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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

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 ...
:-(1/24/2008
  Q: About two three weeks ago I started having this small pain on the tip of my penis (feels like right ...
  A: Rosh, I have seen a number of patients who noted various degrees of penile irritation from jelquing. ...
Chronic UTI1/23/2008
  Q: I'm a 28 yr old male and about a week or two before thanks giving I was eating med-rare steaks, had ...
  A: as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis ...
prostatitis1/22/2008
  Q: can you have prostatitis with no infection or inflame tryed cipro for 30 days also levaquin, did ...
  A: Joe, by definition, prostatitis is an inflammation of the prostate gland. It may either be due to ...
Epididymititis1/21/2008
  Q: If someone has chronic epididymititis on the left testicle, what are the consequences of removing ...
  A: Arthur, in chronic epididymitis, control can usually be achieved by long term antibiotic therapy. ...
Sex Bruises1/21/2008
  Q: Hey I'm not sure if this is the best place to ask this question. But it does somewhat cover the ...
  A: Kevin, you are correct that bruising is not my area of expertise. However, they usually occur ...
Prostate - pain/itch1/21/2008
  Q: Im mike, a 15 year old male from Ohio. I tried to massage the prostate because I read it was the ...
  A: Mike, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Treatment1/20/2008
  Q: My urologist prescribed a 60 antibiotic treatment for prostatitis. He prescribed levaquin and i ...
  A: Mike, Cipro and Levaquin are both in the drug family called fluoroquinolones. They work in a very ...
concern wife1/20/2008
  Q: what cause testicles to swell
  A: Teresa, there are many causes for swelling of the testicles. Some of the more common are hydroceles ...
vasectomy1/20/2008
  Q: how much does the vasectomy costs? price range? California?
  A: Randy, the cost of a vasectomy varies greatly with each area of the country. My practice was in NJ ...
feeling stretch thread like vein in penis, pulling skin at base of penis during erection1/19/2008
  Q: I am 24 male from india had undergone a micro varicocele surgery 3 weeks back for left side. My ...
  A: Kamal, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Viagra1/19/2008
  Q: Hey Arthur, this was my last question... Hey arthur I'm only 23, and I notice I lose my erection ...
  A: John, the only way to clarify your erection difficulty further would be for you to see a urologist ...
penis problem1/18/2008
  Q: About three weeks ago i noticed a white round circle on my penis shaft about a centimeter below my ...
  A: Gee, as you might imagine, for this type of problem it is not possible for me to make an exact ...
enlarged testicles1/17/2008
  Q: what could cause one enlarged testicle in a 55 year old male? thank you, nancy
  A: Nancy, as you might imagine, for this type of problem it is not possible for me to make an exact ...
10 million1/17/2008
  Q: Im sittig here beating myself up ,about 5 months ago my husband got his sperm count checked it came ...
  A: Deangela, Infertility is the general term applied to those conditions that make it difficult for a ...
pain after soap in penis1/17/2008
  Q: my 9 year old son showered and got soap in his penis and now has pain and burning during ...
  A: Susan, this is a common problem with bathing or showering. If one gets soap into the opening of the ...
Spermatocele1/16/2008
  Q: About a year ago my GP noticed some slight swelling on my right side. He didn't find a hernia, but ...
  A: Clayton, both hydroceles and spermatoceles are benign cystic structures in the scrotum. However, ...
Varicocelectomy/vasectomy1/15/2008
  Q: 29 Male, Riverside Ca. This past July I underwent a varicocelectomy to address a recurrent ...
  A: Scott, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Possible Hydrocele1/15/2008
  Q: I had a kidney transplant 10 years ago. The kidney was implanted by my right hip bone near the ...
  A: Paul, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Testicular Soreness1/14/2008
  Q: I am a 21 year old caucasion male in the united states. I have been experiencing soreness in both ...
  A: Joe, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Post-ejaculation release of fluid1/13/2008
  Q: This really isn't a problem, but a phenomenon I don't understand. This has happened to me three ...
  A: Chris, with the additional information you provided, my suspicion is that the fluid released was a ...
Loss of erection1/13/2008
  Q: Hey arthur I'm only 23, and I notice I lose my erection quality (gets softer) when I'm on my back or ...
  A: John most men notice that they maintain quality erections better while in the conventional ...
Viagra1/12/2008
  Q: Question Like I've read on here, I made the mistake? of taking viagra prior to sleep. It was not on ...
  A: Stew, I am sure that you did not do any harm. Anxiety can play a major role in the ability to have ...
Post-ejaculation release of fluid1/12/2008
  Q: This really isn't a problem, but a phenomenon I don't understand. This has happened to me three ...
  A: Chris, during sexual arousal the prostate gland manufactures fluid that accounts for about 2/3 of ...
Extreme burning1/11/2008
  Q: 60 yoa male. Had a cysto on 12-13-07. Prostate was slightly enlarged. Has been having extreme ...
  A: John, the burning is most likely coming from an inflammation of the prostate gland, so called ...
Bleeding from penis1/10/2008
  Q: I am a 30 years old male. Last night my other significant and I had intercourse, while I ejaculate ...
  A: Pat, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of the ...
Viagra1/10/2008
  Q: I have read on here about prolonged erections with such drugs such as Viagra. I read that prolonged ...
  A: Timothy, there are basically 2 types of priapism, low flow and high flow. The former is much more ...
catheter to dialate urethra1/9/2008
  Q: sir, In case of urethral stricture in bulbous area, after the surgery which type of catheters one ...
  A: Joni, symptoms such as weak stream, dribbling after urination and splitting of the stream suggest an ...
Penise bruise12/17/2007
  Q: My girlfriend and I were having vigorous doggie style sex. I slipped out and thrust again, at which ...
  A: Troy, penile fractures are usually very obvious.  They generally occur when while having vigorous ...
28 y/o with occasional prostate pains12/16/2007
  Q: This has been a problem I've experienced for about 12 years, I recall it starting when I was 16 and ...
  A: Seth, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Cialis12/16/2007
  Q: Hey this is Kyle again, this was my previousHey I talked with my doctor, I have performance anxiety. ...
  A: Kyle, I have already answered your question. In taking any medication you have to weight the risks ...
swollen testes/low testosterone12/15/2007
  Q: I Have noticed that over the last couple of months my right testicle has become very swollen and ...
  A: Jesse, it would be quite unusual for a 19 year old man to have a low testosterone. Furthermore, ...
Penis Enlargement12/15/2007
  Q: I want to know if there are ways to make the penis larger? If there are ways, what is the best way? ...
  A: Christian, this is a common question. The majority of men believe they were "short-changed" ...
Dark veins in scrotum12/14/2007
  Q: I am 24 and have never had any health problems.Yesterday at work I noticed that my left testicle had ...
  A: Brent, dark purple veins on the scrotum are a common finding and is noted to varying degrees in all ...
male issues12/14/2007
  Q: My boyfriend, age 60, no medications, after a night of sex, noted his penis had turned a blackened ...
  A: Teri, mostly likely your boyfriend did suffer a contusion of the penis secondary to sexual trauma. ...
Potential penile injury?12/4/2007
  Q: I believe that I have sustained some sort of penile injury, following a pinching/stretching-type of ...
  A: Mark, I am not quite sure what you are referring to regarding the "pinching/stretching-type of ...
Kegels12/4/2007
  Q: I understand that kegels enlarge the penis due to the tensile pressure on the IC and BC muscles and ...
  A: L. E. I am aware of most of the data you sent but I do appreciate your forwarding it to me. ...
Penis bleeding12/3/2007
  Q: Am a 30 yrs old man and suddenly one day when i tried to have sex with my girl friend, there is ...
  A: Muthu, this type of bleeding (bleeding that occurs during sexual arousal and unrelated to urination) ...
Kegels12/3/2007
  Q: I understand that kegels enlarge the penis due to the tensile pressure on the IC and BC muscles and ...
  A: L. E., in my experience, the majority of men believe they were "short-changed" regarding penile ...
Penile varicose veins and smoking12/2/2007
  Q: I'm 26 years old. About 2 months ago I noticed a blue "lump" in the vein on the shaft of my penis, ...
  A: Florian, as you might imagine, for this type of problem it is not possible for me to make an exact ...
RE: Meatus12/2/2007
  Q: I have protected sex during intercourse but not during oral. Within the last week and a half I've ...
  A: Jesus, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Cialis from doc12/1/2007
  Q: Hey I talked with my doctor, I have performance anxiety. I wanted Cialis, because I never know ...
  A: Kyle, The class of drugs called PDE5 inhibitors include Viagra, Levitra and Cialis. They should ...
swelling of penis and foreskin12/1/2007
  Q: i have previously used a penis enlargement pump and hav ent used it in a little while, i used it ...
  A: Arran, what you are noticing is most likely tissue fluid (edema) that was caused by improper use ...
Bladder & Voding Problems11/30/2007
  Q: My friend aged 59, has been suffering from voiding problems. He underwent a bladder surgery last ...
  A: Sendhi Kumar, your friend apparently had a urethral dilation (stretching) for a urethral stricture ...
Tip of penis irritation11/30/2007
  Q: I am hoping you can help. I have been extremely worried about the issue I have with my penis. I am ...
  A: William, for this type of problem it is not possible for me to make a diagnosis over the internet ...
Yellow Semen11/30/2007
  Q: For as long as I can remember, my semen has been a yellow color. The consistency seems normal. Not ...
  A: John, during sexual arousal the prostate gland manufactures fluid that accounts for about 2/3 of ...
Burning Ejaculation11/29/2007
  Q: Hey this just started after, or well during kinda, I get this burning sensation in my penis glans. ...
  A: Steve, burning in the glans penis is due to an inflammation in the lower urinary tract. This is ...
Scrotum shrinks or feels like it tightens up when I stand up to the point that it causes discomfort.11/29/2007
  Q: I know it is normal for the scrotum yo shrink when it's cold to adjust to body temperature but ...
  A: Mark, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Viagra11/28/2007
  Q: Hey this is Tom again, these were my previous questions: Hey my GP gave me a dose of Viagra 50mg, ...
  A: Tom, you did not harm your penis with the one dose of Viagra that you took. If you had priapism, it ...
frequent urination/ sometimes slight burning11/28/2007
  Q: IN RELATION TO PROSTATE INFLAMATION IS THIS SOMETHING YOUR STUCK WITH THE REST OF YOUR LIFE OR DOES ...
  A: Ronald, as mentioned in my initial note, prostatitis may be just one episode, recurrent episodes or ...
bell clapper11/27/2007
  Q: well doctor my right testicle has sunken lower than my other and is that a sympton of bell ...
  A: Jerome, the answer is no! In over 90% of males, the left testicle is lower than the right, higherer ...
testicles11/25/2007
  Q: my name is chris, i am 14 and live in golden, canada. i have a small circular lump that i dont think ...
  A: Chris, as you might imagine, for this type of problem it is not possible for me to make an exact ...
enlarged prostate - the use of a stint11/25/2007
  Q: Dr. Goldstein, The question was asked in a former letter about a 91 year old man who had trouble ...
  A: Harry, benign enlargement of the prostate gland (benign prostatic hyperplasia or BPH) occurs to ...
Viagra11/25/2007
  Q: Hey this is Tom again, this was my previousHey my GP gave me a dose of Viagra 50mg, for my anxiety ...
  A: Tom, ALL medications have potential side effects and therefore in prescribing, the doctor has to ...
urine tract infection11/24/2007
  Q: Dr. Goldstein I'm 22yrs old, female,from NYC. I have been taking nitrofurantoin monohydrate 100mg ...
  A: Jasmine, it sounds like your urinary tract infection was suppressed but not eradicated. Urinary ...
Urethra Damage11/24/2007
  Q: I had a cystoscopy several years ago. I come to notice now that my urethra is about twice as long ...
  A: Caos, you have some misconceptions. There is no way that a cystoscopy can change (ie increase) the ...
Viagra11/24/2007
  Q: Hey my GP gave me a dose of Viagra 50mg, for my anxiety about sex, I'm only 23, which I guess is ...
  A: Tom, the class of drugs called PDE5 inhibitors include Viagra, Levitra and Cialis. They should only ...
Pressure above and to the sides of the testes11/23/2007
  Q: I have been experiencing pressure and discomfort on either side of the bladder in the area of the ...
  A: Ross, as you might imagine, for this type of problem it is not possible for me to make an exact ...
frequent urination/ sometimes slight burning11/22/2007
  Q: It all started one night about 9 mos ago when i went to pee and it burned and i felt like i couldn't ...
  A: Ronald, the most common cause of these complaints is an inflammation of the prostate gland, so ...
Urinating with an erection10/29/2007
  Q: you give people. I am wondering if there is any harm in peeing with an erection. For some reason, I ...
  A: Christian, I am unaware of any harmful effects from urinating with an erection. In fact, this is a ...
varicocele and infertility after varicocele is treated10/28/2007
  Q: Why can't I get my fiance pregnant. I have a varicocele in the left testicle sac, that was treated ...
  A: Richard, you question should be referred to a urologist who specializes in infertility but I shall ...
