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Urology/Questions Answered by Expert Stephen W. Leslie, MD

SubjectDate Asked
urethral stricture and fertility2/10/2012
  Q: Since then, I have been doing intermittent self catherizations with 18-20Fr catheters to prevent an ...
  A: Mike: Depending on the location and severity of the stricture, it is possible it could interfere. ...
Biking and (temporary??) ED2/10/2012
  Q: I cycle for about 40 minutes 2-3 times a week for the past year. I was cycling extra hard on a ...
  A: Pete: You could have prostatitis or have caused some damage or bruising to the nerves and/or blood ...
soft errections2/10/2012
  Q: i'm 26 and used to masturbate in the past intensively. I have prominent veins on my penis foreskin ...
  A: Mike: What you've described is not necessarily pathological. I'd have to see what you are talking ...
ed2/10/2012
  Q: i'm 32 yrs and experiencing mild ed. i rarely get nocturnal erections. Does getting nocturnal ...
  A: Mark: Having nocturnal erections during sleep is considered normal but these may not be noticeable ...
damage pelvicmuscle2/10/2012
  Q: can the damage pelvicmuscle give pain to penis and scrotum?i have looking. To pictures on google and ...
  A: Abdulhamit: It is always possible that a pelvic muscle that is damaged can cause pain in the penis ...
white discharge, splitting/spraying of urine stream2/9/2012
  Q: A few months ago, I had what I thought was UTI. I had white colored discharge, stinging during ...
  A: David: You probably had a urinary infection or an STD which was treated without medical advice or ...
frequent & urgent urination2/9/2012
  Q: Leslie, I wrote to you earlier in the year on 01/05/2012 regarding what a ultrasound said was ...
  A: Maria: A calcified hepatic granuloma and a calcified splenic granuloma are outside my particular ...
Penis skin senstivity2/8/2012
  Q: I am 25 year old, recently i had sex with a girl with whom i am in love. But i was not able to ...
  A: Napster: This is not ED; its nerves. There isn't much that can go wrong in a 25 year old. The ...
Testicle enlargement2/8/2012
  Q: My age is 38 year. For past two weeks I noticed that my right testes has swollen or enlarged also ...
  A: Deepak: I can't explain the leg issue. A swollen testicle could be an infection, hydrocele, tumor ...
Penile bruising2/8/2012
  Q: my fianc頢ruise very easily on the head of his penis when we have intercourse. Using a condom ...
  A: Janice: He needs to check with his primary physician to see if he has a blood coagulation issue or ...
Sperm through Urine2/7/2012
  Q: I m a 25yr old male. I never had sex but used to masturbate excessively when i was a teen, sometimes ...
  A: Salim: First, you have a multitude of problems that would be best treated by starting with your ...
penile sensitivity2/7/2012
  Q: I seemed to you be losing penile sensation. When I begin intercourse all seems to be fine with good ...
  A: Kenneth: I cannot explain your symptoms, but most likely they would relate to your back surgery. ...
a serious question about my sexual health2/5/2012
  Q: I am a foreign who is working for few years in China. i got married before to a Chinese woman. now, ...
  A: Sam: Viagra can improve erection function. I don't know what "sexy medicine" you might otherwise ...
Cause of ED?2/5/2012
  Q: I am a 33 year old man with ED When I was 15 I started masturbating (at least 8-9 times a week) and ...
  A: Danny: You have a number of misconceptions. First, masturbation does not cause ED. Next, Cialis ...
Pain the the..........2/4/2012
  Q: I was wondering if you could provide an explanation for my situation. I have had a vasectomy many ...
  A: Jes: I would suggest that you get another urology opinion. Pain in the testicle suggests a ...
stents2/4/2012
  Q: Its Joyce again. You have helped me so much and I just thought of another question regarding my ...
  A: Joyce: You are definitely overthinking this issue. First, its very easy to break up a stone with ...
Cremaster muscle and penile retraction2/4/2012
  Q: I have a big problem with my testicles and penis, whenever I feel a bowel movement or just to pee my ...
  A: MJ: The creamasteric muscle retracts the testicles when stimulated or in cold weather. It does not ...
