  A: Stu, I am not familiar with the drug "Atavax" and suspect you mean Atarax. This is used to treat ...
penile injury8/10/2011
  Q: about a month ago i injuried my penis while masturbating.i fell on the bed while masturbating with ...
  A: Wakas scarring does not go away. However, it generally softens with time and becomes less ...
ED8/9/2011
  Q: sir,can erectille dysfunction occure due depression?
  A: Debie, ED can absolutely be caused by depression as well as by many of the medications used to treat ...
masturbation8/9/2011
  Q: i am 17 and i want know what is the limit that is considered as excessive masturbation.Thanks
  A: David, before answering your question, let me provide some information as to what happens in your ...
UTI Problem8/9/2011
  Q: Hello!!! I am married from last 9 years. I started UTI problem within 3 months after marriage and ...
  A: Vaibhav, urinary tract infections (UTIs) in women are very common compared to men. This is due to ...
Flood of Relief8/8/2011
  Q: Goldstein! Here's another one of my interesting urinary memories. As usual, I'll be interested in ...
  A: Ken, there are several causes for foamy urine.  It is often due to a forceful stream and/or the ...
penile disease8/7/2011
  Q: Sir, My father is approx 63 years old. we are citizen of Budaun, Uttar Pradesh, India. Blood and ...
  A: Manoj Kumar, blood and meat pieces (I assume these are blood clots) during urination have many ...
penis8/7/2011
  Q: i am 20.and one day when i was having sex,during the intercourse ,i felt some thing going inside the ...
  A: William, there are often vague feeling that occur in the penis during sex. In retrospect, it is not ...
Ejaculation8/7/2011
  Q: I've been concerned about my sperm discharge for a while now, it has been coming out a dark ...
  A: John, before answering your question, let me give you some understanding of how semen is produced. ...
prostate bleeding8/6/2011
  Q: I am a male, 57 years old. I take tricor for cholesterol. I spent six months last year getting tests ...
  A: Mike, this type of bleeding does indeed usually comes from the prostate gland. It is generally due ...
penile injury8/6/2011
  Q: about a month ago i injuried my penis while masturbating.i fell on the bed while masturbating with ...
  A: Wakas, I answered a very similar question for you on July 20. At that time, I told you that such an ...
Bladder wall thickening causes8/5/2011
  Q: Dr Goldstein, I am a 38 yo male who has had left quadrant pain in my abdomen since 12/10. Never got ...
  A: Petro, bladder wall thickening noted on a CT of the pelvis is not a very accurate way of determining ...
Hydrocel & Varicocele8/4/2011
  Q: I would like to know the main cause of Hydrocele and the age of suffering it,also whether hydrocele ...
  A: Naser, "stretching veins of the spermatic cord" from a hydrocele will absolutely NOT cause a ...
Fertility8/4/2011
  Q: Arthur, I will try to keep this as short as possible for you. I am a 22 years old male wilms tumor ...
  A: Ed, unfortunately, any answer I give you is purely conjecture. The only way to determine your ...
Skin Tags on Penis opening8/3/2011
  Q: ON Canada and I have what appears to be 2 skin tags on the opening of my penis. I think they're ...
  A: Theo, I cannot see the lesions well on the picture you sent. Assuming these are indeed skin tags, I ...
Bacterial Prostatitis, Sensitive Penis8/3/2011
  Q: Please, Please, Please reply to my1- I'm 22. circumcised .I have never had a sexual relationship. I ...
  A: Bebo, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Severe burning urination of my mom8/2/2011
  Q: Basically i am from india and i have a question related to my mom's severe burning urination since ...
  A: PB, the tests are unremarkable except for a trace of blood and 10-15 pus cells. The pus cells may ...
Peyrones8/1/2011
  Q: i injured my pins during sex one week ago there is a hard lump undr my skin where i circumcised, is ...
  A: Alex, this is neither Peyonie's disease nor a nerve injury. the picture you send is typical and ...
Prostate Massage8/1/2011
  Q: I read your last posting dealing with a congested prostate. As a means of treating it, what about ...
  A: Dag, prostatic congestion can be prevented by and treated with periodic emptying of the prostate ...
penis size7/31/2011
  Q: Doctor,does the penis size matter?
  A: Max, this is a common question. The majority of men believe they were "short-changed" regarding ...
Passing a scab7/30/2011
  Q: Not long ago, I passed a scab. I took it into the doctor and they sent it to the lab to check to ...
  A: Sue, kidney involvement is clinically diagnosed in only 1 percent of patients with sarcoidosis but ...
Passing a scab7/30/2011
  Q: Not long ago, I passed a scab. I took it into the doctor and they sent it to the lab to check to ...
  A: Sue, often with the passage of kidney stones, varying amounts of bleeding can occur. This is because ...
pain in right testical, right lower back an difficulty starting urinating.7/28/2011
  Q: I'm a 39 year old male, a couple months ago I left work and went to the e.r due to having swellen ...
  A: Richard, the condition you are describing sound like an infection of the epididymitis ...
managment of distal ureteic stone.7/28/2011
  Q: my husband is 32 years old with a history of left renal stone near the renal pelvis with stricture ...
  A: Sadz, commonly with an obstruction to the ureter, the kidney on that side works sub-optimally. On ...
sore lump on penis7/27/2011
  Q: hey, I'm 14 and I'm from Canada. I have a sore lump on the inside of my foreskin, it is the same ...
  A: Tye, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Flomax/prostititus and penis pain7/26/2011
  Q: I'm 65 and normally in excellent health. I'm an avid daily distance runner and probably don't ...
  A: Don, your present symptoms are most likely due to prostatitis rather than a side effect of your ...
Severe burning urination of my mom7/25/2011
  Q: Basically i am from india and i have a question related to my mom's severe burning urination since ...
  A: PB, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Addressing an A/Professor verbally7/25/2011
  Q: What is the proper way for a patient to verbally address an associate professor of medicine, I have ...
  A: Michael, this is quite an unusual question to send to a urologist. I am unaware of the proper ...
Blood in semen7/24/2011
  Q: Goldstein, Is it normal to have very bloody semen after having a hydrocelectomy? My urologist ...
  A: Dan, the bloody semen and hydrocele are unrelated conditions. This type of bleeding usually comes ...
Penile discomfort7/24/2011
  Q: I have pain in my penis. It used to only happen after ejaculating when I didn't have sex for a long ...
  A: Mark, the most common cause of your symptoms is an inflammation of the prostate gland, so called ...
Testical problem7/24/2011
  Q: I am 19,from Malaysia.Couple days ago,I was about to start masturbate but my left testis move upward ...
  A: Eli, your history suggests that you probably had an episode of partial torsion of the testicle ...
post-testicular torsion pain7/23/2011
  Q: Goldstein, reading the many posts people have left you and reading your very helpful responses has ...
  A: Abraham, I am not familiar with any urologists in your area. The operation of lysis of the ...
penoscrotal webbing7/23/2011
  Q: how would you find a doctor who is able to correct this? Does any urologist do this?
  A: David, penoscrotal webbing occurs when the scrotum attaches higher than normal along the under ...
are the dorsal nerves in the neurovascular bundle?7/22/2011
  Q: are the dorsal nerves in the neurovascular bundle?
  A: Terry, there are numerous "neurovascular bundles" throughout the body. I assume you are referring ...
Hydrocel & Varicocele7/22/2011
  Q: I would like to know the main cause of Hydrocele and the age of suffering it,also whether hydrocele ...
  A: Naser, hydrocele and varicocele are unrelated conditions and have nothing to do with "shockwaves". ...
post-testicular torsion pain7/22/2011
  Q: Goldstein, reading the many posts people have left you and reading your very helpful responses has ...
  A: Abraham, as you might imagine, for this type of problem it is not possible for me to make an exact ...
SINGLE TESTIS7/21/2011
  Q: I am 22 years old male from India.At the age of 3 I had an operation for diagnosing left empty ...
  A: Arun, strictly speaking, the condition "cryptorchidism" means that a male is born either with one or ...
balantitis7/21/2011
  Q: . now 4 months later its bak and the same treatment didnt work.. i took 3 7day treatment of ...
  A: George, a tight foreskin is called phimosis.  A male may be born with the condition or it can be ...
penile injury7/20/2011
  Q: i'm 20 year old male.couple of days ago i was masturbating and my penis was erect and i jumped on ...
  A: Wakas, I think it is very unlikely that you did any permanent damage to your penis. Your history is ...
untreated penile fracture7/20/2011
  Q: 5 years ago i was misdiagnosed of a fractured penis because we took the ultrasound like 2-3 weeks ...
  A: Terry, the main sensory nerve supply to the penis is via the so called dorsal nerve of the penis. ...
swollen testicle7/19/2011
  Q: i am a 19 year old boy,i have a swollen right testicle,actually der is semi ball like appearance on ...
  A: Sandy,In evaluating lumps inside the scrotum, it is important to differentiate those that are ...
Taking a Stand7/19/2011
  Q: welcome back Doctor! I have remembered another question about urination in my seniors. When I was ...
  A: Ah Ken, "The Great Observer" has surfaced early on my return to the internet. I do not believe his ...
urge to urinate, tingling while urinating and burning sensation after urination2/28/2011
  Q: I am a 17 year old female. I live in Louisville, KY. My boy-friend stays in other state and meets me ...
  A: Jesse, your symptoms are due either to urethral trauma from frequent, agressive sex or an infection ...
Testicular Cramping2/28/2011
  Q: I'm 43 years old, male. I have noticed occasionally that not only due my testicles and penis shrink ...
  A: John, contraction of the genital skin is common in a variety of conditions including exercise, cold, ...
Penis Bumps Concern (Picture Included)2/27/2011
  Q: These bumps just appeared on my penis. Its only the second day but I was wondering if you were able ...
  A: Trent, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Undescended testicle surgery scar2/27/2011
  Q: I am a 51 yr old male who had undescended testicle surgery when I was 1 yr old. Now being 50 yrs ...
  A: Larry, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Urinary retention2/26/2011
  Q: My husband, Ollie, had "Green Light laser" surgery on Feb 7, 2012 for bladder stones and prostate ...
  A: Ollie, the effects of anesthesia on his bladder can only last a few days so this is not a factor in ...
hello doctor2/25/2011
  Q: why the urologist suspect for STD if the urine report shows 08hpf/ White blood cell. 08/hpf white ...
  A: Amit, white blood cells (also referred to as WBCs or pus cells) in the urine generally indicate an ...
culture2/25/2011
  Q: SIR urine culture can find STDs in male and famale? what culture has to do for find all type of ...
  A: Raj, there is no one test that determine all the various types of STDs. Let me preface my remarks ...
A few different issues2/25/2011
  Q: To start I am a 22 yr old male in the USA and have never had any problems of this kind before In ...
  A: Chris, as you might imagine, for this type of problem it is not possible for me to make an exact ...
UTI2/24/2011
  Q: Could you possibly explain to me why I would have a UTI that seems to be cyclic and at it's most ...
  A: Cheri, urinary tract infections (UTIs) in women are very common compared to men. This is due to the ...
A few different issues2/24/2011
  Q: To start I am a 22 yr old male in the USA and have never had any problems of this kind before In ...
  A: Chris, by far the most common cause of your symptoms is an inflammation of the prostate gland, so ...
UTI2/23/2011
  Q: Just need to inform you that I have been having mild urinary symptoms such as frequency, pain etc ...
  A: Ahmed, you related as your only symptom, frequency of urination & were found to have a UTI with ...
DRE2/23/2011
  Q: I work in private home health and my patient was hospitalized 2 weeks ago. I was told by her son ...
  A: Lisa, I appreciate your concern but you were given misinformation. The only DRE that I know of in ...
External skin burns on penis2/23/2011
  Q: My 11 year old is complaining that the skin around his penis is burning. He recently started using a ...
  A: Rhayne, this is a very common complaint. Many types of soaps have chemicals in them that can ...
Urethral Stricture/Urethroplasty2/22/2011
  Q: I am 25 years old, active and fit, no underlying medical conditions other than this. I was ...
  A: Ryan, from your description, the procedure you had 3 years ago was most likely an "internal ...
Penis Twisted.2/22/2011
  Q: I am going to make a doctors appointment tomorrow but I just want a quick opinion and it appears ...
  A: James, as I understand the clarification of your history, you had the injury 1 year ago but the loss ...
Frequent urination2/21/2011
  Q: I am 29 years old female weighing 70 kilos and have a 1 and half years old baby.Since 2 days early ...
  A: Sakina, there are many causes for urinary frequency. The common ones include urinary tract ...
Penis Twisted.2/21/2011
  Q: I am going to make a doctors appointment tomorrow but I just want a quick opinion and it appears ...
  A: James, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Old Man and the Sink2/21/2011
  Q: Welcome back Dr. Goldstein! Please let me share what I wrote on this website about geriatric ...
  A: As usual Ken, you report an interesting perspective. The sink and/or shower have always offered an ...
T/C2/20/2011
  Q: I am a 21 yrs old male. History of stage IV wilms tumour in right kidney. Nephrectomy, chemo & ...
  A: Moses, in evaluating lumps inside the scrotum, it is important to differentiate those that are ...
Urinary Urgency/Frequency2/20/2011
  Q: In the beginning of December I woke up in the middle of the night having to urinate worse than I can ...
  A: Emm, there are many causes for urinary frequency. The common ones include urinary tract infections, ...
sexual exhuastion erectile dysfuntion penile shrinkage2/20/2011
  Q: ive had a problem with overmasterbation since 14 yrs old im 16 now. over the period i felt my ...
  A: Kyle, there is little doubt in my mind that you will have a full recovery. When one becomes ...
Testicular Atrophy2/19/2011
  Q: if blood is not being supplied to a testicle how would can it work? and if blood supply is ...
  A: Ofvat, one can be born with (congenital) a small testicle(s). True acquired shrinkage (atrophy) of ...
Penis extender injury, maintaining erection2/19/2011
  Q: Goldstein, I used a penis extender, and seemed to have tried to "extend" too much in one session. ...
  A: Joshua, your urologist is correct. Your symptoms are typical of sensory nerve injury (not motor). ...
UTIs2/19/2011
  Q: I am a woman. 53 yrs old. Extremley overweight. I'm not sure how much of all that matters but just ...
  A: Joyce, it is unlikely that your infections are related specifically to your weight problem. Urinary ...
Constantly peeing2/18/2011
  Q: I am a 17 year old girl. Today I experienced awful pain in my urinary system. I've had to pee like ...
  A: there are many causes for urinary frequency. By far the most likely cause in your case is a bladder ...
concerned2/17/2011
  Q: back in june of last year i noticed that my semen started to be yellowish in color and almost ...
  A: Clinton, before answering your question, let me give you some understanding of how semen is ...
possible kidney stone?2/16/2011
  Q: A quick re-cap: I am a 52 year old woman. I had a kidney infection in early December, followed by ...
  A: Lisa, I suspect that you had an episode of hemorrhagic cystits that resolved after your treatment ...
Voiding Cystogram/ Voiding Cystourethragram2/16/2011
  Q: I am an eighteen year-old male currently in good health, but I have some concerns about my medical ...
  A: Jesse, I can answer some of your questions. However, the amount of radiation exposure from the ...
Geriatric Stance1/25/2011
  Q: Goldstein! Here's another observation I've made of a senior gentleman relieving himself. This was ...
  A: Ken, nice to hear again from the "great observer". Either (or both) of your deductions most likely ...
Kidney Reflux (VUR)1/24/2011
  Q: Should parents be tested if their child (10month) has got kidney reflux?
  A: Lewis, vesicoureteral reflux (VUR) can be hereditary. If a child has VCU, their siblings have about ...
Bleeding from the penis1/23/2011
  Q: I am a 40 year old man and for the first ever during sexual inter-course with my wife i started ...
  A: Eugene, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Testicle infection1/23/2011
  Q: Doctor, i recently consulted a urologist regarding pain in my testicle and he diagnosed it as ...
  A: Sam, epididymitis is a common malady and the overwhelming majority are cured by the routine ...
Varicocele/epidydymitis1/22/2011
  Q: recently i felt some discomfort and a cord from testicle inflamed. after more than a month fixed an ...
  A: Max, from a general health standpoint, exercise is excellent. However, it will not have any effect ...
Physical trauma & lack of sexual desire1/22/2011
  Q: I am asking this questions for my fiance-Male, 40yrs old. He was in an auto accident in Oct. 2009. ...
  A: LKO, your fiance's problems could be related to the accident. Some of his issues may be physical ...
Varicocele/epidydymitis1/22/2011
  Q: recently i felt some discomfort and a cord from testicle inflamed. after more than a month fixed an ...
  A: Max, there are many possible causes for testicular atrophy. One can be born with (congenital) a ...
testicular questions1/21/2011
  Q: She found a 5mm stone in my right kidney. My questions 1.why does my stone come and go for a few ...
  A: Aaron, your kidney is made essentially of 2 portions: the parenchyma and the pelvo-calyceal system. ...
Varicocele/epidydymitis1/21/2011
  Q: recently i felt some discomfort and a cord from testicle inflamed. after more than a month fixed an ...
  A: Max, a varicocele is a collection of varicose veins of the spermatic cord (the rope-like structure ...
uses of sex toys, it can prevent disease?1/20/2011
  Q: Why do some use sex toys? Are sex toys safe to use? Can sex toys prevent diseases? How does the ...
  A: Joeben Citu, sex toys are generally used to provide or enhance sexual pleasure. They can be used ...
pain/lump at base of penis1/20/2011
  Q: during sex with female on top, my penis came out and bent backwards, or downwards i guess. not too ...
  A: Vic, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Swallon vein1/19/2011
  Q: I am 26 m Single i have a swallon vein on my inner side of penis under the head it dsnt pain on ...
  A: Jack, veins such as yours are normal. There is great individual variation in the size and ...
swelling/gristle like tissue growth on left of penis on region of remnant foreskin1/18/2011
  Q: I'm a 23 year old circumcised male(had phimosis when I was born but was corrected with surgery), I ...
  A: Anders4334, as you might imagine, for this type of problem it is not possible for me to make an ...
Weak erection and bareable pain at penis base1/17/2011
  Q: For the past two days I have noticed weak erections, basically my penis is not as hard as it used to ...
  A: Ankit Shah, when one becomes sexually aroused, the prostate fills up with fluid and when you ...
4 year old boy bleeding from tip of penis1/17/2011
  Q: My 4 year old son has had two instances of bleeding from the tip of his penis. The first time was ...
  A: Maranda, let me first state that I have no special expertise in pediatric urology. Blood at the ...
Painful testicular lump1/16/2011
  Q: I have a painful lump, size of a marble, below my right testicle. Minor swelling in my right ...
  A: Andrew, as you might imagine, for this type of problem it is not possible for me to make an exact ...
swelling1/16/2011
  Q: Just today my husband has experienced swelling at the base of his penis. It is painful. He says he ...
  A: Alisha, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Scar Irritation after Skin Bridge Surgery1/15/2011
  Q: I'm 19 years old and circumcised. About 7 months ago I had surgery to remove a skin bridge on the ...
  A: Brad, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Viagra1/15/2011
  Q: I am aged 55. I have been taking attenol50mg+amlodipine5mg for BP for the past 16 years, statin ...
  A: Mahoosh Mohamed, Viagra can cause the blood pressure (BP) to decrease mildly. The main concern, ...
painful erection1/14/2011
  Q: In the last month I have developed a pain in the penis, near the head, upon erection. The erection ...
  A: Allen, as you might imagine, for this type of problem it is not possible for me to make an exact ...
ed1/14/2011
  Q: I am 30 years old male from India.Last night while masterbating,after ejaculation I was resting on ...
  A: Sumeet, there is no cause for concern about ED. Not cleaning yourself soon after ejaculation will ...
Interstim Removal1/14/2011
  Q: I have suffered with retention for a number of years and have tried everything without success. ...
  A: Dawn, I have no personal experience with the Interstim implant. However, I did call the ...
Hi1/13/2011
  Q: I'm 26 and live in Nashville, TN 3-4 days before Christmas I had an unprotected sex with the new ...
  A: Tim, you need to see a urologist in consultation. It is unlikely that you have anything serious but ...
BPH1/13/2011
  Q: I am a 54 year old male who has had difficulty urinating for the past decade or so. I went on Flomax ...
  A: Byron, there is no specific time frame for recurrence of symptoms of a UTI or prostatitis. These ...
Feels like somthing is stuck1/13/2011
  Q: For the past couple days it feels like something is stuck inside my penis. It doesn't hurt but a ...
  A: Mike, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Strange post ejaculation pain. Prostate?1/12/2011
  Q: This may be a little long, but here goes. I am a 26 years old. I exercise at least 5 times a week. ...
  A: Ryan, the most common cause of your symptoms is an inflammation of the prostate gland, so called ...
Child with blood in urine1/11/2011
  Q: I read your recent answers to blood in the urine for males. However I was wondering how common it is ...
  A: Tami, let me first state that I have no special expertise in pediatric urology. I assume the ...
Ejaculate1/10/2011
  Q: from Canada and I am a virgin. I was just wondering why after I ejaculate it feels kind of like ...
  A: Jordan, the most common cause of your symptom is an inflammation of the prostate gland, so called ...
BPH1/10/2011
  Q: I am a 54 year old male who has had difficulty urinating for the past decade or so. I went on Flomax ...
  A: Byron, prostatitis and BPH are different conditions that can each affect the prostate gland. Avodart ...
penis1/9/2011
  Q: Hey, So before I go see a doctor I want to see if you may have an anwser for me, A week and a bit ...
  A: Tim, as you might imagine, for this type of problem it is not possible for me to make an exact ...
catheter1/9/2011
  Q: I have recently started working in a Urology office. I am training on how to do a "fill and pull" ...
  A: Leslie, I assume what you are referring to is filling a patient's bladder with fluid (and possibly ...
BPH1/8/2011
  Q: I am a 54 year old male who has had difficulty urinating for the past decade or so. I went on Flomax ...
  A: Byron, in individuals with BPH, most antihistamines are contraindicated because they decrease the ...
penise skin color change1/7/2011
  Q: I have this pink spot on my penise head for 3-4 months and I dont know what is that here is 2 ...
  A: S, I have looked at the pictures your sent but it is difficult to make this type of diagnosis over ...
Sperm comes after urine1/7/2011
  Q: Sir I am 20 years old. I masturbate twice or thrice a day from my age of 17. When I urinate sperm ...
  A: John Aqal, the fluid that you notice at the end of urination is most likely prostatic fluid. ...
increased urine flow and sediment1/6/2011
  Q: I am a man in his mid 30's who is healthy with one kidney (from birth). I had a uti 3 months ago ...
  A: Jay, this is the last question I can take on this subject as the maximum is 3 per person. It is ...
UTIs1/6/2011
  Q: I am a nurse working in a nursing home. We dip urine frequently, sometimes with no s/s of a UTI. Do ...
  A: Lynn, I have no special expertise regarding the guidelines that nursing homes must abide by related ...
Question regarding nerve damage to penis1/6/2011
  Q: Dr. Goldstein, I was recently greatly reassured by your response to a former query pertaining to the ...
  A: Mike, you are quite correct in your interpretation of my response. In my experience, all my cases ...
hydrocele1/5/2011
  Q: I am 57 and in good health. I have an excision oh a hydrocele on a Tuesday and am scheduled to fly ...
  A: Graham, this is best answered by your surgeon who is familiar with the technique he used and the ...
impotence/no libido1/4/2011
  Q: I'm 21 years old and I have been having problems with getting an erection for 2 years now. I'm ...
  A: Newton, yours is a common yet potentially complicated problem. Although you have already been to ...
increased urine flow and sediment1/4/2011
  Q: I am a man in his mid 30's who is healthy with one kidney (from birth). I had a uti 3 months ago ...
  A: Jay, it is a very common anomaly to have congenital absence of the ipsilateral vas associated with ...
Calcification of Testicle12/30/2010
  Q: So a few years ago, my fiance noticed a small lump in his left testicle that would come and go. A ...
  A: Danielle, in evaluating lumps in the scrotum, is important to differentiate those that are ...
bleeding due to urethra damage12/30/2010
  Q: I'm 21 years old,this morning I went to the bathroom and after urinating I felt like I wasn't quiet ...
  A: John, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in ...
Intermittent pain tip of penis12/30/2010
  Q: Symptoms that might occur with prostatitis include frequency of urination, slowing of the urinary ...
  A: Dave, your question is not totally clear to me. I think what you are complaining about is ...
Pain in left testicle12/29/2010
  Q: So i have had severe pain in my left testicle for about a week, and whenever i touch it or when i ...
  A: Kobi, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Mark on penis head12/29/2010
  Q: I have become a little concern about a 2mm scratch like mark that has appeared right below my ...
  A: Jay, it is difficult to make this type of diagnosis over the internet without the ability to do a ...
increased urine flow and sediment12/28/2010
  Q: I am a man in his mid 30's who is healthy with one kidney (from birth). I had a uti 3 months ago ...
  A: Jay, I do not believe the "dots" are anything to be concerned about. They probably are small ...
nerve12/23/2010
  Q: I would like to ask, I would like to know which nerves from the iliac bone to the penis run? since I ...
  A: Abdulhamit, the majority of the sensation to the penis is mediated by the dorsal nerve of the penis. ...
Lump12/22/2010
  Q: A few weeks ago I found a lump on my penis, it was sore for a few days then it suddenly became easy ...
  A: Richard, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Unable to urinate12/21/2010
  Q: My father is a 72 year old man. 2 weeks ago he entered the hospital for a laminectomy with disectomy ...
  A: Lynn, I am assuming your are the same "Lynda" that I answered an almost identical question on this ...
sperm Leak12/21/2010
  Q: Goldstein, I saw one of your responses related to a similar case like mine and I think you are right ...
  A: Allan K, fluid leaking from the penis during a bowel movement is prostatitc fluid and not sperm per ...
Geriatric Holding Power12/16/2010
  Q: I have been amazed at the power of an older man to hold a large volume of urine. This is an active ...
  A: Ken, here's where that individual variation comes in. He obviously has a very good bladder capacity ...
Drinking Water at nIght12/16/2010
  Q: Is it bad to stop drinking water before sleeping? I go to bed at 11pm. When sleeping, I tend to get ...
  A: Josh, it is not a problem for you to cut down on your evening fluid intake as long as you make up ...
Blood in Urine12/16/2010
  Q: Two days ago, I noticed a couple of small flakes of clotted blood (bright red) in my urine. This ...
  A: Daniel, there are many possible causes for blood in the urine (hematuria). The origin of the ...
Undescendid testis12/15/2010
  Q: I am male 20 recently I came to know that I have left undescendid testis it's Now present at near ...
  A: Ravi, the medical name for undescended testicles is cryptorchidism. Such testicles can be located in ...
Geriatric Holding Power12/14/2010
  Q: I have been amazed at the power of an older man to hold a large volume of urine. This is an active ...
  A: Ken, I always enjoy questions from the great observer! The bladder holds up quite well to the aging ...
microscopic blood in urine12/13/2010
  Q: Goldstein! I am a 51 year old female with no history of any serious problems in my life. When I ...
  A: Teri, there are many possible causes for blood in the urine (hematuria). The origin of the bleeding ...
over masterbation and pennis vein leak12/12/2010
  Q: First of all i want to know how much masterbation is over masterbation? Secondly, is over ...
  A: Alex, a venous leak cannot be caused by too frequent masturbation. T follow is an explanation of ...
Blood in urine after ejuculation12/12/2010
  Q: Aftee ejuculation i got eblood in urine when i urinated just after ejuculation and no blood in ...
  A: Neeraj, this type of bleeding usually comes from the prostate gland. It is generally due to a tear ...
Burning sensation from excessive ejaculation and abstinence12/12/2010
  Q: , I took a herbal aphrodisiac which shot up my libido upto the point that I was having hardons ...
  A: Frederick, by far the most common cause of your symptoms is an inflammation of the prostate gland, ...
concerned12/11/2010
  Q: usually when i become erect or sexually excited for a brief period or in the morning...what is this? ...
  A: Billy, what you are experiencing is perfectly normal and is called pre-ejaculate ("precum"). This ...
Unable to urinate after back surgery12/11/2010
  Q: 70 yr old man had laminectomy from L5- L1 10 days ago. He is now unable to urinate on his own & was ...
  A: Lynda, it is common for males, especially elderly men, to have trouble urinating after surgery. ...
simultaneous urination, ejaculation12/10/2010
  Q: Ever since my son hit puberty and began masturbation,he has urinated during ejaculation, causing a ...
  A: Tracy, during sexual arousal the prostate gland & seminal vesicles manufacture fluid that account ...
Penis Injury12/10/2010
  Q: One year and eight months ago I hurt my penis, it occurred two days after I tried jelqing and have ...
  A: James, as you might imagine, for this type of problem it is not possible for me to make an exact ...
cloudy urine12/9/2010
  Q: What does it mean when one gets cloudy urine a few times a week? Thanks.
  A: Barbara, there are many causes for cloudy urine. First, you must understand pH which is the ...
hard and small testicle12/9/2010
  Q: am a 56 year old male i have had a smaller and hard testicle for more than 30 years if not longer.i ...
  A: Mark, this is difficult for me to answer with certainty because a proper physical examination is ...
testicular pain12/9/2010
  Q: I have an intense, tootache-like pain in my right testicle which occurs upon ejaculation. Soon after ...
  A: Nicholas, by far the most common cause of pain in the testicle upon ejaculation is from an ...
Urethral bleeding after re-entry type injury12/7/2010
  Q: Dr. Goldstein, I have recently, in the last 72h had penile injury cause by a re-entry type injury ...
  A: Chris, penile fractures are very obvious.  They generally occur when while having vigorous ...
midstream test12/7/2010
  Q: Hey I'm Emy and I'm 17. During a midstream urine sample, do you have to stop the stream before ...
  A: Emily, your doctor is correct. Unless a midstream urine collection is obtained (especially in a ...
help me out plzz11/16/2010
  Q: i am a 23 year old...i caught urine infection almost 2.5 years ago...and since that day my life has ...
  A: Zainub, itching in the vaginal area is outside of my field of expertise but I shall try to help you. ...
Can blue balls damage sperm production11/15/2010
  Q: I was wondering if a prolonged erection that did not end in ejaculation, but rather a bad case of ...
  A: Tim, the discomfort felt in the testicles referred to as "blue balls" is referred pain from a ...
Was my Dr. Wrong?11/15/2010
  Q: Recently, in September, I paid a visit to my hospital for some testicle worry. To cut this thing ...
  A: Joseph, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Painful Ejaculation11/15/2010
  Q: I have a friend that when he ejaculates it's painful for him. He is also on a high blood pressure ...
  A: Tami, the most common cause of painful ejaculation is an inflammation of the prostate gland, so ...
Unexpected changes in semen after prostate biopsy11/14/2010
  Q: I had a prostate biopsy Oct 22, which was negative. Ejaculated for the first time Nov 14th, and ...
  A: Mike, what you describe is quite common after a biopsy of the prostate gland. It will get better ...
After prostate Biopsy Screening11/14/2010
  Q: I was not told how long the period of bleeding from the penis would last after a biopsy test, it ...
  A: Zeke, bleeding from the penis and/or during urination is common after a prostate biopsy. It ...
Varicoceles11/14/2010
  Q: My doctor told me I have varicocle on both testicles. The right I barely notice, the left is what ...
  A: Baxter, a varicocele is a collection of varicose veins of the spermatic cord (the rope-like ...
penile pain11/13/2010
  Q: I'm 42, male ,prostatitis 2 years ago.Took cipro and everything else, lots of perineal pain, but its ...
  A: Mike, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Adolesant Urination Problem11/13/2010
  Q: My 4-year old daughter feels the constant urge to urinate while she is awake. Often nothing comes ...
  A: Scott, although there are many causes for urinary frequency in children, in my experience most ...
penile pain11/11/2010
  Q: Im 46 years old, my penis is somehow small, and three years ago i faced a problem during making sex ...
  A: Daad, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Penile Pain11/11/2010
  Q: Can men get yeast infections after masturbating in dirty places? (i.e. peep show booths or using a ...
  A: Justin, one can get a yeast infection of the penis but it does not cause the symptoms you describe. ...
Previous procedure for penile curvature11/10/2010
  Q: Goldstein, About 15 years ago I had a procedure to correct a very pronounced degree of penile ...
  A: Mike, you probably had what is called a Nesbit procedure. This should really not effect the quality ...
Another discharge question11/9/2010
  Q: a little history first... 41yr old male (hetero)sexually active usually. Testosterone therapy 400mg ...