Prostatitus10/27/2007
  Q: It seems to be interrelated with stress. What can I do?
  A: Tom, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Hematuria10/27/2007
  Q: Dr. Goldstein, Several weeks ago I had some blood in my urine. I noticed two episodes where the ...
  A: Martin, although you have been properly evaluated, it is possible to miss a small lesion of the ...
Help me10/27/2007
  Q: My wife and I were separated for 4 months one year ago she may have been with someone.I have had ...
  A: Ryan, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Diagnosed UTI and Dysuria...Not so sure10/26/2007
  Q: Dr. Arthur Goldstein I am a 22 year old male from Arizona. Initially I started having a ...
  A: John, your persistent discharge suggests that the infection has not been totally eradicated. This ...
BLOOD CLOT IN TESTICALS10/26/2007
  Q: I HAVE A LOT OF BLOOD CLOTS IN MY TESTICALS AN PENIS. IS THERE SOMETHING WRONG? IS THIS NORMAL? AN ...
  A: Stacy, as you might imagine, for this type of problem it is not possible for me to make an exact ...
still more urine needs to come out10/25/2007
  Q: iam a 30 year old male, married & having a child. I had surgery at the age of 6 years in my home ...
  A: S, your urinary problem is unrelated to the undescended testicle. Undescended testicles, however, ...
NSAID10/25/2007
  Q: IS there any interaction between NSAIDs and Sildenafil or the other pde5i's?
  A: Rick, I am unaware of any interaction between NSAIDs and PDE-5 inhibitors. However, the definitive ...
symptoms10/24/2007
  Q: ..i am a 17 year old male and have had a strange stituation going on. At first about months ago i ...
  A: Farid, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
male discharge10/23/2007
  Q: My husband appears to have stained underwear rather often. My first inclination is that he is having ...
  A: Destiny, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Viagra10/23/2007
  Q: If you have viagra in your body while sleeping, how will you know you've had a priapism? Viagra ...
  A: Vin, the class of drugs called PDE5 inhibitors include Viagra, Levitra and Cialis. They should only ...
Hematuria10/23/2007
  Q: Dr. Goldstein, Several weeks ago I had some blood in my urine. I noticed two episodes where the ...
  A: Martin, there are many possible causes for blood in the urine (hematuria). The origin of the ...
ED?10/9/2007
  Q: If a person is capable of achieving a full erection but requires more physical stimulation than ...
  A: Dave, in itself, it would not mean anything. The stimuli for erection can be touch, vision, ...
Viagra before sleep..10/9/2007
  Q: Hey doc, this is Thomas from awhile back. I took Viagra before sleep, happened to anyway, and didn't ...
  A: Thomas, I am sure you did no damage and you already know my opinion on the recreational use of ...
veins10/9/2007
  Q: Ive noticed the appearence of what appear to be thread veins on my penis over the last year or ...
  A: Scott, I have to agree with your urologist. What you are describing is a normal phenomenon that ...
Sildenafil9/28/2007
  Q: its informative. So basically if someone gets an erection with use of a PDE5 inhibitor, they can ...
  A: Tom, without sexual stimulation, Viagra will not cause erections. If one take Viagra and is ...
bleeding from penis9/28/2007
  Q: my grandson penis has a watery blood coming out he is only 3ys old
  A: Louise, your grandson should see a urologist and, ideally, a pediatric urologist if one is available ...
PEnis glans9/28/2007
  Q: I've noticed my penis glans, especially near the 'brim' near the shaft of my penis. Looks purple ...
  A: Scott, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Sildenafil9/27/2007
  Q: But I'm sorry I still don't get it. If PDE5's cause an erection to subside, and taking Viagra ...
  A: Tom, as already noted, sexual stimulation causes the release of NO which causes the release of cCMP ...
Prophylactic9/27/2007
  Q: Hey I've heard talk about sildenafil being preventive medicine for impotence. I was thinking of ...
  A: Ted, Viagra in NOT a preventive medicine for impotence. Its only potentiasl use in this regard has ...
Recreational9/27/2007
  Q: Hey I took some Viagra 25mg's had sex with my girlfriend, and we fell asleep. About 4 hours later I ...
  A: Kevin, it is highly unlikely that you have done any damage. If, since the incident, you have or are ...
blood clot in urine9/26/2007
  Q: When my 21 yr old boyfreind goes to urinate after sexual intercourse he sometimes has a blood clot ...
  A: Sheena, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of ...
Penis Pain9/26/2007
  Q: About two months ago or more, my girlfriend performed oral sex on me. Immediately afterward, there ...
  A: Lee, there is no STD that comes on "Immediately afterward" sexual activity. All STDs have an ...
Sildenafil9/25/2007
  Q: Hey how does Viagra really work? Right down to the specific science going on in the penis. If the ...
  A: Tom, it's a liitle complicated but you asked for it. The mechanism of erection of the penis ...
mild bruising pain 6 months after cystoscopy9/25/2007
  Q: Goldstein, Age: 32 yrs. No medications taken at the time. I've had a couple of cystoscopies. The ...
  A: Felipe, the most common cause of these complaints is an inflammation of the prostate gland, so ...
Damage to Penis?9/23/2007
  Q: Over 2 months ago I stretched my penis way too far two days in a row while trying something new ...
  A: Gabe, your initial problem was due to bruising of the penis due to too traumatic masturbation ...
Urine won't stop9/23/2007
  Q: When I go to the bath room and I am done, urine continues to leak out even after waiting for seconds ...
  A: Kevin A, post voiding dribbling is a very common problem.  It is due to trapping of some urine in ...
calcifications.9/23/2007
  Q: sir,i'm suffering from calcifications&left varicocele in testis.what is the reason for this ...
  A: Daniel, a varicocele is a collection of varicose veins of the spermatic cord (the rope-like ...
blood after ejaculation9/21/2007
  Q: My girlfriend sat on my penis right before I ejaculated and when I did it felt like I was ...
  A: Tom, yes you broke a blood vessel. The most likely source of the bleeding is a small tear in the ...
Leaking Urine problems9/20/2007
  Q: I had pus coming out of my penis so I went to the doctors, he prescribed me zithromycin even though ...
  A: Ray, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Priapism...9/20/2007
  Q: Hey would an erection lasting too long without pain cause permanent problems?? How about if a ...
  A: Paul, the class of drugs called PDE5 inhibitors include Viagra, Levitra and Cialis. They should ...
Tadalafil...9/20/2007
  Q: Hey I have performance anxiety, my Doc gave some Cialis since I opted for it over Viagra so I have ...
  A: Jerry, the class of drugs called PDE5 inhibitors include Viagra, Levitra and Cialis. They should ...
Help?9/19/2007
  Q: Here we go. I'm a 36 year old male. Almost two years ago, I went out with my friends to a strip ...
  A: Tom, your questions are extremely long and complicated and there is no way I can give you a full ...
Constant need to pee.9/19/2007
  Q: my problem is that after every 15 to 20 minutes I need to pee and it feels like i haven't peed for a ...
  A: Murtaza, there are many causes for urinary frequency. The common ones include diabetes, urinary ...
Testies problem?9/18/2007
  Q: I noticed this a month or two ago. When I am erect my left testis will retract, but the right testis ...
  A: Matt, the testicles are suspended by a rope-like structure called the spermatic cord.  This cord is ...
CT Results9/18/2007
  Q: I have written you before and thank you always. Within the past few months I had several kidney ...
  A: Bill, dilation of the right ureter down to the trigone can be due to several causes. Hydronephrosis ...
Post surgical Blood in testicle9/17/2007
  Q: BILINGUAL HERNIA ON 9/11. CURRENTLY RIGHT TESTICLE EXTREMLY PAINFUL AND FULL OF BLOOD. PURPLE IN ...
  A: Stan, sometimes with hernia repairs, bleeding may occur into and around the spermatic cord. The ...
Nerve..9/17/2007
  Q: So if I irritate the area of nerves that got damaged while it's not fully healed, it will take ...
  A: Devin, I am certain it will heal. Yes it will take longer to resolve if you continue to irritate ...
Ocasional Buring9/16/2007
  Q: It feels like I need to urinate and so I do which makes it feel better but when I stop the burning ...
  A: Jake, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Blood in semen and fertility9/16/2007
  Q: if someone have a little blood or brownish semen and have also slight pain in his testes but it ...
  A: Omar, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of the ...
Adult Circumcision..9/16/2007
  Q: Hey doc, I am currently thinking about getting a circumcision at the age of 24. What kind of things ...
  A: Jimmy, there are many excellent internet references on the pros and cons of circumcision and the ...
blood in the urine9/15/2007
  Q: ..i have a brother who has blood drips after he urinates. and hads pain before and afterwards. and ...
  A: Tonya, there are many possible causes for blood in the urine (hematuria). The origin of the ...
Nerve..9/14/2007
  Q: Hey the glans of my penis just went numb. I'm scared I did permanent harm! How long does it take to ...
  A: Devin, too rough & vigorous masturbation techniques may bruise the penile tissues and nerves. If ...
Pain in Teste9/13/2007
  Q: About a week ago I went on a horse back ride which resulted in my testes being very sore. The day ...
  A: Jason, the blood with urination (hematuria) probably came from the prostate gland which can be ...
Penis Injury9/13/2007
  Q: I am 18 years old. A few days ago, I was masturbating vigorously while i was not 100% erect. Ever ...
  A: Bill, it is highly unlikely that you have done any permanent damage to the penis. You probably have ...
Cystocoele9/12/2007
  Q: 13 year old male, no medications, San Clemente Ca. He complains of a hard time urinating. No ...
  A: Chris, this boy needs to be seen in consultation by a urologist. A thorough history, physical ...
Taking Dramamine if I take Flomax and Avodart9/12/2007
  Q: Goldstein! I'm a volunteer on AllExperts too (Old records). Now I can use your help. My urologist ...
  A: Steve, from the medications you are taking, I assume you are being treated for an enlarged prostate ...
keeping primary care doctor informed9/10/2007
  Q: If you are treating a patient for prostate cancer, do you keep his primary care doctor informed as ...
  A: Gordon, in my practice, we order the appropriate laboratory tests (ie PSA) prior to followup visits. ...
Sildenafil..9/10/2007
  Q: but I really just would like to know on a theoretical basis not on a recommendation basis, is ...
  A: Dave, the likelihood of a significant adverse reaction in a young man taking a low dose of Viagra is ...
penis soreness9/10/2007
  Q: For the past two months, I have been having soreness on the right side of my penis towards the top ...
  A: Tony, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Urethral9/9/2007
  Q: Greetings. I'm a 31 year old male, taking uroxatral (daily), ativan and darvocet (as needed). Live ...
  A: Justin, the most common cause of these complaints is an inflammation of the prostate gland, so ...
groin pain and stomach pain are they related?9/9/2007
  Q: February 28, 2007 I had a epididymectomy. A week after my surgery I started to have problems. My ...
  A: Kurt, you failed to relate why the epididymectomy was done which may be important to your present ...
Sildenafil...9/8/2007
  Q: Is there anything wrong with a healthy young male (23y.o.) taking 25mg's of viagra? Is it safe? ...
  A: Dave, the class of drugs called PDE5 inhibitors include Viagra, Levitra and Cialis. They should ...
Erectile Dysfunction9/8/2007
  Q: Goldstein, I have difficulty getting and maintaining an erection when I am with my girlfriend to ...
  A: John, the fact that you get normal erections when alone and can masturbate without without problems ...
Cialis during night8/20/2007
  Q: Hey its John again, so theoretically speaking if I had a Cialis induced erection that lasted for 4 ...
  A: John, the answer to your first question is that a 4 hour erection without pain will not cause ...
Cialis8/17/2007
  Q: Hey Arthur, I'm 25. And I take Cialis due to some cases of depression I've had in the past and ...
  A: John, any of the PDE5 inhibitors (Viagra, Cialis, Levitra, etc.) have the potential to cause ...
I am 15 and both my testicles are undesending8/15/2007
  Q: hey, my names elijah and i have a major question. Ok, i am 15 and both of my testicles are ...
  A: Elijah, the medical name for undescended testicles is cryptorchidism. It is important to ...
Viagra priapism?8/14/2007
  Q: Hey Arthur, I've posted here before asking if maybe I had a priapism at night with viagra, or a ...
  A: Thomas, Viagra in itself will not produce erections. It just makes it easier to obtain and sustain ...
penile implant8/14/2007
  Q: If a male has a penile implant, can he get an erection without using the device? Or must he use it ...
  A: Tracy, penile implants for the most part are inserted because a man is unable to get a natural ...
kidney stones return ?8/13/2007
  Q: Goldstein, One month ago I had laser lithotripsy due to a 5mm stone which was lodged in my upper ...
  A: Rick, part of the confusion might be over the chemical composition of the stone and the radiologic ...
Penis nerve..8/13/2007
  Q: Hey I heard you could damage your nerves in your penis physically. Does it heal or is it permanent? ...