Girlfriend was on top and my penis bent still terrible pain after 3 months2/4/2012
  Q: It is difficult to know because it was completely dark and it happend so fast. Remarkably I was ...
  A: Mike: You probably injured something inside the penis but I can't tell if it was a true fracture or ...
White precum, ne ejaculation or just an early orgasam?2/4/2012
  Q: During masturbation, I sometimes notice a white precum, or some other sort of white liquid, even if ...
  A: Mike: Its almost certainly pre cum but its possible it could also be prostatic secretions. We ...
pain in anal region2/4/2012
  Q: There is pain and unpleasent sensations in my anal region.I went to some physicians (even a ...
  A: James: This is outside my usual area of specialty. However, I believe that you would most benefit ...
Cloudy urine2/3/2012
  Q: Doc, I have been getting cloudy urine off and on foe the past few years. What causes this? i read ...
  A: Scott: Cloufy urine just means there is sediment suspended in the urine. In some cases, the ...
Post TURP issue2/3/2012
  Q: I had a TURP done in late Nov. Almost immediately started getting erections that would be ...
  A: Craig: Repeated erections do not typically cause abdominal muscle problems. Erections are vascular ...
Loss of erection quality and mild irritation2/3/2012
  Q: I'm 22 years old - about a month ago I experienced difficulty in having an orgasm and was unable to ...
  A: Carl: Prostatitis cannot be ruled out by your examinations so far. In most cases, prostatitis has ...
Decreased penis sensitivity with spinal cord injury2/3/2012
  Q: I've got a pretty hard question to ask and I don't know if you are even able to answer it but I'm ...
  A: Piet: State of mind may cause a problem with erection function or delay climax but is not typically ...
What now?2/2/2012
  Q: Ok, so about two weeks ago, I noticed I had a red color mixed in with the semen. I waited two days ...
  A: I can only repeat my previous advice which is to follow the instructions of your physician and ...
a serious question about my sexual health2/2/2012
  Q: I am a foreign who is working for few years in China. i got married before to a Chinese woman. now, ...
  A: Sam: It sounds like you have a varicocele. THis can affect male sperm count and fertility. ...
pain in2/1/2012
  Q: I have pain near to right testicle and testicle.I am feeling some nerve is pulling down every time.I ...
  A: Srinivas: What you describe is most likely due to either a testicle problem (unlikely given the ...
Uncut Penile2/1/2012
  Q: I am uncircumcised, and I have a hard time retracting the skin to my penis. When not erect, I can ...
  A: Christian: It sounds like you have a tightened foreskin. This can sometimes be helped with a ...
Question2/1/2012
  Q: Sir, I have been hit with some force by football on the testicles 2 or 3 times while playing ...
  A: Binu: The semen analysis is just an option. If you wish to know with absolute certainty that your ...
Urban Myth?2/1/2012
  Q: An Ethics professor of mine stated that women use more tissue, because guys do not wipe their penis ...
  A: Sai: THe reason guys don't typically wipe the penis after urinating is that in most cases, the ...
Microscopic hematuria1/31/2012
  Q: My husband, age 64, former smoker (quit at 49) had his annual physical which revealed microscopic ...
  A: Cathy: The most likely finding after a full evaluation which includes cystoscopy and a CT scan, is ...
penile pain/erectile dysfuntion1/31/2012
  Q: I am 27 years old male. I have been having this pain on the right side of my penis for about 5 years ...
  A: Jimmy: You may or may not have Peyronie's. The two most common causes of non-traumatic penile pain ...
Pain in the area between the scrotum and rectum1/30/2012
  Q: i have a pain in the area between the scrotum and rectum on the left side like and feels bruised on ...
  A: JCS: The most common cause for pain in the area you've described is prostatitis. This will need to ...
What now?1/30/2012
  Q: Ok, so about two weeks ago, I noticed I had a red color mixed in with the semen. I waited two days ...
  A: Blood in the semen is not considered a risk factor for prostate cancer. Most of the time, its a ...
hydroseal1/29/2012
  Q: I have a hydroseal that is quite uncomfortable at times. I would prefer to avoid surgery. Does ...
  A: Jeff: Aspiration does not require anesthesia but the technique is not recommended. It carries the ...