  A: NervousNAnxious, this is the last question I can answer for you as the maximum is 3 per person. ...
PSA11/9/2010
  Q: Dr Goldstein: Can Cialis, Viagra or Levitra effect your PSA reading? Do you recommend one over the ...
  A: Michael, these drugs do not effect the PSA. All 3 medications are in the class of drugs called PDE5 ...
White particles in urine11/8/2010
  Q: I'm a 25 year old female, no know health problems and not on any medication. Sometimes I have a ...
  A: Christy, there are many things that could cause this. Some of these include vaginal secretions ...
What is it?11/8/2010
  Q: I recently masturbated and it felt a little tender down at the base of my penis. And I found a ...
  A: Daniel, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Urination after Bowel Movement11/8/2010
  Q: 37 year male, notice after a BM and urination that 1 or so minute later i have the urge to urinate ...
  A: Adam, post voiding dribbling is a very common problem.  It is due to trapping of some urine in the ...
re-occuring slight pain at the tip of the penis.11/7/2010
  Q: Pls I have been having this slight pain at the tip of my penis, it comes and go the first urine mcs ...
  A: Emmanuel, if you have not already done so, I suggest you see a urologist in consultation. The most ...
Tight Foreskin11/7/2010
  Q: I am 36 years old, male. During childhood, I experienced swellings on my prepuce, lasting a few days ...
  A: Andrew, a tight foreskin is called phimosis. A male may be born with the condition or it can be ...
Erectile Dysfunction11/7/2010
  Q: Hey there Dr. Goldstein, My name is John and I am a 20 year old male suffering from severe ...
  A: John, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Antihistamines and urinary problems11/6/2010
  Q: I’m a 59 yr old m who has been tormented by an on/off annoying prostatitis. For several years I ...
  A: Pablo, in order to answer you question, I would fist like to give you some background information ...
Varicocele11/6/2010
  Q: . i am 56 year old and is having bilateral varicocele.Sir please guide me which will be the best ...
  A: Rupinder, Before trying to answer your question, let me give you some background information about ...
Another discharge question11/5/2010
  Q: a little history first... 41yr old male (hetero)sexually active usually. Testosterone therapy 400mg ...
  A: NervousNAnxious, from a clinical standpoint the difference between HSV 1 & 2 is unimportant and ...
ERECTION DIFFICULTIES11/5/2010
  Q: my name is Basit Khan & m from Pakistan.my age is 19 my problem is that now days i cant maintain my ...
  A: Rana, there is no need to treat your sexual problem at this time. All the treatment options will be ...
Another discharge question11/5/2010
  Q: a little history first... 41yr old male (hetero)sexually active usually. Testosterone therapy 400mg ...
  A: NervousNAnxious, you have presented a myriad of information but let me try to answer the questions ...
Blood in urine and semen11/4/2010
  Q: I am a 25 year old male in Colorado. A few weeks ago, I noticed a faint coloring in my semen. I ...
  A: Nathaniel, I think you would be wise to consult with a urologist. This type of bleeding usually ...
ERECTION DIFFICULTIES11/4/2010
  Q: my name is Basit Khan & m from Pakistan.my age is 19 my problem is that now days i cant maintain my ...
  A: Rana Basit Khan, as you might imagine, for this type of problem it is not possible for me to make an ...
Pain when peeing..11/3/2010
  Q: A year ago i had a kidney stone and pain in my testicles. After passing the kidney stone i still ...
  A: Bryan, first let me state that the cyst found on your testicle is an incidental finding and of no ...
Small Lump11/3/2010
  Q: Hey there, I just noticed today that I have a small lump at the base of my shaft inside the scrotum. ...
  A: Andrew, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Penile Pain11/1/2010
  Q: , This is a long story, so I hope you have the time to read it all. I am a 32 year-old male in Las ...
  A: James Varner, I do not believe you had a true episode of priapism. Even if you did, as your ...
I think I might have testicular cancer11/1/2010
  Q: Almost 3 years ago I noticed that one of my testicles was slightly enlarged and I just thought it ...
  A: Carl, as you might imagine, for this type of problem it is not possible for me to make an exact ...
problem urinating11/1/2010
  Q: I'm a 23 male living in the middle east, when I urinate I have to push so the urine comes out, and i ...
  A: Basar, a slow or interrupted stream or splitting of the urinary stream is very common. It occurs ...
Penile Problem10/31/2010
  Q: Dr. Goldstein, I am suffering form a series of problems related to my groin area. First, I am 34 ...
  A: Kari, I suspect that your symptoms are due to a very common condition with the medical name ...
Penile urethera&Perineum 210/31/2010
  Q: I remembered something I would like you to know about..Last August I had an attack of anal ...
  A: Mr. Cairo, I'm not quite sure what your specific question is but I suspect you are asking me the ...
After TURP10/30/2010
  Q: Some history - My husband had TURP on August 30th. He had urinary retention 3 times in 5 months ...
  A: Laney, first let me state that it sounds like your husband did suffer from an enlarged prostate ...
Pain, frequent need to urinate and ED10/30/2010
  Q: I am in my late thirties and have been suffering from a constant need to urinate, pain in my bottom ...
  A: Todd, as you might imagine, for this type of problem it is not possible for me to make an exact ...
dilation and split stream10/29/2010
  Q: I recently had a dilation and am 36 years old. It resulted in a split stream (mainly when standing) ...
  A: Steven, as you are almost back to normal, there is little danger in having intercourse. The ...
Preputioplasty10/29/2010
  Q: I am due to have a preputioplasty in 2 weeks. I've lived with what my surgeon called a 'moderate' ...
  A: John, most cases of phimosis that are resistant to conservative management are treated surgically. ...
clarification10/28/2010
  Q: If a group of 100 gets effected with mumps at puberty, will all the 100 get effected with ...
  A: Chowdari, I will answer this question for you but you have now reached the maximum of 3 per person & ...
Last follow up on lack of sensation10/28/2010
  Q: This is my last follow up question. About 6 months ago I posted my first question asking about ...
  A: Peter, I'm sorry to learn that your problem persists. There's mot much more I can add beyond my ...
Nocturnal burning10/27/2010
  Q: 72 yr old male,prosed/2@bedtime,Andrews,NC,USA: awakened nightly (2-4am)by SEVERE burning(even when ...
  A: Larry, I assume the severe burning you experience nightly is in the urethra & penis. Prosed is a ...
ERECTION DIFFICULTIES10/27/2010
  Q: my name is Basit Khan & m from Pakistan.my age is 19 my problem is that now days i cant maintain my ...
  A: Rana Basit Khan, I suspect you are perfectly normal. I believe because you masturbate every day, ...
clear particles or dots in urine10/27/2010
  Q: I am a healthy 35 year old male, who recently had a UTI with good cystoscopy to be safe, all is ...
  A: JS, the only way to tell what the particles are is to collect a sample of urine containing the ...
clarify10/26/2010
  Q: what is semen culture? If a person gets infertility due to Mumps can he get back to normalcy through ...
  A: Madhu, a semen culture means having a sample of the semen checked for the presence of bacteria. If ...
UTI in 35 year old male10/26/2010
  Q: Dr. Three weeks ago I felt weak and had burning pain in urination and after several painful ...
  A: Jack, the irritation in the tip of the penis is from the dilation & will soon go away. I doubt you ...
non contracting cremaster muscle10/26/2010
  Q: I'm soon 54 and noticed some months ago that my right testis is not going up when contracting ...
  A: George, the testicles in the fetus are formed high up just below the kidneys and under the ...
Prostate10/25/2010
  Q: I have been on Cipro for 4 weeks and I wanted to get your opinion on if I should continue on the ...
  A: Ryan, judging by your response to a longer course of Cipro, it sounds like you had (? still have) ...
bladder neck contracture10/25/2010
  Q: Several years ago I had a TURP to alleviate frequent urination symptoms. Within a year the symptoms ...
  A: Irving it is unusual to have so many recurrence of bladder neck contracture. This complication can ...
kidney infection antibiotics10/25/2010
  Q: i think i have a kidney infection, dull lower side pain,no blood in urine, no vomiting or fever.can ...
  A: Mark, with your only presenting symptom of "dull lower side pain", your diagnosis of a kidney ...
Help Me10/24/2010
  Q: I am a 44 year old female. Good health although I have a history of IBS and I have a history of ...
  A: Jill, anxiety and overactive bladder syndrome are two of many possible causes for urinary symptoms ...
Mumps10/23/2010
  Q: "Does every one who is effected with mumps will have infertility problem? if not why? If a man has ...
  A: Chowdari, mumps can only cause infertility in individuals who acquire the disease at the age of ...
Help Me10/23/2010
  Q: I am a 44 year old female. Good health although I have a history of IBS and I have a history of ...
  A: Jill, fist let me assure you that you do not have a serious condition as these have been excluded by ...
semen volume10/23/2010
  Q: Two things: Can women sex partners tell how MUCH semen is present in copulation with a man, and ...
  A: Dean, the normal volume of semen in an ejaculate is 2-5 cc. I am unable to quote any scientific ...
UTI in 35 year old male10/22/2010
  Q: Dr. Three weeks ago I felt weak and had burning pain in urination and after several painful ...
  A: Jack, after a urethral dilation there is normally some bleeding from the urethra and burning which ...
Problems after vasectomy10/21/2010
  Q: Goldstein - I am a 50 year old male. I had a vasectomy 5 weeks ago. After a few days, my scrotum ...
  A: Jonathan, there is always a certain degree of inflammation and formation of scar tissue after any ...
varicocelectomy questions10/20/2010
  Q: I had a left varicocelectomy, done by inguinal approach(not microscopic) 14 days ago. The first few ...
  A: Scott, after a varicosele repair, it takes on the average 6 weeks for healing to occur (including ...
UTI in 35 year old male10/20/2010
  Q: Dr. Three weeks ago I felt weak and had burning pain in urination and after several painful ...
  A: Jack, the likelihood is that your infection with E. coli and bleeding were caused by prostatitis. ...
slightly elevated creatinine in routine blood test10/20/2010
  Q: I had slightly elevated creatinine in routine blood test.On a this particular day ,I had exercised ...
  A: Asha, the serum creatinine is a measure of waste products in the blood that are normally excreted by ...
infertility10/19/2010
  Q: "I am effected with Mumps when I was 14 years of age. Now I am 25. My sperm count keeps fluctuating ...
  A: Madhu, my expertise is in general urology but I will try to answer your question. If you need more ...
Pain when urinating10/19/2010
  Q: i recently felt strenious pain when urinating, latter saw blood after urinating in my penis, saw de ...
  A: Warren, there are many possible causes for blood in the urine (hematuria). The origin of the ...
Recurring UTI ?10/18/2010
  Q: I'm 30 years old from Trinidad and recently I've been having some discomfort with my penis. I am ...
  A: Stone, you need to see a urologist in consultation. The most common cause of your urinary complains ...
Blood coming out of my penis?10/5/2010
  Q: Hey i just went to the bathroom and i noticed that there was blood coming from my penis. i had an ...
  A: Rodney, there are many possible causes for passing blood from the urinary tract (hematuria is blood ...
urinalysis10/5/2010
  Q: Does it matter if in your urinalysis the first 10 ml went into the specimen along with most of mid ...
  A: Jack, although ideal to get a midstream urine sample in all people, it is especially important in ...
urology10/4/2010
  Q: how do i know if my penis has damaged
  A: Nalala Viraj, in general if your penis looks normal, you urinate normally, and have good erections ...
Hydroocele operation10/4/2010
  Q: My husband had hydrocele surgery (both) Friday. The bleeding has stopped. They are very large and ...
  A: Karen, it is not unusual for the swelling after a hydrocele operation to last 2-3 months. However, ...
blood in urine10/4/2010
  Q: I am a 35 year old obese male in good health. 1 week ago I went to the ER with blood in urine. It ...
  A: Jack, the additional information provided does not change my opinion. The probable cause of protein ...
blood in urine10/3/2010
  Q: I am a 35 year old obese male in good health. 1 week ago I went to the ER with blood in urine. It ...
  A: Jack, there is no question that your symptoms were due to a urinary tract infection (UTI) by virtue ...
CRT Screens/Masturbation/Cancers?10/2/2010
  Q: I found out awhile ago that CRT screens emit low levels of radiation, I used to have a CRT monitor ...
  A: Anyonymous, again, I do not believe you have any cause for concern. Electromagnetic fields from ...
Inability to orgasm after long bike ride9/30/2010
  Q: I recently did an 80 mile bike ride. I had numbness in my penis during the ride and 4 days later it ...
  A: Bill, the area that you sit on is called the perineum, the site between "the wind and the rain". ...
blood came from my bf's penis9/30/2010
  Q: I had a sex with my bf for one year and its nothing happen, and one nite before he got orgasme, we ...
  A: Vivan, what you are describing is NOT a sign of prostate cancer or kidney disease. It indicates an ...
Recurrent UTI's in canine9/29/2010
  Q: Do you know if a dog can be given Phenazopyridine Hydrochloride for UTI's? Thank you, Rose H
  A: Rose, this drug is used in humans to relieve discomfort & burning with urination. It does not treat ...
blood came from my bf's penis9/29/2010
  Q: I had a sex with my bf for one year and its nothing happen, and one nite before he got orgasme, we ...
  A: Vivian, this type of bleeding usually comes from the prostate gland. It is generally due to a tear ...
Gritty urine in a canine9/28/2010
  Q: Don't know if you can answer this about a dog, but my 9 YO spayed female has had 4 UTI's in last two ...
  A: Rose, you are correct, I have no special expertise in veterinary medicine. However, the "gritty ...
CRT Screens/Masturbation/Cancers?9/27/2010
  Q: I found out awhile ago that CRT screens emit low levels of radiation, I used to have a CRT monitor ...
  A: Anonymous, you have no cause for concern. A number of devices we all are exposed to every day emit ...
Prostatis9/26/2010
  Q: I am told that the best solution for Prostate cancer is removal of prostate that results in total ...
  A: James, that is not true. Surgical removal of the prostate gland for cancer (radical prostatectomy) ...
kidney pain and tsticular problems9/25/2010
  Q: i've been diagnosed with a 5mm kidney stone in my right kidney its also enlarged bigger than the ...
  A: Ramon, as you might imagine, for this type of problem it is not possible for me to make an exact ...
hydrocele9/25/2010
  Q: Can an unrelated surgery cause hydrocele? My husband had a large tumor removed from his jaw a month ...
  A: Lisa, I do not believe there is any relationship between you husband's jaw surgery and the finding ...
Damp burning scrotum with waxy tact9/24/2010
  Q: I am a 35 year hetrosexual old male in a solid relationship. I work using a computer and can spend ...
  A: Ian, as you might imagine, for this type of problem it is not possible for me to make an exact ...
urine smells like cat-pee9/24/2010
  Q: Everytime I pee my urine smells like cat pee. Not just the gross amonia smell but kind of musty or ...
  A: April, there are many causes for odors in the urine. Odor is more prominent on awakening because ...
injury during masturbation9/23/2010
  Q: Male. I was masturbating & when i was ready to ejaculate all of a sudden i got this excruciating ...
  A: Keith, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Bleeding from urethra of penis9/23/2010
  Q: My boyfriend and I were having sex and as he was ejaculating he pulled out and had a cramp in his ...
  A: Lauren, this type of bleeding usually comes from the prostate gland. It is generally due to a tear ...
painful ejaculation, sperm in urine, 3.9 PSA9/22/2010
  Q: MALE, 53 years old, average physically fit When I urinate the stream seems weak and I have to take ...
  A: Roberto, I do not believe you symptoms are related to a flare up of fish poisoning. By far the ...
Prostate9/21/2010
  Q: I have been on Cipro for 4 weeks and I wanted to get your opinion on if I should continue on the ...
  A: Ryan, from your description, it sounds like you had prostatitis. Stopping treatment prematurely ...
clear ejaculate9/20/2010
  Q: Dr... I am 53 yrs old and for over 6 months now I have been having clear, sticky ejaculations versus ...
  A: Alan, I do not believe anything serious is going on and see no reason to get an earlier appointment ...
Leukocytes9/20/2010
  Q: I am a 44 year old female. I have urinary frequency and severe panic disorder. Years ago I had the ...
  A: Jill, there are many causes for urinary frequency. The common ones include urinary tract ...
Concerns9/19/2010
  Q: Realizing there is no diagnosis that can be done without examination, these are a couple of ...
  A: Robert, I don't know if you have read the "macro" I have written on penile fractures but it will now ...
penile pain/over masturbation9/19/2010
  Q: I am a 28 y/o male with a history of frequent masturbation over the last 12 years. Because of ...
  A: Vishnu, it may be that you have Mondor's disease. This is a self limiting condition that is treated ...
Dull Testicular Pain9/18/2010
  Q: Profile. I am uncircumcised sexually active 23 year old male. I am only active with one person who I ...
  A: Mike, by far the most common cause of your symptoms is an inflammation of the prostate gland, so ...
Testicular tissue density loss9/18/2010
  Q: 43 y/o, m,no medications, Atlanta, GA I had an ultrasound performed on both testis and saw an ...
  A: Steven, I assume you has the ultrasound performed and interpreted by a radiologist as they are the ...
penile pain/over masturbation9/18/2010
  Q: I am a 28 y/o male with a history of frequent masturbation over the last 12 years. Because of ...
  A: Vishnu, as you might imagine, for this type of problem it is not possible for me to make an exact ...
twitching penis9/14/2010
  Q: I am getting a very annoying "twitching feeling" towards the tip of my penis. It happens off and on ...
  A: Ray, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Hydrocele in Guatemala9/12/2010
  Q: While touring Guatemala I experienced in the course of a couple of weeks the enlargement of the ...
  A: Sebastian, surrounding the testicle is a thin layer of tissue folded upon itself with a potential ...
penile bleeding9/12/2010
  Q: My husband took a shower this morning and everything was fine. A few hours later he went to use the ...
  A: Laverne, there are many possible causes for blood in the urine (hematuria). The origin of the ...
BPH9/12/2010
  Q: I know you have answered past questions about BPH. I understand all of that, but I would like your ...
  A: Elayna, it generally takes 6-8 weeks for the cavity created in the center of the prostate to heal ...
Blood in sperm9/11/2010
  Q: Is laser surgery for blood in semen, safe and are there good results from this? All other options ...
  A: Keith, this is a condition that I have often commented about on this web site. To follow is a ...
Penis pain9/11/2010
  Q: Dr. Goldstein, I am contacting you because I am unaware of what is causing a slight burning ...
  A: Drew, by far the most common cause of your symptoms is an inflammation of the prostate gland, so ...
Lyrica and loss of feeling in penis9/10/2010
  Q: Is there any connection between taking Lyrica and experiencing loss of feeling in the penis? This ...
  A: David, Lyrica can cause decreased libido, delay of or prevention of ejaculation, & inability to get ...
Post PVP Surgery9/10/2010
  Q: I am 3 weeks post op on a Greenlight PVP. Things are progressing well however I notice that after I ...
  A: Tom, it takes about 6-12 weeks for the inflammation induced in the prostate by the laser surgery to ...
split urine stream9/1/2010
  Q: I saw your answer to this in a previous question, but why is it when I drink a cup of coffee, a ...
  A: Robert, splitting of the urinary stream is very common. It occurs when there exists an area of ...
urine burning sensation in penis8/31/2010
  Q: For the past 3 weeks, once in a while i am feeling buring sensation during urination (close to 1 cm ...
  A: Rahul, the most common cause of your symptoms is an inflammation of the prostate gland, so called ...
Bloody Urethral Discharge8/31/2010
  Q: This question is actually about my husband. He seems to be very healthy but today he became erect, ...
  A: Anonymous, this type of bleeding usually comes from the prostate gland. It is generally due to a ...
Question about diverticulum8/30/2010
  Q: Male, 4.8 yrs old, no medications at this time San Antonio, Texas, USA My son is 4 years old and ...
  A: Violet, I shall try to answer your questions but most of my experience is with adult urology. If my ...
Excess Urine, Pain at lower abdomen and feel uncomforable8/30/2010
  Q: My age is 35. From last 20 days, I am in a problem of urine excess. Urine is coming very ...
  A: Farhan, as you might imagine, for this type of problem it is not possible for me to make an exact ...
How long can residual sperm live in the penis after ejaculation?8/30/2010
  Q: How long can residual sperm live in the penis after ejaculation? My wife and I recently had ...
  A: Ronnie, almost all of the sperm are released in the semen with ejaculation. However, some remain in ...
Contact with Cell Phone8/29/2010
  Q: I had an incident a few weeks back where after a shower I came in to my bedroom and sat on my bed ...
  A: Jesse, there is absolutely no reason for concern from this incident. Electromagnetic waves have ...
Left testicle doesnt move.8/29/2010
  Q: Ok, so like when i was 14 i was taking bath in cold water then i suddenly a "teckh" voice from ...
  A: Tec, as you might imagine, for this type of problem it is not possible for me to make an exact ...
low volume ejaculation8/28/2010
  Q: Recently i was sick with flu like symptoms and noticed blood in my semen it was also very watery and ...
  A: Brian, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in ...
urethral tear8/28/2010
  Q: since july of 2008 it all started with and itching sensation i had inside my penis. i tried to ...
  A: John, in spite of the fact that your urologist told you that your prostate was normal and that the ...
Recurring Leakage8/27/2010
  Q: I am a 14 year old mail and a few weeks ago I asked a question about how I had been leaking fluid ...
  A: T. Hossain, involuntary leakage of fluid from the penis unrelated to urination is termed a urethral ...
Sperms in u analysis8/27/2010
  Q: I have many active sperms in urine analysis, What shall I do? I am 23 years old.
  A: Essa, you have no reason to be concerned over this. After a man ejaculates, it is common to see ...
ED8/27/2010
  Q: I am years old male from India.I have been married for last 7 months.While I was having intercourse ...
  A: Sumeet, what you are describing does not sound like ED. There is normally a variation in the degree ...
Urology8/26/2010
  Q: 25 year old male. Akron, OH After ejaculating, how long/how many times must one urinate before all ...
  A: James, during sexual arousal the prostate gland & seminal vesicles manufacture fluid that account ...
Follow up / sensation8/25/2010
  Q: 2 months ago I made a 5 week follow up post, so I thought after yet 2 months it was appropriate to ...
  A: Peter, I reiterate that your problem will gradually improve. It would be rare to wake up one day ...
Tip of the penis8/25/2010
  Q: i'm a 20 years old guy, and I've been experiencing some pain in the tip of my penis for some time ...
  A: Steve, there are many possible causes for blood in the urine (hematuria). The origin of the ...
blood in urine8/10/2010
  Q: Going on five years now (I'm 56). Heavy blood flow after masterbation or mowing the lawn. No pain. ...
  A: Jeff, I cannot recommend holistic or any other type of treatment until the etiology of your bleeding ...
WBC's in urine after antibiotics, but not before8/10/2010
  Q: I'm a 35 yr old, normally healthy female, who has type 1 diabetes and sarcoidosis. 18 days ago, I ...
  A: Pat, the most common cause of urinary frequency and burning in a woman is cystitis. Most often this ...
Possible nerve damage in penis.. Severe symptoms8/9/2010
  Q: About 12 months ago, I made the absolutely horrible decision to try those PE exercises known as ...
  A: Shiv, I have read the web sites regarding claims of increasing penile size with a variety of ...
Prostate8/9/2010
  Q: Good morning Doctor I am a 30 year old male and realize that prostate problems should not affect me ...
  A: Sean, side effects from saw palmetto are rare and mild. These are mainly dizziness or GI in nature. ...
uti8/7/2010
  Q: I'm 12 and I'm a female I've been going to the bathroom a lot lately and I've been having slight ...
  A: Dominique, the most common cause of your symptoms is a urinary tract infection. Urinary tract ...
staghorn calculi8/6/2010
  Q: My fiancée has a staghorn calculi in her right kidney. She is being treated in a well respected ...
  A: Kip, there is no definitively correct answer to your question which is why your fiancee's urologist ...
penis dis - coloration8/6/2010
  Q: i am a 47 year old black man from newyork, n.y. and am experiencing discoloration around the shaft ...
  A: Randy, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Dry Iritated skin now rash on Penis8/5/2010
  Q: 30 year old black male in the US Have a rash and it’s freaking me out. It’s been 3 months since ...
  A: Eric, it is difficult to make this type of diagnosis over the internet without the ability to do a ...
impotence8/4/2010
  Q: I am a 27 year old male and I have been experiencing erectile dysfunction and impotence for the last ...
  A: Leoneed, your lab tests are basically normal except for the mild elevation of the prolactin. In ...
Cut on my penis8/4/2010
  Q: Almost a year ago I was shaving around my penis and I cut myself pretty bad on the shaft. I kept it ...
  A: Arthur, as you might imagine, for this type of problem it is not possible for me to make an exact ...
discomfort and retraction8/3/2010
  Q: Question I am a 46 yo man who has been experiencing a dull groin pain on both sides on and off for ...
  A: Adam, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Penile Discharge8/3/2010
  Q: Goldstein, I have a son who is 15 years old. Last April 1, 2010, he started to have a ...
  A: Maria, sorry your son is having such problems. Let me first state that I do not believe the Amoeba ...
powdery substance in the urine8/2/2010
  Q: been constipated for about a year, i had a cold so the doctor proscribed me antibiotics for 10 days ...
  A: Adam, there are several causes for foamy urine.  It is often due to a forceful stream and/or the ...
bcg vs. mytomycin-c for recurring, superficial, non-invasive bladder cancer; also, how long should Mytomycin-C be left in the bladder?8/1/2010
  Q: I have had three surgeries recently to remove recurring, superficial, non-invasive bladder cancer ...
  A: Marvin, it is recommended that Mitomycin C be left in the bladder for at least 1 hour after ...
Urge to urinate at night8/1/2010
  Q: I am a 43 year old male. About a 10 days ago I started getting the urge to urinate virtually every ...
  A: Greg,you need to see a urologist in consultation. Based on your age, and nocturia that is associated ...
Bleeding Penis8/1/2010
  Q: My girlfriend has long fingernails and we believe that she nicked a vein under my penis head when ...
  A: Wildy, as you might imagine, for this type of problem it is not possible for me to make an exact ...
found milky liquid while urinating7/31/2010
  Q: Im a 23yrs male, single. For the past 3 years i experience unusual problems while urinating. I have ...
  A: Kadir, the "milky fluid" is either fluid from the prostate gland or a urethral discharge. You will ...
Effects of castration7/30/2010
  Q: If a previoudly healthy man looses both testicles later in life e.g. middle age, what effects will ...
  A: James, castration after puberty (ie "middle age") causes many changes such as an increase in whole ...
varicocele operation7/30/2010
  Q: , My husband (age:39) has varicocele grade 3 the motility was less than 2% after 6 hours, he did a ...
  A: Danielle, 70% of men who under varicocelectomy for an abnormal semen analysis, have improvement in ...
bladder bleeding from radistion7/30/2010
  Q: In 1996 my prostate was removed due to cancer. The resulting biopsy said that all cancer was ...
  A: Roger, sorry to learn of your difficult time. Most likely the bleeding is from the side effects of ...
Orchitis not well healed?7/29/2010
  Q: Two years ago I felt a sharp pain in my right testis while I was sitting in front of a computer at ...
  A: Bruno L, before answering your question directly, let me give you some background information. ...
Prolonged Urine infection (doc suspects verumontanum problem )7/28/2010
  Q: I am a male 34 years old living in riyadh-KSA, I had a complaint of Burning/pinching sensation while ...
  A: Yousuf, I am suggesting a second opinion and cystoscopy if recommended by that physician. Cystoscopy ...
blood7/28/2010
  Q: sir...there are blood came from my penis after i urine?
  A: Mhar, there are many possible causes for passing blood from the penis. If in the urine, the origin ...
Pain in Left Testicle/Groin Area7/28/2010
  Q: I'm 39, male in Florida. A few days ago I started experiencing a mild pain in my left testicle ...
  A: Diego, by far the most common cause of your symptoms is referred pain to the groin and testicle from ...
In pain when I get an erection7/27/2010
  Q: One night I had a irritation on my penis. I scratched it a couple of time and thought nothing of it ...
  A: Johnny, as you might imagine, for this type of problem it is not possible for me to make an exact ...
hydrocele recovery7/27/2010
  Q: I just has a hydrocelectomy about three weeks ago and everything is going pretty well but it feels ...
  A: Steven, this is normal 3 weeks post-operatively & of no concern. There is always a variable degree ...
Cold Penis/ED7/27/2010
  Q: Well doc im having some issue with my penis. Throughout the past year ive been experiencing off and ...
  A: Cy, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Prolonged Urine infection (doc suspects verumontanum problem )7/26/2010
  Q: I am a male 34 years old living in riyadh-KSA, I had a complaint of Burning/pinching sensation while ...
  A: Yousuf, the most common cause of your symptoms is an inflammation of the prostate gland, so called ...
Hydrocele7/25/2010
  Q: Can heavy weight training cause hydrocele? I'm a 20 year old male and when I first started weight ...
  A: Jason, surrounding the testicle is a thin layer of tissue folded upon itself with a potential (but ...
abdominal pain & foamy urine7/25/2010
  Q: I currently am being treated for lymphoma and receiving RCHOP chemo treatment. I noticed after the ...
  A: Kay, let me start by telling you that I have no special expertise in the field of chemotherapy. ...
"Broken" Penis7/24/2010
  Q: While having intercourse last night my husband felt a slight pain in his penis. When we finished we ...
  A: "Private", no doubt your husband broke a vein in his penis last night secondary to sexual trauma. ...
Diet Soda7/23/2010
  Q: I have a frequent urination problem and I am only 37. I went to a Urologist and after several test ...
  A: Ryan, there are many causes for urinary frequency. The common ones include urinary tract ...
urology7/23/2010
  Q: i;i have been to the Dr back and forth for the last five years with abdominal pain to later find ...
  A: John, there are many possible causes for blood in the urine (hematuria). The origin of the bleeding ...
Frequent Hematuria7/22/2010
  Q: Goldstein, Thank you for your time. I am a 32 year old female. Over the past few months, I have had ...
  A: Kelly, there are many possible causes for blood in the urine (hematuria). The origin of the ...
Kidney Stones7/22/2010
  Q: I have a confirmed kidney stone that is between 7mm and 8mm in my kidney that was noticed for MRI ...
  A: Karyn, stones this size rarely pass intact from the kidney. However, having a foreign body in the ...
Bleeding after TURP and bladder stone removal7/21/2010
  Q: My father(67 yrs) under gone TURP on 01/07/2010 and during surgeory bleeding happened and doctor ...
  A: Bipinal, I have just answered this question. It then occurred to me on seeing your duplicate ...
bleeding after TURP and bladder stone removal7/21/2010
  Q: My father(67 yrs) under gone TURP on 01/07/2010 and during surgeory bleeding happened and doctor ...
  A: Bipinlal, healing is usually complete about 2 months after TUR of the prostate and open surgical ...
Should I get a second opinion?7/20/2010
  Q: I am 24 yr old male (Australian), athletic, weight train 3 times a week plus cardio (I have an ...
  A: Jonathan, I agree that you serum testosterone level is low for your age. This certainly is one of ...
I Suffer from Chronic Inflammed prostatitis7/20/2010
  Q: I am a 25 year old black male suffering from Chronic inflammed prostatitis. Also suffer from ...
  A: Floyd T., your questions really are 3. The first relates to chronic prostatitis, the second to your ...
burning urethra7/20/2010
  Q: iam 55years old, male. i have continuous burning sensation in the urethra from almost 9 years now, ...
  A: C. R. Rajendra, as you might imagine, for this type of problem it is not possible for me to make an ...
Change in ejackulation7/19/2010
  Q: I have never had a proglem with ejackulation. I went through lung cancer last year and the sex ...
  A: John, Effexpr XR can cause decreased sexual desire & difficulty with erections in some men as well ...
enlarged right testical7/19/2010
  Q: hi im 27yrs old and for the past 5-10 years have had a enlarged right testical with no pain at all ...
  A: Ian, by far the most common cause of an enlarged testicle in a 27 year old man is a hydrocele. This ...
Single Kidney7/17/2010
  Q: Sir,My question is:-I am 3 weeks Pregnant & 8 months before it came into notice that i have single ...
  A: Pooja, congenital absence of one kidney occurs in 1 out of every 750-1,000 births. Although this ...
Pain in the tip of penis7/17/2010
  Q: I am a 25 year old male and recently underwent Lateral Internal Sphincterotomy surgery which ...
  A: Stephen, burning in the penile tip & after voiding along with some urinary frequency is common after ...