  A: Tim, I assume you are talking about sensory nerves of the penis. They can indeed be injured by ...
chronic prostatitis?8/12/2007
  Q: I am a 45 yr old male in living in Hampton Roads area in VA. I started experiencing pain in the ...
  A: RJ, the most common cause of your complaints (hesitancy, frequency, and epididymal discomfort) is ...
Phimosis8/12/2007
  Q: I was wondering whether you could give me some info in regard to the condition phimosis. The ...
  A: Youssef, a tight foreskin is called phimosis.  A male may be born with the condition or it can be ...
Pain in penis8/12/2007
  Q: I have been to the doctors plenty of times and described some of my pains and been tested for ...
  A: Justin, the most common cause of these complaints is an inflammation of the prostate gland, so ...
prostate8/11/2007
  Q: for the past year every few week i get what the doctors tell me is prostitis given cipo or levaquin ...
  A: Thomas, in my opinion, prostatitis should be treated initially with 4 weeks of continuous antibiotic ...
Urethra pain and discomfort8/11/2007
  Q: I am having a first experience from the Urethra area. Everytime I go take a leak, my penis burns ...
  A: Anthony, this is not a condition that you can treat yourself. You need to consult with a urologist. ...
penis pain during ejaculation8/10/2007
  Q: I noticed about two years ago that I was having veins on the right side of my penis. Now I am ...
  A: Andrew as you might imagine, for this type of problem it is not possible for me to make an exact ...
kegels exercise and stronger erection8/10/2007
  Q: I am a male, age 43. I would like to know is there a connection in doing kegels exercise (also known ...
  A: Kelvin, Kegel exercises are done by periodically contracting and relaxing the pubococcygeal (PC) ...
varricocele8/9/2007
  Q: i am 20 years old guy about 3 4 years ago a guy kicked my balls with lots of force, i feel lot of ...
  A: Ali, there are many reasons for discomfort in the testicles. After your injury, unless you had ...
Treatment for balanitis8/8/2007
  Q: Dr. Goldstein, I was recently prescribed the drug Elidel by my dermatologist to treat mild balanitis ...
  A: Andrew, the drug Elidel is primarily used by dermatologists. Personally, I have never used or ...
my son;s penis8/8/2007
  Q: the doctor made one incision and called me back in. she said the foreskin was attached to the head ...
  A: Stacey, there are normally soft adhesions between the inner foreskin and the glans (head) of the ...
constant urination, need help8/7/2007
  Q: Goldstein. Thank you for any information you can help me with. My urinary and ejaculation issue ...
  A: the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Penis Exercises...8/7/2007
  Q: Hey thanks for the response on penis exercises. How long do you think it will take for the penis ...
  A: Keith, this type of injury gradually heals over a 1-3 month period. During this time, it is very ...
Erectile Dysfunction/ firm-flaccid penis8/6/2007
  Q: I am a 23 year old Asian male, urgently in need of some information as I am a long way from my home ...
  A: Richard, this is the last question I am permitted to take on your problems. I believe I have ...
prostatitis8/5/2007
  Q: Two weeks ago, I had blood in my semen during ejaculation and ever since then, I have had pain in my ...
  A: M, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of the ...
Cronic Prostitus??8/5/2007
  Q: Help! For the past 12 months I have been having cronic prostate problems that actually seem to have ...
  A: Steve, this type of course can occur after surgery for BPH but does not happen too often. It is ...
boyfriend wetting the bed8/5/2007
  Q: My boyfriend and I have been together for about 6 months now. He is 23 years old and in the past 3 ...
  A: Lindsay, the medical term for bed wetting is enuresis. It is most common in children and usually ...
Kidney stones8/4/2007
  Q: I get calcium based stones, if I take medamucil will this help me. Doc says I have too much calcium ...
  A: Bob, the formation of kidney stones is a very complex process. In addition, there are many different ...
Erectile Dysfunction/ firm-flaccid penis8/4/2007
  Q: I am a 23 year old Asian male, urgently in need of some information as I am a long way from my home ...
  A: Richard, wow, you certainly have thrown a nmuber of questions at me. Fibrosis generally does not ...
uncomfortable back pain and foamy urine8/3/2007
  Q: recently for the past 2 weeks, i have a uncomfortable back pain is on lower abdominal just below ...
  A: Mike, as you might imagine, for this type of problem it is not possible for me to make an exact ...
much bigger right testicle8/3/2007
  Q: i'm 16 years old and I'm really concerned about the growth of my right testicle. I had this problem ...
  A: Juan, by far the most common cause of an enlarged testicle at age 16 is a benign condition called a ...
Viagra8/2/2007
  Q: Hey thanks for the responses to my questions about my possible viagra priapism, atleast I thought I ...
  A: Thomas, men normally have 3-5 erections per night that last for about 15-30 minutes. Although ...
testicular atrophy7/26/2007
  Q: i am a mother of a boy 10 month who had inguinal hernia at one month old after operation the doctor ...
  A: Heba, if both of your son's testicles are in the scrotum, you have no cause for concern even though ...
anxiety about procedures7/26/2007
  Q: Dr. Goldstein: What advice to do have about a 66-year-old man having anxiety issues about urology ...
  A: Bill, changing a SP tube is an office procedure that is basically painless and takes about 5 ...
penis stretched7/25/2007
  Q: I enjoy bondage with my girlfriend. she puts rings and chains and such around my genitals. after ...
  A: Lenny, I sincerely doubt that you have any permanent damage or a hernia. However, just like any ...
Penis Exercises7/25/2007
  Q: I was doing penis exercises I got from the internet. I was doing stretches and jelqs with my hands ...
  A: Keith, I suggest that you stop doing the exercises - forever. I am unaware of any long term damage ...
Discharge7/25/2007
  Q: I am 33 years old, and have a fatty jelly like discharge that comes out of my penis during ...
  A: Rich, during sexual arousal the prostate gland manufactures fluid that accounts for about 2/3 of the ...
Testicles7/24/2007
  Q: Im 20 years old and this has been an ongoing problem for me. When I'm fully aroused and turned on, I ...
  A: Sam, the average semen volume is 2-6 ml but many men produce more (or less) than this. There is ...
Persistent Urethral Pain and Inflammation7/24/2007
  Q: I am a 21 year old male, and for nearly a month and a half now, I have had various uncomfortable ...
  A: William, the most common cause of these complaints is an inflammation of the prostate gland, so ...
Ejaculation frequency7/24/2007
  Q: Goldstein, Thanks for your previous answer. I understand that your recommendations about ...
  A: Neal, I am unaware of any specific clinical guidelines for this. However, it would seem reasonable ...
Urology7/23/2007
  Q: Goldstein, I have read several of your excellent answers so I am familiar with the generic ...
  A: Neal, I am surprised to learn that some out there in cyberspace actually read my answers other than ...
Viagra priapism7/23/2007
  Q: Hey this is Thomas again, the reason why I ask, is because I actually did take viagra prior to ...
  A: Thomas, although the corpus spongiosum does become somewhat swollen during erection, it does not get ...
testosterone level7/22/2007
  Q: Can depression affect your horomones
  A: Cornell, to the best of my knowledge, depression does not affect your testosterone level. However, ...
Numb Glans again..7/22/2007
  Q: Hey doc I asked you prior about my glans being numb and you said I bruised them and they should come ...
  A: Ted, I assume you took the Viagra prior to having sex. If so, you must have bruised the area again ...
Painful red Vein7/21/2007
  Q: Doctor, I am a 21-year-old male with a rather serious problem. For the past 2 years I have been on ...
  A: Joseph, let me begin by telling you that I have no expertise in male pattern baldness nor in the use ...
Symptoms after cystoscopy7/21/2007
  Q: On Tuesday morning I had a cystoscopy (this is Friday evening) and today mys ymptoms seemed to ...
  A: Richard, after a cystoscopy it is normal to have some frequency, urgency, burning and blood in the ...
Viagra at night..7/21/2007
  Q: Since nocturnal erections can happen at night yet no ejaculation. Would having sildenafil still in ...
  A: Thomas, the risk of priapism with Viagra is no different if taken before sleep than at any other ...
Unexplained urinary frequency7/20/2007
  Q: Here is my story: Back on November of '06, I was lifting a Christmas tree in my home and felt ...
  A: Mark, there are many causes for urinary frequency. The common ones include diabetes, urinary tract ...
Penis pulse..7/20/2007
  Q: Hey I've noticed my penis (when erect) doesn't *pulse* as much as it used to when I was younger. It ...
  A: Scott, the penis is composed of three cylindrical bodies called corpora. The single corpus ...
catherazation promblems with spcinhter7/19/2007
  Q: I am a 35yr, old quadriplegic who catheterize to urinate. But I have been having problems get my ...
  A: Jay, I am going to assume that your urologist has cystoscoped you to rule out a stricture. If not, ...
Blood in my sperm7/19/2007
  Q: After having sex I noticed that there was blood mixed in with my sperm in the condom. I believe ...
  A: Gary, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of the ...
Circumcision..7/18/2007
  Q: Hey Arthur, I have a question about my circumcision I had for the second time in life. I had my ...
  A: Rob, what you have is a very common complication of circumcision called a penile bridge or adhesion. ...
catherazation promblems with spcinhter7/18/2007
  Q: I am a 35yr, old quadriplegic who catheterize to urinate. But I have been having problems get my ...
  A: Jay, although you did not state your sex, I am going to assume that you are a male. My suspicion is ...
Do I have penis fracture?7/17/2007
  Q: Five days ago, I had sex with my girlfriend. During the intercourse, I heard a 'cracking' sound and ...
  A: Andrew, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Prostate cramping7/16/2007
  Q: I am male,28, and ocassionally get a painful cramp in my rectum. It comes and goes and is quite ...
  A: Leigh, as you might imagine, for this type of problem it is not possible for me to make an exact ...
penile duplex ultrasound7/16/2007
  Q: my name is chris and i am 39 years old. 2 years i had an injection of caverject,which caused an ...
  A: Chris, the injection of medication such as Caverject into the corpora has the potential of causing ...
Hydrocele Repair - Postop7/16/2007
  Q: 18 yo male, ny Hi i recently had a hydrocele repair on the left side. The surgeon made the incision ...
  A: Dave, although the pain after hydrocelectomy last just a week or so, the residual swelling often ...
Testicular Movement7/15/2007
  Q: Is it normal for testicles to move, almost to the point of rotating all the way backwards? Earlier ...
  A: Brendan, the testicles are suspended by a rope-like structure called the spermatic cord.  This cord ...
Leakage when urinating7/15/2007
  Q: About a month ago I noticed that when I urinate sitting down that I have what appears to be a semen ...
  A: Bill, this is a very common condition with the medical name congestive prostatitis. During sexual ...
Update 2: Penis Stretch Problem7/14/2007
  Q: Hey Arthur, thanks for the responses. This is Tim, I told you about how I stretched my penis ...
  A: Tim, since your urologist agreed with me, he must be a very fine physician! Seriously though, the ...
Undescended Testicle7/14/2007
  Q: Arthur, I am 16 years old and I was just wondering what I should do with this problem. My left ...
  A: James, as long as there is no significant pain or swelling and the tesicle returns to the scrotum, ...
Urinating after masturbating7/13/2007
  Q: I am an 18 year old male who masturbates pretty regularly, and ever since I can remember, after ...
  A: Matt, you are a lucky man! In most males, there is a refractory period after ejaculation where they ...
loss of sensation during sex7/12/2007
  Q: I am 47 years old and overweight. For the past several months I have noticed a reduction in feeling ...
  A: Mark, this is frequent complaint that most men gradually notice as they age. It is also quite ...
sex drive7/12/2007
  Q: I am only 19 years old and have a problem with my sex drive..is it my test. level? I have been ...
  A: Cornell, I believe several normal factors are at play here. It is common for a married couple to ...
i have single testicle7/11/2007
  Q: I have Undescended Testicles, 1 testcle is at normal place and the other one is just above left to ...
  A: Srinu, as a rule of thumb, it is recommended that males with undescended testicles undergo ...
Venous Leak..7/11/2007
  Q: Hey thanks for the response. But I had to further ask, can a venous leak happen from injury? I am ...
  A: Hank, a venous leak may be caused by injury. Although the diagnosis can be suspected by history, ...
Clear fluid7/10/2007
  Q: Male 24 years, not circumcised. Because of this I seen to have difficulty finding people in this ...
  A: Kyle, I suspect that the fluid is coming from the urinary canal (urethra) and is not being secrteted ...
Numb glans..7/9/2007
  Q: Hey I noticed that my glans of my penis has turned numb. Just on the top portion of it, the portion ...
  A: Ted, excessive trauma to the penis can indeed damage the sensory nerves causing a numb feeling. ...
Venous leak7/9/2007
  Q: Hey Arthur glad your back. What is a venous leak of the penis? Is there a difference between say ...
  A: Hank, the penis is composed of three cylindrical bodies called corpora. The single corpus spongiosum ...
privete6/24/2007
  Q: i have problem in pennis actually 2 weeks before i had sex with my girl friend now pus like ...