Small cancerous prostate1/29/2012
  Q: I am 65 years old and have been diagnosed with an intermediate aggressive prostate cancer. I have a ...
  A: Peter: The good news is that either or both should do well. Also ask your physician about whether ...
tight tingling scrotum1/28/2012
  Q: My scrotum does not seem to "hang" normally througout the day. Even when it warm outside and I am ...
  A: Justin: There is no specific test for a tear in the "superficial fasica" of the penis. A penile ...
testicular problem1/28/2012
  Q: when i tap my right testicle from down to up i feel very small pain why? 25 years married no child
  A: Ali: I can't determine the cause of your discomfort from only your brief description. It could be ...
White spots on penis shaft1/28/2012
  Q: I've recently noticed little, white spots on my penis. These do not hurt, itch or cause any pain or ...
  A: Andrew: I can't tell exactly what the spots are from only the photo, but they don't appear to be ...
Urination question1/26/2012
  Q: I am a 24 year old male and have noticed recently after urinating I am able to squeeze out thin ...
  A: Rick: After urinating, it is common to have some post void dribbling of urine. Its also possible ...
urology1/25/2012
  Q: I am 67 yrs. Indian male.I am having problem of very high frequency of urination.My prosatate was ...
  A: Ravindra: 28 cc volume in a bladder is very little so you may have a smaller than normal bladder ...
ejaculation1/25/2012
  Q: I am 53 yrs old my ejaculations take longer to reach they are not as strong as they use to be. ...
  A: Rollo: Usually with age comes other problems such as diabetes and the use of many medications which ...
PENIS PROBLEM1/24/2012
  Q: SIR, MY AGE IS 24. I WANT TO ASK THAT WHAT IS CURE FOR CURVE IN PENIS. CAN IT SHOULD CREATE ...
  A: Amit: There is no simple or easy cure for curvature of the penis, especially if due to chordee ...
tight tingling scrotum1/24/2012
  Q: My scrotum does not seem to "hang" normally througout the day. Even when it warm outside and I am ...
  A: Justin: What the urologists told you is correct. You could be having a neurological issue with the ...
Kidney stone1/24/2012
  Q: In October I had a 7mm kidney stone blasted. Two weeks after that I had a follow up appointment. In ...
  A: Kim: Stones are very unpredictable. I would typically get an IVP in your situation to be sure ...
Question1/24/2012
  Q: Sir, I have been hit with some force by football on the testicles 2 or 3 times while playing ...
  A: Binu: The fact that no obvious injury was discovered during a physical exam is encouraging but not ...
ed and hypertensive drugs1/23/2012
  Q: i'm 35 yrs and taking losartan patassium 50 mg for 2 months because of hypertension. does losartan ...
  A: Ronald: Losartan is an angiotensin converting enzyme inhibitor. There is some evidence that it can ...
Kidney Stone1/23/2012
  Q: I was diagnosed with a 6mm kidney stone last Thursday (January 19 2012). I went home Thursday night ...
  A: Kristy: Stones are unpredictible so you might have passed it but that is not likely. Most likely ...
Discharge1/22/2012
  Q: Im really concerned, i had unprotected sex with someone on jan 1st, and shortly after (approximately ...
  A: John: An infection is most likely. Make sure you keep the contact information so your physician in ...
ed and hypertensive drugs1/22/2012
  Q: i'm 35 yrs and taking losartan patassium 50 mg for 2 months because of hypertension. does losartan ...
  A: Ronald: Hypertension drugs may all contribute to erection trouble either direct to the sexual ...
Pain in Scrotum1/21/2012
  Q: I'm 16 and have this general pain in my testicles and my penis (it varies) occasionally. When I ...
  A: Phil: I cannot possibly determine the nature of your testicular pain from here. This is not ...
surgery of undescended testis1/21/2012
  Q: iam 31 yrs old. recently i know my undescended testis are in abdomin. my urologist told me that to ...
  A: Krish: At 31 years, it is arguable that the surgery to remove the undescended testicles may cause ...
Pain in tip of penis1/21/2012
  Q: Ok, so I am 24 years old and I have had this pain in the tip of my penis for the past 2 weeks and it ...