PreCum7/16/2010
  Q: For as long as I've been masterbating and having actual intercourse I've never had any ...
  A: Privacy, pre-ejaculate ("precum") is a normal secretion of a mucous like material from the paired ...
Sex/Urinary Problem since several years7/16/2010
  Q: Hope you had a good vacation. I am a 32 year old male from India. I have read your macro on ...
  A: Kanuj, first let me clarify some of your problems. I agree with your other urologists that the ...
Prostatitis7/16/2010
  Q: About 5 years ago I tested positive for Chlamydia, treated with doxy for 2 weeks, symptoms went ...
  A: Greg, let me clarify my response. The NAAT test done on specimens such as urine, urethral swab or ...
penile Mondor's disease or urethritis? or both?7/15/2010
  Q: I will try to be as thorough as possible. I am 30 years old and uncircumcised. At the end of April ...
  A: John, there is no blood test available that allows one to check for prostatitis. The PSA can be ...
Prostate7/15/2010
  Q: Dr: Can Prostate Cancer and or Seed Implant have an effect on Iron Ferritin # on Blood Test?
  A: Mike, ferritin is a naturally occurring protein in the blood that binds iron. It is used in the ...
penile Mondor's disease or urethritis? or both?7/14/2010
  Q: I will try to be as thorough as possible. I am 30 years old and uncircumcised. At the end of April ...
  A: John, as you might imagine, for this type of problem it is not possible for me to make an exact ...
BPH7/13/2010
  Q: I know you have answered past questions about BPH. I understand all of that, but I would like your ...
  A: Elayna, nighttime frequency (nocturia) can be due to BPH but there are many other causes. ...
Prostatitis7/13/2010
  Q: About 5 years ago I tested positive for Chlamydia, treated with doxy for 2 weeks, symptoms went ...
  A: Greg, let me first answer your 5 questions: 1. The NAAT urine test has a sensitivity greater than ...
Red bump on penis7/1/2010
  Q: I am 18, male and live in the U.S.. There is a shiny red bump, about the size of a small pea on the ...
  A: Alex, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Wet/pressure feeling in Urethra7/1/2010
  Q: I am a 28 year Male who has is experiencing a re-occuring feeling or pressence on the tip of my ...
  A: Ben, by far the most common cause of such a feeling in the tip of the penis is an inflammation of ...
started with an enlarged prostate6/30/2010
  Q: In 2009 I was diagnosed with an enlarged prostate. By January of 2010 I was told I HAD to have ...
  A: Wil, as you might imagine, for this type of problem it is not possible for me to make an exact ...
BLOOD AFTER EJACULATION6/30/2010
  Q: Last week i masturbated and ejaculated semen naturally. A few hours later I had sex with my wife and ...
  A: Owus, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in ...
RE: constant feeling full bladder6/30/2010
  Q: for over a year constant feeling of full bladder, cant sleep, dont want to do anything, constantly ...
  A: Lori, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Sperm comes after urine6/29/2010
  Q: I m 25 since 3 years i have been facing the problem of sperm comes after i urinate as i complete ...
  A: Sunny, I suspect that your symptoms are due to a very common condition with the medical name ...
foamy urine6/29/2010
  Q: I started having foamy urine 5 months ago. At the time, I was working out a lot and playing ...
  A: Rob, there are several causes for foamy urine. It is often due to a forceful stream and/or the ...
damage caused by catheter6/28/2010
  Q: I am in desperate need of help. In early January my father went in for a routine knee replacement. ...
  A: Teresa, the history you have provided does not add up! I suggest that you see another urologist for ...
kedney stone and cardura6/28/2010
  Q: i am a male 52years and taking 40mg nexum once sometimes twice a day also i also take 1mg cardura ...
  A: Dave, Nexium and Cardura do not predispose one to the formation of kidney stones. Most people take ...
testicular discomfort6/27/2010
  Q: il start by saying that ive read your previous answer to someone with testicular discomfort. ive ...
  A: Allan, as you have read my previous writings on this topic, I hope I will not be too redundant. ...
hard pea sized nodule on genital6/27/2010
  Q: I need help. I have been looking for pictures online. I cant find any that look like what I have on ...
  A: Sam, most likely your scrotal lesion is either an infected hair follicle or an infected sebaceous ...
Bright red blood dripping from penis6/26/2010
  Q: I recently had a strained bowel movement and forced out a stream of urine very rapidly in the ...
  A: Horus, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in ...
nocturnal erection6/26/2010
  Q: sometimes i have noturnal erection that last for 5 to 6 hours. everytime i wake up it hard and ...
  A: Britt, nocturnal erections are a normal occurrence in men. They occur during the REM (rapid eye ...
prostrate, blood in ejaculate6/26/2010
  Q: This is very similar to a previous question from another man. Prior to having my prostrate biopsy I ...
  A: Maurice, healing of your prostate from the biopsy sites will not be slowed by staying on therapeutic ...
Sex problem6/25/2010
  Q: Sir i am indian.one of my freind claiming that he was suffering from wet dream since last two ...
  A: I received almost the exact question 2 days ago from Sandeep in India. If he is the friend you ...
incontinence6/23/2010
  Q: With regard to the definition of “incontinence”, please tell me if the following hypothetical facts ...
  A: Al, urinary incontinence is defined as the involuntary leakage of urine. In my experience, the most ...
Still severe lack of sensation6/23/2010
  Q: This is a follow up question to a post I made 5 weeks ago regarding lack of sensation in my penis. I ...
  A: Peter, I stand behind my original comments. To answer your last question first, all cases that I ...
Semen discharge in urine and wet dream in alternate day6/23/2010
  Q: Sir i belongs to india.problem is noctrunal emission since last 3 months.and there is small amount ...
  A: Sandeep, nocturnal emissions (so called "wet dreams") are very common in all men, especially young ...
Problem peeing, and now more.5/25/2010
  Q: Goldstein, I am a 23 year old male, and I take 50 mg of Vyvanse, daily. Beginning around four or ...
  A: Theodore, the most common cause of your symptoms is an inflammation of the prostate gland, so called ...
burning pee hole5/25/2010
  Q: i'm 28 and about a month ago had sex with a prostitute since then i had this problem.i went to the ...
  A: Mikkayal, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Prostatitis, Frequency, and Strange Growth in Toilet Bowl5/24/2010
  Q: Goldstein, Patient age 58, male, U.S. resident, taking Flomax 4mg daily and Bactrim DS 2x daily for ...
  A: Rick, in over 40 years of practicing urology, I have never been posed such a question as yours & ...
Uric acid-reg5/24/2010
  Q: I received your reply for my question as it was already answered.This may be due to one reason I ...
  A: Velsun, I got your question twice yesterday. I answered the first and rejected the second as a ...
Testicular cancer5/23/2010
  Q: My question to you is is that a sign of Testicular cancer? Should I worry about it or no?
  A: Elijah, as you might imagine, for this type of problem it is not possible for me to make an exact ...
jelqing and big veins5/22/2010
  Q: Goldstein, I've had erectile difficulties after one month of jelqing and penis stretching ...
  A: Max, I have read the web sites regarding claims of increasing penile size with a variety of ...
urology5/22/2010
  Q: i have developed cracks on my p***s head, also a creamish white deposit is developing inside my ...
  A: Hari, although you did not specify, from the tone of your question, I am going to assume you are not ...
Small "pimple-like" bump on or near epididymis?5/22/2010
  Q: Male (18 years old). During my first testicular self examination, I noticed a small "pimple-like" ...
  A: Nicholas, it is indeed a good habit to start self examination of the testicles. However, as you ...
Swollen Urethra during first trimester5/20/2010
  Q: I apologize if this question has already been answered, I was unable to find such answer. I'm ...
  A: Kat, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Vega 1005/20/2010
  Q: Sir/madam, I need to know the side effects of vega 100, its dilution, how long it takes to start ...
  A: Jack, I have never heard of "Vega 100" so I had to look it up on the internet. I found it is the ...
dry5/20/2010
  Q: why it is that women have to wipe themselves after peeing yet men don't? are penises biologically ...
  A: Karen, your premise is not correct. The degree of dripping after urination is also very common in ...
help5/19/2010
  Q: a few days I set the question on this site about bulbospongiosus muscle injury to some of experts I ...
  A: Bojan, there are many causes for erectile dysfunction but in my experience, it is extremely rare for ...
Vibrating groin/penis5/19/2010
  Q: 30 yr old male. I'm have an odd vibration my groin or penis. It's hard to determine where exactly ...
  A: Mike, this is a most unusual complaint that I have not heard before, at least in the way you have ...
Testicular Discomfort5/18/2010
  Q: I'm a 21 year old male and for the past few days I've had slight testicular discomfort. There is no ...
  A: Jeff, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Penile Fracture & Erection Problem5/18/2010
  Q: I am 20 years old. I felt a snap in my penis when i was sleeping and i felt a little discomfort so i ...
  A: Jason, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Severe lack of sensation5/14/2010
  Q: For the past 5 or 6 months I've been having some devastating sexual health issues. The worst part ...
  A: Peter, I have read the web sites regarding claims of increasing penile size with a variety of ...
Connection between the two?5/14/2010
  Q: Goldstein, I work out with weights and am a fit person. Because I am sporadic working out my legs, ...
  A: John, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in ...
Penile discomfort5/13/2010
  Q: My boyfriend is 32 and has no history of penile discomfort or issues. One day after we had ...
  A: Brent, these symptoms suggest that he most likely has an inflammation of the prostate gland, so ...
blood after ejaculation with sperm and urine5/13/2010
  Q: i really dont understand ..what kind of disorder i have... ..i found a blood with my sperm and urine ...
  A: John, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in ...
Circumcision5/12/2010
  Q: I am a student in a Jewish Studies program and was reading up on the bris ceremony and exactly what ...
  A: Luke, strict Jewish law does not allow for the use of clamps as they potentially prevent the leakage ...
urological problem5/11/2010
  Q: I am 32 of age. I've been experiencing this condition for the past one year. After having passed an ...
  A: Vasil, first let me address the shrinkage of your testicles which we call testicular atrophy. One ...
pain in penis5/11/2010
  Q: I'm a 34 year old male in Canada. 5 years ago I noticed two small bumps on my penis; right side just ...
  A: Rod, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Urge Incontinence5/10/2010
  Q: Goldstein, I am a 54 yo female. I reside in Richmond, VA. I take MS Contin 200mg tabs. 2 every AM ...
  A: Susan, with urgency incontinence, it is important to have appropriate studies to try and find the ...
nerve damage5/6/2010
  Q: A long time ago i damaged the nerves in my penis by a so called "enlargement technique" called ...
  A: Nate, I have received many reports on this web site of complications such as burning and numbness of ...
pain in testeciles5/5/2010
  Q: i am 76 and cannot get a full erectiom/might be my diabetes.recently i had several tries at ...
  A: Howard, sexual arousal without ejaculation does indeed congest the prostate gland. The latter may, ...
undescended testis at the age of 174/29/2010
  Q: I am 17 and suffering from left undescended testicle,as their are not much check up in india at ...
  A: Shubhankar, first let me give you some basic information on this disorder. The medical name for ...
Not fully erect ('broken penis')4/29/2010
  Q: Goldstein, About 2 days ago while having intercourse, my partner was on top, and she and i heard a ...
  A: Ben, as you might imagine, for this type of problem it is not possible for me to make an exact ...
My testicles pain and shrinkage4/28/2010
  Q: Ok I am a teenager and the last few day. Have been horrible for starters when I take a shower and ...
  A: James as you might imagine, for this type of problem it is not possible for me to make an exact ...
Bedwetting & Alcohol Consumption4/27/2010
  Q: I am dating a 40 yr old man who admitted (after a few months of dating) that he had a history of ...
  A: monica, the medical term for bedwetting is enuresis. It is most common in children and usually ...
Lump4/27/2010
  Q: Hey, I've had a lump in my penile shaft for more than a year. The lump looks to be part of a vein. A ...
  A: Joey, as you might imagine, for this type of problem it is not possible for me to make an exact ...
testicle pain connected to lower back4/27/2010
  Q: I have a question about a current pain/discomfort I've been experiencing. A few years ago, don't ...
  A: Joe, testosterone is an anabolic steroid that aids in many bodily functions including muscle ...
Problems with erections after using Cialis4/26/2010
  Q: Dr. I've spent a good deal of time reading your responses to most young men inquiring about pde5 ...
  A: John, let me make clear to you that Cialis is NOT causing any of your sexual problems. It is not ...
Erectile dysfunction4/26/2010
  Q: Goldstein, Please could you help me with your expertise if at all possible. I am a 38 year old man ...
  A: Chris, the Nytol will not cause your ED. The cycling absolutely can cause both numbness and ...
Blood in urine after hysterectomy-not UTI4/26/2010
  Q: I am a 43 year old female that had a hysterectomy in 2007. A partial and 6 months later a total, due ...
  A: Jennifer, there are many possible causes for blood in the urine (hematuria). The origin of the ...
infection4/25/2010
  Q: after epididmitis on right side about 6 months ago i have occassional discomfort in spermatic cord ...
  A: Johnee, as you might imagine, for this type of problem it is not possible for me to make an exact ...
ED4/25/2010
  Q: I AGREE WITH ALL THE TERMS YOU HAVE PROVIDED. I AM A 30 YEAR OLD NIGERIAN,STARTED NOTICING AN ...
  A: Choosegod, I will try to help you with your problems. However, there are many possible causes for ...
nocturnal erection4/24/2010
  Q: i am 34 years old and i've just been curcumsiced and im having nocturnal erections wich are painfull ...
  A: Willie, during the REM (rapid eye movement) stage of sleep, the average man has 3-5 erections a ...
Excessive bleeding associated with urethral caruncle4/24/2010
  Q: My mother is 62 years old and has been battling recurring urethral caruncles. She had a pretty ...
  A: Heidi, a urethral caruncle starts with eversion outward of the mucosal urethral lining on the ...
Nebivolol and ED4/23/2010
  Q: Goldstein, I casually run into these interesting papers: ...
  A: John, I had never heard of this drug prior to your question. Thanks for bring it to my attention. ...
Bleeding from erections4/22/2010
  Q: I am 69 y.o. with a history of Hematospermia for the past 5 years. My urologist has me on Avodart ...
  A: Sheldon, based on the information provided, the source of bleeding is almost certainly from the ...
urethral tear4/22/2010
  Q: During a drunken masturbation I woke the next day to find a decent amount of blood on my sheets and ...
  A: Mike, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in ...
Prostatitis4/22/2010
  Q: I am having trouble emptying my bladder, constant urge to urinate, and genital discomfort which ...
  A: Randy, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Please Sugest me4/21/2010
  Q: my name is JAVED, age 32 years, no child, married my problems are 1. dropping problem before sex and ...
  A: Javed, from your description, I am having difficulty understanding your problem. I think what you ...
KUB result4/20/2010
  Q: doctor i need you advice and more information regarding the condition of my mom..she did ultrasound ...
  A: Candie, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Loss of sensitivity in glans4/20/2010
  Q: 3 and a half month ago I was masturbating and right before reaching the orgasm I squeezed the glans ...
  A: David, you have not done any permanent damage to either your penis or ejaculatory mechanism. The ...
Lump in penile shaft4/19/2010
  Q: I have had a small lump in my penile shaft for about two years. It is not painful. I dont think it ...
  A: Michael, as you might imagine, for this type of problem it is not possible for me to make an exact ...
After Circumcision4/19/2010
  Q: im 18 and i got circumcise about four days ago from now. I got circumcise because, my foreskin was ...
  A: Maurice, what you are describing sounds perfectly normal for this stage of your convalescence. ...
fluid intake and the kidneys4/18/2010
  Q: I have a question regarding the amt of fluid I drink in relation to the amt of output I have. I know ...
  A: Kristen, your fluid intake as related is around 7.5-8 liters a day. Most people drink about 2-3 ...
Penile Bleeding4/17/2010
  Q: I am in my early 40s and active in sex. I was with my partner and while receiving oral I started ...
  A: Randy, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in ...
Penile Glans4/17/2010
  Q: While erect, the glans of my circumcised penis has the same size as that of the shaft,or sometimes ...
  A: Abdu, the normal anatomy of the penis consists of 3 cylindrical bodies.  The paired corpora ...
brown thing in sperm4/17/2010
  Q: sir, i have masturbated 2 times and sperm comes with some brown part in it.i have no type of ...
  A: Nishant, this type of bleeding usually comes from the prostate gland. It is generally due to a tear ...
Uncircumcised Penis4/16/2010
  Q: I am 24 the foreskin of my penis should retract all the way from gland to shaft, but mine doesnt. I ...
  A: Ritesh, your inability to retract the foreskin may be due to a short frenulum but more likely you ...
Problem with my size penis4/16/2010
  Q: My penis is very small but it has a big girth. When i have sexual intercourse my partner complain ...
  A: Mamoc, there is no way to decrease the girth of the penis. Over time, your partner's orifice ...
Is this kind of penis injury serious?4/15/2010
  Q: I am very concerned about this issue and I'm hoping someone can guide me to the proper solution... ...
  A: Joe, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Fluid in Prostate4/15/2010
  Q: My brother- in-law, 40 yrs. old, in Phoenix, Az, recently had an exam that showed that his prostate ...
  A: Benee, I think this is one of those situations where some important information was lost in passing ...
GAS OR AIR IN URINE4/15/2010
  Q: I HAVE GAS OR AIR IN URINE CT CYSTOGRAM RESULTS STATED PNEUMATURIA CAN THAT BE FIXED AND HOW DOES IT ...
  A: Robin, if an individual has air in the urinary bladder, they will often note the passage of same ...
urology?4/12/2010
  Q: I'm a 17 year old male and I live in New York. I have a white gooey glob come out of the penis when ...
  A: Jacob, what you are noting is fluid from the prostate gland mixed with a little blood. I suspect ...
Aging of the penis4/12/2010
  Q: As I've aged (now 62 and upward bound), I've observed chnges in penis appearence and behavior. My ...
  A: Ken, the changes you note regarding your penile anatomy are common with aging and considered ...
loss of feeling in head of penis/no erections4/12/2010
  Q: I do not have any feeling in the head of my penis. Also, for some time I have not been able to get ...
  A: Beau, I suspect that the loss of feeling in the head of the penis and inability to get erection are ...
testicles4/11/2010
  Q: I have severe pain that started today. On the right side of my testical, shooting pains in to my ...
  A: James, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Penis Mole or Bump4/10/2010
  Q: i am 27 year old, from few month i have a mole or acne type mass round in shape on my penis with ...
  A: Junaid, as you might imagine, for this type of problem it is not possible for me to make an exact ...
pain right testical with blood in seman4/9/2010
  Q: last year had a large kidney stone they put a stint in to drain left kidney then had lithotripsy ...
  A: Ron, I do not believe there is any specific correlation between your left kidney stone treatment and ...
Urine stream problem.4/9/2010
  Q: I am hoping you could possibly give me some advise on my problem. I am a 28 yr old active male. For ...
  A: Kevin, bacterial prostatitis is the only type that responds to antibiotics. Therefore, before taking ...
Sore testicles4/8/2010
  Q: Oh nd i was lying on my back the whole time. Is there a reason why my testicles feel so sore? There ...
  A: Bobby, I suspect that your symptoms are due to a very common condition with the medical name ...
Urine stream problem.4/8/2010
  Q: I am hoping you could possibly give me some advise on my problem. I am a 28 yr old active male. For ...
  A: Kevin, I do believe that your "urethra is sticking in the middle" if I may use that frame of ...
hard pea shaped mass on husbands testicle4/7/2010
  Q: we went to dr and he said it could be a broken blood vessel it is sensitive to the touch when he ...
  A: Belinda, in evaluating lumps in the scrotum, is important to differentiate those that are ...
FISH assay4/7/2010
  Q: I am a patient who has microscopic hematuria. I do have small stones in my left kidney. Cystoscopy ...
  A: Liz, first let me send you a "macro" I have written on hematuria and then at the end of this note, I ...
Frenulum attached to Meatus4/6/2010
  Q: 1. I am uncircumcised. While flaccid, I was trying to retract my forskin over the head of my penis ...
  A: Ryan, on the underside of the head (glans) penis in the midline, there is a band of tissue called ...
"Uncomfortable penis in 6yr old"4/6/2010
  Q: My 6 year old son is constantly (30 - 40 times a day)re-adjusting himself so that the shaft of his ...
  A: Karen, I don't think this is especially unusual for a 6 year old boy. However, it would be ...
Prostate MRI 3T4/5/2010
  Q: I am 50 years old and my PSA has gone from a 3.0 in 9/2007 to a 6.5 on 3/2010. My Free PSA on ...
  A: Alvyn, I just want to remind you that I have been retired for 10 years and although I keep somewhat ...
Ongoing Bladder/Urinary Tract Irritation4/4/2010
  Q: I will try to keep this as simple as possible (not sure I can!). 3 months ago I felt an urgency to ...
  A: Craig, your symptoms could well be due to a small stone or multiple pieces of fragmented stone ...
Bad Pain in groin,abdomen,chest if no sex for a few days.4/4/2010
  Q: I'm 54. If I don't have sex with my wife for a few days (and there is no release otherwise) I feel ...
  A: Rich, in most men the libido as well as their ability to perform sexually gradually wanes with ...
Prostate MRI 3T4/4/2010
  Q: I am 50 years old and my PSA has gone from a 3.0 in 9/2007 to a 6.5 on 3/2010. My Free PSA on ...
  A: Alvyn, your rising PSA and worrisome free PSA values, as I am sure you are aware, make one ...
penile bruising4/3/2010
  Q: I have a history of penile fracture 7 years ago. Although I never had surgical intervention to ...
  A: Leigh, penile fractures heal by the formation of scar tissue. This scar in not as elastic as the ...
Pelvic Floor Dysfunction4/3/2010
  Q: I am a 28 year old female. A few years ago I got a urinary tract infection and the symptoms never ...
  A: Kylee, sorry but I have no expertise on pelvic floor dysfunction or exercises for same as this was ...
penis growth4/3/2010
  Q: Dr Goldstein. I am not sure if this is entirely urology question, but here it goes. When I was 8yrs ...
  A: Eldrick, yours is a common question regarding penile size. The majority of men believe they were ...
Kidney infection vs. Prostatitis?4/2/2010
  Q: One afternoon, my husband (then 34) suddenly started having: frequent urination and when he did ...
  A: Debbie, based on the information provided it is not possible for me to tell you with certainty if he ...
frequent UTIs, current blood in urine w/ no infection4/2/2010
  Q: I'll try to make this short and sweet. I am a 38 year old, otherwise healthy, female. I've had ...
  A: Brittney, urinary tract infections (UTIs) in women are very common compared to men. This is due to ...
Pain in Scrotum on the right side4/1/2010
  Q: I would like to thank you for your immaculate and priceless services throughout. God bless you all ...
  A: Ehetesham, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Frequent Urge to Urinate4/1/2010
  Q: I am a 24 year old male. 2 nights ago, I was kept up by the urgency to urinate. I would urinate ...
  A: Chris, there are many causes for urinary frequency. The common ones include urinary tract ...
masterbation4/1/2010
  Q: I masterbated today and when I was ready to ejaculate I felt a Strong like feeling at the bottom of ...
  A: Elijah, before suggesting any tests, the initial visit to the urologist will include a routine ...
Kegels exercise3/31/2010
  Q: I've heard about this Kegels exercise. I will like to know as general knowledge, Does doing this ...
  A: Richard, Kegel exercise are done to strengthen the muscles of the pelvis. The are most commonly ...
prostate issue3/31/2010
  Q: I had oral sex with a girl for two minutes. About four hours later, I had burning pain in the penis ...
  A: Eric, I shall answer you questions in order: 1. Yes you probably had bacterial prostatitis. 2. I ...
PSA velocity3/30/2010
  Q: During routine medicals I had a PSA reading of 4,7 in July 2009, 5,7 in February 2010 and worried ...
  A: Alfons, recently, the American Cancer Society reported finding no survival advantage from prostate ...
Precautions after stent removam.3/30/2010
  Q: I just gone through kidney operation on 1st march 2010. after operation doc. kept the stent inside ...
  A: Manmohan, the formation of kidney stones is a very complex process. Obvious predisposing factors ...
masterbation3/30/2010
  Q: I masterbated today and when I was ready to ejaculate I felt a Strong like feeling at the bottom of ...
  A: Elijah if at the time of orgasm no semen is ejaculated, the most common causes are either a blockage ...
penis problem3/29/2010
  Q: I am 30 years old male from India.Today I felt some itching on my penis.Instead of scratching with ...
  A: Punit, I have a limit of 3 questions per subject and this is your 4th question. However, because of ...
Dried blood on tip of penis3/29/2010
  Q: I'm a twenty-year old male, and I am not currently on any medications. I've noticed a couple of ...
  A: Jason, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in ...
masterbation3/29/2010
  Q: I masterbated today and when I was ready to ejaculate I felt a Strong like feeling at the bottom of ...
  A: Elijah, at the time of ejaculation during either masturbation or sexual intercourse, sperm cannot ...
Constant Pressure in Penis3/28/2010
  Q: I am a 22 year old suffering from a constant pressure that seems to be in the penis/urethra that may ...
  A: Chris, there are many causes for urinary frequency. The common ones include urinary tract ...
Soft erections after long term exposure to ED drugs3/28/2010
  Q: (It may be helpful to skip to the last couple paragraphs and read my questions and then come back to ...
  A: Jake, semi-erections of varying quality through the night after taking PDE5 inhibitors (ie Viagra, ...
Bladder Issues3/26/2010
  Q: My problem is, without insurance I am having difficulty getting a proper diagnose of my problem. ...
  A: Bonnie, as you might imagine, for this type of problem it is not possible for me to make an exact ...
ejectution3/25/2010
  Q: I am concerned because I can get my boyfriend to come by rubbing his penis but it will not get hard ...
  A: Charlotte, there are many causes for erectile dysfunction (ED). The most common diseases associated ...
Gross hematuria and more :(3/24/2010
  Q: In 2001, in the early am (~1am), I went pee, felt a sharp pinch at the end that caused me to look ...
  A: Veronica, your history is very long and complicated and really beyond the scope of this forum. ...
Pain in right testicle3/24/2010
  Q: i have a very strenuous workout program and do take supplements but no steroids. i started feeling ...
  A: Patrick, as you might imagine, for this type of problem it is not possible for me to make an exact ...
ed3/23/2010
  Q: I am 30 years old male from India.Today int he morning my penis was in semi erect position when I ...
  A: Punit, it is extremely unlikely that the mild trauma you describe did any damage to the penis and ...
Pain In Penis During Climax3/23/2010
  Q: When I have sex I have this pain at the tip of my penis when I cum. It feels like there is a cork in ...
  A: Joseph, the discomfort at the tip of the penis that occurs only when using the "doggy" position but ...
Inability to urinate after Lithotripsy3/22/2010
  Q: After an unsucessful surgery to remove a kidney stone using a cystoscope/laser (my prostate was too ...
  A: Steve, the most likely scenario is that your prostate, although enlarged, was relatively ...
hematospermia3/14/2010
  Q: hey doc, last time i masturbated i saw blood stain on my sperm... i didn't feel any pain... i'm too ...
  A: Track, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in ...
Bloodundercloth staining on undercloth3/14/2010
  Q: During The last two months I first noticed three dots of staining on my undergarments having color ...
  A: Alaul, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in ...
blood when ejaculat3/14/2010
  Q: why would their be blood when i ejaculate this is the first time it happen,not in my urine and my ...
  A: Randy, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in ...
pre cum fluid3/13/2010
  Q: Is there any kind of medication available that reduces the production of pre-cum fluid? When i ...
  A: Darren, pre-ejaculate ("precum") is a normal secretion of a mucous like material from the paired ...
dark yellow spots in pee3/13/2010
  Q: Background for my life: I am 17 years old. I am a girl. I have been running for 3 years now. I have ...
  A: Carissa, the likelihood is that there is nothing wrong with you. Without doing a urinalysis, I ...
Penis problem3/12/2010
  Q: I am 30 years old male from India.Today I while I was being intimate with my wife my penis was ...
  A: Sumeet, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Leaking?3/12/2010
  Q: I am a 24 Year old male from Alberta Canada. frequently (daily basis) I have a feeling like I am ...
  A: Mick, the most common cause of this symptoms especially with your past episodes of epididymitis, is ...
urge to pee3/11/2010
  Q: A month ago I stayed awake all night with the urge to pee. In the morning I felt pain in my right ...
  A: Steve, the most common cause of frequency, urgency and pain in the testicle is an inflammation of ...
penis problems3/10/2010
  Q: Goldstein, after some stretching and jelqing I'm having trouble achieving and maintaining erections. ...
  A: Mark, on the internet there are many medically unsubstantiated claims of improving size & ...
ED3/10/2010
  Q: I am 30 years old male from India.I got married 2 months back.On the second night I tried to have ...
  A: Sachin, every man occasionally has difficulty obtaining or maintaining erections.  There are many ...
Post Hernia, and then some...3/10/2010
  Q: Dr Goldstein, I thank you in advance for the time you're going to have to devote to this one, it's ...
  A: Adam, as you might imagine, for this type of problem it is not possible for me to make an exact ...
bump or swealing3/9/2010
  Q: Two days ago i saw a big bump or swealing right in a middle of my penias and its hurt a little shood ...
  A: Michael, as you might imagine, for this type of problem it is not possible for me to make an exact ...
UTI/STONE3/8/2010
  Q: I am a guy of 38 in india. Last summer some 10 months back from now, I got severe form of uti. I ...
  A: Hemat, your history is somewhat confusing. What I can understand is that you have a small stone in ...
chronic prostatitis3/8/2010
  Q: i am 34 years old and experience penile discharge after urinating. it is more frequent when i pass ...
  A: Magajee, your symptoms are rather typical of prostatitis. There are several types of prostatitis ...
ED unsure of cause.3/8/2010
  Q: I first had erection problems about 2 years ago but it wasnt anything severe. A year ago i seen a ...
  A: Joe, you have many symptoms and perhaps are looking for a simple answer to a complex problem. First ...
pain during ejaculation3/7/2010
  Q: My boyfriend is 18 years old and is not on any medication. He experiences severe pain in his abdomen ...
  A: Ashley, by far the most common cause of your boyfriend's symptoms is an inflammation of the prostate ...
penis problem3/7/2010
  Q: I am 30 years old.I have a habit of sitting cross legged in the chair.Sometimes while siting like ...
  A: Kiran, I am happy to tell you that this will NOT cause any erectile difficulty. Many habits like ...
Testicles disappear then reappear3/5/2010
  Q: Just like the subject says, I keep experiencing this and it freaks me out. I am 29 years old. ...
  A: Ben, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Frustrating Pain in Penis3/5/2010
  Q: Right, ill go back to the start, I had unprotected intercourse 4 months ago, a few days later I ...
  A: Daniel, first let me comment on the genital warts. HPV (condylomata accuminata or genital warts) is ...
pain/small testicles/TRT3/4/2010
  Q: This is kind of embarrassing, but I'm 23 and have hypogonadism due to chemo when i was a kid. As ...
  A: Jay, the testicles basically have 2 functions: the production of sperm and male hormone. The former ...
PAINFUL EJACULATION3/4/2010
  Q: FOR MANY YEARS, PERHAPS 10 OR MORE, I HAVE EXPERIENCED A SHARP, PAIN IMMEDIATELY AFTER EJACULATION. ...
  A: Jon, in spite of the fact that prior tests suggest that your prostate is "normal", by far the most ...
Penis pain3/3/2010
  Q: I am 30 years old male.Twio days ago I was having intercourse with my wife,suddenly she had some ...
  A: Punit, there is nothing your wife did that would cause any type of permanent damage to your penis. ...
vasectomy following vericocele surgery3/3/2010
  Q: I live in the United States and am 40 years old. 12 years ago I had a left side vericocele. I now ...
  A: Matt, there are 2 arteries that supply the testicle. One is the internal spermatic artery that is ...
Penis Size3/3/2010
  Q: My penis flaccid is 1.8 to 2.2 inches long and 4.4 to 4.6 inches long on erection, when you awnser ...
  A: Jose Ali, to follow are statistics from the medical literature on penile size. The average FLACCID ...
Pre-ejaculate3/2/2010
  Q: i have never produced pre-ejaculate. I've read online that sometimes men wont notice but believe me ...
  A: Barry, pre-ejaculate ("precum") is a normal secretion of a mucous like material from the paired ...
Balanitis..3/2/2010
  Q: Goldstein, I hope you are well. I am uncircumcised, 22, did not have the best hygiene under my ...