  A: Jami, this is called a penile discharge. It is almost always due to an infection in your canal ...
cramping after ejaculation6/24/2007
  Q: 34 yrs old, male, Tennessee, USA. After sex I have cramps in lower ab region - kind of painful ...
  A: Rick, it is quite common to develop a small nodule at the site of vasectomy. This is either just ...
simultaneous avodart flomax sexual function6/23/2007
  Q: I have been treated for prostate difficulties for 2-3 years. (61 years old very good general health ...
  A: Gavriel, both Avodart and Flomax may both cause erectile dysfunction. If you wanted to stop one, I ...
Is 35 to young for prostate problems?6/23/2007
  Q: I am an overweight 35 year old married male with two kids and I have a problem with frequent ...
  A: Ron, you are not too young for prostate problems. The most common prostate condition at your age is ...
UrinationErection question6/23/2007
  Q: I am a 25 year old male in average physical shape, I am currently taking a proton pump inhibitor for ...
  A: Andrew, post voiding dribbling is a very common problem It is due to trapping of some urine in the ...
Sperm Morphology6/22/2007
  Q: My wife and I have a 4 year old daughter. We are trying to conceive our second child. I am 45 and ...
  A: John, of the many parameters checked in a semen analysis, the 2 most important with respect to ...
thick urine all of a sudden like semen6/22/2007
  Q: the only thing i am doing is today is day of my being off my back pain meds oxycontin, it has been ...
  A: Chris, with the scant information provided it is difficult to make an accurate diagnosis. If you ...
pore/spot on penis6/21/2007
  Q: hey im 16 and ive developed a fare sized spot on the middle of my penis , its pusses now and again ...
  A: Joshua, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Lumpy Ejaculation6/20/2007
  Q: When my boyfriend cums it's stringy and lumpy. He says an ex told him it was because his sperm is ...
  A: Janell, during sexual arousal the prostate gland manufactures fluid that accounts for about 2/3 of ...
Incontinence6/20/2007
  Q: I know the category says males only but hopefully you can still help me. I am a 24 year old female ...
  A: Heather, this type of urinary loss is called stress incontinence. Any process that causes your ...
Viagra with venous leak6/19/2007
  Q: I am curious about Viagra and its effect on someone with a venous leak. I could see Viagra working ...
  A: Alex, normally with erection, blood flows into the paired corpora cavernosa. As you understand, ...
varicocele6/12/2007
  Q: i am suffering with varicoclele for about 4 years now im 19 years old my doctor says that your ...
  A: Ali, a varicocele is a collection of varicose veins of the spermatic cord (the rope-like structure ...
single testicle6/12/2007
  Q: i got hit in the right testicle in an accedent long back.The ball didn't seem to get "damaged" as ...
  A: Sontosh, a significantly smaller than normal testicle is termed atrophic. From your description, it ...
Update: Penis Stretch Problem6/12/2007
  Q: Ok so I finally worked up the courage and saw my general physician. He said I probably did not do ...
  A: Tim, the Viagra will not repair penile damage and I do not believe you have any. Viagra (and all ...
blood and clots in urine6/11/2007
  Q: Recently I have been suffering with what I thought was a UTI, but then I passed what the doctor ...
  A: Mandy, there are many possible causes for blood in the urine (hematuria). The origin of the ...
ejaculating urine6/11/2007
  Q: you see i didnt have urges to masterbait as much before and know i do when it feels like i should ...
  A: Lucas, this is not uncommon in males just entering puberty. With a little more maturity of the ...
Male Genital Health6/11/2007
  Q: I am curious to know why most baby boys are circumcised shortly after being born. Is there a sound ...
  A: Anonymous, there are many excellent internet references on the pros and cons of circumcision and two ...
bruise on penis head6/5/2007
  Q: I'm 14 years old and I have something that looks like a bruise on my penis head. I have almost like ...
  A: john, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Lump found at the side of the testicle6/4/2007
  Q: My name is David, 19, male, no medication, living in Vancouver, BC, Canada. Currently I have found ...
  A: David, as you might imagine, for this type of problem it is not possible for me to make an exact ...
Pain in abdomen6/3/2007
  Q: I’m a 30 year old male, I had a kidney stone last June, and my urologist said if it wouldn’t pass ...
  A: Shawn, kidney pain (from a stone or other conditions) is not usually related to having a bowel ...
Testicle discomfort6/3/2007
  Q: I am 35/male,from ny,ny.I seem to have a problem that during sex my left testicle will sometimes ...
  A: Steve, the testicles are suspended by a rope-like structure called the spermatic cord.  This cord is ...
air in urine6/2/2007
  Q: i read an article similar to this subject and the other person had the same air in urine problem .i ...
  A: Pete, it is very abnormal to pass air in the urine. There are 2 common causes for this. This first ...
Testicular Pain6/2/2007
  Q: Dr Goldstein, Hi! Im a 36 yr old male. Over the past 48 hours I've developed some significant pain ...
  A: Brian, you probably have epididymitis. During sexual arousal the prostate gland manufactures fluid ...
penile bleeding6/1/2007
  Q: /mrs. goldstein, my name is james and i recently was going to the bathroom and i looked in my ...
  A: James, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of ...
Blood in Semen6/1/2007
  Q: For the past couple months I have had blood in my semen. Sometimes it would be a brownish color, ...
  A: Jeremy, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of ...
Swelling in suprapubic region5/31/2007
  Q: I have no urinary issues at the moment, no urgency, no cloudiness,no burning, no redness, no problem ...
  A: Robert, it is difficult to make a diagnosis over the internet for this type of problem without the ...
Penis Stretch Problem5/31/2007
  Q: However I decided to stretch it downward a bit and I heard a "pop" noise (kinda like if you were to ...
  A: Tim, I think it is highly unlikely that you have done any permanent damage to your penis. There is ...
More Questions5/30/2007
  Q: Goldstein: Thank you for your suggestions about my problem on not urinating properly after the ...
  A: Bill, when the bladder muscle is decompensated, most urologists are of the theory that putting it at ...
Follow up5/22/2007
  Q: Goldstein: This is a follwup to previous question. Thank you for your answer. It has now been two ...
  A: Bill, you should continue with the SP tube and leave it open to drainage so that the bladder is at ...
Vein5/19/2007
  Q: I have a concern, around my right testicle, I feel a vein or tube going from underneath my testicle ...
  A: Ed, without the ability to do a physical examination it is not possible for me to tell you exactly ...
TURP follow up5/19/2007
  Q: I am 57 had a TURP on Jan 30 2007 and everything looked normal. My prostrate was/is 3 times normal ...
  A: Tom, Flomax is one of the alpha blockers that may help to decrease you outlet resistance. However, ...
burning feeling5/19/2007
  Q: I've been with this burning feeling in my penis, 4cm below the tip, from the lower side, since ...
  A: Richard, the most common cause of this complaint is an inflammation of the prostate gland, so called ...
Sticky Substance5/18/2007
  Q: I have seen many of your queries and they are great. When I was born I had problem with my ...
  A: jim, a sticky substance in the semen in itself is not a sign of prostatitis. During sexual arousal ...
Urethral irritation5/17/2007
  Q: I have been having a problem for about 5 months. I noticed some irritation or chaffing on the tip of ...
  A: Luke, it is difficult to make this type of diagnosis over the internet without the ability to do a ...
TURP follow up5/17/2007
  Q: I am 57 had a TURP on Jan 30 2007 and everything looked normal. My prostrate was/is 3 times normal ...
  A: Tom, before answering your question, let me first give you some backropund information on BPH ...
sudden change in penile tone following testicular pain5/17/2007
  Q: I acknowledge that fear of a shrinking penis is a not an uncommon problem in the field of ...
  A: Brian, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
TESICLE CRAMP5/16/2007
  Q: Firstly, I would like to commend the work that you're doing on this site. It is quite admirable. ...
  A: Joseph, by far the most common cause of your complaint is an inflammation of the prostate gland, so ...
medical5/16/2007
  Q: Dr I had oral sex about 2 weeks ago, a few days later I noticed at the base of my penis it was a ...
  A: Larry, I think it is unlikely that the reaction you are noticing is related to oral sex. You ...
resistant gonorrhea - continue5/16/2007
  Q: It was very helpful. Nevertheless, my physician gave me now LEVAQUIN 500mg 1x10 (after doxycicline ...
  A: Eric, Levaquin is a fluoroquinolone and probably will not help you much more than the Cipro did. ...
Urine problems5/15/2007
  Q: I am Male 37 years and when I urinate I get a strong feeling in my rectum. I need to use force for ...
  A: Venkat, the most common cause of these complaints is an inflammation of the prostate gland, so ...
Trouble urinating5/15/2007
  Q: Last week I had the GreenLight procedure to trim my prostate. This was after having kidney and ...
  A: Bill, to follow is some information on BPH, the most common cause of voiding difficulty in men. ...
Testicals hangs vertically5/14/2007
  Q: I have a concern with my testicles. it seems that my right testicle hangs vertically with the tubes ...
  A: Ed, I do not believe this is any cause for concern. The only condition to be wary of is torsion of ...
resistant gonorrhea - I'm stressed!5/13/2007
  Q: I'm a 29 yo male. I was infected by gonorrhea (discharge, infection in the epydidimitis of the left ...
  A: Eric, because there has been increasing bacterial resistance to the drugs commonly used to treat ...
Testes and urination5/11/2007
  Q: I am 20 years old and at the start my left testical rose and I had a pulling sensation in my leg, ...
  A: Ed H, if at least one of the 3 doctors (or was it one doctor who saw you three times) who evaluated ...
brachytherapy5/10/2007
  Q: 47 year old, Type 2 diabetes, who just had an acute MI three weeks ago. unfortunately he also has ...
  A: Pete, prostate cancer can only be cured if it is limited to the prostate gland. If studies ...
Pain after producing pre-cum5/10/2007
  Q: I am 36 years old and have had this urinary problem for years. I have been to alot of urologist's ...
  A: Ray, pre-ejaculate ("precum") is a normal secretion of a mucous like material from the paired Cowper ...
Can men be allergic to Nuva Ring?5/9/2007
  Q: My boyfriend has had a really bad irritation underneath & below the head of his penis. We’ve been ...
  A: Stef, allergic reactions on the penile skin can indeed occur. The allergy can be anything the penis ...
Penile Pain5/9/2007
  Q: I have a question regarding chronic penile pain that I have had for many years. It all started about ...
  A: John, in my experience, the most common physical cause of penile pain (in the presence of an ...
don't want to over-react5/5/2007
  Q: I am a 28 year old married male. I do not smoke or drink and am a vegetarian and try to exercise ...
  A: J, this is a very common condition with the medical name congestive prostatitis. During sexual ...
calcifications5/4/2007
  Q: sir i'm having calcifications in testis is it a serious problem.will i die sir.pls help me saying ...
  A: Mahesh, calcifications in the testicle are most often incidentally detected by imaging studies of ...
nocturnal erections5/4/2007
  Q: I am a 52 year old male who exercises 5X per week, including running 3 to 6 miles per day. The only ...
  A: Michael, nocturnal erections are a normal occurrence in men. They occur during the REM (rapid eye ...
post radical prostectomy5/3/2007
  Q: i am a 51 yo fit male. Nearly 8 months ago i underwent nerve sparing Radical Prostectomy to remove ...
  A: Jeff, about 70-80 of men your age who have undergone radical nerve sparing prostatectomy regain ...
possible prostate problems?5/3/2007
  Q: I am a 19 year old male (which from my research, is younger than most who get these symptoms) from ...
  A: Greg, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Several genital problems5/2/2007
  Q: i am 27 years old, i am not unfit, i smoke a little and hardly ever drink alchohol. Over the past ...
  A: Dave, Zyban may occasionally cause one's libido to decrease but this is temporary and disappears ...
Prostate enlargement5/2/2007
  Q: Dr. Goldstein, I am 59 and have had a urinary catheter for more than a year since my first visit to ...
  A: Kenneth, I think it is time for you to trust the "conventional medical establishment". I would ...
Testosterone Replacement and Cholesterol5/1/2007
  Q: I've been using Androderm for about 3 years now. In order to get by testosterone up to the lower ...
  A: Marc, testosterone is a potent hormone with many potential side effects such as elevation of the ...
Multiple Problems Related To Penis5/1/2007
  Q: I asked question yesterday only to which you replied very elaboratively. Thanks a lot for it. To ...
  A: Pankaj, sperm are produced in the testicles by cells that line the seminiferous tubules. The sperm ...
Multiple Problems Related To Penis4/30/2007
  Q: While I was in my teenage, one day while urinating a long skinny tubular kind of thing came out. I ...
  A: Pankaj, it is common for uncircumcised men to urinate inside of the foreskin and then have it drip ...
varicocele/loss of sexual desire4/30/2007
  Q: I am 50, have just been told I have a varicocele of the left testicle, in the last 7-8 months my sex ...
  A: Jerry, a varicocele is a collection of varicose veins of the spermatic cord (the rope-like structure ...
6 yr. old having trouble urinating4/29/2007
  Q: My son was checked a year ago by a urologist, but since his symptoms had subsided, they found ...