  A: Charles: I can't explain all your symptoms but there is clearly some psychological, stress or ...
discharges after urination1/20/2012
  Q: pls help me out of this. For about two years now most times when i urinate i do see some discharges, ...
  A: Idris: Its obviously impossible for me to arrive at a diagnosis based on highly variable discharges ...
Frequent Peeing1/20/2012
  Q: Since about October 2011 i have been suffering from frequent urination, when it just started i would ...
  A: Nick: Well, it doesn't appear that you are diabetic but that's about all we can determine at this ...
stents1/20/2012
  Q: I doubt if you remember me but I have written before about my daughter. She has kidney stones. She ...
  A: Joyce: Typically, only stones that are infected or causing obstruction cause pain. For the most ...
stents1/20/2012
  Q: I doubt if you remember me but I have written before about my daughter. She has kidney stones. She ...
  A: Joyce: The stents may appear to be causing more problems, but their main benefit is safety. They ...
20-year-old injury?1/20/2012
  Q: My husband is in his mid-30s. We have a wonderful relationship, but things have always been a ...
  A: Katie: Its impossible to say for sure if some vague injury long ago has caused any permanent harm. ...
inverted penis and diabetes1/19/2012
  Q: I am a 57 yr old male with HBP treated with Coreg 2.5mg x 2 and type 2 diabetes treated with starix ...
  A: Leigh: I'm not sure what you mean by an "inverted" penis. THis could indicate a buried penis. ...
Prostatis1/19/2012
  Q: Cloted little blood before passing urine. Urethra pain at the time of erection. Poor latrine at the ...
  A: Ahmed: You may or may not have prostatitis. Prostatitis is an inflammatory condition of the ...
Clear watery discharge1/19/2012
  Q: Doctor.....thank you in advance for your help. I appreciate it. My problem: At the start of ...
  A: Joey: Only your physicians can make a diagnosis. In general, the most common cause of clear ...
still having pain in penile artery/vein1/18/2012
  Q: I still believe it's the dorsal artery of the penis and believe it is narrowed not completely ...
  A: George: Having pain in the penis as you've described is worth checking with a urology specialist. ...
Hit to the testicles1/18/2012
  Q: Two days ago I received blow to the testicles during sports activities, which has caused me ...
  A: Franco: I can't guarantee normal testicular function after blunt trauma to the testicles even ...
Prostatis1/18/2012
  Q: Cloted little blood before passing urine. Urethra pain at the time of erection. Poor latrine at the ...
  A: Ahmed: The source of the blood in the urine cannot be determined from the available information. ...
Urethral stricture1/17/2012
  Q: Sir, At the time of my operation of knee doctors have put catheter in my penis and on 2nd day at the ...
  A: Ahmed: AN improper removal of a catheter may cause a stricture, but from your description it sounds ...
Urethral Stricture1/17/2012
  Q: Im pretty sure I have a Urethral Stricture but im not positive. Its never really given me problems ...
  A: John: Remember that this is a general information forum and not a substitute for a physician's ...
Hydrocele1/16/2012
  Q: I'm 16 and my doctor had an ultrasound done and says I have a hydrocele and is referring me to a ...
  A: Ron: A hydrocele just means there is more than the usual amount of fluid around the testicle. If ...
feeling of frequent urination1/16/2012
  Q: dis is chiranjib here.i am going thru a problem here,hope u would be able to help.i am 27 years of ...
  A: Chiranjib: Frequent urination can be a sign of diabetes, water intoxication, diabetes insipidis, ...
Urethral stricture1/16/2012
  Q: Sir, its my 4th day of dilation but still today morning i found little cloted boold in the bigning ...
  A: Ahmed: If you are sarting to do your own dilations, it would not be unreasonable to expect some ...
Urethral stricture1/16/2012
  Q: Sir, a person suffering from urethral stricture can do sex(intercourse)? Is there any risk of ...
  A: Ali: There is no set time period. TYpically, 10-15 days would be extremely quick. We generally ...
erectile dysfunction1/15/2012
  Q: I'm sending this message to the person who in charge to help me as possible as he could . One day , ...