  A: Adam, first let me explain to you the way I suggest to keep the foreskin and glans penis area clean. ...
chronic use of PDE5 inhibitors3/1/2010
  Q: my name is david,i am 45 years old. and,i need to ask: 1) can a chronic use of viagra or cialis ...
  A: David, the mechanism of penile erection is somewhat complicated. It involves release of nitric ...
penile nerve severance?2/27/2010
  Q: A friend of mine had suffered from a laceration on his penis a few months back. He described it as ...
  A: Jess, I do not believe that the type of injury your friend sustained (as described by you) would ...
meatus issue2/26/2010
  Q: I'm 25 years old. Have never had sex. But over 2 weeks I noticed that the whole at the tip of my ...
  A: Matthew, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Penis pain2/26/2010
  Q: Now I experienced pain around tip of my penis.It wasn not very extreme but not totally ignorable ...
  A: Sachin, assuming your penile pain was due to excessively vigorous masturbation, no permanent damage ...
Possible Varicocele2/25/2010
  Q: I have been experiencing a dull pain in my left testicle. Upon self examination I felt what others ...
  A: John, a varicocele is a collection of varicose veins of the spermatic cord (the rope-like structure ...
bleed from penis2/25/2010
  Q: last night i masturbated pretty hard after watching some new porno's. this morning i woke with a ...
  A: Pat, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in ...
Penis problem2/25/2010
  Q: I am 30 years old male from India.My problem is that whenever I think of something erotic my penis ...
  A: Sumeet, no damage will occur to your penis from having erections while wearing tight trousers. The ...
Numbness2/24/2010
  Q: I am 33 years old and I have noticed that I can't ride a bike anymore because it makes my penis and ...
  A: Bruno, the area that you sit on is called the perineum, the site between "the wind and the rain". ...
Cleaning penis2/23/2010
  Q: While taking a bath I always clean inside of my penis (the head area ) with water.Today first I used ...
  A: Sachin, washing your penis with either warm or cold water makes no difference. The important factor ...
Bloody Urine Following B/M2/23/2010
  Q: Dr. Goldstein: I have normal bowel movements daily (no straining) , no blood or pain, immediately ...
  A: Mike, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in ...
Size of Glans on erection2/22/2010
  Q: During erection, the glans of my circumcised penis , sometimes,is larger than the shaft and ...
  A: Narayan, the normal anatomy of the penis consists of 3 cylindrical bodies.  The paired corpora ...
Testies2/22/2010
  Q: Ok Last Thursday i got home from a friends house, we were just playing video games. As i left my ...
  A: Justin, as you might imagine, for this type of problem it is not possible for me to make an exact ...
scar tissue/ hydrocele2/22/2010
  Q: 33yrs old, Canada. I just had a hydrocele dealt with surgically. I was in a car accident many years ...
  A: Ron, surrounding the testicle is a thin layer of tissue folded upon itself with a potential (but ...
why am i urinating in 3 different ways?2/21/2010
  Q: when i use the bathroom I am urinating [i have never had this problem and it goes everywhere]in ...
  A: Zane, what you are describing is a splitting of the urinary stream so that rather than coming out as ...
blood from penis2/21/2010
  Q: Today at work I went to the restroom and when I looked at my underwear their was blood size of a ...
  A: Joe, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in ...
Question about tisticles2/20/2010
  Q: i am a male 25 years old and i live in Afghanistan i am very much concern about the size of my ...
  A: Ahmad, this is a common question. The majority of men believe they were "short-changed" regarding ...
to much rubin with the clothes can damage my penis?2/20/2010
  Q: Yesterday i was with my girlfriend playing around like rubbing my penis a simulation of sex but with ...
  A: Carlos, on the underside of the head (glans) penis in the midline, there is a band of tissue called ...
Hard lumps all along the inner shaft of penis2/19/2010
  Q: I have a long hard mass inside my penis. It is centered in my penis above the urethra, and it is ...
  A: Scott, as you might imagine, for this type of problem it is not possible for me to make an exact ...
burning in the perineum2/19/2010
  Q: Goldstein, I have been dealing with a burning sensation in the perineum for about a year. I have ...
  A: Alex, by far the most common cause of burning in the perineum is an inflammation of the prostate ...
bcg treatment following superficial bladder polyp removal2/19/2010
  Q: Can I have sex while undergoing bcg treatment?
  A: Bernard, as BCG treatment uses live but attenuated (weakened) bacteria, there is the potential to ...
Congestive Prostatitis in a Different Way2/18/2010
  Q: I have read all the causes why congestive prostatitis occur, but to what i observed with my ...
  A: Ivan Paul, congestive prostatitis is not caused by anal intercourse. It is due to periodic sexual ...
White discharge from penis2/17/2010
  Q: I usually observe white discharge from my penis early in the morning. What can this be?
  A: Raymond, discharge from the urethra is a common symptom that is called "urethritis". If thick and ...
swollen testis/premuture ejackualtion during sex2/17/2010
  Q: my left testis is swollen, during self exam i noticed veins are larger than right, i have no pain or ...
  A: Byron, in over 90% of men, the left testicle is lower than the right, higher on the right in about ...
painful ejaculations2/16/2010
  Q: For the past 2-3 years, I have very painful ( burning, like a hot rod placed into the shaft...) ...
  A: John, your symptoms sound typical of an inflammation of the prostate gland, so called prostatitis. ...
Pre-mature ejaculation problems2/16/2010
  Q: It has been only recently(around 7 months) that I started to have intercourse. I noticed that I have ...
  A: Praveen, premature ejaculation is a common condition. It refers to men who ejaculate prior to ...
testicle bumbs2/16/2010
  Q: When i was 13 i noticed some bombs on my testicle sack. I have never had sex. The bumps vary in size ...
  A: Cody, as you might imagine, for this type of problem it is not possible for me to make an exact ...
lower left abdomen discomfort and urinary problesm2/15/2010
  Q: just to the right of my left hipbone, is what one doctor believes is a fatty tumor, about the size ...
  A: Richard, as you might imagine, for this type of problem it is not possible for me to make an exact ...
hurt penis2/15/2010
  Q: About 2 months ago my penis started to hurt during sex. It hurts all the way down the left side of ...
  A: Matt, as you might imagine, for this type of problem it is not possible for me to make an exact ...
urine specimen2/14/2010
  Q: Why can't a urine specimen be obtained from the foley bag after a new catheter and bag is inserted?
  A: Sharon, after a new Foley catheter is inserted, a urine specimen can be obtained directly from the ...
problem in groove area2/14/2010
  Q: H i am 29 year old and recently married …. I wanted to discuss problem, I am facing from last more ...
  A: Joy, it is difficult to make this type of diagnosis over the internet without the ability to do a ...
trying to determine if kidney stone2/13/2010
  Q: Dr. Goldstein, Thanks for your time. I am a 36 year old male living in Memphis, Tennesee. About 1 ...
  A: Jake,there are many possible causes for blood in the urine (hematuria). The origin of the bleeding ...
injury to corona of glans penis2/13/2010
  Q: , I am a 29 year old african american circumcised male. I am suffering from a penile curvature of ...
  A: Joseph, I have read the web sites regarding claims of increasing penile size & correcting penile ...
Prostate Enlargement Cure2/12/2010
  Q: I am 62 and tests show that I have Prostate Enlargement problem. I suffer from Urine Frequency. My ...
  A: Ahmad, any medication that you take (for any disorder) has potential side effects. The doctor and ...
Yeast infection2/12/2010
  Q: I did not know that men can get yeast infections, and I don't know if I truly have one or not, but I ...
  A: Adrian, it is difficult to make this type of diagnosis over the internet without the ability to do a ...
question about genital lesions2/11/2010
  Q: about 3 weeks ago i noticed dark color bumps on the shaft of my penis, and on the back side of my ...
  A: Johnny, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Penis Damage From Sex2/11/2010
  Q: My names john and im 21, Im am worried i may have obtained some damage to my penis during sex. I had ...
  A: John, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Prostatitis or something else?2/11/2010
  Q: Goldstein, I'm a male in my early 30's and have been dealing with symptoms that appear to be ...
  A: Skip, there is little doubt that your symptoms are coming from the prostate gland. Discharge of ...
Penis injury2/10/2010
  Q: my question is in relation to a self inflicted penis injury around 8 years ago. I foolishly tried to ...
  A: Buddhi, I doubt you did any significant damage to your penis with the attempted lengthening ...
urinary problems urgent2/10/2010
  Q: i Have been having some serious problems with my bladder . I constantly feel like i have to urinate ...
  A: Jacob, there are many causes for urinary frequency. The common ones include urinary tract ...
bleeding from the pee hole2/10/2010
  Q: My wife and I were having sex. When i was done i noticed that there was blood in the condom. I had ...
  A: Chris, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in ...
UTI2/9/2010
  Q: I am 16, and I had sex before. This past friday, I went to the doctor because I had UTI symptoms ...
  A: Alexis, your symptoms are typical of irritation of the urinary bladder and/or the urethra (the tube ...
Penis Incision2/8/2010
  Q: I have a problem on the skin of my penis. There seems to be small elongated bump which has some ...
  A: Ali, it is difficult to make this type of diagnosis over the internet without the ability to do a ...
urology2/8/2010
  Q: cause of painful ejaculation
  A: Richard, by far the most common cause of your symptoms is an inflammation of the prostate gland, so ...
Question2/8/2010
  Q: I was listening to talk back radio last night and one of the callers called in and mentioned that ...
  A: Vanessa, the kidneys drain the urine they produce into the urinary bladder by long tubular ...
Painful Right Testicle2/7/2010
  Q: Goldstein, I would be very grateful for your kind help please. When I was in my early twenties I ...
  A: Nial, as you might imagine, for this type of problem it is not possible for me to make an exact ...
stinging feeling.2/7/2010
  Q: I had food poisoning about a month ago(I don't know if that's relevant or not...) but later I ...
  A: John, I think the episode of possible food poisoning is incidental and unrelated to your present ...
UTI2/6/2010
  Q: "Dear Dr. Arthur, I am paul writing from malta, europe about my father joseph who is 82 years old. ...
  A: Paul, when you state that your father has been implanted with a catheter for months I suspect you ...
Scrotal Mass / Post Surgery Scarring?2/5/2010
  Q: I had a hydrocelectomy on my right side about 2 years ago. In the past 2 months or so I have ...
  A: Joe, there is always a varying degree of intra-scrotal scarring after a hydrocelectomy. However, ...
non painful prolonged erection,tests,viagra2/5/2010
  Q: my name is richard,42 years old. i deeply need your help as i have been suffering since 4 years ...
  A: Richard, I may have answered this question for you in the past but my opinion has not changed. To ...
Epididymitis lingering or something else?2/4/2010
  Q: I had pain in the scrotum/testicle develop in early December of 2009. It came on slowly and ...
  A: Matt, the seminal vesicles are adjacent to the prostate gland and are palpated during a digital ...
Epididymitis lingering or something else?2/4/2010
  Q: I had pain in the scrotum/testicle develop in early December of 2009. It came on slowly and ...
  A: Matt, during sexual arousal the prostate gland manufactures fluid that accounts for about 2/3 of the ...
Discharge of Blood after erection2/3/2010
  Q: Dark red Blood with clots seems to come out when i get the feeling of going to urine after prolonged ...
  A: Melon1991, this type of bleeding usually comes from the prostate gland. It is generally due to a ...
tesicle pain caused by anger?2/3/2010
  Q: My boyfriend and his older brother got in a huge argument. Apparently, my boyfriend was REALLY mad. ...
  A: Emmy, as you might imagine, for this type of problem it is not possible for me to make an exact ...
...Effects on penis after unprotected sex...2/3/2010
  Q: ...Recently I had unprotected sex with my girlfriend and that was after she helped me masterbate. ...
  A: Rahul, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Chronic Pelvic Pain Syndrome?2/2/2010
  Q: I am a 21 year old who is not currently taking any medication. I do drink alcohol, but use no other ...
  A: Thomas, the most common cause of your symptoms is an inflammation of the prostate gland, so called ...
Split on glans and itching2/1/2010
  Q: I am a 19 year old male and I have two questions if you'd be so kind as to answer. About a two ...
  A: Wesley, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Penile Mondor's Disease2/1/2010
  Q: I am a male, aged 24 years old. From as long as I can remember I have always had a long, cord-like ...
  A: NA, as you might imagine, for this type of problem it is not possible for me to make an exact ...
bleeding after urinating2/1/2010
  Q: My son 5yrs old just was put on an antibotic to help with the bleeding for 7 days still the result ...
  A: Gia, there are many possible causes for blood in the urine (hematuria). The origin of the bleeding ...
ejaculation problems1/31/2010
  Q: I am experiencing a burning sensation in my groin on ejaculation, also my ejaculate is thicker than ...
  A: Tony, the most common cause of your symptoms is an inflammation of the prostate gland, so called ...
Incontinence1/31/2010
  Q: I’m a 63 year-old female who had 2 caesareans at 34 and 36, so no prolapse problems. My babies were ...
  A: Lyn, any process that causes the diaphragm to push downward toward the lower abdomen such as ...
Pain in penis during ejaculation1/31/2010
  Q: Today, while starting to develop a very slight erection, I felt a feeling of having to go to the ...
  A: Mike, by far the most common cause of your symptoms is an inflammation of the prostate gland, so ...
No sperm when ejaculated1/30/2010
  Q: I am on Flomax for my urination probelms and since I've been on it I have had decrease in semen 2 ...
  A: Ronnie, Flomax is one of many drugs that may cause retrograde ejaculation. Let me elaborate on the ...
dripping blood from my penis1/30/2010
  Q: I was going to the bathroom and heard a noise so I squeezed my penis shaft to hold the urine back, ...
  A: William, the symptoms you experienced typically originate in the prostate gland. In addition, ...
Prostate1/29/2010
  Q: I am 36, and recently I began experiencing, after urination, the sensation of having to urinate at ...
  A: Bryan, your history is rather typical of an inflammation of the prostate, so called prostatitis. ...
Penis injury1/29/2010
  Q: I am 24 years old male and i have had a problem for the last 6 years, when i was 19 i attended ...
  A: Jesse, although possible, I think it highly unlikely that the injury you sustained 6 years ago did ...
kidneys1/28/2010
  Q: I had a partial nephrectomy 12 weeks ago. I have a slight sense of a urine smell. I can smell it in ...
  A: Charles, the reasons that I am aware of where you might notice a urine smell (really you are noting ...
Bump type thing.1/28/2010
  Q: out of no where, this bump type thing appeared at the base of my penis on the left side. I've tried ...
  A: Josh, as you might imagine, for this type of problem it is not possible for me to make an exact ...
post voidal residual urine about 86ml12/24/2009
  Q: I am facing problem to complete urine such as I can't complete urine directly after finis that I ...
  A: Farhim, there are many conditions that may cause a male to have difficulty emptying the ...
KUB12/24/2009
  Q: Sir, yesterday i had KUB report. From that report, following impression were there in the report. 1) ...
  A: Jahabar, a KUB is a plain (done without any type of contrast material such as dye or barium) x-ray ...
Massive amount of bleeding with Semen12/24/2009
  Q: I have masturbated five times since last month and noticed fresh blood in my semen. The blood amount ...
  A: Logan Sam, this type of bleeding usually comes from the prostate gland. It is generally due to a ...
Injured testicle cords12/23/2009
  Q: About 4/5 days ago I was walking home after a few beers and slipped over and a twig punctured ...
  A: Laurence, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Circumcision12/23/2009
  Q: Goldstein! At my health club I sometimes talk with an older man from my synagogue (we're both ...
  A: Ken, although there are many techniques of circumcision, they all have the same objective. This is ...
Swollen testicles12/22/2009
  Q: for about a month i have had a swollen lump next to my left testicle. i am experiencing no pain what ...
  A: Alex, as you might imagine, for this type of problem it is not possible for me to make an exact ...
lymphadics thrombosis?12/22/2009
  Q: About two weeks ago I noticed a raised area on the right side of my penis about 2.5cm long and 1cm ...
  A: Jimmy, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Effects of cold/hot water on sperm/ejaculation, anal muscle twitch12/21/2009
  Q: My first question is, what are the effects of cold and hot water on sperm and ejaculation (for ...
  A: Mason, I not sure I totally understand your question but I will give it a try. It really doesn't ...
urology12/20/2009
  Q: I am getting stinging pain while urinating. And also i am getting blood at the end of urination
  A: Siva, the most common cause for these symptoms is an inflammation of the prostate, so called ...
urination during orgasm, decreased sensation, enlarged testicle12/20/2009
  Q: My lover is a 22 years old, thin/underweight, but active and strong man. He eats primarily ...
  A: Jen, I am not sure that in this type of forum I can give you a complete answer to all of your ...
phimosis12/18/2009
  Q: Sir, I am a male of 50 years with a problem of tight foreskin as a result of which foreskin can not ...
  A: Hem, continual stretching may or may not solve your problem. As you know, a tight foreskin is ...
Am worry about my testis12/18/2009
  Q: I am 30 year old black African male. Because of my high sex drive, I have had lot of sexual ...
  A: Michael, assuming that your testicles are otherwise normal and there is no other local problem ...
Long-term hydrocele12/17/2009
  Q: I have a testicular hydrocele that was discovered over 14 years ago. I am now in my late twenties ...
  A: Brandon, surrounding the testicle is a thin layer of tissue folded upon itself with a potential (but ...
erection12/17/2009
  Q: Iam 70year old male i wake up 3 or 4 times during nite always have nice hard on . but when i need ...
  A: Britt, nocturnal erections are a normal occurrence in men. They occur during the REM (rapid eye ...
Lump under skin on shaft of Penis - Not Cyst12/17/2009
  Q: I noticed a lump under the skin on the shaft of my penis which has gotten steadily larger over the ...
  A: James, as you might imagine, for this type of problem it is not possible for me to make an exact ...
marriage12/16/2009
  Q: We want twins or at least one child within the first year of our marriage, because our marriage is ...
  A: Adam, if both you and your fiancee have normal fertility and have regular unprotected intercourse, ...
erection without ejaculation12/16/2009
  Q: Dr, ma boyfriend has no problem getting an erection but he never ejaculates after hours of sex. he ...
  A: Mary, let me address the curvature issue first. This is not at all related to his ejaculatory ...
Is it Epididymitis?11/16/2009
  Q: I have pain in my left testicle. I went to the Dr about 2.5 years ago after I felt a little bulge ...
  A: George, as you might imagine, for this type of problem it is not possible for me to make an exact ...
corpora cavermosa damage11/16/2009
  Q: 1 day i was erected and i felt a pop in my penis and my penis went soft, i cant stay erect now ...
  A: Willie, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Discharge every morning11/16/2009
  Q: my name is Rahul and i am 16 yrs old.For many days it is happening that when i go to bathroom to ...
  A: Rahul, I suspect that your symptoms are due to a very common condition with the medical name ...
frequent nocturnal ejaculation11/15/2009
  Q: its been a year since im suffering from too frequent nocturnal ejaculations. at an average thrice a ...
  A: Jhon, the symptom you are complaining about has nothing to do with your diet. What you are ...
Posssible prostatitis11/14/2009
  Q: I have been experiencing symptoms for a few months. Currently, I have to urinate with about 3X more ...
  A: Brad, your symptoms are typical of prostatitis. With prostatitis it is quite common for the ...
self intermittent catheter bleeding healing time11/13/2009
  Q: I very occasionally do urologist approved intermittent self catheterization. Last time there was a ...
  A: David, the mild irritation and bleeding you experienced were most likely due to mild catheter ...
Cowper's gland secretion11/12/2009
  Q: I am 34 year unmarried male living in Pakistan and doing business In past I had problem that I had ...
  A: Ali, for the present, I see no need for you to have a cystoscopy. I suggest that you follow the ...
Testicle Pain11/12/2009
  Q: I hope you had a good break! I saw one of your answers whilst you were away and I felt it at last ...
  A: Robert, apparently you have read the "macro" I have written on prostatitis. I will attach it to the ...
Blood stain URGENT ATTENTION PLEASE11/12/2009
  Q: For the first time i just noticed i had blood stain on my underwear as i woke up from sleep to go ...
  A: Michael, this type of bleeding usually comes from the prostate gland. It is generally due to a tear ...
Cowper's gland secretion11/11/2009
  Q: I am 34 year unmarried male living in Pakistan and doing business In past I had problem that I had ...
  A: Ali, pre-ejaculate ("precum") is a normal secretion of a mucous like material from the paired Cowper ...
sperm count11/10/2009
  Q: ok i am 22 i have a 2yr old son from a previous relationship my husband has none. we have been ...
  A: Ashley, infertility is the general term applied to those conditions that make it difficult for a ...
scrotum abcess11/10/2009
  Q: Goldstein, My son is now 24 yrs old and is preparing for his 6th surgery to try and figure out why ...
  A: Brett Byrd, I am sorry your son has had such a chronic problems. The case is quite complicated and ...
Effects of an epydidimytis11/10/2009
  Q: I was diagnosed with epydidimytis one year ago. Syptoms were: pain in the right testicle. The pain ...
  A: Bruno, your urologist greatly overstated the potential complications of epididymitis. First let me ...
skin attachment11/9/2009
  Q: My 9 month old son was circumcised at birth but I am concerned that it may not have been done ...
  A: Larry, there is a normal anatomical groove behind the head of the penis (glans) which is termed the ...
bleeding during urination11/9/2009
  Q: My husband was urinating after waking. He sneezed before he was unable to stop the stream. He ...
  A: Brianne, the most likely source of your husband's bleeding was from the prostate gland. This organ ...
Geriatric Relief11/8/2009
  Q: there is another urination position exhibited by an older man about which I'm curious. He sometimes ...
  A: Ken, there are many reasons for a man to assume the position you describe while urinating. These ...
Urination sensation10/2/2009
  Q: Ever sinces I could remember I loved to play with myself sometimes very over exsessive. As of right ...
  A: Luke, there are many causes for urinary frequency. The common ones include urinary tract ...
Testicular soreness/inflamation10/1/2009
  Q: I'm 40 years old and had a vasectomy about a year ago. I am currently experiencing a good amount of ...
  A: Mike, this is a fairly common long-term occurrence after vasectomy with 
a frequency of around ...
no subject9/30/2009
  Q: I am a 23 year old male currently taking no medication. I have been having issues with erectile ...
  A: Anders, you could have a blood flow issue. This may be in the form of a venous leak or inadequate ...
Penile Discomfort9/30/2009
  Q: Recently my boyfriend and I were fooling around, and because we did not have any protection, we ...
  A: Liz, the most common cause of this is an inflammation of the prostate gland, so called prostatitis. ...
Left Testical smaller and harder; slight discomfort9/29/2009
  Q: Im a 19 year old and have noticed for awhile that my left testicle is harder and slightly smaller ...
  A: Casey, in over 90% of men, the left testicle is lower than the right, higher on the right in about ...
preg. wife9/28/2009
  Q: At this time my wife is expecting. This is not good news for me. We have a couple of kids and ...
  A: Steve, the success rate of vasectomy is is about 99%. Therefore, a small percentage fail either due ...
Urodynamics Study9/24/2009
  Q: DR Goldstein: Could you please explain how the urodynamics study is done on a male patient, do they ...
  A: Michael, a transrectal ultrasound is an imaging study done to evaluate the anatomy of the prostate ...
UTI9/24/2009
  Q: I had UTI last year and the organism was Klebsiella. My doctor prescribed cipro for 10 days and the ...
  A: Ahmed, if you are still having symptoms, I suggest that you consult with a urologist for a proper ...
RBC results from urinalysis9/24/2009
  Q: My husband had his urinalysis checked and the results says Red cells: 5-8/HPF on his second check it ...
  A: Diane, there are many possible causes for blood in the urine (hematuria) and your husband needs to ...
about hydrocele9/23/2009
  Q: I am fearing to undergo aspiration of hydrocele as told by doctor. Because I want to know What is ...
  A: Rinku, hydrocele aspiration is a simple way to decompress the hydrocele. Although a blood vessel ...
my penis is numb9/23/2009
  Q: on monday september 21 i had surgery on my hip. i was sedated and put to sleep. i noticed that ...
  A: Joshua, it is unlikely that the anesthesia you received or the fact that had trouble waking you up ...
a cut vas, prostate massage & epididymectomy9/22/2009
  Q: A. Goldstein, The following questions are about a friend in Mexico who is now 60 and who takes no ...
  A: Edna, before answering your specific questions, let me explain what happens during a normal ...
prostate9/21/2009
  Q: this is a complecated question i am a 27 year old male and my pain started in my rectum then the ...
  A: Tom, by far the most common cause of pain in the rectum, anus, scrotum, groin and spermatic cord is ...
Post Hydrocelectomy scrotal mass9/21/2009
  Q: I had a hydrocelectomy performed on 8/14/09. About a week later i noticed the pain slowly going ...
  A: Jimmie, I would suggest that you make an appointment to see your surgeon rather than your primary ...
penis ache9/20/2009
  Q: i started masturbating from 13.after a long time i realize i face weakness so when ever i use to ...
  A: Daud, during sexual arousal the prostate gland & seminal vesicles manufactures fluid that account ...
Bladder Problem9/19/2009
  Q: I'm a 21 year old male and I've got something odd going on here! Sometimes while urinating, my urine ...
  A: Darryl, as it states in my note, the initial period of treatment should be for 4 weeks of continuous ...
passed blood9/18/2009
  Q: I have BPH and had a large amount of rusty colored blood come out of my penis there was no pain or ...
  A: Randy, the most common site of a bloody discharge originates in the prostate gland although the ...
low normal testosterone levels9/18/2009
  Q: My question is regarding my testosterone levels. I am a fit (BMI 21-22) 32 year old and have been ...
  A: Drew, you have a wise doctor as blood tests to measure the testosterone level should include both ...
swollen urethral area9/12/2009
  Q: I'm a 51 year old female who is still menstrating. I'm using the Nuvo Ring for birth control and ...
  A: Lee Ann, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Non Bacterial Prostatis or STD?9/12/2009
  Q: I've been suffering from "non bacterial prostatitis" since 2007. I've been to two urologists who ...
  A: John, it is unlikely that the inflammation at the tip of your penis is related to your urinary ...
uncontrollable ejaculation9/11/2009
  Q: My question comes due to an occurrence that happened to me today. I am a 37 year old male in pretty ...
  A: John, the fluid that passed was most likely prostatic fluid. You probably have a congested and/or ...
Urethral bleeding9/11/2009
  Q: I'm just going to cut to the chase. I was sticking very thin objects down my penis for pleasure, ...
  A: Ryan, the most likely cause of the discomfort in your penis as well as during urination suggests ...
Comparative Anatomy9/10/2009
  Q: I have started using a health facility, and I find it an ego-enhancing experience to walk naked in ...
  A: Ken, all men compare their penis to others when the opportunity affords itself. I have much less ...
avodart or finasteride along with testosterone replacment9/10/2009
  Q: I am a family physician practicing nearly 20 years; I have a patient with very low testosterone ...
  A: Dr. Garand, testosterone replacement therapy (TRP) will indeed increase the PSA level. Although ...
Induced erection for evaluating erectile dysfunction9/10/2009
  Q: Goldstein, 6 months ago I have had a traumatism in the penis which have produced an erectile ...
  A: Juan, it sound like you have developed some scar tissue in the erectile body of the penis on one ...
Pain while Urinating9/2/2009
  Q: My daughter, who is 4 years old, has been complaining of pain every time she urinates. Apparently, ...
  A: Sue, the positive response to antibiotics and sulfa suggests that at least on several occasions her ...
ed sometimes...9/2/2009
  Q: , I am 21, andI have recently had a problem with ED, and have a few questions...I have noticed that ...
  A: Josh, I suspect that your symptoms are due to a very common condition with the medical name ...
Nesbit's procedure9/1/2009
  Q: Is it common to have some residual discomfort after a Nesbit procedure, and where does it come from? ...
  A: Russell, the irritated nerves would lie in the corpora and not the skin. I had not heard before of ...
Vasectomy/Epididymis divided.9/1/2009
  Q: Not sure if you can help but had to try. I had a vasectomy performed 3 weeks ago and during the ...
  A: James, without having seen the procedure and not having the opportunity to examine you makes it ...
Nesbit's procedure8/31/2009
  Q: Is it common to have some residual discomfort after a Nesbit procedure, and where does it come from? ...
  A: Russell, with any type of operation, healing occurs by the formation of scar tissue. The amount of ...
Bladder Problem8/31/2009
  Q: I'm a 21 year old male and I've got something odd going on here! Sometimes while urinating, my urine ...
  A: Darryl. the cloudy material seen in your urine is most likely prostatic fluid. The most common ...
Testicular needle biopsy8/31/2009
  Q: I am an overweight healthy 34 year old with mild asthma and I tested negative for CF and I had two ...
  A: Jack, i assume your question is in relation to your fertility potential although you do not mention ...
blood in urine - not UTI8/27/2009
  Q: 6 weekss ago I was urinating a lot of blood. I went to urgent care and submitted a sample of urine ...
  A: Josie, there are many possible causes for blood in the urine (hematuria). The origin of the ...
numbness in Penis8/26/2009
  Q: I have recently developed insensitivity and numbness in my penis. Is this nerve damage? Is this ...
  A: Bill, from a timing standpoint, it is very likely that the biking is the culprit. There is nothing ...
varicocele and impotence8/25/2009
  Q: 40 years with grade 3 leftsided varicocele for 30 years. togeather had impotence and decreased .no ...
  A: Mustafa, a varicocele is a collection of varicose veins of the spermatic cord (the rope-like ...
numbness in Penis8/25/2009
  Q: I have recently developed insensitivity and numbness in my penis. Is this nerve damage? Is this ...
  A: Bill, many of the medications used for hypertension can affect your erectile quality. I am not ...
Penis pain & discomfort8/25/2009
  Q: Goldstein, at the beginning of April of 2009 I was diagnosed with UTI and was prescribed 7 days ...
  A: Sebastian, most of your symptoms are consistent of recurrent or chronic prostatitis except for the ...
Scrotal Abscess8/22/2009
  Q: Goldstein: I am a 44 year old male named Kevin. This Question Posted in Jan 2009 "Can you die from ...
  A: Kevin, I have seen many cases of scrotal abscess and no one in my practice has ever died from them. ...
bladder tumor8/21/2009
  Q: I was diagnosed with a bladder tumor but am not a candidate for surgery. I had 5 weekly chemo ...
  A: Mikki, radiation therapy to the urinary bladder works by destroying cancer cells. The radiation is ...
testical8/21/2009
  Q: i had my left testicle removed due to hernia that was not fixed right in 2007 i had a implant put in ...
  A: Thomas, compensatory hypertrophy of the remaining testicle following unilateral orchidectomy can ...
burning in left groin area8/20/2009
  Q: I had a surgery about one year ago to remove a hydrocele on the left spermatic cord. Recently I ...
  A: Pete, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Result after stopping BCG8/20/2009
  Q: I had 2 surgery last year TURBT and 6 BCG treatments last august 2008 and 1 Mitomycin in November ...
  A: Hassan, I cannot predict if your cancer will become invasive or not. The risk of invasion is ...
groin and testicular pain8/19/2009
  Q: , I have had an ongoing problem for some time now, for about 6-7 months. It all started with some ...
  A: J, by far the most common cause of discomfort in the testicle(s) in the presence of anatomically ...
unmaintained and soft erection8/19/2009
  Q: ........ i m 31 and never seen my penis in full hard and tight condition. to penetrate. if i try to ...
  A: Arman Cheema, I don't know if you have ever read my "macro" on erectile dysfunction. It should ...
sex frequency8/19/2009
  Q: Is it possible for a man in his mid 30's to have too much sex? once a day sometimes twice a day ...
  A: J, the sexual appetite and sexual ability vary greatly with each individual. After one ejaculates, ...
Loss of sensetivity8/18/2009
  Q: Goldstein. The last months I have noticed that my penis is less sensitive than it used to be. At ...
  A: Mikka, the loss of sensitivity is a common complication of jelquing. Shaving will not do this. On ...
Peyronies8/18/2009
  Q: I have bending and hourglass deformities for as long as I can remember. I went to the uro and got an ...
  A: Johnathan, hour glass deformities of the penis can either be congenital or acquired. The congenital ...
pain after vasectomy8/17/2009
  Q: Dr. Goldstein, I underwent a vasectomy in September 2006. After seemingly overcoming the initial ...
  A: Brian, there are several conditions that may cause this type of discomfort. One such complication ...
penile Discharge8/17/2009
  Q: the problem I have been having lately is after I have an erection and only after I have an erection ...