  A: Cheri, a meatal stenosis can absolutely cause all of his symptoms. The VCU usually shows any narrow ...
SCARING OF THE PENIS4/29/2007
  Q: CAN HAVING SEX WITHOUT LUBRICATION CAUSE YOU TO BRUISE YOUR PENIS IN ANY WAY, BECAUSE I TEND TO GET ...
  A: Juan, inadequate lubrication during sexual intercourse can lead to bruising and lacerations of the ...
6 yr. old having trouble urinating4/28/2007
  Q: My son was checked a year ago by a urologist, but since his symptoms had subsided, they found ...
  A: Cheri, one of the common causes for burning with urination in children is irritation (inflammation) ...
Low back pain/ Frequent urination4/27/2007
  Q: I’m 32 yr old Male living in London. A year ago I started suffering from a sharp lower back pain, ...
  A: Dan, let me begin by stating that I have no expertise in primary back problems as they are in the ...
bleeding from penis4/27/2007
  Q: i just jerked off and now i'm bleeding from my penis. didn't do it harder than usual. i'm keepin it ...
  A: John, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of the ...
Erectile Bleeding4/26/2007
  Q: I am 37 year old male. I am taking no medications. I live in Washington DC. I have just had my ...
  A: Stephen, your urologist has given you proper information. The bleeding is the result of some ...
slight burning4/24/2007
  Q: I am 61 y.o. male. Have a problem when I urinate. Seems I have a small burning and my urn has a ...
  A: Fred, mild burning with urination is generally due to some inflammation of the lower urinary tract. ...
Erectile Difficulties4/23/2007
  Q: If a man has erections at night when he sleeps and they are hard can he be impotent? Is there a ...
  A: Frank, the average man has 3-5 erections of good quality each night during the REM stage of sleep. ...
erection difficulties4/23/2007
  Q: This is very embarrassing for me but I'm also very, very concerned. Approx 2/3 months ago I was ...
  A: Tom, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
diaghosis hydrocele4/22/2007
  Q: first i had bil. inguinal hernia fixed about 3 1/2 yrs. ago. had very bad pain on just left side ...
  A: Thomas, surrounding the testicle is a thin layer of tissue folded upon itself with a potential (but ...
disturbing problem4/22/2007
  Q: I have frequent urination problem and also my inner skin of penis is white and has some white ...
  A: Chandra, there are many causes for urinary frequency. The common ones include diabetes, urinary ...
difficult urination4/21/2007
  Q: I was taking Avodart and Flomax. I didn't like the side effects so I asked my doctor if I could come ...
  A: Frank, Avodart will not "dull the urge to urinate". Avodart works by shrinking the prostate gland ...
vasectomy swelling4/21/2007
  Q: My husband just had a vasectomy a couple of hours ago. During the procedure he felt a shooting pain ...
  A: J, the "shooting pain" your husband experienced to the groin is very common. It is due to the ...
testical size4/20/2007
  Q: Goldstein, I'm 20, male, and live in lakeland,FL. Ever since I was 14 my right testical has always ...
  A: Tom, in over 90% of men, the left testicle is lower than the right, higher on the right in about 5% ...
lump on shaft of penis under skin4/20/2007
  Q: I can feel two. On the side, just under the head. I am circumsized. One I can feel whenever and ...
  A: Ryan, as you can understand, it is impossible to make an exact diagnosis over the internet without ...
Post Varicocele Embolization4/20/2007
  Q: On tuesday 17th april i had an embolization on a left sided varicocele using coils, the decision to ...
  A: Ashley, men often present to the doctor with pain in the testicle and the varicocele is discovered ...
std4/19/2007
  Q: i have a question about stds,a long time ago i had discharge and pain when urinating i didnt seek ...
  A: Bemmy, STDs are not a single disease but a general term to describe all Sexually Transmitted ...
Fluid leakage and feeling like I have to go all the time4/18/2007
  Q: I had stomach surgery 6/6/06 to remove excess skin around my belly,prescribed vicodin for the pain ...
  A: Shawn, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
penile pain3/11/2007
  Q: I am 26 and since 2 years ago, every time I ejaculate I feel burning above the penile (above the ...
  A: Saeed, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Prostate biopsy3/11/2007
  Q: I had a sudden spike in my PSA levels,and my GP referred me to a urologist,who did a biopsy (I am 59 ...
  A: Michael, the majority of men who undergo biopsy of the prostate gland experience blood in the semen ...
Nocturmal erections3/10/2007
  Q: Since 4 years, I have very long nocturnal erections. It is not painful but it wakes me up many times ...
  A: Adlane, the normal male has 3-5 good quality erections every night while sleeping. The usually ...
Post BPH Green Light Surgery3/10/2007
  Q: I had BPH Green Light Surgery on Feb. 2 2007. It's now been well over a month and I'm still having ...
  A: Dan, whether the obstructing prostate tissue is removed with a green light laser or the traditional ...
Itching/No sign of Rash3/9/2007
  Q: (Males, 18, Jock Itch SPray, Cortizone, Chicago, Il) For 2 weeks, I have felt like I have had an ...
  A: Zach, the most common cause of scrotal itching is a fungal infection, so called “jock itch”. It ...
looking for the consultant doctor3/9/2007
  Q: Iam 30, Mr, black African with a wife and 2 kids. Living in Markfield village Leicester UK. Iam very ...
  A: Saidu, your problem is complicated as your complains of a small penis, penile curvature and erection ...
possible thrombosis clot3/9/2007
  Q: my girlfriend wife and I have a healthy sexual relation ship. One night after having sex, I noticed ...
  A: Brett, you are not broken! What you are describing probably represents a thrombosis (clot) of a ...
torn foreskin3/8/2007
  Q: I was about to have sex with my partner, she is on birth control so we do not use condoms, and ...
  A: Jake, on the underside of the head (glans) penis in the midline, there is a band of tissue called ...
Prostate problem3/7/2007
  Q: I have another matter to discuss with you. I am taking Hytrin 2 mg daily at bed time since a month. ...
  A: Bilal, burning at the tip of the penis and fever suggest an inflammation in the urinary tract and ...
Mass in scrotum3/7/2007
  Q: ------------------------------------------- The text above is a follow-up to ... does a varicocele ...
  A: Kenneth, as mentioned, a varicocele is basically empty when you lie down and fills with blood when ...
Mass in scrotum3/6/2007
  Q: I have in both sides of my scrotum a mass that is located basicly on top. When I am very active at ...
  A: Kenneth, In evaluating lumps in the scrotum, is important to differentiate those that are ...
pain in vas deferens area3/6/2007
  Q: but I clarify the problem to see whether it is just a physical problem or I need to see a urologist ...
  A: Mehdi, the most likely cause of your pain is from prostatitis that is referred down the vas. The ...
enlarge my penis3/5/2007
  Q: My penis is some 16cm and it is not straight ( crooked to left) . Is there any natural way to ...
  A: Mehdi, this is a common question. The majority of men believe they were "short-changed" regarding ...
pain in vas deferens area3/5/2007
  Q: I am 26. Within recent 2 years ; I feel pain during and after 2nd(or more) time ejaculation , ...
  A: Mehdi, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Post-urination drip3/5/2007
  Q: Dr. Goldstein, no man ever thinks this will happen to them. I'm 40 and have been blessed to be ...
  A: Mike, bleeding from the prostate gland. It is due to a tear in one of the fragile veins of the ...
Swelling on the right side of the shaft of my penis.3/3/2007
  Q: Doctor Goldstein. I was experiencing some pain at the base of my penis a few days ago. After typing ...
  A: Marc, without the opportunity to do a physical examination, it is not possible to give an exact ...
Blood after erection3/2/2007
  Q: I have been experiencing blood in my urine and semen only after sex for about 6 months. It seems as ...
  A: Chris, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of ...
try again stones and stuff2/24/2007
  Q: I am really sorry to bother you but you are the only one that has talked to me so far. I got an ...
  A: Ed, you need to be seen by a urologist. Having your faamily doctor get an informal opinion from him ...
penis enlagement2/24/2007
  Q: is it possible to enlarge the male penis without surgery
  A: Matt, this is a common question. The majority of men believe they were "short-changed" regarding ...
Also about pre ejaculate or pre cum2/23/2007
  Q: I'm 27 year old female. I'm in a sexual relationship with a male right now. He is only my 2nd sexual ...
  A: Angela, pre-ejaculate ("precum") is a normal secretion of a mucous like material from the paired ...
Retracting penis2/23/2007
  Q: I'm a 16 year old male, and I've been noticing (at times) that my penis seems to be "retracting" ...
  A: Jordan, retraction of the penis is a common and normal phenomenon. It has more to do with body ...
pre cum2/22/2007
  Q: I am 26 years old and do not have pre cum. I have masturbated and had sex many, many, times and I ...
  A: Joseph, pre-ejaculate ("precum") is a normal secretion of a mucous like material from the paired ...
question?2/21/2007
  Q: i am 27 and live in basel Switzerland. About three years i went traveling and got ill with ...
  A: James, the fungal skin rash you had apparently was cured by the topical cream and probably is ...
calcifications in testis2/21/2007
  Q: sir for what purpose the tablet androz-50 is given. its a siledenfil citrate. sir, i'm having ...
  A: S, M,. I was not familiar with the drug Androz-50 so I had to look it up. It is a generic form of ...
Penis2/20/2007
  Q: I am a 45 years unmarried male from Pakistan. I have the following problems Q 1: What is cure of ED ...
  A: Ahmad, I assume you are the same fellow who asked me about microhematuria yesterday. You have asked ...
weak seamen2/20/2007
  Q: Dr Goldstein: I'm currently 63, 6', 200#, male, live in Ohio. No med's just vitamins and fish oil, ...
  A: Dennis, it is normal for the semen volume to gradually decrease as men age. In younger men, if they ...
testicle pain2/19/2007
  Q: Jeff 30 Dallas, TX I have had a dull pain in my left testicle for over a week. My doctor said it was ...
  A: Jeff, the most common cause of this complaint in the presence of an otherwise normal testicle, is an ...
Microscopic hematuria2/19/2007
  Q: What is the cause of my dease and how much dangerous is it ?Can five years long hematuria due to ...
  A: Ahmad, there are many possible causes for blood in the urine (hematuria). The origin of the ...
try again stones and stuff2/18/2007
  Q: I got the results from the lab. It is a carbonate apatite stone. Does that mean anything to you? I ...
  A: Ed, the formation of kidney stones is a very complex process. In addition, there are many different ...
calcifications in testis2/18/2007
  Q: sir, i'm having calcifications in testis with left varicocele.i'm fearing that calcifications will ...
  A: S. M. calcifications in the testicle and varicocele are 2 differnet conditions that really having ...
viagra2/17/2007
  Q: but,i need to ask: 1)due to the fact that i am not having an optimal response to PDE5 inhibitors,do ...
  A: David, I recommend that you see a urologist skilled in the evaluation and treatment of ED if you ...
viagra2/17/2007
  Q: my name is david and i am 40 years old. i have been having lately some difficulties in achieving a ...
  A: David, I cannot explain why a Viagra pill dissolved in water seemed to work a little better (nor ...
Please help....2/15/2007
  Q: I have asked questions here pertaining to my problem before, but have more questons. I have been ...
  A: Joe, I don't know if you have ever consulted with me before or not. If you have, my answer to you ...
Back pain2/15/2007
  Q: First off, thanks for taking the time to read and answer my question. I really appreciate it. I want ...
  A: Ray, what you are describing does not sound like kidney pain. Although kidney pain is unilateral, ...
try again stones and stuff2/15/2007
  Q: I started getting up at night three months ago every hour to urinate a week or two later I passed ...
  A: Ed, I was not familiar with the drug Topamax but the information on this medication states that ...
Interesting question...2/14/2007
  Q: and thank you for the website. My question is rather odd but I am sure you have heard many ...
  A: Drew, your "taboo sexual activity" is neither harmful to you or your partner. Both urine and semen ...
HELP!2/12/2007
  Q: I have white chunks in my uncircumcized penis, Ive never been able to pull my penis back because it ...
  A: Dan, a tight foreskin is called phimosis.  A male may be born with the condition or it can be ...
is this peyronie disease?2/11/2007
  Q: i do not know what happened to my penis, i did not know anything about mastubation, i only knew ...
  A: "Unfortunate", what you are describing probably represents a thrombosis (clot) of a penile lymphatic ...
Prostate problem2/7/2007
  Q: I would like to ask if there are any medicine without serious side effect, which can shrink the ...
  A: Bilal, i have already written to you that Proscar and saw palmetto are medicinal options for ...
Retracting Testicle2/7/2007
  Q: I am a 25 yo man who has been experiencing a dull groin pain on both sides for the past 3-4 months. ...
  A: Jacob, the testicles in the fetus are formed high up just below the kidneys and under the diaphragm ...
cyst in scrotum2/5/2007
  Q: I have a 2.7cm cyst on the epididytimis that does not hurt. Is real firm and round. This is what US ...
  A: Marvin, in evaluating lumps in the scrotum, is important to differentiate those that are ...