  A: Ala'a: I don't think anyone is lying to you. There is no magical therapy that can cure or reverse ...
Torn Urethra1/15/2012
  Q: A few nights ago, my daughter went to the hospital for a very bad bladder infection. While she was ...
  A: Sylvia: They will probably just treat her with medication but they will almost certainly ask for a ...
urologist on call1/15/2012
  Q: Well, I'll give you some background first so you can answer my question. In November of 2011 my ...
  A: Joyce: In a true emergency situation, go the ER. The urologist on call is legally responsible for ...
Urethral stricture1/14/2012
  Q: Sir, I had an endoscopy 1week ago an small uretheral stricture was there now what i notic is when i ...
  A: Ahmed: You will probably not like the answers. Injury is the more common cause of strictures in ...
Cavernosal flow assymmetry1/14/2012
  Q: Dr. Leslie! Recently I noticed some erection problems, though I haven't a sexual partner for a year ...
  A: Kyle: You are not going to like my response. The function of this forum is not to interpret test ...
food poising and ecoli1/14/2012
  Q: I am a healthy obese 36 year old who was born with one healthy kidney. Two days ago, I felt very ...
  A: Jack: You may have food poisoning or some other type of GI disturbance. This may or may not affect ...
Urethral stricture1/14/2012
  Q: Sir, a person suffering from urethral stricture can do sex(intercourse)? Is there any risk of ...
  A: Ali: Urethral strictures would not be expected to interfere with intercourse which would not be ...
urologist on call1/13/2012
  Q: Well, I'll give you some background first so you can answer my question. In November of 2011 my ...
  A: Joyce: Each kidney stone case is different. Most of the time, back pain related to stones is ...
Urology-urethral stricture1/13/2012
  Q: Sir, How severe is mid penile stricture can it be cure? If endoscopy done and not done self ...
  A: Ali: If I understand your question correctly, you are asking if you have a catheter whether or not ...
ejaculation1/13/2012
  Q: iam 78 yo guy still love sex but the last few years im ejaculating less and less . i use to ...
  A: Bob: The two possibilities are that you are making less semen, which is relatively uncommon, or ...
Penile pain1/12/2012
  Q: after going for a run on a very cold and windy day, I came back with stinging and a dull ache in my ...
  A: Rick: There is nothing about a run on a cold day that would explain a pain in the penis. I can ...
soft errections1/12/2012
  Q: i'm 26 and used to masturbate in the past intensively. I have prominent veins on my penis foreskin ...
  A: Mike: Superficial varicose veins on the surface of the penis are not generally involved in erection ...
priapism1/11/2012
  Q: can cialis cause a priapism in your sleep and u not even know it, is it likely, and im assuming you ...
  A: Bob: Cialis can cause priapism, but since prolonged erections become increasingly painful, it is ...
calcium stones in the testicles1/11/2012
  Q: my fiancee has just been diagnosed with calcium stones in the testicles , is there any other ...
  A: Hayley: Calcium stones in the testicles are not diagnostic of any particular problem and there is ...
vascular ed1/11/2012
  Q: my problem is that i get erect hard while masturbation lying on my back but when i stand up i start ...
  A: Alen: This is not a sign of weakened nerves and there is no evidence that masturbation causes this. ...
Urethral stricture1/11/2012
  Q: Sir, I had an endoscopy 1week ago an small uretheral stricture was there now what i notic is when i ...
  A: Ahmed: I cannot explain any connection between the urethral stricture and discomfort at the anus ...
vascular ed1/10/2012
  Q: my problem is that i get erect hard while masturbation lying on my back but when i stand up i start ...
  A: Alen: It isn't clear exactly why this happens to some men. One theory is that when you stand, the ...
jelqing1/10/2012
  Q: Ok, back in 2004 I performed the jelquing technique. I now experience erectile dysfunction. I can ...
  A: John: You are incorrect. The fact that your sleeping erections are present is evidence that there ...
urin1/10/2012
  Q: I feel that I need to go to toilet several times at night I pee few then after an hour I go again I ...
  A: A Fattah: Unfortunately, you may not have access to optimal medical help. You could still have ...
impotence1/10/2012
  Q: I had an L4/L5 disc herniation and over time experienced impotence. The urologist told me that ...