  A: Joel, it is not totally clear from you question whether or not you have the discharge after sexual ...
UTI8/17/2009
  Q: I am a 19 year old femal and I am currently taking: Medications: Lithium Carbonate 300mg once a day ...
  A: Sky, I do not believe your medications are causing your symptoms. Normally, bladder infections are ...
Sperm leakage8/16/2009
  Q: I have this typical problem which i am unable to disclose with any one. I am 25 years old. I had the ...
  A: Ram, I have no expertise on fibrolipomas as these are outside of my specialty. You might want to ...
continous8/16/2009
  Q: sir have been suffering from continous urethral discharge since last two years.recently i consult a ...
  A: Ankur, as your urologist has not found any specific reason for your persistent discharge on ...
about aspiration of hydrocele8/15/2009
  Q: I've swollen hydrocele.Doctor told me that you have to undergo aspiration of hydrocele(removing ...
  A: Rinku, surrounding the testicle is a thin layer of tissue folded upon itself with a potential (but ...
Peyronie's/Congential ?8/15/2009
  Q: I recently became sexually active in my late teens/early twenties. I was getting some comments on ...
  A: Peter, yours is not the picture of scarring or Peyronies disease. Such conditions generally will ...
Changes in PSA8/14/2009
  Q: I am a 57 year old male. In the past 5 years my PSA has been below 0.5. Last year I went to a ...
  A: Stephen, you are telling about 2 problems - frequent urinations (not helped with uroxatral) and a ...
What is it?8/14/2009
  Q: I'm a 30 year old male, living in Little Rock, Arkansas. I've had several things happen to me over ...
  A: Jason, there is little doubt that your problem is originating in the prostate gland. The only ...
Peyronie's/Congential ?8/13/2009
  Q: I recently became sexually active in my late teens/early twenties. I was getting some comments on ...
  A: Peter, the normal ultrasound almost certainly means that your curvature is congenital. Furthermore, ...
Kidney Stones, Blood in Urin,Low Urine Output8/13/2009
  Q: I have been diagnosed w/Kidney stones in both kidneys. I have blood in my urnine. I just completed ...
  A: Deborah, in most instances, the low urinary volume is either related to insufficient fluid intake or ...
Pain in Urethra8/13/2009
  Q: Before I explain the problem, I really should give a bit of history to explain my situation better. ...
  A: Heather, you have a long history of urethral pain unrelated to voiding and sexual activity. ...
Itchy lump on scrotum8/8/2009
  Q: I was diagnose with uti specifically S. aurieus, E. coli, Klebsiella sp. four moths ago. I was put ...
  A: Ben K, as you might imagine, for this type of problem it is not possible for me to make an exact ...
varicocele surgery for 12 yr old son8/8/2009
  Q: Goldstein, My 12 yr old son was referred to a pediatric urologist by his pediatrician because of a ...
  A: Donna, as you have some doubts about surgery, I would suggest a second opinion with another ...
discoloration on penis8/7/2009
  Q: im 19 years old and i have HPV. ive had warts that have gone away on their own but still have a few ...
  A: John, at your age the likelihood of penile cancer is almost non-existent, especially as you are ...
Urinary urgency causing great angst8/6/2009
  Q: I'm a 53 year old male. About 3 years ago (early 06) I started noticing that I needed to go to the ...
  A: Peter, as you might imagine, for this type of problem it is not possible for me to make an exact ...
How long will the sperm stay in the urethra after the Ejaquation ?8/5/2009
  Q: .. I am a 13 years old boy , I haven't reached puberty yet . I masturbated about 10 times in my ...
  A: Jack, after ejaculation, sperm can live for 24-48 hours. However, the majority of sperm leave the ...
pennis errection8/4/2009
  Q: I applied pain balm on my balls and it gave hell burning feeling..quickly washed away with soap. ...
  A: Es, I guess the question is why in the world would you put pain balm on your scrotum? There are ...
Erection8/3/2009
  Q: I am a 24 yrs old, and for as long as I can remember my erection size has been about the same ...
  A: Sam, are you sure your measurements were accurate? If a man has not ejaculated for severasl weeks, ...
erection8/3/2009
  Q: With erection there is a soft spot that causes the penis to bend upward in the middle. No injury, ...
  A: William, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Erection and testicle trouble8/2/2009
  Q: In june I was treated for gonnorehea then in july my left testicle started getting swollen and heavy ...
  A: Joel, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Pelvic Floor/Urology8/2/2009
  Q: 4 years ago I was hit in a ruby game and landed directly on my buttocks. I felt a burning tear deep ...
  A: Dan, it would be extremely difficult to tear your pelvic floor from the type of trauma you describe. ...
calcium deposit8/2/2009
  Q: I'm a 18 year old male who lives in TN. I recently noticed a very large bump just under the head of ...
  A: Alex, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Low Free Testosterone8/1/2009
  Q: I'll try to keep this long story short. For over a couple of years now I've been having low test ...
  A: Adam, let me first state that you problem is more in the field of endocrinology than urology but I ...
Urinary dribbling7/24/2009
  Q: My mother-in-law began having urinary dribbling 20 years ago after giving birth to her only child. ...
  A: Kriistie, as you might imagine, for this type of problem it is not possible for me to make an exact ...
urinary/vaginal symptoms and history7/24/2009
  Q: I see your specialty is in male impotence/endourology. I hope you can help me with a female ...
  A: Janie, your symptoms sounds like typical recurrent bacterial urinary tract infections (UTIs). The ...
Cowper's gland secretion7/23/2009
  Q: Is there any medication etc available to enhance the secretion (precum) from cowper's gland? I'm 38 ...
  A: Skye, pre-ejaculate ("precum") is a normal secretion of a mucous like material from the paired ...
urinary frequency7/23/2009
  Q: I am a patient suffering from urinary frequency. I am 28 years old (male) and I am married. I have a ...
  A: Iman, I suspect that you have other symptoms but the only one you mention is frequency. As you ...
swelling above testis7/21/2009
  Q: i am having 2 monthe old baby. few days back (1week) i observed swelling above left testis in ...
  A: Nitisha, it is very unlikely that this is a serious problem. as you might imagine, for this type ...
Medical Assistant trying to clarify...7/21/2009
  Q: my name is Katie La Belle and I have exactly seven days until my externship starts. I will be ...
  A: Katie, there really are not too many unique blood tests that urologists recommend. The most common ...
Blood Clot in Urethera/other7/16/2009
  Q: .. I am a 24 year old women who has two children. Ever since my first child, which was about 3 years ...
  A: Jennifer, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Prostatitis7/15/2009
  Q: Helo sir, im 22 now, and im masturbating sice 17yrs, 3-4 times a month. will this lead to ...
  A: Kadir, ejaculating 3-4 times a month will NOT lead to prostatitis. To follow, is some information ...
testis7/15/2009
  Q: My name is Joseph and i am 20 years old. I have small hard white lumps(1-2mm in diameter) on my ...
  A: Joe, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Found urine in sperm7/14/2009
  Q: im 22yrs M, single. I masturbate thrice a month. I collected my sperm in a white floor but i found ...
  A: Kadir, there are many causes for urinary frequency. The common ones include diabetes, urinary tract ...
syptoms of bladder infection but no infection7/14/2009
  Q: I am 43 years old. I take synthroid, wellbutrin and necon every day. Last week I had symptons of a ...
  A: Jane, a urinary tract may be present with a negative culture under certain circumstances. The most ...
Bleeding from penis afer ejaculation7/14/2009
  Q: Patient:43, Male, unsure of medications, CA. What would have caused a large amount of bleeding after ...
  A: Courtney, this type of bleeding usually comes from the prostate gland. It is usually due to a tear ...
ejaculation7/9/2009
  Q: My husband is 50 yrs old, with healthy libido. Lately, he fails to ejaculate. He's been taking some ...
  A: Andrea, I need some clarification of your question. By failing to ejaculate, do you mean that your ...
"crooked" urine stream7/8/2009
  Q: I have recently inherited my 2 year old nephew, he is almost potty trained. he is not circumcised. ...
  A: Barb, as you might imagine, for this type of problem it is not possible for me to make an exact ...
UTI + Lemon Juice7/7/2009
  Q: 22 Female BCAAs (proper dosage) Multivitamin (proper dosage) Georgia, USA So two days ago (this is ...
  A: Tegan, mild UTIs may be treated adequately by forcing fluids. This will dilute the bacteria count ...
Ejaculation Question7/7/2009
  Q: I am a 20 year old male and when I ejcaculate, I only feel build up of sperm or some feeling in my ...
  A: David, as you might imagine, for this type of problem it is not possible for me to make an exact ...
penis damage6/30/2009
  Q: My penis used to be perfectly straight, but I woke up one morning to notice it flopped over to the ...
  A: Chris, the normal anatomy of the penis consists of 3 cylindrical bodies each wrapped in an elastic ...
Penis Discomforth6/30/2009
  Q: I had sex for the first time the other day, and im afraid to admit that it was unprotected, and a ...
  A: Steve, as you might imagine, for this type of problem it is not possible for me to make an exact ...
1200ccs catherized 15-year-old daughter6/30/2009
  Q: Just returned from hospital. What could cause my 15-year-old daughter to not have a feeling to ...
  A: Lisa, as you might imagine, for this type of problem it is not possible for me to make an exact ...
retrograde ejaculation6/29/2009
  Q: I am 39 year old unmarried male i masturbate 2/3 times a day in face down position (rubbing penis ...
  A: Atkt, during sexual arousal the prostate gland & seminal vesicles manufactures fluid that account ...
Bacteria6/29/2009
  Q: Goldstein, My girlfriend recently was checked by her gyno that she had Gardnerella Vaginalitis. ...
  A: Brad, first let me state that the anaerobic bacterium Gardnerella vaginalis (GV) is found in 100% of ...
urine test6/28/2009
  Q: Recently I had a test done on my urine to check if there is infection (I didn't see a doctor; I just ...
  A: Larry, Chlamydia is diagnosed by culturing (growing) the bacteria from genital secretions such as ...
Peyronies Disease6/26/2009
  Q: I have 2 questions. Q1: I am in my early fifties and have been diagnosed with Peyronies disease ...
  A: bob, I think you mean you'll try to ejaculate more often, not urinate more often. Your symptom can ...
penis ino6/26/2009
  Q: my penis is bent, will it cause any problem? also it rises almost facing upwards pls provide the ...
  A: San, as you might imagine, for this type of problem it is not possible for me to make an exact ...
child with swollen penis6/25/2009
  Q: My son is 4 years old with swollen penis of 7 weeks now, he has been seen by urology and allergy ...
  A: Elliott as you might imagine, for this type of problem it is not possible for me to make an exact ...
Pain inside the Penis6/25/2009
  Q: Alright for some unknown reason, I started getting these pains about a cm down from the head of my ...
  A: Prency, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Peyronies Disease6/25/2009
  Q: I have 2 questions. Q1: I am in my early fifties and have been diagnosed with Peyronies disease ...
  A: Bob, let me preface my remarks by stating that I have been retired for nine years and have had no ...
Blood at the end of urination6/24/2009
  Q: I had a painful accident. I sat on a rather small toilet and thought I had aim my penis properly in ...
  A: Chris, this type of bleeding usually comes from the prostate gland. It is usually due to a tear in ...
Husbands pain caused him to pass out!6/24/2009
  Q: My husband has been complaining of pain after an erection and after ejaculation. This only happens ...
  A: Chryston, in spite of the fact that your husband's prostate gland has been deemed not to be the ...
pre-cum, urine flow, ED6/23/2009
  Q: This is somewhat embarrassing, but is needed information. OK, Over the past 4 years or so, I have ...
  A: Naptown, by far the most common cause of your complaints is an inflammation of the prostate gland, ...
no sperm6/23/2009
  Q: Hi my name is jennifer i have a fiance named rob and he had a surgery done when he was 2 years old ...
  A: Jennifer, you have been given some incorrect information. There is no medical condition where urine ...
Random Penile Pain6/19/2009
  Q: I'm a 22 year old male from Massachusetts. For the past 2 weeks or so, I've had a pain on the right ...
  A: Mike, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Testosterone6/18/2009
  Q: Goldstein, I'm 59 and, out of curiosity, had my serum and free testosterone levels checked. My ...
  A: Dan, you have a wise doctor as blood tests to measure the testosterone level should include both ...
sore after rough sex6/18/2009
  Q: A few night ago my girlfriend and I where having sex. I wore a condom of course. We where in our ...
  A: Robert, the most serious penile injury to occur during sex is a penile fracture. These are are ...
Woman's bladder aging prematurely6/17/2009
  Q: ..My girlfriend is 45 years old and has visible blood in her urine. She had dye shot in her vains ...
  A: Charlie, your girlfriend's urologist has used a term "bladder of a 75 year old women" in trying to ...
Masturbation before test6/17/2009
  Q: Goldstein, A friend of mine told me he read some where that men preform better on tests if they ...
  A: Dave, this question is outside of my expertise. I know of no scientific data on this subject. In ...
Testicle dent6/16/2009
  Q: I was hit by a baseball last week and my left testicle has a dent on the bottom of it? What should I ...
  A: Jon, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Loss of morning erections and softer( quicker to die down) erections. Possible injury months ago6/16/2009
  Q: I'm a 25 year old healthy male, lift weights at least 3 times a week, I've done sleep studies for ...
  A: Benjamin, most likely you do not have any significant underling malfunction of the penis and I doubt ...
split urine stream, weak flow, high frequency/urgency, etc6/15/2009
  Q: I am a 33 year old male and I have a few problems that I would like some insight to. I visited a ...
  A: James, symptoms such as weak stream, dribbling after urination and splitting of the stream suggest ...
overactive bladder ?6/15/2009
  Q: My question is somewhat short but it has to do with what a previous person has said, this woman ...
  A: Samantha, there are many causes for urinary frequency. The common ones include diabetes mellitus, ...
bleeding through the penis6/15/2009
  Q: he said he feels no pain what so ever, we do have sex frequently sometimes we will do do it 2 ...
  A: Aline, your boy friend needs to see a urologist to find out the cause and seriousness of the ...
intermittent gross hematuria w/ clots 22 yr fem6/14/2009
  Q: im a 22 yr. old female and have had no symptoms of bladder infection or kidney infection. had ...
  A: Megan, there are many possible causes for blood in the urine (hematuria). The origin of the ...
Semen Colour6/14/2009
  Q: When I ejaculate the semen produced is a creamy yellowish colour. There is no unpleasant odour and ...
  A: Bob, during sexual arousal the prostate gland manufactures fluid that accounts for about 2/3 of the ...
Long-term penile injury6/14/2009
  Q: I'm 20 years old and I've had some damage to my penis for at least 10-15 years; caused by me rubbing ...
  A: Chris, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Penile retraction.6/13/2009
  Q: I'm 23 years old. I'm having penile retraction for more than 8 years. Whenever I run, climb stairs, ...
  A: Sakib, retraction of the penis is a common and normal phenomenon. It has more to do with body build ...
need surgery again6/12/2009
  Q: i have acute urinary retention had a bladder neck incising three months ago last week had very bad ...
  A: Thomas, there are many conditions that may cause a male to have difficulty emptying the ...
surgical removal of a dead testicle6/12/2009
  Q: My son had a vericosele surgery a few years ago. It was unsuccessful and the testicle died and has ...
  A: Sue, during the course of varicocele surgery, the artery supplying your son's testicle was ...
urine passing problem6/10/2009
  Q: I am 22 years old.I have a problem of passing urine.Every time I have to sit down to pass urine.If I ...
  A: James, you need to see a urologist in consultation. I suspect that you have some restriction in the ...
quick question6/10/2009
  Q: my penis shaft erect side ways and the head is side ways too if i get surgery is the shaft going to ...
  A: Jason, the normal anatomy of the penis consists of 3 cylindrical bodies each wrapped in an elastic ...
testicular cancer6/9/2009
  Q: My friend had testicular cancer last year at the age of 30. He had one testicle removed, and one ...
  A: Shelly, before I answer your specific question, I want to explain the sequence of events involved ...
Worsening ED after cavernosometry6/8/2009
  Q: Goldstein, My problem is very similar to Richard's that you’ve answered on 5/4/2009. I had ...
  A: Tom, the following information I have written on venous leaks should be of help to you if this is ...
dripping6/8/2009
  Q: i have a dripping problem from my penis for over a year now when i get accident it even drips more ...
  A: Ariel, ejaculation during sleep is called a nocturnal emission. It is a perfectly normal phenomenon ...
Swollen penis6/7/2009
  Q: Last night I had really intense unprotected sex which also included masturbation. When I was done ...
  A: Jez, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Worsening ED after cavernosometry6/7/2009
  Q: Goldstein, My problem is very similar to Richard's that you’ve answered on 5/4/2009. I had ...
  A: Tom, the bloody urine after your test was probably due to the needle piercing the urethra. This is ...
Possible complications of child circumcision6/6/2009
  Q: We had our 21 month old son circumcised in the US 8 days ago. 4 days post op his dressing still had ...
  A: Tammy, behind the glans (head) of the penis where the glans meets the shaft is a circumferential ...
stretched bladder5/30/2009
  Q: My father who is 77 years old underwent major surgery to remove his prostate in January 2008. He ...
  A: Ramona, there are many conditions that may cause a male to have difficulty emptying the ...
Erections post stroke5/29/2009
  Q: I am a 58 year old male, and suffered a stroke in December of 2007. For some time after stroke sex ...
  A: Gary, the ability to have erection may indeed be compromised by having a stroke. However, such an ...
prostate5/29/2009
  Q: I am a 39 yr old male. I have notice over the last six months that I am urination more then normal. ...
  A: Jeff, there are many causes for urinary frequency. The common ones include diabetes, urinary tract ...
Torn frenulum.5/28/2009
  Q: While having sex, I tore my frenulum (the thin layer of skin connecting to my penis head) it bled ...
  A: Rafael, on the underside of the head (glans) penis in the midline, there is a band of tissue called ...
right testicle shrinking5/27/2009
  Q: Well its been about 5 months now my right testicle is shrinking very noticeably. What happened was I ...
  A: Chris, the epididymis is the tubular structure located behind the testicle that drains sperm from ...
testicles5/22/2009
  Q: My 2 year old son's right testicle did not release itself into the scrotum. He has seen a urologist ...
  A: Scherleen, the medical name for undescended testicles is cryptorchidism. Such testicles can be ...
problem unrinating after catheter removal5/21/2009
  Q: My father has been in the hospital for two months for 3 different heart surgeries. During this time ...
  A: Jodi, there are many conditions that may cause a male to have difficulty emptying the bladder.  Ones ...
Urology5/21/2009
  Q: I get a pain in my abdomen after ejaculation, accompanied by an increase in acidity. Pain lasts for ...
  A: Bob, by far the most common cause of symptoms after ejaculation is from inflammation of the prostate ...
right testicle shrinking5/20/2009
  Q: Well its been about 5 months now my right testicle is shrinking very noticeably. What happened was I ...
  A: Chris, the testicles can shrink from either a severe injury, a severe infection or a torsion ...
Can't Tell When I Have To Urinate5/20/2009
  Q: I cannot tell when I have to urinate. I have no feeling that I have to go. It doesn't leak or come ...
  A: Scott, there is no simple answer to your question. Ulcerative colitis (UC) may indeed cause a ...
atypical cells in urininalysis5/20/2009
  Q: My Doctor found atypical cells in my last 2 urine samples. No blood or infection was found however. ...
  A: Fred, the inner lining of the entire urinary tract is called the musoca. Microscopically, the the ...
Urine problm5/6/2009
  Q: Sir i have problem of painful, burning feeling in finshing urine. and then after some time some drop ...
  A: Ali, the most common cause of your complaints is an inflammation of the prostate gland, so called ...
continous5/6/2009
  Q: sir have been suffering from continous urethral discharge since last two years.recently i consult a ...
  A: Ankur, discharge from the urethra is a common symptom that is called "urethritis". If thick and ...
Ruptured urethra5/5/2009
  Q: My 17 year old son fell onto a jungle gym bar 12 days ago. He starting bleeding out of his penis ...
  A: Brad, there is a spectrum of conditions that can generally be classified as "ruptures" of the ...
penile duplex ultrasound,cavernosometry and cavernosography.5/4/2009
  Q: DR GOLDSTEIN my name is richard,i am 42 years old. about 4 years ago i had a 6 hour erection ,caused ...
  A: Richard: 1. In my practice, I have never seen damage from a 6 hour erection. I believe you can be ...
Is this the correct method?5/4/2009
  Q: I am an 18 year old male, my syptoms include: dribbling of urine, urine/fluid in ejaculate/decreased ...
  A: Mason, it is difficult for me to tell you if pelvic floor training is the correct treatment for your ...
Scrotum correction5/3/2009
  Q: I am a 19 year old male from England. I had an undescended testicle into my late teens (had it ...
  A: Daniel, usually when a prosthetic testicle is placed, it is sized to match the remaining testicle. ...
Lifelong erectile difficulties5/3/2009
  Q: I am 60 years old, in excellent shape comparable to a 45 year old, except in the sexual department. ...
  A: Eugene, there are many causes for erectile dysfunction (ED). The most common diseases associated ...
uti5/2/2009
  Q: my wife had a stent removed in august 2008 after surgery to correct a problem with a damaged ...
  A: Ansar, I understand your question. As mentioned initially, it is essential that you wife have her ...
Gross Hematuria5/2/2009
  Q: I am seeing a Urologist for what is being diagnosed right now as gross hematuria. I will have the ...
  A: Shannon, variations in the amount of blood noted in your urine have no significant clinical ...
pissing at night5/2/2009
  Q: 12 year old son ,used to take medication,Dr. stopped pills,said not good for kidneys.wets the bed ...
  A: Dave, the medical term for bedwetting is enuresis. It is most common in children and usually ...
uti5/1/2009
  Q: my wife had a stent removed in august 2008 after surgery to correct a problem with a damaged ...
  A: Ansar, urologic re-evaluation in your wife's case is essential to be sure there is no residual ...
Retrograde ejaculation and subsequent frequent urination/bladder discomfort5/1/2009
  Q: Since having TURP surgery in 11/2008, I now have retrograde ejaculations, usually followed by about ...
  A: Ladson, retrograde ejaculation is a fairly frequent side effect from TUR of the prostate gland. Its ...
Burning Urination4/30/2009
  Q: I have been having burning urination for more than a month now i have been given anibiotic after ...
  A: Brittanie, you should absolutely see a urologist in consultation. Urinary tract infections (UTIs) ...
Urge to urinate4/30/2009
  Q: For the past few months I've had an annoying problem where within a few minutes after urinating I ...
  A: Paul, there are many causes for urinary frequency. The common ones include diabetes, urinary tract ...
Nocturnal Sensations4/30/2009
  Q: It is common for boys/men to have nocturnal erections throughout the night. Do girls/women ...
  A: Kenneth, in evaluation erections, one can actually measure ("quantify") the degree of and firmness ...
Uretic stent/stone4/29/2009
  Q: I have had a uretic jj stent inside me for 10 weeks, a stone is still in my right kidney. My ...
  A: Trevor, stents can be left in for long periods of time. In those who need them continuously, they ...
weak stream4/28/2009
  Q: AdVance Male sling on Friday. Catheter removal on the following Monday morning. I have a very weak ...
  A: Gary, the are several causes for the weakness of your urinary stream. It could be due to residual ...
combination of problems4/27/2009
  Q: i am a complete mess haha i have premature ejaculation, sometimes my right testicle hurts and ...
  A: Anthony, because of the bleeding I strongly suggest that you see a urologist in consultation. ...
overactive bladder4/27/2009
  Q: Im a 23 year old female recently diagnosed with interstitial cystisis. I was prescibed (Enablex 7.5) ...
  A: Tia, Enablex is one of a class of medications that are used to relax the urinary bladder so that it ...
Penile dripping, Lack of blood supply and Premature ejaculation4/26/2009
  Q: So glad to have found you and this site. Let me try to be as precise as possible regarding my ...
  A: Zeff: Spots on the glans penis are common findings in many men and not necessarily due to disease. ...
black boil on penis4/26/2009
  Q: I am 18 years old, I think I have excessive masturbation. but anyway, This weird tiny dark boil ...
  A: Sam, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Weakness of kegel muscle4/26/2009
  Q: I'm a 21 year old male who has put on a considerable amount of weight. Upto 18 stone from 15 stone ...
  A: James, as you might imagine, for this type of problem it is not possible for me to make an exact ...
stricture and urethral injury4/25/2009
  Q: Goldstein, Let me lay out the situation: about three weeks ago I noticed a milky discharge from my ...
  A: Rex, it is always difficult for a physician to evaluate other physician's subjective reports (such ...
Penile dripping, Lack of blood supply and Premature ejaculation4/25/2009
  Q: So glad to have found you and this site. Let me try to be as precise as possible regarding my ...
  A: Zeff, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Testical attached to abdomen wall4/24/2009
  Q: I am now 22. When I was 15, I had surgery for what was thought to be A hydrocele hernia. My right ...
  A: Robert, as you might imagine, for this type of problem it is not possible for me to make an exact ...
penile friction blister4/23/2009
  Q: this is a medical question regarding my boyfriend. unfortunately neither of us has a family doctor ...
  A: Meg, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Male urethra damage4/23/2009
  Q: I just had surgery and a catheter. After the catheter was removed, I urinated a little blood (red). ...
  A: Chris, you should let the physician who performed your surgery know of your symptoms. If he is not ...
sperm4/22/2009
  Q: i just done a semen test they found no sperm but found very small amount of immature sperm.can i ...
  A: Ace, infertility is the general term applied to those conditions that make it difficult for a couple ...
chronic prostatitis4/22/2009
  Q: i was dignosed with prostitis 3 months ago they perscribed me cipro for 3 weeks and i took the ...
  A: Landon, normally for an initial episode of prostatitis, I suggest a minimum of 4 weeks of Cipro. If ...
extended bladder4/21/2009
  Q: i had to have a pelvic utrasound done... to which i had to consumed 42 ounces of water 1 1/2 hrs ...
  A: Kathleen, as you might imagine, for this type of problem it is not possible for me to make an exact ...
pain at urethra opening that won't go away4/20/2009
  Q: I am a circumcized male, 25. 2 years ago, I had an unfortunate incident where I masturbated to the ...
  A: Roberto, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Prostatitis4/19/2009
  Q: I am 32 yr old male from Australia. I read an answer that you gave to another person regarding ...
  A: Ben, the symptoms of testicular aching, urinary frequency, slowing of the stream, penile discomfort, ...
Nocturnal Sensations3/16/2009
  Q: It is common for boys/men to have nocturnal erections throughout the night. Do girls/women ...
  A: Kenneth, nocturnal erections are a normal occurrence in men. They occur during the REM (rapid eye ...
left testicular pain/left flank-kidney pain3/16/2009
  Q: (41 year old male, living in the North Eastern United States) My husband has been having left kidney ...
  A: Rebecca, as you might imagine, for this type of problem it is not possible for me to make an exact ...
urology3/15/2009
  Q: DR.Goldstein I am a married 42 year old male in a monogamous relationship for about 20 years inthe ...
  A: Hugo, as you might imagine, for this type of problem it is not possible for me to make an exact ...
UTI after ureter reimplantation3/15/2009
  Q: I am 35 year old female with grade 3-4 reflux. I had an ureter reimplantation. The foley was ...
  A: Michelle, this type of pain may be caused by obstruction, infection or less likely - persistent ...
continous urethral discharge3/13/2009
  Q: sir,i am suffering from continous urethral discharge since last two years.but i don't consult ...
  A: Ankur, discharge from the urethra is a common symptom that is called "urethritis". If thick and ...
retun of hydrocele after surgery3/13/2009
  Q: I had a hydrocelectomy in late January 2009, a follow up a week later confirming all went well and ...
  A: George, I understand your frustration and concern. There are several techniques that can be used to ...
Dysuria3/13/2009
  Q: I had a baby in January. I had a foley catheter with Epidural anesthesia. After the catheter was ...
  A: Gayatri, it is not unusual to need a foley catheter after an epidural anesthesia as the latter ...
blueish tint lump on penis3/12/2009
  Q: Mr goldstein, I have noticed the past couple of days i have a blue tintish lump on my penis that is ...
  A: Jimmy, as you might imagine, for this type of problem it is not possible for me to make an exact ...
blood clots aSince then fter uretscpy stone removal3/12/2009
  Q: On Mar 6, 2 stones 7mm and 1.5cm were removed in a 3 hour uretscpy. A string stent was removed on ...
  A: John, the complications of ureteral edema (swelling) and blood clots are common complications of ...
painful ejaculation3/11/2009
  Q: I also experience a quick pain in the kidney region on my left side at the moment of ejaculation.
  A: Bruce, the most common cause of your complaints is an inflammation of the prostate gland, so called ...
testosterone and RBC3/10/2009
  Q: HOW AND WHY DOES TESTOSTERONE INCREASE RED BLOOD CELL PRODUCTION? THANK YOU
  A: John, the formation of red blood cells is very complex and in the field of hematology rather than ...
Low testosterone levels3/10/2009
  Q: Goldstein, I have a few questions concerning my husband. He is 49 and experiencing fatigue, ...
  A: Sandra, this is a complicated situation as there are many causes for low terstosterone levels ...
Testicular pain and discomfort3/9/2009
  Q: Goldstein, I am a 42 year old married male. I live an active life and work out 5-6 times a week. ...
  A: Alen, as you might imagine, for this type of problem it is not possible for me to make an exact ...
SLIGHT uncomfortable pain at tip of penis3/8/2009
  Q: Dr. Goldstein: My 85 y.o. father is in excellent health; his only medication is Proscar. When ...
  A: Joanne, the most common causes for this would be either an inflammation of the prostate gland ...
prostate trouble3/8/2009
  Q: I've been having an odd sensation of tightness around my prostate for a couple of months, as if my ...
  A: Steve, the most common cause of your complaints is an inflammation of the prostate gland, so called ...
Burning After Urination - Prostatitis?3/7/2009
  Q: Dr Goldstein, Firstly, many thanks for reading my question and taking the time to write a reply. I ...
  A: John F. obviously you had read my "macro" on prostatitis which I will include at the end of this ...
blood in urine3/6/2009
  Q: I am male, 28, and have had blood in my urine at the end of my stream, with one episode of passing a ...
  A: Matt, there are many possible causes for blood in the urine (hematuria). The origin of the bleeding ...
Pelvic Tension constant weakness3/1/2009
  Q: I am 32 a year old Male and have been experiencing some problems for many years now. I have a ...
  A: Vince, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Urinating up to 100x per day. Need help Please!2/28/2009
  Q: I am really hoping you can help me. Basics- 30 year old woman, history of gynecological problems ...
  A: Tara, hesitancy is a symptoms common to many of the urologic disorders I mentioned and does help to ...
Tunica Cavernosa or hardened tub-like ring around base of penis head underneath foreskin2/28/2009
  Q: I injured an area underneath the foreskin at the base of the penis head during sexual activity with ...
  A: Zachary, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Burning sensation in my Urethra2/27/2009
  Q: So, I'm not sure what I could possibly have. I Haven't been sexually active since may. I had MC but ...
  A: Jesus, your school doctor is wrong. Herpes almost always occurs on the outside of the body ...
Burning sensation in my Urethra2/26/2009
  Q: So, I'm not sure what I could possibly have. I Haven't been sexually active since may. I had MC but ...
  A: Jesus, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Urinating up to 100x per day. Need help Please!2/26/2009
  Q: I am really hoping you can help me. Basics- 30 year old woman, history of gynecological problems ...
  A: Tara, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Groin pain on ejaculation2/25/2009
  Q: Past few months during intercourse with my wife I feel a pain in my groin on the right side. This ...
  A: Skid 1988, the cremaster muscle does not wrap around the vas but it does wrap around the spermatic ...
becoming incontinant?2/25/2009
  Q: For almost 3 years i have suffered from something, the NHS in the uk has had absolutely luck ...
  A: Nick, by far the most common cause of your complaints is an inflammation of the prostate gland, so ...
Groin pain on ejaculation2/24/2009
  Q: Past few months during intercourse with my wife I feel a pain in my groin on the right side. This ...
  A: Skid 1988, as you might imagine, for this type of problem it is not possible for me to make an ...
varicocele Surgury2/23/2009
  Q: My doctor said that the pain I have been having in the testicle area would be corrected by ...
  A: Peter, a varicocele is a collection of varicose veins of the spermatic cord (the rope-like structure ...
stress incontinence2/23/2009
  Q: I am 45yr female & I just had a sling put in for stress incontinence. While in surgery I had a ...