PSA levels2/4/2007
  Q: Arthur Goldstein, Thank you for your advice. I meant to ask you if daily ejaculations would ...
  A: Bill, as mentioned, ejaculation within 48 hours of a PSA being drawn and prostatitis often cause ...
dripping of urine after urination2/4/2007
  Q: I am a 36 yrs old male. My problem is even after passing urine it starts dripping two or three ...
  A: Shafeek, post voiding dribbling is a very common problem.  It is due to trapping of some urine in ...
nephrostomy tubes2/3/2007
  Q: Hi - thankyou for taking myI was looking at X-rays of nephrostomy tubes and realized they were all ...
  A: Pete, there are several types of nephrostomy tubes. Those with curled ends are manufactured that ...
PSA levels2/3/2007
  Q: Arthur Goldstein, I have written to you previously about erectile dysfunction, and imipramine ...
  A: Bill, there is little doubt that the PSA blood test combined with a digital rectal examination of ...
Low eljaculate2/3/2007
  Q: 61, male, hytrin, diovan, lipitor, asprin. San Antonio, Tx. when I climax I have low ejaculate and ...
  A: Alfredo, the are several factors that can affect the volume of the ejaculate. It is not usually due ...
Pain in Side2/2/2007
  Q: Goldstein, I get a pain in my left side around the kidney area when I sleep. It subsides some when ...
  A: Dan, there are many reasons for back pain and you have alluded to some of them. Your back pain ...
Lump in scrotum2/1/2007
  Q: Years ago I had a vesectomy and after the surgery I was injured. I came down hard on my testicles ...
  A: Marvin, in evaluating lumps in the scrotum, is important to differentiate?those that are ...
Prostate problem1/31/2007
  Q: I am really sorry for having taken your so much time. Dear Sir, I have started taking 1 mg Hytrin ...
  A: Bilal, I am pleased that you have had a favorable response to the Hytrin. Getting up 2-3 times at ...
Urthera Bleeding1/31/2007
  Q: the pain was at the front of the penis not the rear. I would like to know more about minor urethra ...
  A: As mentioned in my consultation, I believe your bleeding came from the prostate gland and not from a ...
2 penile questions1/31/2007
  Q: I have a hard, oval shaped, disk that has formed on the side of my penis shaft over the course of ...
  A: Jeff, as you might imagine, it is impossible to make a diagnosis of such lesions without the ...
BB sized bump on vans dererence1/28/2007
  Q: I'm 40 years old and have had a BB sized bump or "nodule" on what I believe is the vans deference. ...
  A: Scott, the testicles are suspended by a rope-like structure called the?spermatic cord.  This cord is ...
Unknown Diagnosis1/27/2007
  Q: My boyfriend has many different symptoms, but im not sure if they are in connection with each other. ...
  A: Alisa, there are many factors that can affect the color of urine. Probably the most variable is ...
Prostate problem1/26/2007
  Q: On 16 Nov 2005 my ultrasound showed prostate normal with 30 gms wt and PMR 200 cc. A gain on 01 Feb ...
  A: Bilal, your symptoms and elevated residual urine are rather typical of enlargement of the prostate ...
Interstitial Cystitis1/25/2007
  Q: So I'm 25 years old, am being treated for depression, but also I've been given the suggestion I have ...
  A: Sam, there are many possible causes for blood in the urine (hematuria). The origin of the bleeding ...
Low Testosterone and ED Issues1/25/2007
  Q: My story begins about a year ago. I am 50 years old. I went to a nurse practitioner because I was ...
  A: Rich, testosterone levels are ideally drawn first thing in the morning and are difficult to compare ...
Ascended L testicle a concern1/25/2007
  Q: I am a 41 year-old male caucasian. 185cm, 95KG, married and sexually active. I take bisifrol/mirapex ...
  A: Jonathan, the testicles are suspended by a rope-like structure called the?spermatic cord.  This cord ...
vas deferens swelling1/24/2007
  Q: I am 17 years old and STD's or STI's and whatnot are not an issue for me. for about a week as of ...
  A: Andrew, it is not possible for me to make an exact diagnosis without the ability to do a physical ...
Blocked vein in the penis1/23/2007
  Q: My sons doctor has advised him that he has a blocked vein and should have surgery. He is 25 years of ...
  A: Goerge, in over 35 years of practice, I have rarely seen a "blocked vein" of the penis and they all ...
Biopsy1/21/2007
  Q: I am 59,in overall good health,but have had two PSA results in the high normal range.My GP referred ...
  A: Michael, a "high normal" PSA in itself is not an indication for prostatic biopsy. There are many ...
Uncontrollable/frequent urination and difficulty ejaculating1/21/2007
  Q: I am a 23 year old male. I am currently on Paroxetione for anxiety. I approached my doctor with ...
  A: Brian, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Needing toilet after cumming.1/20/2007
  Q: Is it normal to feel like you need to pee straight after cumming? After sex, I have this need to go ...
  A: Jon, it is common to have the desire to urinate shortly after ejaculation. However, if the ...
Urination after ejaculation?1/18/2007
  Q: I'm 19, male and not taking any medication. New York, New York, us. I have discovered this about a ...
  A: Manuel, no this is not normal. My suspicion is that you probably have some inflammation of the ...
urology1/18/2007
  Q: my name mohamed 51 years old, married 4 years have a son.2 months ago after noon felt penile pain ...
  A: Mohamed, there are a number of causes for pain during urination. One of the more common, a bladder ...
personal1/17/2007
  Q: hope u r fine sir i had sex 2 week before so after 2 days of sex i had liquid like pus or dont know ...
  A: Kami, discharge from the urethra is a common symptom. If thick and discolored (ie yellow, brown, ...
Shriveled Prostate1/17/2007
  Q: My husband went to the doctor's today for a physical, as he has been having some symptoms ...
  A: Jamie, there are a number of diseases that can affect the prostate gland. The most common of these ...
Boyfriend's abdominal pain and painful sex.1/16/2007
  Q: My boyfriend has been experiencing some severe abdominal pain in the lower left of his belly. It ...
  A: Brandy, many of your boyfriend's complaints suggest an inflammation of the prostate gland, so called ...
Openings on penis glans swollen1/16/2007
  Q: The "lips" on each side of the opening at the tip of my glans are swollen. (bigger than they were ...
  A: Patrick, decreased force to urine flow and ejaculation suggest some swelling or blockage in the ...
penis pain1/15/2007
  Q: almost a week ago, after sex, i noticed a pain on the top of the penis at the base. its hard to ...
  A: Andre, with this type of symptom it is difficult to make a diagnosis without the opportunity to do a ...
Penis Lump1/15/2007
  Q: My boyfriend has noticed a lump towards the bottom half of the shaft of his penis. It looked normal ...
  A: Justine, this is the type of a problem that requires examining the lesion ("lump") to make a ...
pissing 8 times a night.1/13/2007
  Q: I got high blood press its always at night/ that i have to void can't sleep because of it
  A: Joseph, there are many causes for urinary frequency. The common ones include diabetes, urinary ...
vasectomy1/13/2007
  Q: My husband had a vasectomy one year ago (October 2005) and finally took his second sperm sample to ...
  A: Michelle, there is a very small risk of spontaneous reversal of a vasectomy. After the man is ...
Discharge1/12/2007
  Q: Yesterday my boyfriend told me that he was having problems with his penis. He said that when he ...
  A: Tamika, there are a number of conditions that can cause your boyfriend's difficulty with urination ...
Penile Edema1/11/2007
  Q: about 2 years ago I had a circumcision, I am 25 years old, anyway it was swollen for many months ...
  A: Andrew, I can only surmise that somehow the circumcision compromised the lymphatic drainage of your ...
low sperm count1/9/2007
  Q: Me and my husband have been trying to conceive for two years, after getting me all checked out, and ...
  A: Victoria, infertility is the general term applied to those conditions that make it difficult for a ...
Large Penile Adhesion1/8/2007
  Q: As per your requests, I am a male, age 19, and live in Knoxville, Tennessee. I have an abnormally ...
  A: Eric, skin bridges are not an unusual complication of circumcision. When the excessive foreskin is ...
Prostate enlargment1/7/2007
  Q: I am 39 years old, and was diagnosed with prostatitis about 6 months ago via a rectal examination. ...
  A: Kevin, it appears that your symptoms are probably coming from the prostate gland. However, there ...
penis curvature.1/7/2007
  Q: my names lloyd and im 16 years old, i am noticed a rather large bend in my penis probably the first ...
  A: Lloyd, the normal anatomy of the penis consists of 3 cylindrical bodies each wrapped in an elastic ...
need to ask1/6/2007
  Q: i have a prostate inflation & i confronting a big problem in slepping for 3 years till now when i ...
  A: JX, based on the information provided, I cannot give you specific answers but I shall try to do my ...
Circumcision issue1/5/2007
  Q: I was hoping you would be able to help me out on an issue involving my circumcision in May 2006 (8 ...
  A: Josh, if residual sutures are present, they should be removed ASAP as they cause a foreign body type ...
prostate cancer, reoccuring urinary tract infections1/4/2007
  Q: my father is 78 years old. He was diagnosed with prostate cancer and had part of his prostate ...
  A: Debbie, the general term urinary tract infection (UTI) does not define where the infection ...
Brown semen1/3/2007
  Q: Well im 17 and just lately ive noticed my semen is a dark brown and also ive been having pains in my ...
  A: Travis, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of ...
burning after urination1/3/2007
  Q: I am a mid 20's male having what appears to be the discomfort of a UTI: painful burning (at varying ...
  A: Ben, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
TURP12/28/2006
  Q: I had TURP 12-11-06 and still have trouble urunating. Is it possible that the doctor did not remove ...
  A: Don, after a TURP, it takes about 6-8 weeks for the raw bed inside the prostate gland to heal. It ...
Prostatitis and Kegels12/27/2006
  Q: I have had prostatitis symptoms for three years now that get worse with ejaculation (especially a ...
  A: Jefferson, the most common cause of these complaints is an inflammation of the prostate gland, so ...
impotency12/26/2006
  Q: Lastly, can smoking pot cause long-term, possibly incurable, impotence as many alarmists would have ...
  A: Greg, I do not know of any medical study demonstrating that long term marijuana use causes incurable ...
impotency12/25/2006
  Q: i'm a 24year old male who's been smoking pot fairly regularly for the last 8-9 years. Recently and ...
  A: Greg, all of the things that you mention have the potential to adversely affect your sexual ...
Groin pain after Hernial operation.12/24/2006
  Q: Eight weeks ago I underwent an operation to repair a groin hernia. My recovery was going well until ...
  A: James, I think it is highly unlikely that an injury to the vas would cause this type of pain. After ...
Use of Caverject injections12/23/2006
  Q: Dr. Arthur Goldstein, I have written to you before and thank you for your sound advice. As I told ...
  A: Bill, the medication does not need to be massaged into the tissues. I instruct my patients ...
Penis bumps, warts?12/23/2006
  Q: A few months back after 'rigorous' sex with my monogamous girlfriend I developed two small cuts on ...
  A: Mike, sometimes when the skin is traumatized , either by injury or surgery, it heals with a ...
chronic inguinal and testicle pain12/22/2006
  Q: I'm a 38 yrs old male and have suffered for more than 4 years of chronic inguinal and testicle pain ...
  A: Laurent, retractile testicles rarely cause pain and is not generally a condition that requires ...
Post Chlamydia Symptoms12/22/2006
  Q: I contracted Chlamydia 6 months ago (I was able to trace it to the exact date). However I had the ...
  A: John, about 50 of men who acquire Chlamydia never develop symptoms. The typical symptoms are penile ...
Penis Knots12/21/2006
  Q: I used VIAGRA last week for the 1st time in 2 years and now I notice small little knots veins on the ...
  A: Darrell, what you are describing probably represents a thrombosis (clot) of a penile lymphatic ...
Pre-Ejaculation12/20/2006
  Q: My lingering concern is that the nature of this occurrence is completely unlike the appearance of ...
  A: Jesse, as mnetioned, during sexual arousal the prostate gland manufactures fluid that accounts for ...
Pre-Ejaculation12/19/2006
  Q: Although this happened to a much lesser degree before my vasectomy, it's become much more prevalent ...
  A: Jesse, there is nothing related to the vasectomy that will cause this condition. The vas deferens ...
Penis12/19/2006
  Q: Before writing this question I read: http://www.netdoctor.co.uk/ate/menshealth/207683.html and ...
  A: Ian, as you can imagine, it is difficult to make a specific diagnoses over the internet without ...
Bleeding12/19/2006
  Q: I have observed that my pajama has blood-stains in the front-side after I wake up. Also I have ...
  A: Prem, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of the ...
Discomfort at tip of penis12/18/2006
  Q: I am a 25 year old male and I recently started to see this girl and after one night of oral sex, I ...
  A: Adam, STD is a general classification for a number of micro-organisms induced sexual diseases. ...
Tenderness and discoloration on right side of the foreskin area12/18/2006
  Q: Back in September I noticed a slight discoloration on the ride side of my penis right underneath the ...