  A: Robert: After any kind of spine surgery, all bets are off as far as functionality. Scar tissue can ...
Urology-urethral stricture1/10/2012
  Q: Sir, How severe is mid penile stricture can it be cure? If endoscopy done and not done self ...
  A: Ali: Most strictures will slowly become more severe over time but there is no way to know for sure ...
Erections strength/firmness1/10/2012
  Q: Leslie, A day or two ago I was masturbating and all of a sudden I felt some pain towards the ...
  A: K: It is not possible to arrive at a reliable diagnosis from only your description. The spongiosum ...
Possible penis injury1/10/2012
  Q: A little over a week ago I was laying on my bed on my stomach and I got an erection. I adjusted so ...
  A: Justin: You've probably caused some injury to the ligaments that hold the penis in place; something ...
Urinalysis - Moderate Blood1/10/2012
  Q: I am 53, postmenopausal with type 2 diabetes under good control. This past September I had visible ...
  A: Connie: You've had a full workup for the hematuria and it was negative except for the stones so I ...
prostititis1/9/2012
  Q: I've been unwell since last febuary and it took 8months before my doctor said she thinks its ...
  A: Matthew: The warm baths really should be hot. Since the cipro didn't work, I don't see why we ...
Still Undiagnosed1/9/2012
  Q: Leslie a about 2 months ago I urinated blood it was very obvious bright red accompanied by a urge to ...
  A: Ronin: You had a complete workup for abnormal bleeding that didn't find anything. Your continuing ...
Urology-urethral stricture1/8/2012
  Q: Sir, How severe is mid penile stricture can it be cure? If endoscopy done and not done self ...
  A: Ali: A mid penile stricture is just a location and does not indicate the severity which can range ...
25 w/ ED1/8/2012
  Q: I am 25 years of age suffering from ED. Haven't had a morning erection in almost 2 yrs. While this ...
  A: Jason: We now have excellent treamtent for ED, but Peyronie's is another story. If the curvature ...
Rapaflo1/7/2012
  Q: MY Urologist but me on Rapaflo and i have have been have having bad testicular pain and pain in my ...
  A: Antony: It sounds like you may have prostatitis. Rapaflo might actually help theoretically, but ...
Testicle problem1/7/2012
  Q: lately iv'e been noticing that my right testicle is not in the position as it is suppose to be, i ...
  A: Robert: I can't give personal or specific advice. My suggestion is to consult a urologist for a ...
Desensitized Penis1/7/2012
  Q: My husband and I have had problems for a while now with sexual intercourse. I'm am a very sexual ...
  A: Jessica: It is unlikely that masturbation as a youth is responsible for his current lack of ...
Narrowing of urethera stricture1/7/2012
  Q: 6months before i went through an operation of my knee (acl) repair through arthroscopy now my knee ...
  A: Ahmed: If you are not going to listen to the advice of your physician or my advice, then why ask us ...
Minor injuries1/6/2012
  Q: A few days ago when I played handball, I got a strong direct blow to the testicles (I was a ...
  A: Brano: The fact that 5 minutes later there was no pain is a good sign but certainly cannot be seen ...
erectile dysfunction1/6/2012
  Q: i'm 29 years old in a good shape n health.i masturbated previously 2-3 times/week but now i don't do ...
  A: Akshat: Priminent veins in the penis are normal. I can't determine the cause of your ED, but a ...
testicle pain1/5/2012
  Q: I got sharp testicle pain 5 months back occasionally and went to urologist who did urine test and ...
  A: Suresh: You've had 3 different urologists all check into this problem and none have been able to ...
moderate hydronephrosis & mild postvoid1/5/2012
  Q: Leslie, I am a 20yr old female. After gradually experiencing the constant and urgent need to ...
  A: Maria: That is why you are seeing the urologist: to get an answer as to why this is happening. ...
Hyper-Sensitivity of the Glans1/5/2012
  Q: I'm a 19 year old uncircumcised male. The head of penis is very, very sensitive. It is always dry, ...
  A: Enger: Pulling up the forsking would not accomplish the same goal. For this to work, the glans ...
prostititis1/5/2012
  Q: I've been unwell since last febuary and it took 8months before my doctor said she thinks its ...