  A: Theresa, bladder cysts are quite common and are of no clinical importance. There are usually due to ...
One testicle hurts2/22/2009
  Q: Umm recently i discovered that one of my testicles hurt to be specific the right one...this started ...
  A: Cyrus, as you might imagine, for this type of problem it is not possible for me to make an exact ...
19 year old bladder retension2/22/2009
  Q: My son can not fully empty his bladder and for the last 6 months he has had to cath himself 5-6 ...
  A: Lynne, there are many conditions that may cause difficulty emptying the bladder.  Ones ability to ...
Testosterone deficiency; the reason behind many ailments?2/21/2009
  Q: First of all, thank you in advance for making this service available. I'm a 29-year-old male ...
  A: Jay, your question is very complicated and beyond the expertise of most urologists (including me). ...
stones2/21/2009
  Q: I have a .5cm by .5cm stone in my lower right kidney revealed through an x-ray. I will receive ...
  A: Wayne, your kidney is made essentially of 2 portions: the parenchyma and the pelvo-calyceal system. ...
Crooked penis2/20/2009
  Q: im 15 years old and i have a crooked penis when erected... i have a lot of sensation when i have sex ...
  A: Bob, the normal anatomy of the penis consists of 3 cylindrical bodies each wrapped in an elastic ...
Testicle size and pain after hydrocelectomy2/19/2009
  Q: It is almost 3 weeks after I had a hydrocelctomy performed on the left testicle. All the pain and ...
  A: Kurt, your symptoms are not at all unusual after hydrocelectomy. It takes a minimum of 6-12 weeks ...
dripping of urine2/19/2009
  Q: respected doctor arthur goldstein, i need your second opinion. my age is 38, single, male.living ...
  A: Sri, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Is my prostate causing problems?2/18/2009
  Q: I am a 23 year old male, no medications, and live in Logan, Utah, USA. I have a few different ...
  A: Clint, the average man has the need to ejaculate within 2-5 minutes after starting intercourse. ...
Excessive blood in semen2/18/2009
  Q: My boyfriend has been having an issue with excessive blood in his semen. He is a 41 y/o male not on ...
  A: Crystal, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of ...
No Cowpers Gland Secretions?2/9/2009
  Q: What i believe to be my Cowper's Gland secretions, (the clear fluid usually secreted during arousal, ...
  A: Sheldon, pre-ejaculate ("precum") is a normal secretion of a mucous like material from the paired ...
Hydrocelectomy--testicle attached to scrotum2/9/2009
  Q: I had a right hydrocelectomy when I was 20 years old. Ever since the surgery, the testicle has been ...
  A: Charles, the type of scarring you describe is not uncommon after hydrocele surgery. I think it is ...
white discharge while having bowel movement2/8/2009
  Q: For the past month I have been having a white discharge from my penis when I have bowel movement. ...
  A: Anselmo, your symptoms most likely are due to a very common condition with the medical name ...
Varicocle and Kegel Exercises2/8/2009
  Q: I am a 31 year old male who was recently diagnosed with epididymal cyst and varicocle in my left ...
  A: Ross, epididymal cysts are very common and do not cause symptoms. This is an incidental finding. ...
peeing a stone2/8/2009
  Q: my father has been diagnosed with prostate cancer, just recently he started having difficulty peeing ...
  A: Tricia, apparently your father had a stone in the bladder that temporarily blocked his urinary canal ...
Using Trimix after a quasi-successful penile implant2/7/2009
  Q: Last October, I had a penile implant. To achieve an erection, I squeeze a bulb in my right testicle ...
  A: Frederick J, I have been retired for 8 years & have no recent experience with the "newer" implants. ...
Bladder cancer2/7/2009
  Q: My brother in NC was diagnosed and had surgery for bladder cancer after urinating blood for over a ...
  A: Maggie, vomiting blood is not a symptom of bladder cancer. This is usually due to diseases of the ...
PSA testing2/6/2009
  Q: What is your opinion of the usefulness of getting a free PSA blood test to help determine if a ...
  A: Bill, the coverage of laboratory tests not only varies with each insurance company, but also on the ...
Dribbling Urine2/6/2009
  Q: I am a 31 year old male from Pennsylvania. I have frequent urination (15 times a day). I have been ...
  A: Craig, post voiding dribbling is a very common problem.  It is due to trapping of some urine in the ...
pain & inflamation in testicles2/6/2009
  Q: My husband has pain (soreness) in his testicle. It started on one side and is now on the other. ...
  A: Sharon, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Low Testosterone, normalish LH FSH2/5/2009
  Q: Male 46yo desk jockey 10kg 6' tall. 225mg Venalfaxine (Effexor xr) for > 12 months Been weary., ...
  A: John, let me preface my remarks by stating that this type of problem is best handled by an ...
seminal fluid after urinating, minimal ejacultate2/5/2009
  Q: I have noticed that I have intermittent release of seminal fluid after urinating. The clear fluid ...
  A: Tom, imipramine has been shown to decrease semen volume and increase sperm concentration. This side ...
Suspensory Ligament Damage2/5/2009
  Q: Some time ago my penis was pulled too hard while flaccid. There was pain at the base and I wasn't ...
  A: Daniel, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Pain/Discomfort2/4/2009
  Q: I don't know where to start, so I'll just explain. The past couple nights when i turn to a certain ...
  A: Daniel, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Condom Latex2/4/2009
  Q: Does the prolong contact with latex from condoms desensitize the penis head? I used to get a whole ...
  A: Joe, from your initial question, I though you meant that your penile sensation was too decreased ...
Condom Latex2/3/2009
  Q: Does the prolong contact with latex from condoms desensitize the penis head? I used to get a whole ...
  A: Joe, some people are allergic to the latex, the substance that most condoms are made from. This ...
Urinary tract problem2/3/2009
  Q: I am 23 yrs old and I will be 24 in a month.I live in Las Vegas NV and I have bleen dealing with ...
  A: Carissa, urinary tract infections (UTIs) in women are very common compared to men. This is due to ...
injury period2/2/2009
  Q: I have two questions: 1. In average, how long period is needed to completely heel testicular ...
  A: Dragan, if a testicular rupture is diagnosed, it is usually treated by surgical repair. At the time ...
Senior Relief2/2/2009
  Q: Okay to write to you again? You said I reached the limit a year ago but then you wished me a good ...
  A: Ken, the degree of downward displacement of the penis is related to the length & tautness of the ...
blood in my penis2/2/2009
  Q: this is embarrasing but i dont care i was taking a bath and in very hot water while my penis was ...
  A: Brian, there are many possible causes for blood leaking from the penis or in the urine (hematuria). ...
Coloured Ejaculate2/1/2009
  Q: I have recently ejaculated and it appeared to be brownish in colour. I do have some symtoms of an ...
  A: Andrew, during sexual arousal the prostate gland manufactures fluid that accounts for about 2/3 of ...
Urinary problems2/1/2009
  Q: I have burning in my penis and swelling in my lower abdomen. I was treated for diverticulitis after ...
  A: Terry, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Please Help! I need to know ASAP2/1/2009
  Q: Last night, I noticed an area on the right side of my penis that was a bit dry looking (but not dry ...
  A: Axel, it is difficult to make this type of diagnosis over the internet without the ability to do a ...
right testicle pain1/31/2009
  Q: I am 23, don't do drugs, don't smoke, rarely drink, workout at the gym a lot, don't do roids or take ...
  A: Egor, assuming your testicle is anatomically normal, there are several causes for your discomfort. ...
long term dangers in using a Foley Catheter1/31/2009
  Q: As of Jan. 2007 I became a T-7 incomplete paraplegic. This was due to a spinal AVF. During the ...
  A: Dwight, obviously you have a very excellent understanding of your neurogenic bladder disease. I am ...
over masterbation - bad?1/30/2009
  Q: I am a 21 male and have been masterbating since I remember. Yet I noticed that I do it quite often, ...
  A: Rich, there is great individual variation in the frequency with which one can ejaculate safely. ...
Prostate and Pelvis Pain1/30/2009
  Q: I have been suffering with on and off pain in my testicles and prostate for about 10 months. I am in ...
  A: Dave, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Bladder maintenance Theraphy1/29/2009
  Q: What is Maintenance theraphy? How often it is given? Cystscope every 3 months, Will there be always ...
  A: Has, as you already have had one recurrence, it is most important to having ongoing surveillance ...
Vasectomy1/29/2009
  Q: Next month I am receiving a No Needle No Scalpel Vasectomy. The Dr. wants to use leave in titanium ...
  A: Steve, titanium clips are basically chemically inert. As a result, there is no significant reaction ...
Urine Sample1/28/2009
  Q: What happens if you mix two urine samples one thats positive for being pregnant and one thats not ...
  A: Amber, a positive pregnancy test depends on the concentration of specific hormones that are found in ...
enlargedtestical1/28/2009
  Q: i have an enlarged left testical 3times the size of my right ,about a month or so i was urinating ...
  A: Russ, since the evaluation of scrotal lumps by a layman can be difficult, it is my advice to consult ...
Bladder maintenance Theraphy1/28/2009
  Q: What is Maintenance theraphy? How often it is given? Cystscope every 3 months, Will there be always ...
  A: Has, I assume from you question that either you or someone you know has had a superficial bladder ...
Frequent urination (sensation to urinate)1/27/2009
  Q: Twice in the last 5 weeks I have taken antibiotics for what was thought to be a UTI. I have the ...
  A: Tim, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
White masses in a pelvic x ray1/20/2009
  Q: I was at a chiropractor with back pain (normal occurance, diagnosed with a pinched nerve) Took ...
  A: Tina, I really don't think you should have much concern about this being a kidney cancer. This type ...
Circular vein?1/19/2009
  Q: When I get an erection on the center of the shaft of my penis just below the head there is a ...
  A: Eric, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Bilateral Varicocelectomy complications1/17/2009
  Q: I am 31 years old, and on November 21st of 2008 I had a bilateral varicocelectomy. Before the ...
  A: George, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Epididymitis1/17/2009
  Q: My right epididymis became swollen and tender on December 26th, a day after participating in a touch ...
  A: Matthew, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Scrotal webbing1/16/2009
  Q: I have always had a semi-retracted penis when flaccid. As with many boys and men, this condition is ...
  A: Charles, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Urinary Problems1/16/2009
  Q: I am a 27 year old female. I don't have any children. I am married. I urinate too ofteb. About five ...
  A: Moya, I suggest that you see a urologist in consultation. There are many causes for urinary ...
ejaculate viscosity as an indicator of prostate cancer1/15/2009
  Q: Within the past several years my lady friend partner noticed that she thought my ejaculate was ...
  A: Mike, increased viscosity of the semen is not an indicator of prostate cancer nor does it indicate ...
Non-ejaculation1/15/2009
  Q: good day doc,i am a man of 36years of age living in the u.k,my problem is that ever since i started ...
  A: Ola, during sexual arousal the prostate gland & seminal vesicles manufactures fluid that account for ...
swollen ring around base of penis head1/14/2009
  Q: I am a 20 year old male on no medications and with no sexual encounters. I have a swollen ring ...
  A: Ben, as you might imagine, for this type of problem it is not possible for me to make an exact ...
question about erection1/14/2009
  Q: I didn't have sex for almost 2 years. Later this summer first time in my life i had unsuccessful ...
  A: Alex, every man occasionally has difficulty obtaining or maintaining erections.  There are many ...
varicocele surgery1/13/2009
  Q: In two weeks time I'm going to have a laparoscopic surgery of varicocele. As a result of the ...
  A: Tomas, after repair of a varicocele, there is some initial swelling in the scrotum and spermatic ...
Testicular pain1/12/2009
  Q: I've had this pain in my right testicle for almost a year now on/off. I went to see a doctor about ...
  A: Kyle, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Blader Pain, Frequency and Premature Ejaculation1/11/2009
  Q: I'm a 31 yr old male who has been suffering from bladder pain and frequency off and on for more than ...
  A: Joe, as you might imagine, for this type of problem it is not possible for me to make an exact ...
laser vs. Cooled ThermoTherapy1/10/2009
  Q: My father, 83 years old. He has three stents implanted is being advised to have Cooled Thermo ...
  A: Jill, the therapies you are inquiring about are used to treat benign prostatic hyperplasia (BPH) ...
Why are my Testicles hardening and shrinking?1/10/2009
  Q: For about 3 years, my testicles get rock hard when I get an erection, walk up the stairs, do pushups ...
  A: Ben, a varicocele is a collection of varicose veins of the spermatic cord (the rope-like structure ...
penis glans1/9/2009
  Q: about 11 weeks ago my friend gave me a "tipper", he hit my penis glans as a joke, it turned out to ...
  A: Steven, as mentioned, it may take up to a year for nerve trauma to heal so there is no reason to be ...
Cipro causing penis tingling?1/9/2009
  Q: I'm quite concerned right now, the case is this: Last week on my vacations I ate some bad shrimps ...
  A: Rod, any medication you take has many potential side effects. The tingling sensation you describe ...
Possable Prostate Problem?1/8/2009
  Q: I am 23 years old and I am a male. I live in Allentown,Pa,USA. I have been having some problems ...
  A: Julian, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of ...
chronic prostatitis with unusual start point1/8/2009
  Q: Good day dr.Goldstein! i red several answers you made for another patients and i was very ...
  A: Peter, you present a number of different issues and i will try to address them as best I can in ...
Phimosis1/7/2009
  Q: I am a 22 year old male from Ireland and believe i have the condition phimosis. I have never been ...
  A: Dave, the term "redundant prepuce" means the presence of a foreskin or excessive residual foreskin ...
Radiation of Prostate and side affects1/6/2009
  Q: Can routine radiation of the prostate in a patient for cancer treatment cause irritation of the ...
  A: Garth, radiation therapy for prostate cancer does not cause hypertension (blood pressure elevation). ...
Broken blood vessels on scrotum1/6/2009
  Q: I'm a 30 year old male with high blood pressure. I have several blood vessels on my scrotum that ...
  A: Troy, as you might imagine, for this type of problem it is not possible for me to make an exact ...
testicular atrophy1/5/2009
  Q: about 9 months ago i was diagnosed with a 3rd grade varicocele on my left testicle the doctor told ...
  A: Matin, a varicocele is a collection of varicose veins of the spermatic cord (the rope-like structure ...
Pop at the very base of the penis1/5/2009
  Q: Goldstein, I'm a 30 year old male and I live in Pacoima, CA. I am not currently taking any ...
  A: John, I do not believe that your disc is related to the "pop" you noticed several years ago. This ...
PSA Test1/4/2009
  Q: I just had a PSA blood test for Prostate Cancer. My doctor said that a normal reading is 4 or ...
  A: Tom, your friend is correct. The PSA in general should be less than 4.0. I would clarify this with ...
Question1/4/2009
  Q: I am a 25 yr old male. I get an erect penis when I lie flat on my back/ side for more then 20 min. ...
  A: Sam, as you might imagine, for this type of problem it is not possible for me to make an exact ...
frequent urination and whitish penile discharge during stool from cooper's gland (prostate)12/28/2008
  Q: good morning.i would like to discuss some problems that i have been facing for long.i am a healthy ...
  A: Dhruv, congestive prostatitis is treated mainly by ejaculating regularly in moderation (perhaps 1-2 ...
Prostate pain leading to spermatic pain12/28/2008
  Q: I have been suffering with on and off pain in my testicles and prostate for 9 months. I am in my ...
  A: Dave, by far the most common cause of genital and scrotal pain in the presence of anatomically ...
problems in male private area12/28/2008
  Q: what should i do if i cant urinate ? i have pain in my private area ?
  A: J, if you are unable to urinate, you need to have a catheter (tube) inserted to relieve the pressure ...
Urinating while ejaculating.12/27/2008
  Q: 1. Sometimes, after being sexually aroused, two separate streams, urine and semen come out of my ...
  A: Robert, sexual arousal requiring being submissive (in fact or fantasy) is purely due to emotional ...
Scrotums not lined up12/27/2008
  Q: I am very worried about a recent condition in which my right scrotum stays up close to my penis and ...
  A: John, in over 90% of men, the left testicle is lower than the right, higher on the right in about ...
Swollen Scrotum and Penis12/27/2008
  Q: Issue: Woke up this morning with a swollen scrotum and penis that frightened the bejesus out of me ...
  A: Sam, the swelling is due to the fact that for some reason, you broke a blood vessel (most likely a ...
frequent urination and whitish penile discharge during stool from cooper's gland (prostate)12/26/2008
  Q: good morning.i would like to discuss some problems that i have been facing for long.i am a healthy ...
  A: Dhruv, the average man urinates around 4-6 times in a 24 hour period with an average fluid ...
bladder spasms12/26/2008
  Q: I am the caregiver for my 91 year old father who has advanced prostate cancer and COPD. He has an ...
  A: Nancy, there are several causes for bladder spasms such as stone formation, chronic infection and ...
Penis size12/25/2008
  Q: Is it possible for a guy to increase his penis size though some kind of a device at all or not.
  A: Weaver, this is a common question. The majority of men believe they were "short-changed" regarding ...
peeing12/25/2008
  Q: to start off, i'm a teen, and i just diagnosed myself with stress incontinence (i still need to find ...
  A: Gary, any process that causes the diaphragm to push downward toward the lower abdomen such as ...
Penis Nerves.12/24/2008
  Q: Hey I seem to have damaged my nerves from jelqing and stretching routine I was doing. It turned numb ...
  A: Adam, I have read the web sites regarding claims of increasing penile size with a variety of ...
Painful Ejaculation12/24/2008
  Q: For almost the past 20 years, I have had painful ejaculation. I believe it to be because what ...
  A: Rob, I'm sorry to tell you that I agree with your urologist in that the most common cause of your ...
groin discomfurt12/23/2008
  Q: i am a 34 year old british male who in the last few days have felt a lot of discumfort in the area ...
  A: Guy, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Severe dysuria12/21/2008
  Q: I'm a 40yr old radiologist and this past weeked developed very severe dysuria. The pain is a 9/10 ...
  A: Eric, I do not believe your symptoms are due to any of the STDs. The most common cause of your ...
perineal pain12/21/2008
  Q: i am a 40yr old male and for the last few months i have had a minor pain in the area between my ...
  A: Mark, other than the calf pain, your symptoms are typical of an inflammation of the prostate gland, ...
cremaster spasm12/20/2008
  Q: 49 y.o.,nil meds with 1 year history of an uncomfortably elevated left testicle.if due to cremaster ...
  A: Alan, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Painful Testicle/painful ejaculation..diagnosed Spermatocele but no cure? **HELP**12/19/2008
  Q: ***PLEASE HELP***My fiance has had a weird "bump" on his testicle pretty much all his life. He says ...
  A: Joann, spermatoceles are very common and typically painless. Although they may be a little ...
prostate cancer and psa scores12/19/2008
  Q: going thru a puzzling situation. for 15 years my annual psa scores have been 1.9 to 2.1 in jan of ...
  A: Jack, I have no further comments about your PSA values. However, a Gleason 6 is an intermediate ...
microscopic damage12/18/2008
  Q: my name is david,38 years old. 4 years ago i had a nonpainful erection of 6 hours caused by an ...
  A: David, I think it is highly unlikely that a 6 hour painless erection of any cause (including ...
prostate cancer and psa scores12/18/2008
  Q: going thru a puzzling situation. for 15 years my annual psa scores have been 1.9 to 2.1 in jan of ...
  A: Jack, I am not sure why you had a repeat PSA performed (perhaps just curiosity) after a biopsy ...
utc or what?12/17/2008
  Q: i am male, 24 years old and recently i was on antibiotics the period came to an end but after 10 ...
  A: Matin, I can state with certainty that at the present time there is no evidence that your kidneys ...
Transient Pain below the scrotum. What is it?12/17/2008
  Q: I get a very very intense pain underneath my scrotum almost every time I either A: Sit on a hard ...
  A: Freddie, as you might imagine, for this type of problem it is not possible for me to make an exact ...
utc or what?12/17/2008
  Q: i am male, 24 years old and recently i was on antibiotics the period came to an end but after 10 ...
  A: Matin, the symptoms of poor appetite and "feel like anemia" (I assume you mean general weakness) are ...
Failed green light laser surgery10/26/2008
  Q: On 09/18/08 I had green light surgery for BPH. Two weeks later I had an internal hemroid removed by ...
  A: Robert, is not unusual after laser prostatectomy for BPH to have varying degrees of frequency and ...
Urinanalysis10/26/2008
  Q: I have been treated for a bladder infection and I'm still feeling sick. I went to the doctor again ...
  A: Sky, you have not provided enough information for me to give you a tentative diagnosis. Missing are ...
Meatotomy.10/25/2008
  Q: My 5 year old son had meatotomy 1 week ago, for meatal stenosis (which was only about a millimeter ...
  A: Leo, there is indeed the possibility that with BXO the meatus could close again. Usually after ...
urology10/25/2008
  Q: recently my girlfriend ended a relationship she was a nurse who placed her two fingers between my ...
  A: Stan Terico, the vast majority of these conditions do resolve. However, if a component of your ...
Kidney stone?10/24/2008
  Q: 12 days ago, I began to experience a constant urge to urinate. That has continued without stopping, ...
  A: Kelly, as you might imagine, for this type of problem it is not possible for me to make an exact ...
rigid ring around shaft of penis10/24/2008
  Q: Doctor, I have a rigid ring located at the top of the shaft of my penis directly under the head. It ...
  A: Kevin, as you might imagine, for this type of problem it is not possible for me to make an exact ...
urology10/24/2008
  Q: recently my girlfriend ended a relationship she was a nurse who placed her two fingers between my ...
  A: Stan Terico, as you might imagine, for this type of problem it is not possible for me to make an ...
IgA Nephropathy10/23/2008
  Q: I am a 29 year old female who has had countless health problems in my life.I recently found this ...
  A: Liz, let me preface my remarks by stating that I have little experience with IgA neuropathy as this ...
urethra10/23/2008
  Q: I had protected sex (used a condom) with a girl over a month ago and since then have experienced a ...
  A: AJ, as you might imagine, for this type of problem it is not possible for me to make an exact ...
urethra10/22/2008
  Q: I had protected sex (used a condom) with a girl over a month ago and since then have experienced a ...
  A: AJ, the discomfort in the tip of the penis and aching in the testicle most commonly are due to an ...
Urine Test10/20/2008
  Q: I had my urine tested in the doctors office for my physical and she told me it showed I was ...
  A: Debby, I think your doctor may have upset you needlessly. There are a variety of tests that can be ...
Concerned after the removal of JJ stent.10/20/2008
  Q: I had a kidney stone about 2 weeks ago. Since then I went in for an operation in which they inserted ...
  A: James, during sexual arousal the prostate gland & seminal vesicles manufacture fluid that accounts ...
hematospermia and infertility10/19/2008
  Q: I've got question about hematospermia. Does it impair fertility in males, and how? Thanking in ...
  A: Drago, blood in the ejaculate (hematospermia) usually comes from the prostate gland. It is due to ...
ultrasound10/19/2008
  Q: it is greatly appreciated. I had an 2 ultrasounds on my testicles due to Epididymits. On my first ...
  A: Mike G, in most cases, epididymitis is a obvious clinical diagnosis and ultrasound (US) is not ...
HSV question...10/19/2008
  Q: Ok, here's the deal. I recently developed my second ever cold sore, the day after hooking up with a ...
  A: Drew, the incubation period for herpes simplex is 2-10 days. This is the time from contact until ...
secretions after urination10/18/2008
  Q: I am 26.male, Huntington, WV. Since I was 15 I have had problems with my prostate. Diagnosed first ...
  A: Jason, I suspect that you are noticing is prostatic fluid. This is usually due to a very common ...
Rash on scrotum10/18/2008
  Q: Suddenly one afternoon I notice my scrotum had become red/pink and the texture was dry and hard, ...
  A: Vincent, it is difficult to make this type of diagnosis over the internet without the ability to do ...
Soft Lump on penis?10/9/2008
  Q: I am 20 years old, and several weeks ago, I noticed there is a soft, painless lump on my penis. It ...
  A: Tim, as you might imagine, for this type of problem it is not possible for me to make an exact ...
burning during ejaculation10/8/2008
  Q: Iam a 35 year old male that had not had sex in a while and when I did it burned me as well as my ...
  A: Perry, your symptoms strongly suggest that there was an agent used in the sex act that caused this. ...
Orgasm10/8/2008
  Q: Dr. Goldstein, I have had this problem for the past 9 months to a year. Previously, at age 71 I ...
  A: Gerald, let me first inform you that I have no expertise regarding spinal stenosis although that ...
second degree varicocele10/7/2008
  Q: Sir, 4 weeks back ,I started getting fever with slight chills, accompanied with a swelling of the ...
  A: Anoop, let me preface my remarks by stating that I live in the USA and have never seen a case of ...
burning during ejaculation10/7/2008
  Q: Iam a 35 year old male that had not had sex in a while and when I did it burned me as well as my ...
  A: Perry, in order to answer your question I need to know if the "burning" you experienced was on the ...
Shy bladder or prostate swelling?10/6/2008
  Q: very seldom Claritin user and live in USA. A month ago, while under a lot of work stress, I started ...
  A: Keith, difficulty voiding in public places is very common and affects about 7% of people. Medically ...
Prostate problems10/6/2008
  Q: I have a query related to my own condition as follows. Can prostatectomy be done in case of ...
  A: Nirmal, prostatectomy, in my experience, is the absolute last resort in treating chronic bacterial ...
incomplete urination10/6/2008
  Q: I am a 62 yr. old woman. My issue is that even though my bladder feels painfully full when I awake ...
  A: Vicki, you need to make an appointment with a urologist for a full evaluation. There are many ...
post varicocelectomy pain10/5/2008
  Q: I had an open inguinal left varicocelectomy about a week ago. My left testicle is now quite ...
  A: Drew, this is a common sign after most inguinal procedures, especially with a varicocelectomy. The ...
Urine Leckage10/4/2008
  Q: ..For about 8 years I have had small about of Urine Leak out an hour or so after I use the ...
  A: Andy, post voiding dribbling is a very common problem.  It is due to trapping of some urine in the ...
varicocele10/3/2008
  Q: 2 months ago i had epididymitis from trauma not from infection. I went to see a urologist for a ...
  A: Phil, it is common after an episode of epididymitis to have residual scarring in the epididymitis ...
penis nerve damage10/3/2008
  Q: about a year ago I had a "crash" with my penis while having sex. After the crash my penis felt numb ...
  A: Tom, there are sensory nerves in the penis that can be damaged & if this occurs, the sensitivity can ...
Yellow-ish somewhat odorous pre-ejaculate10/2/2008
  Q: I am a 24 year old male. I am currently on Accutane 80 mg daily (2 x 40 mg) and because of this my ...
  A: Arthur, pre-ejaculate ("precum") is a normal secretion of a mucous like material from the paired ...
Burning in tip of penis (only sometimes) after ejaculation10/2/2008
  Q: What is the cause/ cure for it?
  A: Matt, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Varico cele10/1/2008
  Q: I have had previous occurence of Varicocele a year ago in October 2007, and i have had a surgery for ...
  A: Tony, as you might imagine, for this type of problem it is not possible for me to make an exact ...
blood from penis10/1/2008
  Q: after i take a number 2 blood drips frpm my penis and i noticed now that i have little pimple like ...
  A: Mozel, the blood from the penis and the "pimple like bumps" are unrelated problems. This type of ...
Right greater than left testicular swelling.10/1/2008
  Q: I'm a 52 y/o male who notes about a four month history of an INTERMITTENT right greater than left ...
  A: Bob, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Desensitized Penis - Suggestions requested9/30/2008
  Q: I’ve searched through the questions answered already on penile desensitization and didn’t find one ...
  A: Bryan, I have been asked a very similar question by another young man recently and will attach my ...
Sensitivity.9/30/2008
  Q: Is it true that if you masturbate say with your hand or other rough type surface. That your penis ...
  A: Scott, each male is born with a given degree of penile sensitivity. There really is no way to ...
a small knot on penis9/29/2008
  Q: !!
  A: John, as you might imagine, for this type of problem it is not possible for me to make an exact ...
erection question9/28/2008
  Q: Good day Doctor. I have a question about erection. I didn't have sex for a long period of time, like ...
  A: Alex, what you describe is perfectly normal. All men and women have various types of sexual ...
Kidney Stone Surgery9/28/2008
  Q: My mother has kidney stones. She had a surgery 3 years ago. She had it done in Hong Kong. ...
  A: Chen, I cannot give you a specific answer to your cost question for many reasons. First, there are a ...
Prostate9/27/2008
  Q: .. I had some testicle pain, and pain in the groin area and the area from under the scrotum to the ...
  A: Michael, by far the most likely cause of you symptoms is an inflammation of the prostate gland, so ...
Possible Testical difficulties?9/27/2008
  Q: About a few years ago, my boyfriend recieved a hard punch in his goin area by his older brother ...
  A: Melissa, it is highly unlikely that this type of trauma adversely affected his fertility potential. ...
varicocele embolization9/27/2008
  Q: i just had varicocele embolization surgery 2 days ago and the varicocele vein (bag of worms) hasnt ...
  A: James, I am not sure of the answer to your question as during my practice years I was only involved ...
Overactive bladder or Prostatitis?9/26/2008
  Q: Hey Doc, I am not sure what is wrong with me. Here are my symptoms: the constant feeling of having ...
  A: Michael, you do indeed have an "overactive bladder" but I believe it is due to prostatitis and not ...
hernia9/23/2008
  Q: .......i was operated for inguinal hernia last year....i am 24 yrs old... 1) i wanted to know if i ...
  A: Ali, I have already commented in my first note regarding tight briefs: "Tight underwear or a truss ...
Hematoma9/23/2008
  Q: From Carsonville: Dr. Goldstein, let me start by saying that I really respect your opinion, ...
  A: Terry, as you might imagine, for this type of problem it is not possible for me to make an exact ...
hernia9/22/2008
  Q: .......i was operated for inguinal hernia last year....i am 24 yrs old... 1) i wanted to know if i ...
  A: Ali, hernia surgery is in the speciality of general surgery and not urology but I will try to help. ...
sensitivity.9/21/2008
  Q: Hey doc, three years ago, when I was young and stupid, I took part in stretching exercises I found ...
  A: Kev, nerve damage is a common of the various stretching exercises pro-ported by unscientific sources ...
SWOLLEN LIP OF PENIS9/20/2008
  Q: The bottom part of the lip of my penis appears swollen. I was diagnosed with HP-1, very mild case, ...
  A: Jack, as you might imagine, for this type of problem it is not possible for me to make an exact ...
burning and sever discomfort in the urinary tract.. PLEASE help!9/20/2008
  Q: I am not sure if you can help, but I am at the end of my rope, and my research has brought me to ...
  A: Losing Hope, the possible symptoms one may experience with prostatitis are listed for the sake of ...
Painful ejaculation9/18/2008
  Q: I recently experienced a painful ejaculation for the third time within the past two years. It is ...
  A: Keith, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
burning and sever discomfort in the urinary tract.. PLEASE help!9/18/2008
  Q: I am not sure if you can help, but I am at the end of my rope, and my research has brought me to ...
  A: Losing Hope, by the most common cause of these complaints is an inflammation of the prostate gland, ...
Trouble urinating9/17/2008
  Q: I'm a 40 y/o male who recently has had severe difficulty urinating even when my bladder is ready to ...
  A: William, the ability to urinate depends on 2 basic factors: the force generated by the bladder ...
Vasectomy9/16/2008
  Q: I am a 37 year old male from Baltimore, MD who had a vasectomy on 8/29. The right side seemed to ...
  A: Jeff, as you are aware, a vasectomy is 2 minor operations done at the same sitting. It is quite ...
brown fluid from penis9/16/2008
  Q: a few days back i had intercourse with my partner, and after two days i masturbated and to my ...
  A: Vishal, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of ...
testicle pain9/14/2008
  Q: Doc, 6 weeks ago, I had bilateral Epididymitis caused by trauma- frequent twisting and flipping of ...
  A: Topher, although "traumatic epididymitis" can occur, it most often is due to scrotal surgical ...
strange erection9/14/2008
  Q: Good day Doctor, I really need your opinion: I am 29 old male 187cm/74kg (don't smoke no other bad ...
  A: Alex, there are many possible causes for erectile dysfunction (ED), pelvic steal syndrome being just ...
Long Term Catheter Use9/12/2008
  Q: my dad has had a catheter for about 3 months which has now been removed. But he now finds that the ...