  A: Johnathan, the slight discoloration and tenderness of the area may be due to irritation from ...
not achieveing orgasm,painful,partial orgasms12/18/2006
  Q: i am 51 yrs. old,and have enjoyed a long regular sex life up until the last 2 months. i find it ...
  A: Mark, both the xanax and cymbalta can cause difficulty reraching orgasm, erectile dysfunction (ED) ...
bump on base of penis12/13/2006
  Q: im still concerned weather or not i have a clot of some kind at the base of my penis iwent to my ...
  A: Chris, infected ingrown hairs are common and not serious. They usually respond to antibiotics but ...
tuip12/13/2006
  Q: Ever since I can remember, I have had a problem of having to urinate frequently. I went to a ...
  A: David, there are many causes for urinary frequency. The common ones include diabetes, urinary tract ...
tuip12/12/2006
  Q: I am 18 year old male. My doctor gave me flomax because of my problem but I did not like taking ...
  A: David, in order for me to answer your question, your must provide me with a more detailed medical ...
infection th.oral./intercourse sex with condom with prostitute12/11/2006
  Q: sir, my freind has sex only for once and few minutes with simple condom available with ...
  A: Mr. Amupam, certainly the risk of acquiring any STD (sexually transmitted disease), including AIDS, ...
Question12/11/2006
  Q: ok i am jeremy a healthy 26 year old male i have been bleeding from my penis on morning at about 4 i ...
  A: Jeremy, this type of bleeding usually comes from the prostate gland. It is?due to a tear in one of ...
sperm12/10/2006
  Q: I don't know if you will be able to help me, but I thought I would try. Me and my husband have been ...
  A: Victoria, your husband needs to see a urologist and you need to see your gynecologist so both of you ...
god help me12/10/2006
  Q: they check my prostate no inflammation, one more thing i always get some relief from antibiotics for ...
  A: Joe, as I mentioned in my initial consultation, there are several types of prostatitis. With ...
Erectile dysfunction12/9/2006
  Q: Dr. Arthur Goldstein, I am writing to ask your opinion of whether the use of imipramine following a ...
  A: Bill, at the time of ejaculation, the bladder neck contracts as the semen is discharged into the ...
Pain after varicocele embolization12/9/2006
  Q: September 26, 2006 I had a varicocele embolization. On October 14, after having sex with my wife ...
  A: Gary, embolization of the left varicocele should not affect the right testicle, Therefore, I ...
god help me12/9/2006
  Q: My trouble is trying to start voiding, then start and stop about 5 or 6 times, getting out about 250 ...
  A: joe, in spite of your prostate being "ok", my suspicion is that you have an inflammation of the ...
Erectile dysfunction12/8/2006
  Q: I have erectile dysfunction due to a Post-traumatic Stress Disorder. My doctor has prescribed ...
  A: Bill, I have never used the 60 mcg dose of Caverject (alprostadil, prostaglandin E1) but the ...
prostatitis12/7/2006
  Q: I'm a 34 yr old male diagnosed with prostatitis 1 month ago. I'm currently on Levaquin 500mg QD X 1 ...
  A: Jeff, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of the ...
Hard rubbing of penis led to bleeding from the penis skin causing pain during urniation?12/6/2006
  Q: I'm a 26-year-old male in good physical condition. My question is when my girlfriend and I were just ...
  A: A, on the underside of the head (glans) penis in the midline, there is a band of tissue called the ...
prostate pain12/6/2006
  Q: I've had an odd feeling of dull pain to just a numbness and pressing feeling to the left of my ...
  A: Ken, in spite of your normal feeling prostate, the most common cause of these complaints is an ...
Prostatitis !!!12/5/2006
  Q: ..I am a 36 year old male, About 1 year ago I was diagnosed with what SEVERAL urologists are telling ...
  A: Joe, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
trying to get erect again after ejaculation.12/5/2006
  Q: My penis was great 1 week ago...good erections..but i had a problem with PE. 3 days ago i went to ...
  A: Jonathon, the majority of ones semen comes from the prostate gland.  When you become sexually ...
Boyfriend12/5/2006
  Q: My boyfriend is an uncircumsized male. Over the years he has never ever had a problem with smell or ...
  A: Amanda, the first thing your boyfriend should do is see a urologist to find out for sure what those ...
Pain following ejaculation12/4/2006
  Q: For a couple of years I've had significant muscle pain following ejaculation. The pain is usually ...
  A: Joe, the most common cause of this complaints is an inflammation of the prostate gland, so called ...
teticles12/4/2006
  Q: My husband has been complaining that his testicles started hurting when i accidently hit them about ...
  A: Rosa, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
one time bleeding from penis12/3/2006
  Q: I am a 56 yr old male, the other night my sweat pants were only partially pushed down in fact the ...
  A: Martin, there are many possible causes for blood in the urine (hematuria). The origin of the ...
burning while urinating but sti or uti???12/2/2006
  Q: I am a 20 year old male and for about a year and a half now I have been experiencing burning while ...
  A: ADI, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Prostatitus12/1/2006
  Q: Dr Goldstein, My adult son has just recently confided in me and told me he has Prostatitis which ...
  A: Tracy, prostatitis is an inflammation of the prostate gland. It is an extremely common malady in ...
frequently urinating12/1/2006
  Q: i am a 33 year male.i am feeling since last 2 month that i go to urinal 8 times a day. is it normal. ...
  A: Shama, the number of times a person urinates daily is affected by many factors such as fluid intake, ...
foamy urine11/30/2006
  Q: My urine is very foamy. I have done the dipstick test for protein and it showed negative. I also ...
  A: Gary, although "foamy" urine often indicates proteinuria, there can be other causes. Urinary tract ...
possible penile lymphatic vessel clot11/29/2006
  Q: Goldstein. The reason for my question is I have what I believe to be a thrombosis in a lymphatic ...
  A: Freddie, what you are describing is typicalof a thrombosis (clot) of a penile lymphatic vessel. ...
Adult bedwetting11/29/2006
  Q: My husband has had some problems in the past with bedwetting. He hasnt done it in almost a year, ...
  A: Dawn, the medical term for bedwetting is enuresis. It is most common in children and usually ...
penile tenderness11/14/2006
  Q: I noticed that my penis seemed swollen on the lateral aspect just proximal to the glans on Friday ...
  A: Mike, what you are describing probably represents a thrombosis (clot) of a penile lymphatic vessel. ...
Ejaculation and Diarrhea11/13/2006
  Q: Goldstein, I am a 22 year old male who experiences a bloated stomach, occasional pain around the ...
  A: Kevin, although these are unusual symptoms, my suspicion is that you probably have an inflammation ...
testicular problem11/9/2006
  Q: I am almost 17 and i cant ejaculate and testicle size seems to be normal. is there something wrong ...
  A: Andy, it is indeed abnormal for a 17 year old not to be able to ejaculate. However, just so that we ...
Penis health11/8/2006
  Q: If I exercise for 30 minutes every day, drink 2.2 liters of water everyday, and eat lots of fruits, ...
  A: Douglas, although this life style is excellent with regard to your general health, there will no ...
Trying to Conceive11/8/2006
  Q: I understand that the sperm have no escape on his left side, yet I do not understand how our chances ...
  A: Nicole, in the majority of men with one normal testicle, their fertility is normal. In asserssing ...
Email Problems11/7/2006
  Q: Sorry o bother you again but can you send me the answer to my question via this ...
  A: JJ, generally there is no downside to masturbating 3-4 times a week. It will neither decrease your ...
Trying to Conceive11/7/2006
  Q: My husband had an epidemectomy (pardon my spelling) on his left side in 2002, will we HAVE to go ...
  A: Nicole, after an epididymectomy, the sperm on that side have no way to escape from that testicle. ...
blood clot, bleeding/bruising11/6/2006
  Q: Male, 52, Lipitor 10 mg Nashville TN. Noticed a small lump on center of penis shaft on Saturday.I ...
  A: Paul, urgent care is not required as long as the lesion is resolving. However, I suggest that you ...
phimosis11/6/2006
  Q: my husband is 31 year old and suffering from phimosis. we've never had intercourse because of this, ...
  A: Richa, a tight foreskin is called phimosis. A male may be born with the condition or it can be ...
Bleeding from my penis11/5/2006
  Q: Over a year ago I urinated after rough sex and noticed some blood coming out. There was some ...
  A: Steve, this type of bleeding usually comes from the prostate gland. It is?due to a tear in one of ...
masturbation11/5/2006
  Q: I have strain in the area of vas deferens (just right part) exactly when it is about to come out at ...
  A: Mehdi, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
penis problem11/5/2006
  Q: I want to know why my penis smells bad and i have clear sticky stuff coming out?
  A: Gerardo, if you have a foul discharge coming from the urinary canal (urethra), you most likely have ...
minor penis swelling11/4/2006
  Q: I've been looking all over the internet for my symptoms, but nothing's really close. Last night I ...
  A: Brian, it is difficult to make an accurate diagnosis on this type of problem without the opportunity ...
Large fleshy lump on penis11/4/2006
  Q: A few weeks ago, after a period of what you might call 'vigorous sexual activity' with my fiancee... ...
  A: Ryan, what you are describing probably represents a thrombosis (clot) of a penile lymphatic vessel. ...
Testicle discomfort11/3/2006
  Q: I would like ask for some more advice relating to my circumstance. Maybe it could be something with ...
  A: Dharmz, if your prostate is inflamed or congested (ie from infrequent ejaculation), you may get ...
Testicle discomfort11/2/2006
  Q: I am a 20 year old Male and have had no past unusual sexual activities. My left testicle is lower ...
  A: Dharmz, the left testicle is lower than the right in 90% of men. The most common cause of ...
large lump ON penis10/22/2006
  Q: i have a large lump on the side of my penis,i am almost positive there was a small pimple like head ...
  A: Robert, of course it is difficult over the internet to make a specific diagnosis without the ...
Hard Lump under the skin on the penic10/22/2006
  Q: Couple of days ago I felt little pain on the base of my penis (on the side). Now there is a hard ...
  A: Alex, it is very difficult to make an exact diagnosis without the opportunity to do a physical ...
Cipro & Prostatitis10/21/2006
  Q: Dr. Goldstein - Two days ago, my doctor diagnosed me with prostatitis. I had been experiencing ...
  A: Brian, most infections of the genitourinary tract respond to proper antibiotics in 1-2 days, the ...
39 year old - TUIP Recommendation10/20/2006
  Q: Dr. Goldstien, I am a 39 year old male. I have been experiencing a gradual decline in my urinary ...
  A: Karl, let me start with your last question. As long as you are emptyimg your bladder well, have no ...
male penile sensitivity10/20/2006
  Q: My partner is 61 years old. By his own admission he had been sexually inactive for a number of ...
  A: Melissa, it is true that sensation in the penis gradually decreases with age but there is great ...
swollen ring around penis shaft10/19/2006
  Q: About 3/16" behind the glans there is a tublar ring around the penis shaft that stops on each side ...
  A: Paul, physical examination in cases like yours is essential to a proper diagnosis. Therefore, it ...
Penile Shaft discomfort and painful10/18/2006
  Q: Good Day sir, I'm now 28 and be turning 29 on December. I hope you can provide me some advice with ...
  A: Kier, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Desentisized after circumcision (numbness?)10/18/2006
  Q: I am a 19 year old who got circumsized about 2 months ago. I am enquiring because my tip of the ...
  A: Todd, since the head of the penis (glans) is continuously exposed to the outside environment after a ...
Unexpected prostate fluid release10/17/2006
  Q: Male 24 years old. Recently Ive noticed unexpected prostate fluid being released through my penis ...
  A: Kevin, this is a very common condition with the medical name congestive?prostatitis. During sexual ...
ejaculation of semen with urine10/17/2006
  Q: I am 25 yrs living in bronx, ny, us. Over the past few yrs I am seeing the white semen ejected with ...
  A: Raj, the passage of semen with the urine has the medical name congestive?prostatitis. During sexual ...
No feeling in half of penis10/16/2006
  Q: One thing I would like to add is that the left side of my penis feels bulgier then my right, both ...
  A: Bill, I do not believe that jelquing has been reported to do any permanent damage to the penis. I ...
Urinary obstruction due to enlarged prostate10/15/2006
  Q: My father will be 91 this month. He lives in Tryon, NC while I and my two brothers (his only living ...
  A: Roger, benign enlargement of the prostate gland (benign prostatic hyperplasia or BPH) occurs to ...
Pain in urethra/groin - Very uncomfortable10/14/2006
  Q: I am a 22 year old male living in Wisconsin. I take no medications other than a multi-vitamin ...
  A: Phanoa, the most common cause of these complaints is an inflammation of the prostate gland, so ...
Vas deferens lump10/13/2006
  Q: I have a bead-like inside of my right vas deferens and I had it checked by ultra sound 12 years ago ...
  A: JJ, by far the most common cause of a lump in the vas deferens is a spermatic granuloma. These ...
male bedwetting10/13/2006
  Q: My 21 yr old, male,roomate has had a problem with bedwetting in the past year. He always wets the ...
