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About Arthur Goldstein, M.D.
(Top Expert on this page)

Expertise
Any problems or questions related to the field of urology; ie urinary stone disease, urinary cancers (kidney, bladder, prostate, testis, etc.), urinary infections, impotency, etc.

Experience
I am retired from the active practice of urology. My 34 years was totally in the clinical field and involved the entire gamut of genitourinary problems, with special interest in male impotence and endourology.

Organizations
American Medical Association, American Urological Association, American College of Surgeons

   

You are here:  Experts > Health/Fitness > Urology > Urology

Questions Answered By Expert  Arthur Goldstein, M.D. 
In Category  Urology

SubjectDate Asked

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 ...
Erectile Dysfunction6/19/2008
  Q: I had normal erections till 2003. In May 2004 I developed Encephalitis. In fact I was in a coma at ...
  A: Bhaskar Nathan, I am sorry to learn of your troubles. There are many causes for erectile ...
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