  A: Lisa Meyer, this all depends on the underlying disease that made catheterization necessary and his ...
low semen volume9/12/2008
  Q: I'm male,21.Three months back I got a acute pain in my left testicle with swelling,which lasted for ...
  A: Kiran, during sexual arousal the prostate gland & seminal vesicles manufactures fluid that account ...
Crossed legs during orgasm9/11/2008
  Q: Im a male in my late twenties and somewhere along the line when I was younger I learned that if I ...
  A: Justin, during sexual arousal the prostate gland & seminal vesicles manufactures fluid that account ...
Frequent urination after UPJ Obstruction surgery9/10/2008
  Q: I am a 30 year female that has had several UPJ obstruction surgeries. I was diagnosed in 2004 with ...
  A: Michelle, there are many causes for urinary frequency. The common ones include diabetes, urinary ...
Testicular pain (right teste), prior STD9/8/2008
  Q: Dr Goldstein. BACKGROUND: Until two weeks ago, healthy male, 28. Exercise everyday. No drugs, ...
  A: Jose, as you might imagine, for this type of problem it is not possible for me to make an exact ...
penus retraction9/7/2008
  Q: dr.Goldstein, I have a puzzling problem and it is driving me nuts. For the last 3 or 4 years my ...
  A: Ian, although you do not have a large preputial fat pad, with standing (as opposed to sitting) your ...
penus retraction9/6/2008
  Q: dr.Goldstein, I have a puzzling problem and it is driving me nuts. For the last 3 or 4 years my ...
  A: Ian, retraction of the penis is a common phenomenon. It has more to do with body build than any ...
PSA reading9/6/2008
  Q: I am 45 years old. I took a PSA test last June and it was .5 I took a blood test July 1 and the ...
  A: Gerard, here is little doubt that the PSA blood test combined with a
 digital rectal ...
inverted penis9/5/2008
  Q: My friend has a 7 month old baby who has a inverted penis the pediatrician states this is common I ...
  A: Zeena, I strongly recommend that the child be seen in consultation by a urologist so that a proper ...
FLAKY SKIN ON PENIS9/5/2008
  Q: Goldstein, I noticed for the last one week, a small 2mm oval shaped area of flaky whitish patch on ...
  A: J, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Hernia?9/4/2008
  Q: Recently I noticed something wrong with my left testicle. I work as a dishwasher and this job ...
  A: D, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Couple questions.8/28/2008
  Q: I have used viagra and cialis before just for fun, I am only 22. Is there anything wrong with that? ...
  A: Eric, Viagra & Cialis are appropriate to prescribe for young men who suffer from performance ...
semen viscosity8/28/2008
  Q: I'm 51 years old, exercise, eat healty foods and take care of myself. My sex drive has decreased ...
  A: Mark, you are correct in that the semen volume gradually decreases with age as does one's libido. ...
swelling and ache after hydrocelectomy8/28/2008
  Q: I am a 25 year old male and I had a left inguinal hernia repair and hydrocelectomy about 6 weeks ...
  A: Kyle, the symptoms you describe are quite common after a hydrocelectomy. The reason that the ...
Sagging Ureter or Weak Sphincter Problem8/27/2008
  Q: Had 2 children & at age 38 stress leaking got so bad I saw a urologist who did several tests, then ...
  A: Jayne, there are various types of transvaginal operative procedures for female stress incontinence, ...
ultrasound for Orchitis8/26/2008
  Q: I sat down on my testicles and have pain, I iced it asap and 10 hour later had an ultrasound. ...
  A: Anon, it is quite unusual to injure the testicles from sitting down on them too hard. If this is ...
Discomfott in the Penis8/26/2008
  Q: I am a 65 year old male. Starting to have discomfort in the top of the penal shaft with the urge to ...
  A: Robert, the most common cause for discomfort in the penis associated with urgency and night-time ...
Swollen and bruised testicles and scrotum8/25/2008
  Q: I was having sex with my girlfriend earlier today, during which we went to change positions. when i ...
  A: Sean, there is no doubt that you tore some blood vessels (most likely veins) but there is the ...
cyst and scar tissue on the testicle and epididymis8/25/2008
  Q: I saw my GP for Pain in the testicle. He Gave me Antibods and NSAIDS. I dont know what the pain is ...
  A: DJ, the most common cause of pain in the testicles in the presence of anatomically normal testicles ...
Epididymitis8/18/2008
  Q: I was diagnoised with traumatic epididymitis on the left and right side. I started my meds two weeks ...
  A: Phil, most cases of epididymitis are due to infection (usually bacterial - occasionally viral). ...
Prosatitis8/17/2008
  Q: Goldstein: I have been diagnosed with non-bacterial prostatitis. My urologist has done a variety of ...
  A: Scott, personally, I am not a big proponent of prostatic massage. It is important for the health of ...
testicles8/16/2008
  Q: I am having an issue with my testicles (both) They retract up out of the sac and try to go back into ...
  A: Jeff, the testicles are suspended by a rope-like structure called the spermatic cord.  This cord is ...
veins scrotum8/16/2008
  Q: in examining my scrotum I've always seen veins under the skin, pink in color and angel hair thin. in ...
  A: PW, what you are noticing and is quite common and part of the normal aging process. The lesions ...
buring on penis8/16/2008
  Q: this occured yesterday, im 33 male, past week i been eating alot of bad outside food along with a ...
  A: Joey, although your eating habits are apparently poor, I doubt they have anything to do with the ...
Strange meatus8/15/2008
  Q: I am a 22 year old male from Los Angeles, CA. Currently I am on no medication. Recently I ...
  A: Jake, these cysts rarely become infected unless they are squeezed. The typical signs of infection ...
TESTICLES/HERNIA8/15/2008
  Q: TESTICLES AND PENIS SEEM TO BE PULLING INSIDE MY BODY.ESPCIALY WHEN TEMP. IS BELOW 70 DEGREASE.DO I ...
  A: Jeff, you have sent 3 separate questions to me but I shall try to help you. It is normal for the ...
Small painless bumps at base of penis8/14/2008
  Q: Greetings, I am a 23 year old male from the US, but am currently living in India. My concern is ...
  A: Zachary, as you might imagine, for this type of problem it is not possible for me to make an exact ...
CPPS8/14/2008
  Q: I'm a 26 year old male and I was diagnosed with Chronic Pelvic Pain Syndrome a couple of weeks ago ...
  A: Matt, symptoms such as weak stream, dribbling after urination and splitting of the stream suggest an ...
male discharge after urination8/14/2008
  Q: I had a mucousy discharge after urination it looked like semen.I did have sex the night before and ...
  A: Travis, I suspect that your discharge is due to a very common condition with the medical name ...
hi8/13/2008
  Q: I masturbated 3 days ago and now i have a red spot on the head of my penis and it itches . I called ...
  A: Johnny Chang, as you might imagine, for this type of problem it is not possible for me to make an ...
Pain in lower abs8/13/2008
  Q: Doctor, I have been experiencing lower abdomen pain, to the left side right above my penis. It only ...
  A: Mike, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Excessive compression of penis during ejuculation8/12/2008
  Q: I would like to ask you why someone should avoid exerting excessive compression on his penis during ...
  A: Yiannis, the main danger from excessive compression of the penis during ejaculation is back pressure ...
bulge in shaft of penis and enlarged veins8/12/2008
  Q: Im a 21 year old healthy male. I live in Gardner, Massachusetts and iam not taking any medications. ...
  A: Jonathan, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Strange meatus8/12/2008
  Q: I am a 22 year old male from Los Angeles, CA. Currently I am on no medication. Recently I ...
  A: Jake, the lesion that you describe and photographed is termed a paraurethral cyst of which there ...
Home treatment for urinary tract infection?8/11/2008
  Q: I am having a whitish discharge coming out of my penis, and while going to the bathroom in the ...
  A: Tray, a urethral discharge & burning with urination means there is inflammation of the urethra. ...
nocturnal bladder control8/11/2008
  Q: I am seventy five and have had the problem of nocturnal bladder control for a number of years. That ...
  A: Denis, nocturia is a very common and early symptom of prostatic enlargement. In addition to benign ...
dark blood dripping from penis8/11/2008
  Q: I'm 48, about 40 lbs. over weight (for the first time in my life), never smoked, always been in ...
  A: Dean, although this type of bleeding can come from any part of the urethra, it usually comes from ...
darker blood and tiny pieces of blood clots in seamen8/6/2008
  Q: I am in my early 20s and was diagnosed with hematospermia almost 4 weeks ago now, my only 2 symptoms ...
  A: Frank, I don't know if you have read my entire "macro" on hematospermia, so before I answer you ...
bladder mass8/6/2008
  Q: im a 22 yr old female, im 12 wks pregnant, had an ultrasound, they saw a mass in my bladder that is ...
  A: Jade, tumors of the bladder can occur inpatients of your age but that would be an extremely rare ...
Cracking sound during intercourse8/5/2008
  Q: Dr. Goldstein, This afternoon when at the climax of vigorous intercourse with my partner in ...
  A: Concerned, you have done your homework well. Penile fractures generally occur when while having ...
lump under skin on penis8/4/2008
  Q: A couple of months ago I noticed a lump under the skin of my penis. It is not on my penis, but when ...
  A: Matt, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Problems8/4/2008
  Q: about 10 days ago my dog stomped on the back of my testicle while I was lying down, I also ...
  A: Kenny, as you might imagine, for this type of problem it is not possible for me to make an exact ...
UTI8/3/2008
  Q: A few weeks ago I had a bladder sling done with my hystarectomy.Before that every time I would go ...
  A: Liz, the performance of a bladder sling operation is to provide better support for the bladder. ...
dribble8/3/2008
  Q: The problem i am having is that i have dribble after peeing and shaking. I have done pelvic floor ...
  A: Scott, post voiding dribbling is a very common problem.  It is due to trapping of some urine in the ...
bleeding penis8/2/2008
  Q: I have an enlarged prostate and am taking .8mg flomax, 5/40mg caduet,320mg diovan. I am 64 y/o. I ...
  A: John, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of the ...
BCG treatment for superficial non ivasive bladder cancer8/1/2008
  Q: How is the treatment of BCG done and what do I need to know about any side effects
  A: Hassan, BCG (bacillus Calmette-Guerin) is an attenuated (weakened) strain of the tuberculosis ...
penial discharge7/31/2008
  Q: If you receive oral sex from a partner that has strep can the virus or bacteria create problems in ...
  A: Jay, the bacteria Streptococcus can occasionally cause a penile discharge but it is unusual to ...
cipro and propecia7/30/2008
  Q: i am preparing to take a long dose (6 weeks) of Cipo, for what i think is prostitis. i have also ...
  A: Chris, I can find no reference to adverse reactions from taking Cipro with Propecia. However, it is ...
BPH and OAB7/29/2008
  Q: I'm still having frequent urination. On my last doctor's visit, I told him I had concerns about ...
  A: Jeff, I am limited to 3 responses per patient and this is your 4th question to me. However, I will ...
bladder stones7/23/2008
  Q: One year ago I had three stones surgically removed from my bladder. Since then I drink about a 1/2 ...
  A: Mike, bladder stones can form either because they are passed into the bladder from the kidneys or ...
Bleeding7/23/2008
  Q: My husband woke up this morning with dry blood stains on his inner thighs, I checked him and he had ...
  A: Kelly, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Epididymitis? Or Something else7/22/2008
  Q: Goldstein - I was trying to find if there was possibly a link between ejaculatory duct obstruction ...
  A: Lester, first, I need to know if your problem is inability to reach climax (orgasm), inability to ...
pain when peeing sometimes7/21/2008
  Q: hey every so often i get a pain when am peeing, is it to do with being around a smoker, cos ma dad ...
  A: Sam, pain or discomfort while urinating is a very common symptom. It has nothing to do with your ...
Bladder cancer TURBT Blood after 2 1/2 weeks7/21/2008
  Q: I had blood & blood clot after 2 1/2 weeks of TURBT procedure done. Is it normal to have blood clot ...
  A: Hassan, a TUR of a bladder tumor involves resecting the tumor including its base, into the wall of ...
urine problems during pregnancy7/20/2008
  Q: I am 26 weeks pregnant and have been passing clots and blood in my urine. I have had an ultrasound ...
  A: Jessica, there are many possible causes for blood in the urine (hematuria). The origin of the ...
Blood from Urethra7/20/2008
  Q: I am a 22 yr old male, my complaint is there was blood flowing from the penis. while arousal with a ...
  A: Dario, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of ...
bleeding after prolonged erection7/20/2008
  Q: I experience blood in my urine after a prolonged erection. I read the response regarding the ...
  A: Josh, although the most likely cause of the blood in your urine (hematuria) is of prostatic origin, ...
Is it possible to strain pelvic floor muscles?7/19/2008
  Q: Goldstein, Here’s a little background information on myself. As a young teen (13), I urinated and ...
  A: Scott, as you are probably aware, it is a common side effects of Paxil (and of all drugs in that ...
intense burning and pain upon urnation/bowel movements7/18/2008
  Q: I have an intense burning/pain during urination and bowel movements(the pain accompanies both ...
  A: Anthony, I suspect that your symptoms are due to a very common condition with the medical name ...
Pain at the tip of penis...7/18/2008
  Q: I have had pain at the tip of the penis since I was 20 yrs, now I am 33. The pain started due to an ...
  A: Krishna, as you might imagine, for this type of problem it is not possible for me to make an exact ...
epydidimitis and NGU7/17/2008
  Q: , I experienced painful urination and was diagnosed with an NGU in April of '07. I was treated with ...
  A: JP, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Extender6/28/2008
  Q: Hey doc I recently wrote in about using a penis extender. I have thrown it out, but still have the ...
  A: Ryan, I previously mentioned that the numbness will go away but this will take a number of months. ...
Meatal pain after voiding6/28/2008
  Q: I am a 50 y/o male. Normal prostate and no bladder or urethral problems. I recently, and acutely ...
  A: Jam, the most likely cause of this pain is an inflammation of the prostate gland, so called ...
Extender.6/26/2008
  Q: Hey doc I have to admit it I bought a penis extender the other week. And I was just using it the ...
  A: Ryan, I have had a number of complaints from patients regarding numbness after the use of penis ...
blood and clots dripping from penis6/25/2008
  Q: My husband was having a bowel movement this evening. He was constipated and was pushing hard to try ...
  A: Sarah, yes your husband should absolutely go to the doctor but more specifically he should see a ...
penis thrombosis6/24/2008
  Q: I am 18 yrs old and suffered from a bad headache today as well as a sharp pain in my pelvis and went ...
  A: Andrew, as you might imagine, for this type of problem it is not possible for me to make an exact ...
penis hurts6/24/2008
  Q: i have had a pain in my penis for 8 months now. urologits cant seem to figure it out. my symptoms ...
  A: 1. John, most cases of prostatitis are not serious conditions and it is quite safe to wait on ...
Penis Enlargement6/24/2008
  Q: I want to know if there are any pills that will make the penis larger or lengthier. There are ...
  A: Christian, the answer is that there are no pills or treatment that will reliably increase your penis ...
2 epidedymal cysts on left testicles6/23/2008
  Q: i have two epidedymal cysts measuring 4.2 & 4.7 cm only. from last 3 years i go to urologist last ...
  A: Amin, epididymal cysts are very common, do not cause symptoms, nor do they affect your potency. I ...
bleeding from penis6/23/2008
  Q: When i become erect, a small amount of blood "leaks" out of my penis. This has happened three times ...
  A: Justin, this type of bleeding almost always comes from the prostate gland. A less likely source is ...
Chronic Epididymitis6/22/2008
  Q: My husband was born with hypospadia. He had a graft built at birth. He started having epididymitis ...
  A: Kara, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Urological problem with no resolution6/22/2008
  Q: Goldstein, I’m going to try to break it down to you as short as possible for better understanding of ...
  A: Matt, as you might imagine, for this type of problem it is not possible for me to make an exact ...
penis hurts6/22/2008
  Q: i have had a pain in my penis for 8 months now. urologits cant seem to figure it out. my symptoms ...
  A: John, I cannot locate a prior question from you so I suspect you read my "macro" on prostatitis from ...
Erection6/21/2008
  Q: Hey doc, I have a unique situation here. I am 21 years old. While I was sleeping at the dorms, I ...
  A: Kev, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Penis Lump6/20/2008
  Q: 42 years old, recently diagnosed with perianal hidradenitis. No treament thus far; no insurance, ...
  A: Mike, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Penis pain - in urethra6/19/2008
  Q: I've had this problem for well over a year now. Possibly 2-3 years. I haven't been able to figure ...
  A: Alex, you have submitted a rather long and complicated question. As you might imagine, for this type ...
Penis problem6/18/2008
  Q: My problem is, my penis retracts more when flaccid up to 1 to 1/2 inch in size, when I am in a ...
  A: Sri, this is a common question. The majority of men believe they were "short-changed" regarding ...
Urinary leakage6/17/2008
  Q: Sir, I have (for 2 years) experienced a slight drip by drip leakage throughout each day. There is ...
  A: Andrew, the bleeding you experienced 3 years ago may well have nothing to do with your present ...
A possible stricture in parts of the anterior urethra?6/17/2008
  Q: I'm a 27 year old male. Three weeks ago I had a cystoscopy done and ever since then it has went down ...
  A: Matt, I am a little confused by your history as to what your symptoms were prior to the cystoscopy. ...
Impotency6/16/2008
  Q: Doctor I am facing a trouble from many years, My age is 27 years. Symptoms are, fluids (drops of ...
  A: Khan Sahab, I suspect that your symptoms are due to a very common condition with the medical name ...
cystoscopy6/16/2008
  Q: I am 37 years old and I was told that I have blood in my urine. My doctor set up an appointment for ...
  A: Bill, there are many possible causes for blood in the urine (hematuria). The origin of the bleeding ...
Pain in Testicles6/14/2008
  Q: I have noticed in the past week that i have been feeling a dull mild pain in my testicles. When i ...
  A: John, do not be concerned about the changing consistency of your testicles as long as they go back ...
testicle6/13/2008
  Q: Im 18 yrs. old and i recently notived a pea sized lump on my left teste so i went to the ER and they ...
  A: Matthew, aching in the testicle in the presence of an apparently normal testicle is most often due ...
Testical pain6/12/2008
  Q: Is this likely to be caused by cancer of the prostrate? There are no discharges,redness or blood ...
  A: Carol, pain in the testicle is not a typical symptom of prostatic cancer. First, it is important ...
Penis Problem6/11/2008
  Q: Ok I have experienced penis swelling. I was masterbating and I was close to ejaculation but I ...
  A: John, as mentioned, the only way to make a diagnosis is to be examined by a urologist. The ...
Chastity, restricted orgasms, and prostate health over time.6/11/2008
  Q: I am a woman, and my male partner is 31 years old. We live in Ireland. My partner is currently ...
  A: Lubyanka, that is correct. furthermore, infrequent ejaculation does not increase the risk of ...
possible urinary tract infection6/10/2008
  Q: I have been experiencing some symptoms that I think may be related to an urinary tract infection of ...
  A: Jimmy Tang, this is a somewhat unusual symptom. I suspect that you have some irritation inside of ...
Testicle movement6/10/2008
  Q: I'm 21 years unmarried male. hale and healthy in all respects. no other problems except this.. my ...
  A: Kurt, the testicles are suspended by a rope-like structure called the spermatic cord.  This cord is ...
sperm leak6/9/2008
  Q: Doctor,my son aged 24 years is having problems of social phobia,particularly with women.He is ...
  A: Sudarsana Rao, it is highly unlikely that your son's "sperm leakage" is the cause of his problems. ...
clear penile discharge6/9/2008
  Q: Dr Goldstein, Following our discussion in the link below i have been to the urologist a couple of ...
  A: Samir (Mcchamp). coagulase negative Staph is the same as Staph albus. It does NOT cause disease ...
bleeding penis6/8/2008
  Q: Yesterday, i went to the bathroom. When i peed, some blood came out, i panicked a bit but then ...
  A: Chris, there are many possible causes for blood in the urine (hematuria). The origin of the ...
Urologist for females?6/8/2008
  Q: May I know why there is no Urologist for females? Thanks.
  A: Rose, urologists (also know as genitourinary surgeons) treat medical & surgical conditions of the ...
Question26/7/2008
  Q: This was my previous question.. Hey doc, my doctor gave me Viagra for my performance anxiety, I'm ...
  A: Matt, yes, I believe everything is fine. I do not think you suffered an episode of priapism or ...
White chunks coming out of penis6/7/2008
  Q: Today when i went to the bathroom my penis hurt to urinate. I noticed small white chunks in my ...
  A: Rick, you didn't clarify if the "small white chunks" came out of your penis during urination or ...
Penis burning without infection with microscopic hematuria6/6/2008
  Q: i am 30 yr old single i have problem facing masturbation 1 week ago i masturbated and very hard ...
  A: Imran, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
prostate problems?6/6/2008
  Q: I have prostatitis which is currently been investigated. My problem is whenever i have sex with my ...
  A: David, sorry but this type of reaction is beyond my expertise. You should submit your question to a ...
clear penile discharge6/6/2008
  Q: Dr Goldstein, Following our discussion in the link below i have been to the urologist a couple of ...
  A: Mcchamp, I didn't realize that you still had a discharge occasionally. The one condition that can ...
clear penile discharge6/5/2008
  Q: Dr Goldstein, Following our discussion in the link below i have been to the urologist a couple of ...
  A: Mchamp, it is common for WBCs to persist for some time in the prostatic fluid after an episode of ...
prostatitis caused by STD6/5/2008
  Q: Dr. Goldstein - I've recently been diagnosed with prostatitis. I have all the symptoms and my ...
  A: Todd, trichomonas is a parasite (as opposed to an bacteria) that typically causes urethritis. ...
Question6/5/2008
  Q: Hey doc, my doctor gave me Viagra for my performance anxiety, I'm 22. He gave me a sample bottle, 4 ...
  A: Matt, you did not suffer an attack of priapism and there is no concern. The class of drugs called ...
Chastity, restricted orgasms, and prostate health over time.6/4/2008
  Q: I am a woman, and my male partner is 31 years old. We live in Ireland. My partner is currently ...
  A: Lubyanka, first let me send you the "macro" I have written on prostatic congestion which will answer ...
Enlarged vein6/4/2008
  Q: After sex (nothing hectic) I noticed swelling under the rim of penis. It went away after a few ...
  A: Mark, what you are describing probably represents a thrombosis (clot) of a penile lymphatic vessel. ...
Action of viagra6/3/2008
  Q: Hey doc I have a deep theoretical question about viagra. We all know the less we masturbate the more ...
  A: Jim, the likelihood of a significant adverse reaction in a young man taking a low dose of Viagra is ...
A possible bacterial prostatitis from an STD infection?5/20/2008
  Q: I'm a 26 year old male and I had unprotected sex one time with a female on February 14th and no ...
  A: Matt, you are correct in that the most common cause of your complaints is an inflammation of the ...
forgot to ask this previously5/20/2008
  Q: since I am young and have ED issues, if I do have to take Cialis for a long time is there any chance ...
  A: Chris Watson, some men can build up a tolerance to the PDE5 inhibitors but it occurs extremely ...
weak erections5/20/2008
  Q: I am 24 years old and have weak erections. I wake up with morning erections quite often. I was ...
  A: Chris Watson, there are many causes for erectile dysfunction (ED). The most common diseases ...
Effect of Pituitary Adenoma on testis and can a PA cause an Epididmal Cyst5/19/2008
  Q: At the age of 28 I was diaginosed with a Pituitary Macradenoma in 1999. I underwent a debulking ...
  A: Chris, your question is very complicated, multifaceted and requires the expertise of an ...
swallowed pennis with pain5/19/2008
  Q: I have got high fever when I awoke in the morning I felt that my penis was swallowed in circle under ...
  A: Shahzad, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Bladder retention and surgery5/19/2008
  Q: I will try and make this as brief as possible while trying to give you all the info. My husband (61 ...
  A: Heidi, the ability to urinate depends on force of the bladder muscle contraction being able to ...
Ciclopirox5/18/2008
  Q: I am using the above drug topical suspension o.77% on a fungal infection on my penis twice a day ...
  A: Dee, I think you will do better with a cream rather than a suspension. The cream will be absorbed ...
Large prostate about 100g weight5/17/2008
  Q: I'm 71 year old. During at least 10 years I have problem with my prostate gland. The PSA level reach ...
  A: Gary, benign enlargement of the prostate gland (benign prostatic hyperplasia or BPH) occurs to ...
Erect Penis Dent5/16/2008
  Q: Dr. Goldstein. I am 28 years old. For six months now, about the first 1/4 to 1/2 inch of my erect ...
  A: Matthew Woodard, what you are describing does sound rather typical of Peyronie's disease. The ...
Swollen testicle5/16/2008
  Q: About two weeks ago I noticed my left testicle was quite a bit larger than my right, approximately ...
  A: Bill, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Prostrate/Prostatitis5/15/2008
  Q: I am a 49 yr old male and was diagnosed having prostatitis over 15 years ago. Growing up and still ...
  A: Dennis, your symptoms sound typical of prostatitis. You apparently responded to the Cipro but ...
My bf testicle5/15/2008
  Q: Whilst having sx recently with my boyfriend we had to stop because his right ball moved and he could ...
  A: Elaine, the testicles are suspended by a rope-like structure called the spermatic cord.  This cord ...
swollen vein5/14/2008
  Q: A few weeks ago i noticed that one of the veins on the shaft of my penis is either swollen or ...
  A: Marcus, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Prostatitis5/13/2008
  Q: Goldstein, I am 29 years old and I believe I have prostatitis. My symptoms include pain in the ...
  A: Ken, the fact that you became sexually aroused without ejaculation when you were younger probably ...
Diministhed semen volume5/13/2008
  Q: I got a problem I hope you can advise on. I am 31, in 'decent' health though slightly overweight ...
  A: William, during sexual arousal the prostate gland & seminal vesicles manufactures fluid that account ...
Reconstructive urinary tract surgery5/13/2008
  Q: I am a 56 year old male. In 1983 my surgeon removed an egg size tumor just below the skin in my ...
  A: Ray, open surgical reconstruction of a urethral stricture does have an increased risk of failure ...
Testicular Cancer5/12/2008
  Q: Im 16 years old and I have found a lump on the side of my right testical. When I put my finger on it ...
  A: Patrick, sine the lump has been there for several years, and if I can assume it is basically ...
Urinary Tract Infections (Chronic)5/12/2008
  Q: I am 29 year old white female and mother of two boys (I dont know if you need this info or not). I ...
  A: Liz, any infection in your body (such as Staph) could potentially lower your resistance and make you ...
Urinary Tract Infections (Chronic)5/11/2008
  Q: I am 29 year old white female and mother of two boys (I dont know if you need this info or not). I ...
  A: Liz, you didn't mention any urinary symptoms. Most women with bladder infections have frequency, ...
Cock rings5/10/2008
  Q: Can I ask you if the prolonged use of a metal ring which I pull my penis and testicles through is ...
  A: Anthony, there is surprisingly little information available on the side effects of using devices ...
ED only while standing5/10/2008
  Q: I am 24 years old and I have erectile dysfunction issues but unlike any other that I have read about ...
  A: Chris, your symptom is indeed one that I have never heard of before. Theoretically, men should be ...
pain in my penis5/10/2008
  Q: The problem is that i been feling a pain in my penis. The pain i feel is between the head and ...
  A: William Rivera, there are many causes for pain in the urethral portion of the penis. It may ...
Blood from the penis5/9/2008
  Q: My husband was holding his urine until he could get to a restroom, unfortunately; there were none ...
  A: Ev, there are many possible causes for blood in the urine (hematuria). The origin of the bleeding ...
BXO/LSA and some other minor problems5/8/2008
  Q: I am a 28 year old uncircumcised male and lately I have been diagnosed with BXO/LSA, my case is a ...
  A: John Smith, BXO/LSA may be the cause of or result of your tight foreskin (phimosis). The leakage of ...
testis problem5/7/2008
  Q: My testis have been extremely sensitive to the touch as long as i can remember,it hurts to gently ...
  A: Shawn Norman, as you might imagine, for this type of problem it is not possible for me to make an ...
Chronic Urethritis, Red Foreskin After Much Treatment5/7/2008
  Q: I hadn't had sex for many months when this started. For six months now I've had a red foreskin ...
  A: Brian, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Loss of libido.5/6/2008
  Q: I am currently taking antihypertensives - lercanidipine 20mg, and prazosin 5mg daily. Is it ...
  A: Anthony, lercanidipine has been reported to lower the libido. The other medication you are taking ...
Testicular pain.5/6/2008
  Q: During my exercise, sitting on a back machine, with a pad against my chest; whilst pulling, i had ...
  A: Mahmoud Al Durrah, as you might imagine, for this type of problem it is not possible for me to make ...
Continuous Seamen secretion5/5/2008
  Q: I'm a 29 male & i've been having seamen leaking from my penis for over 2 months now. The seamen ...
  A: Elie, discharge from the urethra is a frequent symptom. A common cause of this type is discharge is ...
inguinal hernia surgery complications5/5/2008
  Q: I had surgery for an inguinal hernia about 4 and a half months ago. When I went back to the doctor ...
  A: John, hernia repairs are in the field of general surgery and not a part of my speciality (urology). ...
epididymitis5/4/2008
  Q: I have had epididymitis for a couple months now I think. I went to the ER and I was given ...
  A: Jesse, during sexual arousal the prostate gland manufactures fluid that accounts for about 2/3 of ...
not typical peyronies5/4/2008
  Q: what would be your diagnosis, or if inclusive what would be your way to find a diagnosis(U/S MRI ...
  A: Michael, if the curvature occurred after trauma to the penis, no doubt you developed some scar ...
Stones in ejaculation5/3/2008
  Q: I recently have been feeling pain after i masturbate, It felt like I had a lower stomach ache, it ...
  A: Peter, prostatic calculi (stones) are very common in men and gradually increase in frequency as we ...
BPH and OAB5/3/2008
  Q: I'm still having frequent urination. On my last doctor's visit, I told him I had concerns about ...
  A: Jeff, the term "cystitis" is a general name for several conditions that inflame the urinary bladder. ...
kidnet stent5/2/2008
  Q: I had a kidney stent put in place 6 weeks ago after surger for a upj obstruction. I had it removed ...
  A: Kris, the painful urination is due to several factors. These include irritation of the bladder ...
kidney stone5/1/2008
  Q: Dr. Goldstein, I have one more question re: this kidney stone. I visited my urologist yesterday, ...
  A: Chris, it would be helpful if you sent a copy of my previous notes to you for reference if you have ...
prostatitis5/1/2008
  Q: Are you aware of the work done by Dr. Davis Wise at Stanford University on prostatitis? Are you ...
  A: Jeff, I am not been aware of Dr. David Wise's recent work. However, chronic pelvic pain syndrome ...
Prostatitis?4/30/2008
  Q: I've had sxs of pain in urethra, esp. after smoking marijuana. But all the time, I have the ...
  A: Steve, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Swollen Penis Shaft4/29/2008
  Q: My son (age 14) came to me this evening and told me his penis shaft was swollen...it is not ...
  A: "Concerned Mom", painless swelling of the penis can occur for many reasons. If the area is not ...
BPH and OAB4/29/2008
  Q: I'm still having frequent urination. On my last doctor's visit, I told him I had concerns about ...
  A: Jeff, if you have occasion to consult me in the future, it would be very helpful to include any ...
Penile plaque4/28/2008
  Q: I am 29 yrs old, got a plaque due to papaverine injection,it is 15 month ago,non calcified plaque. I ...
  A: Tutul, about 50% of male have some degree of congenital (born with) curvature of the penis. In the ...
Cialis4/28/2008
  Q: Hey can I take cialis? I'm coming on here before I go to a doc, just because it's easier. But, can I ...
  A: Jim, every man occasionally has difficulty obtaining or maintaining erections.  There are many ...
Penile plaque4/27/2008
  Q: I am 29 yrs old, got a plaque due to papaverine injection,it is 15 month ago,non calcified plaque. I ...
  A: Tutul, you obviously had erectile dysfunction (ED) before the papaverine injection as this was the ...
swollen epididymis 1 yr after vasectomy4/26/2008
  Q: Goldstein, A little over a year ago I had a vasectomy. The initial brusing and swelling subsided ...
  A: Harv, this is a fairly common long-term occurrence after vasectomy with 
a frequency of around ...
lump on testicle4/24/2008
  Q: i am a 24 yr old male from greece. I am on methotrexate from the age of 22 because of seronegative ...
  A: George, in evaluating lumps in the scrotum, is important to differentiate those that are ...