  A: Bettie, the medical term for bedwetting is enuresis. It is most common in children and usually ...
Lump above penis on right side in low pubic region10/12/2006
  Q: 21, male, no medications, orlando, florida, USA. For the past 3 1/2 months I have had a lump right ...
  A: Bill, it is difficult to make a proper diagnosis of this sort of problem over the internet without ...
full bladder/erections10/11/2006
  Q: Why do males wake up sometimes with an erection because they have to urinate, what actually causes ...
  A: Robin, the distended bladder stimulates sensory nerves in the wall of the bladder. The nerve ...
treatment for penile curvature10/11/2006
  Q: my name is wayne and i am 37 years old. even though,i noticed my penile curvature 2 years ago,i did ...
  A: Wayne, Peyronie’s disease was first described in the 1700’s. It is a common, benign disease of the ...
very low testosterone/HUGE vericocele10/11/2006
  Q: I am 35, 16 yrs ago had rupture of left testicle. I recently went to nurologist for a swollen,heavy ...
  A: Kevin, first let me say that when you speak of "rupture" I can't be sure if you mean a hernia or an ...
open meatus10/10/2006
  Q: 29,male, no meds, cranberry, PA USA I am 29 and had a question about the meatus. When I have an ...
  A: Jay, from your description, your meatus sounds perfectly normal. If you had a stricture, typically ...
Decreased Penile Sensitivity post adolescent circumcision9/29/2006
  Q: My husband is currently 40 years old. He was circumcised at the age of 13 due to lack of stretch to ...
  A: Jennifer, I do not believe your husband's problem is related to his circumcision. He apparently ...
penile disfunction9/27/2006
  Q: Doctor, for many years now I have suffered from penile disfunction. i cannot achieve a full ...
  A: Jack, there are many causes for erectile dysfunction (ED). The most common diseases associated with ...
Burning at tip of penis and prostate area9/27/2006
  Q: I am a 33 year old male who recently had an achilles repair. During the week after the surgery I ...
  A: Jason, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
bleeding after intercourse9/25/2006
  Q: I used a condom and as I ejaculated, i experience a sharp stinging pain inside my penis at the top ...
  A: Mark, this type of bleeding usually comes from the prostate gland. It is?due to a tear in one of the ...
Urine dripping after urinating9/25/2006
  Q: I am 27 years old male & i live in dubai. i got married in november 2005. during march 2006 ...
  A: Danish, the most common cause of these complaints is an inflammation of the prostate gland, so ...
Undiagnosed Pain9/25/2006
  Q: I apologize if you have addressed this previously but I couldn't find anything covering it on your ...
  A: Aaron, the most common urologic cause of these complaints is an inflammation of the prostate gland, ...
Cialis works better the next day, why?9/24/2006
  Q: Dr .Goldstein, I've noticed that when taking cialis (20mg) it has a much better effect the ...
  A: Chris, I'm not sure I have a specific answer to your question regarding why you note a maximum ...
psa levels9/23/2006
  Q: I am 56 years old and just had a psa test. the level came in a .6 which I know is low but can you be ...
  A: Rich, there are several laboratory methods for analizing the PSA level. For most labs, the normal ...
PAIN - WORRIED - Testical infection?9/22/2006
  Q: Thing is my bigist worrie was that it could be cancerist but another part of me doubt it cause i ...
  A: Eugene, sitting for prolonged periods of time can irritate the prostate gland. I suggest that you ...
PAIN - WORRIED - Testical infection?9/21/2006
  Q: So happy to find this site cause im a bit worried up. I've just recently had this problem in a span ...
  A: Eugene, this type of bleeding usually comes from the prostate gland. It is?due to a tear in one of ...
delayed pain after urination9/21/2006
  Q: I had written a few days ago, and my question was answered with helpful advice. Anyways, I am ...
  A: Myles, when the bladder fills with urine to a certain point, you get the urge to void. During ...
variocele9/21/2006
  Q: Hey Doc, I am a 21 year old male. And today I got an ultrasound that indicated that I had variocele. ...
  A: Michael, I have previously answered your questions regarding kidney stones and testicular pain. A ...
Burning sensation9/18/2006
  Q: Doc, my doctor checked my prostate and said it was fine, he told me that this pain i am having might ...
  A: Mike, I doubt the symptoms are in your head. If you have residual gravel, often the urinalysis will ...
Burning sensation9/17/2006
  Q: I am 21 year old male and I had a kidney stone a few months ago. since then I have the feeling that ...
  A: Mike, there are several possibilities. If you have a small stone or residual gravel still present ...
Penis Lump9/17/2006
  Q: I am male 30. My penis has a couple of lumps below the glands when erect. Sending you the picture ...
  A: jim, it is indeed difficult to diagnose such lesions without having the opportunity to examine you.. ...
penis maintenance9/16/2006
  Q: what is the proper sop for maintaning cleanliness in my male genital area. and stop it from stinking ...
  A: Mr. Clean, more important than the soap you use is the technique of washing. The cheese like smell ...
Bleeding from my penis9/16/2006
  Q: Doc, while I was takin a dump, I had to piss at the same time, so I tried to do both at the same ...
  A: IcebergSlim, this type of bleeding usually comes from the prostate gland. It is?due to a tear in one ...
Ointments (?)9/15/2006
  Q: Dr. Goldstein, I'm 25, male, Iran. I was wondering if I could use ointments for aches and pains of ...
  A: Tim, I would not recommend any type of topical medication or ointment for the symptoms you are ...
left testis pain9/14/2006
  Q: i have a pain in my left testies while touching and no other problem i felt. sometimes while ...
  A: Neera, you could have something primarily wrong with the testicle such as an inflammation or ...
Frequent urination9/13/2006
  Q: My boyfriend who did not drink any ab-normal amounts of liquids, has been suffering from very ...
  A: Deidre, there are many causes for urinary frequency. The common ones include diabetes, urinary ...
Watery semen and...9/13/2006
  Q: I'm a 30 male who lives in Hong Kong. I can never have milky and sticky semen, instead, i only got ...
  A: Norman, leakage of semen with bowel movements is a common condition with the medical name congestive ...
Testicular Problem - Now urine/prostate issues?9/13/2006
  Q: About two months ago i suffered injury to my left testicle which resulted in no swelling or ...
  A: Dave, the most common cause of these complaints (other than testicular size) is an inflammation of ...
Kidney stone removal9/5/2006
  Q: I am writing for my husband. My husband has been having alot of pain in his lower back and blood in ...
  A: D. J., I answered a consultation on this problem on August 6, 2006 but you have since added some ...
Swelling..9/5/2006
  Q: I'm a 20 year old male college student. And the story is very simple behind the problem. Two days ...
  A: Nick, there are many possible reasons for groin pain. The most common ones are muscle strain and ...
Do I have a weak prostate?8/24/2006
  Q: Goldstein: I'm a pretty healthy 37-year-old white male who is sexually active. In the last few ...
  A: Nick, it is normal as we age to notice a decrease force to the ejaculate. There are several ...
testis8/24/2006
  Q: im 20 yrs old male from ohio and the last few days my right testicle has moved from normal to ...
  A: Eric, normally the testicles are held in position inside the scrotum by a band of tissue called the ...
bladder tumor8/24/2006
  Q: My father has been diagnosed to have bladder tumor (CAT scan and blood test, but don't know if it is ...
  A: Lena, bladder cancer is the 4th most common cancer in men and the 8th highest in females. The ...
blood & brown stuff on my pee pain in kidney8/22/2006
  Q: I'm 21 years old now and one day in the morning I found out that when I pee, it has blood and brown ...
  A: Mulyadi, yes something is wrong but there are many possible causes for blood in the urine ...
skin tag of penis8/22/2006
  Q: My 7 month old son has a skin tag on his penis. It's located on the top side, and connects to the ...
  A: Tracy, what you are describing is probably a skin bridge traversing the coronal sulcus (the groove ...
masturbation8/20/2006
  Q: Dr. Goldstein, I'm 25, Male from Iran. I was masturbating and couldn't reach climax so I didn't ...
  A: Tim, it may that you just strained some muscles in the back. If so, this should get better on its ...
Constant burning-pain in penis8/18/2006
  Q: age 47, male, Septra 800/160 2x / day. Newark, NJ On 6/15 my penis stared to burn and ache, I have ...
  A: John, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
Ejaculation8/18/2006
  Q: I am a 50 year old male who does not have a problem getting an erection. I do have a problem with ...
  A: Kent, after one ejaculates there is a period of time (called the refractory period) during which the ...
back to normal?8/17/2006
  Q: My age 75. medication Ditropan 5 milligrams twice a day. West Haven, CT On July 11th a cystoscopy ...
  A: Bob, it is quite common after a transurethral resection of a bladder tumor (TURBT) to have ...
Treatment?8/16/2006
  Q: Goldstein, Would be very grateful for a brief follow up... You answered a recent question about ...
  A: Mike, I have reviewed the previous consultation and the possible treatments are outlined there. ...
frenulum8/16/2006
  Q: i'm a 17 year old male from the UK. Recently while having intercourse i felt a sharp pain and saw ...
  A: Jauncy, frenular tears are quite common. They can indeed bleed quite readily but usually respond to ...
sperm sample8/15/2006
  Q: I had a vasectomy 2 months ago. I am about to give my first sperm sample. The instructions that ...
  A: Mark, sperm can live in the container for up to 24 hours. Regarding post-vasectomy checks, we are ...
vasectomy8/15/2006
  Q: I know that it takes 20 or more ejaculations to clear out the ejaculatory tract after a vasectomy. ...
  A: Kellie, if a man does not ejaculate after a vasectomy, the sperm will eventually die and then ...
tc8/14/2006
  Q: if it was a tumour would it be easily picked up by an ultrasoundi have just had two ultrasounds in ...
  A: Eki, an ultrasound will not specifically diagnose a tumor but it can define a mass that is ...
tc8/13/2006
  Q: i have just had two ultrasounds in the past week by two difrent doctors (random clinics)to get a ...
  A: Eki, unfortunately, you neglected to state why you had the first ultrasound (US)performed. It is ...
mobile stone on right testicle8/13/2006
  Q: I am a 20 year old male in the US and I have what apprears to be a small ball of 2-3mm in diameter ...
  A: Tom, in evaluating lumps in the scrotum, is important to differentiate those that are ...
Provironum8/12/2006
  Q: I'm in my early 30s and have been diagnosed with varicocele and low sperm count. I have been ...
  A: Soler, I have never heard of Provironum so I looked it up. It is a type of synthetic androgen. In ...
Non-stop, heavy bloody ejaculations8/12/2006
  Q: Dr. Goldstein, Thank you for your help. How can I most effectively and quickly put an end to bloody ...
  A: Mike, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of the ...
Vibrating Senastion in Penis8/11/2006
  Q: I am a 33 y/o male in good health. I take no medications on a regular basis. I am not even sure ...
  A: Justin, the most common cause of this complaints is an inflammation of the prostate gland, so called ...
vasectomy8/11/2006
  Q: I had a vasectomy about 14yrs ago. What are the chances that I could still produce sperm? What are ...
  A: Frank, a man does not stop producing sperm after a vasectomy. The operaton merely blocks the ...
testical pain8/10/2006
  Q: I sometimes have strong dull pain in my testicals after having a bowel movement. Could this be ...
  A: jerry, absolutely! The most common cause of this complaint is an inflammation of the prostate ...
Blood in Urine8/9/2006
  Q: my question is regarding my husband. He is a 35yr old healthy man. For the past few days he has ...
  A: D. J., there are many possible causes for blood in the urine (hematuria). The origin of the ...
left testicular pain/swelling8/6/2006
  Q: Age: 29 Medications: none County: Orange County, California During my late teens/early twenties I ...
  A: Jack, the most common cause of these complaints is an inflammation of the prostate gland, so called ...
hydrocele surgery8/6/2006
  Q: your excellency,Doctor i am 50, male,in tehran, iran, 5 days after my operation(now), i have a ...
  A: Gh. keshani, Surrounding the testicle is a thin layer of tissue folded upon itself with a potential ...
Testicular swelling and soreness8/6/2006
  Q: 35, male, high blood pressure med., Ocean Springs, Ms. I had a vasectomy about 6 years ago. Since ...
  A: Russell, this is a fairly common long-term occurrence after vasectomy with a frequency of around ...
Young son has problems after a cathetar7/23/2006
  Q: Today while my 4 year old son was in the ER (fever, diarhea, dehydration) the doctors decided to ...
  A: Mom, it would be quite unusual to cause any significant damage on attempting to pass a catheter. ...
Thrombosed Vein7/22/2006
  Q: 22, male, no medication but tried iburofen. UK resident. I have what i believe a thrombosed vein on ...
  A: John, what you are describing probably represents a thrombosis (clot) of a penile lymphatic vessel. ...
Post operative problem after orchiectomy7/21/2006
  Q: I had an emergency orchiectomy 4 days ago & have since noticed my foreskin become red, swollen and ...
  A: Neil, it is very common after scrotal surgery to have local swelling (edema) which often involves ...