Penis feels strange4/23/2008
  Q: I seem to be able to get erections and reach orgasm normally, but my penis feels rather wobbly, as ...
  A: Diogo, it is quite normal to have periodic minor changes in the quality of erection, orgasm and ...
what is kegels4/22/2008
  Q: I came across this term in men's book about this kegels exercise. What is this and can it enhance a ...
  A: Matt, Kegel exercise are done to strengthen the muscles of the pelvis. The are most commonly used ...
clear penile discharge4/22/2008
  Q: Dr. Goldstein, Thanks for answering the post below ...
  A: Mchamp, masturbation within moderation should not be harmful as long as you are otherwise ...
Flomax and retrograde ejaculation4/21/2008
  Q: It turns out I do have a 4mm kidney stone in the lower ureter. My urologist put me on Flomax and ...
  A: Chris, Flomax may cause retrograde ejaculation, no ejaculation or decreased quantity of semen. This ...
Small Blood from Penis4/21/2008
  Q: After hard sex sometime small tiny dips of blood come after sperms . i feel normal but that happened ...
  A: Tany, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of the ...
blod clot in urine4/21/2008
  Q: My father is 84 and recently suffered a stroke. He is also finishing the antibiotic prescribed for a ...
  A: Dorothy, your father apparently passed blood from somewhere in the urinary tract. This may be ...
enlarged prostate4/20/2008
  Q: I am a 58 year old male. I have an enlarged prostate. I had a biopsy and it was inconclusive. My PSA ...
  A: Bill, benign enlargement of the prostate gland (benign prostatic hyperplasia or BPH) occurs to ...
clear penile discharge4/20/2008
  Q: Dr. Goldstein, i received protected oral sex 2 and half months ago. she used a condom. after a week ...
  A: Mchamp, the discharge indicates that there is an inflammation somewhere in the urethra (the canal ...
Bruise in erectile tissue4/18/2008
  Q: Goldstein, I was wondering if you could me a little reassurance. About 7 months ago, my girlfriend ...
  A: Alex, as you might imagine, for this type of problem it is not possible for me to make an exact ...
PA4/18/2008
  Q: Hey doc, I'm curious since I'm sure this topic comes up a lot in your arena of work. With ...
  A: Sven, every man occasionally has difficulty obtaining or maintaining erections.  There are many ...
22 & I NEVER get off4/17/2008
  Q: I would appricaite your opinion on my 'issue'. I am a 22 straight male, good looking, self ...
  A: Jonathan, since you masturbate every day, I assume that you ejaculate on almost all occasions when ...
kidney stone? prostate problem?4/16/2008
  Q: A month ago, I awakened with pain in my lower-right back. It went away after 10-15 mins, then came ...
  A: Chris, there are many possible causes for blood in the urine (hematuria). The origin of the ...
Cialis4/15/2008
  Q: So I got cialis from my doctor, he gave me the go ahead to use it for performance anxiety. But I ...
  A: Ted, the PDE5 inhibitors (including Cialis) will not cause erection without sexual stimulation of ...
Pain in testicle during ejaculation4/14/2008
  Q: I am 21 years old, in good health and extremely active. Starting about a week ago for the first ...
  A: Scott, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
blood in the urine after ejaculation4/13/2008
  Q: after ejaculation i noticed that there's drip of blood coming out of my penis when i urinate. this ...
  A: Josh, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of the ...
Kidney Cancer4/13/2008
  Q: How are you Mr. Goldstein? my name is don i'm a 21 year old male college student from sayreville NJ ...
  A: Donnie, again you should have little cause for concern regarding renal tumors. The answers to your ...
penis problems4/12/2008
  Q: i live in ontario canada and i am 42 years old.I am not circumcise. i have been tested for aids.i do ...
  A: Greg, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Spot on glans4/12/2008
  Q: Hey doc, about 2 years ago I had unprotected sex with a girl. Ever since then I have this tiny 'dot' ...
  A: Tom, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Extra Mass in Scrotum4/12/2008
  Q: Right now i have a peanut sized mass that has formed in my scrotum, not sure how long it has been ...
  A: Andy, In evaluating lumps in the scrotum, is important to differentiate those that are ...
Kidney Cancer4/11/2008
  Q: How are you Mr. Goldstein? my name is don i'm a 21 year old male college student from sayreville NJ ...
  A: Donnie, your main complaint seems to be a dull only when bending backwards in the area of the ...
uretheral meatal glands!4/10/2008
  Q: For about 3 weeks i have developed a minute soft swelling (less than a mm) on the skin fold of the ...
  A: Naive, in the distal urethra, in addition to the glands of Littre, there are a number of normal ...
Urethra4/10/2008
  Q: Goldstein. I'm a 24 year old male, and I've used this service before, and had another question I'd ...
  A: Freddy, what you are describing is a perfectly normal urethra. That being said, there are many ...
uretheral meatal glands!4/9/2008
  Q: For about 3 weeks i have developed a minute soft swelling (less than a mm) on the skin fold of the ...
  A: Naive, as you might imagine, for this type of problem it is not possible for me to make an exact ...
burning sensation4/9/2008
  Q: sometimes when i wake up and pee i feel a little burning sensation. i wonder what it is. but during ...
  A: Leon, burning with urination means that something is irritating and/or inflaming the lower urinary ...
Dull Pain in left testical4/8/2008
  Q: About a month ago i was masturbating every day dor probaably a week straight. (Kind of ...
  A: Ross, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
testicular mass4/8/2008
  Q: for the past three or four weeks i have been getting a sharp pain near my left testicle all of a ...
  A: Zack, in evaluating lumps in the scrotum, is important to differentiate those that are ...
Orgasm4/8/2008
  Q: I'm 73 and have had a good sex life. A year ago I had a prostate biopsy and since then I or shortly ...
  A: Yonko & Jack, orgasm is an event physiologically distinct from erection and ejaculation. Orgasm is ...
Unpredictable urination4/7/2008
  Q: My husband had a stroke in May, 2007. His progress is amazing except for the urination problem. ...
  A: There are several types of urinary incontinence (involuntary loss of urine). STRESS incontinence ...
Urolgist not concerned with dialation of epididymidis, should i worry?4/7/2008
  Q: I was treated for prostatitis and epididymitis two times in my life.After the last treatment i ...
  A: Tim, after episodes of epididymitis (which is usually due to spread of infection from the prostate ...
regarding my penis4/7/2008
  Q: i am 22 years old.My foreskin does not go back when i try to pull it back.I never tried it very hard ...
  A: Richee, a tight foreskin is called phimosis.  A male may be born with the condition or it can be ...
urethral nodule4/6/2008
  Q: I have a "knot" less than 3mm mid-penis that feels like it is on the urethra. Present for approx. 6 ...
  A: Art, most likely you have early Peyronie’s disease. This was first described in the 1700’s. It is ...
Sensitivity4/6/2008
  Q: Hey this is Tim again, I recently asked about glans sensitivity from injured nerves. If this could ...
  A: Tim, the mechanism of injury to the sensory nerves of the penis can be due to either stretching, ...
Pain during orgasm4/6/2008
  Q: I have been experiencing sharp pain (cant breath kind of pain) in the lower abdomen during orgasam. ...
  A: Scott, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Slight left testicle pain4/5/2008
  Q: Whent to the doctor had it checked he said everything was fine not to worry about it i tokk 10 days ...
  A: Jeremy, in the presence of an otherwise anatomically normal testicle, the most common cause of these ...
green light laser prostate reduction4/5/2008
  Q: During the green light procedure re. BPH to vaporize excess prostate matter, the urethra is also ...
  A: Bill, during any of the operations (TURP, laser, open prostatectomy) to remove the obstructing ...
wet penis4/4/2008
  Q: I am 45 and My penis gets always wet when i think of sex and i noticed transparent fluid comes out ...
  A: Mohamed, pre-ejaculate ("precum") is a normal secretion of a mucous like material from the paired ...
Meatus opening4/3/2008
  Q: Well, I've had this problem for a while... and I never really thought of it as a "problem." I ...
  A: Robert, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Bad pleasure4/2/2008
  Q: im a 19 year old male, for several years now (since i was about 14) I have had problems with the ...
  A: Tony, the change in your sexual ability and pleasure coupled with the fact that you have some ...
Dizzyness and Nausea4/1/2008
  Q: I'm not sure if you'll be able to answer this or not, but I figured I'd ask you any way. Sixteen, ...
  A: Damian, it is not normal to have dizziness and nausea after ejaculating (via masturbation or sexual ...
Constant dripping4/1/2008
  Q: My elderly father (aged 86) has prostate cancer. It has been effectively treated through several ...
  A: Cheryl, with the information provided, it is difficult for me to get a handle on what type of ...
Sensitivity3/31/2008
  Q: Is it possible to permanently damage the sensory nerves of the penis that you could get reduced ...
  A: Tim, it is indeed possible to bruise the penile nerves by overly aggressive masturbation techniques. ...
pain during urination3/31/2008
  Q: recently i have been experiencing pain during urination accompied by off and on perineal pain. i ...
  A: Jeff, the most common cause of these complaints is indeed an inflammation of the prostate gland, so ...
needle like pains in penis!3/30/2008
  Q: I have had needle-like pains in my penis/urethra for the last 6 months straight. my symptoms are: ...
  A: John, the urologist will initially do a history and physical examination. This will include a DRE ...
balls3/30/2008
  Q: I got hit in my balls really hard with a basketball and when i went to the restroom i was uranated ...
  A: Kevin, no you are not okay. An injury to the testicles, however, will not cause blood in the urine. ...
needle like pains in penis!3/29/2008
  Q: I have had needle-like pains in my penis/urethra for the last 6 months straight. my symptoms are: ...
  A: John, as you might imagine, for this type of problem it is not possible for me to make an exact ...
urethral swelling3/28/2008
  Q: Two weeks ago I had dysuria with just a tiny bit of discharge. The discharge was grey/clear in a ...
  A: Aaron, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Inguinal Hernia3/28/2008
  Q: Doc I am a 44 year old male and live in San Antonio, TX I had Inguinal surgery on my left side, and ...
  A: Carlos, in freeing up the spermatic cord during a hernia repair, many of the cord structures are ...
Interesting question....I think3/27/2008
  Q: I searched all the archives, to no avail, as to not be repetitive since your services are very ...
  A: Max, the body is an incredibly designed machine. It is full of checks, balances and warning signals ...
Viagra3/27/2008
  Q: Hey doc, my GP told me I have performance anxiety from what I told him about me and my gf. I am 19, ...
  A: Kev, I am not sure which of my macros you have read on this subject but probably the one on the ...
Drugs..3/25/2008
  Q: I've usually taken it during the day, are there any risks to taking it at night within the time of ...
  A: Rich, the risks of taking Viagra (or any of the PDE5 inhibitors) is the same regardless of the time ...
caffeine3/25/2008
  Q: How much does caffeine play in the role of erectile dysfunction? Assuming the patient takes in an ...
  A: Tom, in all the years I have practiced urology and specialized in erectile dysfunction (ED), I have ...
White like substance comes out after urinating3/25/2008
  Q: I am 32 years old. Sometimes when I go to pee after I'm done. I feel like I have a little bit left. ...
  A: William, I suspect that your symptoms are due to a very common condition with the medical name ...
Pain in the groin3/24/2008
  Q: I'am 15 years old.When i was young my left testicle was undecending, after an operation it was ...
  A: John, as you might imagine, for this type of problem it is not possible for me to make an exact ...
My penis is swollen looking3/24/2008
  Q: My penis looks 2 times bigger because of sexually fun. Now when it is not erected it look very odd, ...
  A: Joshua, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Morning erections3/23/2008
  Q: Hey doc I'm only 22, healthy. When I was younger like 18 I used to get morning erections all the ...
  A: Todd, it is perfectly normal to have less frequent morning erections as we mature. There are many ...
penile adhesions at 153/23/2008
  Q: Hey, I'm 15 years old and male. after being circumcised at birth i have this penile adhesion or this ...
  A: Ben, what you are describing is indeed a penile adhesions. These are a common complication of ...
normal aging vs. low testosterone3/22/2008
  Q: Dr. Goldstein, I am 40 yrs old and have an active sex life (intercourse 3-4 x wk and masturbation ...
  A: JD, although a low testosterone level may cause fatigue and some loss of libido, there are many ...
Performance Anxiety3/21/2008
  Q: Has there ever during your practice, been a priapism from a male using Cialis/Viagra for performance ...
  A: Dale, none of my patients has ever suffered priapism from any of the PDE5 inhibitors. However, I ...
Uncircumcised & Penoscrotal Webbing3/20/2008
  Q: Well it seems I hit the genetic jackpot in terms of genital birth defects. I'm 28 years old and ...
  A: Derek, your problem is really quite simple. Penoscrotal webbing is best treated with a minor ...
post vasectomy semen sample3/20/2008
  Q: I turned in my second semen sample recently. I dropped it off at the lab and they apparantly ship ...
  A: Ken, in reviewing a semen specimen post-vasectomy, it is the presence or absence of sperm that is ...
Constant dripping3/19/2008
  Q: I am a 15 year old male and recently I have noticed my pants being wet during school. It feels like ...
  A: Jeff, the wetness in your pants can either be urine and/or prostatic fluid. There are many causes ...
Bladder/pelvic pain or ache3/18/2008
  Q: 30 year old male. I have been having an achy discomfort in the area of my bladder. This achy feeling ...
  A: David, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Testicular lumps situation3/17/2008
  Q: I am an 18 year old male and I recently felt several ball shaped "masses" which, are connected ...
  A: Allen, It is highly unlikely that what you are describing is cancer of the testicle. In ...
Cloudy thick urine and more3/16/2008
  Q: I am a 21 year old male in mesa Arizona. First off I'll say I have had a lot of testicular pain in ...
  A: Evan, often men with prostatic congestion, can develop an inflammation of the prostate gland, so ...
problems3/16/2008
  Q: my pee seems to be streaming, and seems to separate, like part of its shiny or something and sinks ...
  A: Frank, you need to see a urologist in consultation. As you might imagine, for this type of problem ...
Skin Growths On Back of Penis3/15/2008
  Q: .. I'm a 24 year old male. I've had these "skin growths" on the back of my penis for as long as I ...
  A: Freddy, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Cialis3/14/2008
  Q: so basically if such a priapism were to occur while sleeping i'd be in pain? Thanks. Just wanting to ...
  A: Ramone, nothing in medicine is 100% true all the time. However, priapism is typically painful and ...
swollen vein in penis - painless3/13/2008
  Q: ok i had sex with my gf on sunday - 9 of march. but i woke the next morning (monday) i found out ...
  A: Leon, as you might imagine, for this type of problem it is not possible for me to make an exact ...
epididymitis? (possible std?)3/12/2008
  Q: and thank you in advance for any information you may be able to give me, and sorry for how long ...
  A: Joe, the cyst noted on your scrotal ultrasound is usually an incidental finding and of no clinical ...
Cialis3/12/2008
  Q: Hey I posted here before.. My name is Ramone. I am 24, and take Cialis for performance anxiety. ...
  A: Ramone, the side effects of the PDE5 inhibitors were sent to you last week in my initial ...
pain in testicles and tip of penis3/11/2008
  Q: I am a 21 year old male and have been healthy thus far. I've recently noticed (1 month) an ...
  A: Dave, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Cloudy thick urine and more3/11/2008
  Q: I am a 21 year old male in mesa Arizona. First off I'll say I have had a lot of testicular pain in ...
  A: Evan, I suspect that your symptoms are due to a very common condition with the medical name ...
Perineal Pain After Ejaculation3/9/2008
  Q: Age 21, Male, No medications. East Moline, IL. --------------------------------------------- Hello, ...
  A: John, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Narrowing or Corpus Spongiosum related to mastrubation3/9/2008
  Q: Goldstein, As a boy and teenager I masturbated frequently leading to occasional soreness and ...
  A: Joe, to be honest with you, I have not heard of any specific urologic condition (other than aging) ...
New veins on penis3/9/2008
  Q: age 23 sorry about the long message. I have sex and masterbate allot. I masterbated for about 6-7 ...
  A: John, the sexual organs of all men (prostate gland, testicles, seminal vesicles, penis, etc.) have a ...
many things sir3/8/2008
  Q: sir,i need two answers from u.i'm a gay.can i have ability to have sex with women.next i'm suffering ...
  A: Viduthalai, the recent scrotal ultrasound (US) is essentially normal except for bilateral ...
Severe burning at the tip usually after ejaculation3/8/2008
  Q: For a long time now, I get a SEVERE (VERY SEVERE) burning near the tip of my penis (underneath ...
  A: Geoff, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
male issues3/7/2008
  Q: 5 months ago I was driving out to Arizona from Michigan for the winter and I stopped to use the ...
  A: Ben, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Cialis3/7/2008
  Q: Hey, I'm 24, I have some Cialis from my doctor for PA. He said it's ok for me to take it. If I take ...
  A: Ramone, the class of drugs called PDE5 inhibitors include Viagra, Levitra and Cialis. These ...
ejaculate after a bowel movement3/7/2008
  Q: Sometimes after a bowel movement or urinating, I have a discharge out of my penis. Is this normal? ...
  A: Scott, I suspect that your symptoms are due to a very common condition with the medical name ...
Prostate discomfort??3/6/2008
  Q: I have had discomfort in the area where the prostate is for three years. It started with a burning ...
  A: Axel, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Sperm check3/6/2008
  Q: I had a vasectomy and recently gave a sample. I know the pre- ejaculate has the most sperm in it. ...
  A: Mark, pre-ejaculate ("precum") is a normal secretion of a mucous like material from the paired ...
PDE53/5/2008
  Q: I am curious. If a young healthy male were to take sildenafil, tadalifil, or vardenafil and went to ...
  A: Kevin, first let me state that "a young healthy male" should not take these medications. The class ...
large prostrate/difficulty urinating at night.3/5/2008
  Q: I am a 58 year old male. I have an enlarged prostrate. My PSA runs in the 5. range. I have had a ...
  A: Bill,benign enlargement of the prostate gland (benign prostatic hyperplasia or BPH) occurs to ...
deep purple penis3/4/2008
  Q: I fell from a 2nd story porch. I have 4 lumbar fx's which I will be seeing ortho for. this ...
  A: Thomas, you are indeed a lucky man if all you suffered from the fall are fractured vertebrae and no ...
penis/testicle pain3/4/2008
  Q: i am experiencing testicle and penis pain, mostly after sexual activity but the pain, itching and ...
  A: Steve, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
overactive penis/scrotum reflex3/3/2008
  Q: I have an unusually overactive reflex in the penis and scrotum area. I think this is usually ...
  A: Andrew, unfortunately there is nothing that can be done to stop this normal reflex action. As far ...
only one of my testicles retract3/2/2008
  Q: When ever i have sex or masturbate I have notice that only one of my testicle moves while the other ...
  A: Joe, the testicles are suspended by a rope-like structure called the spermatic cord.  This cord is ...
uti infection3/1/2008
  Q: GOLDSTEIN I'M 22YRS OLD FEMALE CIPRO 500MG I HAD PREVISOULY ASKED YOU A QUESTION BEFORE ABOUT MY ...
  A: Jasmine, kidney pain typically occurs in the flank area. This location is in your back and bordered ...
Renogram3/1/2008
  Q: Goldstein: It is Bill again. The Mag-3 results I just wrote you about actually were done when I did ...
  A: Bill, the pain from ureteral stones is due to acute dilation of the urinary tract above the stone ...
Bleeding from penis after sexual rubbing2/29/2008
  Q: I was grinding (no intercourse) with my girlfriend, when I realized the bed was covered in blood. It ...
  A: Vince, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of ...
Kegels exercise2/28/2008
  Q: I read in men books and magazines about this kegels exercise. Does it help in giving a stronger ...
  A: Edward, Kegel exercises are usually recommended to help control urinary incontinence. They are most ...
tiny bump2/28/2008
  Q: Hey I noticed a really tiny bump, almost pimple like on one of my testicles. It's not on the sac, ...
  A: Tim, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Topical cream for ED, and scar tissue2/27/2008
  Q: I have since 3 weeks been taking trimix (pge, papaverine and phentolamine). I need 6 units to give ...
  A: Rolf, your success with Trimix does not insure a diagnosis of psychogenic impotence. The diagnosis ...
Long-term "lump" above penis2/27/2008
  Q: So.. I've had this for a while now, at least 2 years. I'm a 21 year old male with no sexual ...
  A: Jeffrey, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Megaureter2/27/2008
  Q: I have written you before and thank you for your advice, I am 67 and have undergone three surgeries ...
  A: Bill, yes, a MAG-3 is a type of radio-isotope renogram. Apparently this was done with "washout" as ...
Erections2/26/2008
  Q: Hey doc, I'm only 23, and I have no health problems. But I've noticed almost no morning wood ...
  A: Sam, nothing is wrong. The more frequently you ejaculate, the less frequent morning erections ...
prostate cancer treatment2/26/2008
  Q: My husband has been recently diagnosed with "slow growing cancer completely contained in the ...
  A: Linda, usually the mesh that is used to repair a hernia does not extend into the midline. Most ...
Megaureter2/25/2008
  Q: I have written you before and thank you for your advice, I am 67 and have undergone three surgeries ...
  A: Bill, I can find nothing in my records that indicates I have sent you advice in the past. Your case ...
soreness and scars in foreskin2/24/2008
  Q: It started 5 years ago after a sexual contact with my girlfriend I saw blood in my foreskin just ...
  A: John, repeated trauma to the foreskin during sexual activity can can cause fissuring. The areas ...
my husbands testiclas2/24/2008
  Q: my husband was in allot of pain a few weeks back since then it had passed however not totally.when ...
  A: Worried, the lesion you now notice in the scrotum may well have been present for a long time. His ...
penis problems2/23/2008
  Q: male, 23, my problem started about 6 weeks ago when i had semen colored discharge, i could feel it ...
  A: Freddy, I do not believe the bumps on your legs or eye problems are related to the other concerns. ...
maintenance erection2/21/2008
  Q: during masturbation,when I get erection with hand stimulation watching movie and then stop hand ...
  A: Htm, this is not usually problem when you try "real sex". Often your stimulation is heightened by ...
Cialis2/20/2008
  Q: I'm going to be honest with you Doc. A few days ago, I popped a Cialis, 10mg's, that I got from my ...
  A: Kev, the class of drugs called PDE5 inhibitors include Viagra, Levitra and Cialis. They should only ...
6 year old daughter2/20/2008
  Q: My 6 year old daughter has been experiencing "leakage" after going to the bathroom. I dropped her ...
  A: Lisa, although this is not my expertise, I shall try to help you. If your daughter is a bath (as ...
varicocele2/20/2008
  Q: If I have a varicocele which appears to have caused atrophy of the right testicle, at which point ...
  A: Steven, the mild difference you note between the size of your testicles may well be normal unless ...
Blood in urine2/19/2008
  Q: I am a 39yr old male living in California. 6 days ago I was sitting down masturbating (with my ...
  A: Daen, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of the ...
Lasting Longer2/18/2008
  Q: I want to know if there is way I can last longer without ejaculating? I can only last between 2-5 ...
  A: Christian, what you describe is normal for a male. Pre-ejaculate ("precum") is a normal secretion ...
Viagra/Cialis2/18/2008
  Q: Hey I happen to have performance anxiety. I spoke with my doctor and he gave me samples of both ...
  A: Ryan, the class of drugs called PDE5 inhibitors include Viagra, Levitra and Cialis. They should ...
Post-visectomy complications2/17/2008
  Q: First, I would like to thank you for taking the time to read my message. It's comforting to know ...
  A: Steve, bleeding like this after a vasectomy is a well know but relatively uncommon complication. ...
Lacuna Magna Pain2/16/2008
  Q: For the past month and a half I have been experiencing pain in my penis that seems to be in the ...
  A: Carl, I disagree with your urologist. The most common cause of these complaints is an inflammation ...
many things sir2/15/2008
  Q: sir,i need two answers from u.i'm a gay.can i have ability to have sex with women.next i'm suffering ...
  A: Viduthalai, as I noted in my initial consultation, microlithiasis occur in more than 5% of men and ...
Lump2/15/2008
  Q: Ok. so for about a week now on the lower right side of my shaft.top side im guessing there is a hard ...
  A: Chris, as you might imagine, for this type of problem it is not possible for me to make an exact ...
testicle pain2/15/2008
  Q: about maybe 5 months ago, i hurt my left testicle jumping on my street bike, It hurt for a few ...
  A: James, as you might imagine, for this type of problem it is not possible for me to make an exact ...
BPH vs.Prostatitis2/14/2008
  Q: I'm only 42 and I've had recurring urinary problems for several years. I'm on a pretty good routine ...
  A: Jeff, both prostatitis and BPH can give similar symptoms (such as frequency) as they affect the same ...
Bleeding from the Penis2/14/2008
  Q: Now this is a serious issue but I can't deny that I was masturbating. So I looked down at my penis ...
  A: Neven, on the underside of the head (glans) penis in the midline, there is a band of tissue called ...
maintenance erection2/13/2008
  Q: during masturbation,when I get erection with hand stimulation watching movie and then stop hand ...
  A: Htm, it is normal for erections to decrease when tactile stimulation is discontinued. Although ...
erectile issue2/13/2008
  Q: I'm 28 and obviously male. Here are my most worrisome symptoms: Weak erections (when I can get one) ...
  A: Jim, you obviously have done research on your problems, Perhaps you have even read some of my ...
STD or OAB?2/12/2008
  Q: for almost 9 months now i have suffered from a 24 hour urge to urinate, i am an 18 y/o student, i ...
  A: Nick, there are many causes for urinary frequency. The common ones include diabetes, urinary tract ...
Viagra2/11/2008
  Q: I am conducting some research on products such as Viagra for men. I have a few questions, if you ...
  A: Philip, the class of drugs called PDE5 inhibitors include Viagra, Levitra and Cialis. They should ...
Erections2/11/2008
  Q: Hey, this is Jim I am a bodybuilder and I had a cycle with anabolic/androgenic steroids. During the ...
  A: Jim, there are many causes for erectile dysfunction (ED). The most common diseases associated with ...
Hiding in prostate gland?2/10/2008
  Q: First of all, thank you for providing this service. I've been to several doctors, but nobody could ...
  A: Joe, you have a very long and complicated history. No doubt that you have had recurrent prostatitis ...
glands2/9/2008
  Q: i recently went to my family doctor for a lump on my penis. i was told that it apeers to be a ...
  A: Michael, it depends on which bacteria is causing your infection. Some, such as certain of the ...
Bleeding after Ejaculation, and pain2/8/2008
  Q: I'm a 17 year old male and recently after masturbating and ejaculating I noticed a slight pain in ...
  A: Jason, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of ...
Swollen ring around penis2/8/2008
  Q: I have a ring around my penis about 1/4in away from the edge of the glans, a little less that 1/4 in ...
  A: Rick, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Alternating testicle pain2/7/2008
  Q: Have had testicle pain now for 2 years - have had every test it seems (MRI, Ultrasound, IVU, ...
  A: Chris, by far the most common cause of testicular discomfort in the presence of essentially normal ...
prostate concern2/7/2008
  Q: I 'm a 47 years old healthy caucasian male. Since my early 40s, I 've been having my prostate and ...
  A: Wael, benign enlargement of the prostate gland (benign prostatic hyperplasia or BPH) occurs to ...
Erections2/6/2008
  Q: Is it true that if you watch too much porn you can desensitze yourself and not get erections? Does ...
  A: Tom, the majority of ones semen comes from the prostate gland.  When you 
become sexually ...
Bruise2/6/2008
  Q: my name's Jay, im 16, and yesterday me and my girlfriend were fooling around and she gave me oral ...
  A: Jay, most likely the sexual acts were too roughly performed and you got some bruising of the penile ...
Prostatitis2/5/2008
  Q: I have been to the urologist and nothing shows up in the pee. But I keep getting this pain in the ...
  A: Tom, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
erection2/5/2008
  Q: I had decompressive surgery on my lower back L1-L5 about seven months ago,and since then I been ...
  A: Allan, there are many causes for erectile dysfunction (ED). The most common diseases associated ...
vasectomy2/4/2008
  Q: My husband had a vasectomy after we had our second child 1.5 years ago. He gave a sample, we sent ...
  A: Michelle, most physicians suggest 2 consecutive negative semen samples after a vasectomy before ...
Need a little advice2/4/2008
  Q: I recently asked if it is harmful to urinate with an erection. I was informed that is not and is ...
  A: Christopher, with most morning erections the stimulus for erection is a full bladder (usually ...
Varicocele2/3/2008
  Q: This may sound wierd but i have to ask my question! i want to tempororily INTENSIFY my varicocele in ...
  A: Peyman, you obviously have read about varicoceles. However, for the sake of full understanding I ...
Hey doc!2/3/2008
  Q: One of my buddies were telling me about how great Cialis is, yet he doesn't have any ED. He it's ...
  A: Jimmy, the class of drugs called PDE5 inhibitors include Viagra, Levitra and Cialis. They should ...
bladder contractions2/2/2008
  Q: My 17yr old son suffered a spinal cord injury and since has been diagnosed with neurogenic bladder. ...
  A: Michelle, sorry to learn of your son's spinal injury. There are many types of neurogenic bladders. ...
Odd White Lumps on Glans2/2/2008
  Q: There are these strange white marks on my penis and they are difficult to describe. Originally they ...
  A: David, as you might imagine, for this type of problem it is not possible for me to make an exact ...
One testicle lower than other after epididymitis/slight uncomfortability in lower abdomen2/2/2008
  Q: I'm 24. A few months ago, I was diagnosed with epididymitis in my left testicle. Urine tests, ...
  A: Brian, with an inflammation such as epididymis, there is always some degree of scarring as the ...
Pain in abdomen and testicles2/1/2008
  Q: Whenever I become sexually excited I always get this pain in the lower right abdominal area and in ...
  A: David, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Ejaculating and urinating simultaneously2/1/2008
  Q: it is much appreciated.A friend told me that sex/masturbation while having a full bladder gives a ...
  A: Andrew, during sexual arousal the prostate gland manufactures fluid that accounts for about 2/3 of ...
frequent urination1/31/2008
  Q: I'm only 42 and I've had recurring urinary problems for several years. I'm on a pretty good routine ...
  A: Ted, I do not believe you have BPH but rather prostatitis. Either disorder may cause frequency. ...
Viagra?1/29/2008
  Q: I went to my doctor earlier today. I told him about my sex problems, he tells me its in my head, and ...
  A: Johny, the class of drugs called PDE5 inhibitors include Viagra, Levitra and Cialis. They should ...
Cialis1/29/2008
  Q: I just read about new FDA approved daily dose cialis. Is that ok for performance anxiety individuals ...
  A: Tommy, I would not recommend taking any PDE5 inhibitor (Cialis, Vaigra or Levitra) daily. These ...
Bump above left testicle1/29/2008
  Q: Doctor, I am a 19 year old male, and I was wondering if it is anything to worry about, but over the ...
  A: Christopher, in evaluating lumps in the scrotum, is important to differentiate those that are ...
blood in semen and urine1/28/2008
  Q: why do i sometimes bleed from my penis during sexual intercourse and when i urinate after sexual ...
  A: Greg, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of the ...
After Priapism1/27/2008
  Q: . I had suffered from priapism for about 24 hrs due to a side effect to papavermine induced for ...
  A: Rockz, one episode of priapism lasting for 24 hours probably did not do any significant permanent ...
cavaject1/27/2008
  Q: My penis hurts from the injections,,,I recently stuck it in my buttocks,,,it did not work ,,but what ...
  A: Rick, if your penis sore from Caverject injections, it may be either your technique or you are just ...
Cold1/26/2008
  Q: Yeah Arthur, I've stopped doing such exercises. My penis no longer feels numb. But the glans cannot ...
  A: Steve, it absolutely will return to normal as long as you don't continue to damage the nerves by too ...
Flomax question1/26/2008
  Q: I am 51 and just started taking Flomax a couple months ago. My wife is much younger (31) and we ...
  A: Joe, Flomax works but relaxing the muscles around the prostate and bladder neck so that the flow of ...
Can't feel cold1/25/2008
  Q: Hey Arthur, I used to do penis stretches awhile back. One time I guess I pulled too much or ...
  A: Steve, I am not a proponent of penile stretching or jelquing exercises. I do not believe the slight ...
Question.1/25/2008
  Q: My friend has a three year old nephew who ran a fever of 101 and there was blood in his urine, the ...
  A: Amber, my expertise is in the field of adult urology and not pediatric. You might want to submit ...