  A: Matthew: Your symptoms suggest prostatitis. Sometimes, antibiotics aren't enough. We also ...
neurogenic bladder1/4/2012
  Q: My Dad is 71 years old has multiple problems. He is morbid obese (175 Kg, 388 Lbs) suffers from type ...
  A: Inji: You've asked alot of questions, most of which should be directed to his urologist and/or ...
Narrowing of urethera stricture1/4/2012
  Q: 6months before i went through an operation of my knee (acl) repair through arthroscopy now my knee ...
  A: Ahmed: It sounds like you are having bladder spasms. The bladder is irritated by the catheter and ...
urine drops1/3/2012
  Q: I want your help. My age is 28 years, whenever I go to wash room after passing urine when I stand up ...
  A: Qais: Usually, the best solution for this is expressing the few ml of urine by pressing from the ...
Priapism?1/3/2012
  Q: I would like to know what dosage you would recommend using for Ketoconazole? For the last 7-8 yrs, I ...
  A: Don: I am not sure I would recommend ketoconazole. It has significant liver metabolic issues and ...
kidney calcification1/3/2012
  Q: i was recently seen in the er for upper left abd pain. with the ct scan it showed calcification in ...
  A: Tiffany: A renal calcification could be anything from stones to a metabolic problem and rarely a ...
Narrowing of urethera stricture1/3/2012
  Q: 6months before i went through an operation of my knee (acl) repair through arthroscopy now my knee ...
  A: Ahmed: I'm not sure I understand your question. It isn't clear where the urine is passing. The ...
Hyper-Sensitivity of the Glans1/3/2012
  Q: I'm a 19 year old uncircumcised male. The head of penis is very, very sensitive. It is always dry, ...
  A: Enger: There may not be much you can do other than use some type of lubricant. A circumcision ...
Peyronies1/3/2012
  Q: Dr. Leslie, im 29 years old, my wife and I were getting ready to have some "alone time" last night ...
  A: John: No. Peyronie's is thought to be due to actual small injuries to the body of the penis. You ...
Penile Lymphatic Thrombosis1/3/2012
  Q: Please refer to this question that has already been asked and my question that follows. "The reason ...
  A: Nathan: By definition, a lymphatic channel has no blood in it and therefore does not usually form a ...
Post TURP ongoing issues1/3/2012
  Q: I hope you can help with some questions because my husbands dr is on vaca and in general ...
  A: Elayna: Even with the physician away on vacation there is another urologist covering so you can ask ...
Injury and infertility1/2/2012
  Q: Doctor, How injuries can cause infertility in men, when both sides are affected? What part of ...
  A: Dragon: Injuries to the testicles that affect fertility would typically involve interruption of the ...
Enlarged penile veins, ED, seminal leakage1/1/2012
  Q: I am not sure I can formulate a single question. I am seeing a second andrologist in my home country ...
  A: Vasselin: OK, the CT didn't show anything bad. Fine. Otherwise, there is no relevance to the ...
Enlarged penile veins, ED, seminal leakage1/1/2012
  Q: I am not sure I can formulate a single question. I am seeing a second andrologist in my home country ...
  A: Vesselin: You have several issues. The first one is the burning in the anus/perineum. This ...
swollen, hard penis1/1/2012
  Q: I've been having problems with my urinary tract for the last few weeks. It began with a burning ...
  A: Hans: With urethral strictures, you never know when they might worsen or cause other problems. In ...
Pain in penis; constriction during erection12/31/2011
  Q: I am a 21 year old male. About a few months ago, I experienced a sudden loss of erection during ...
  A: Anshul: Without an examination its not possible to come up with an accurate or reliable diagnosis. ...
problems with erection - low testostorone12/31/2011
  Q: I have experienced a life of erectile dysfunction features which have only allowed me to have sex ...
  A: TF: Your testosterone levels appear to be normal. No clear reason for your ED is apparent from ...
penis problems strange symptoms12/31/2011
  Q: A few weeks ago I began to have discomfort in my penis. I couldn't pinpoint where the discomfort was ...
  A: Peter: The skin issue and the penile discomfort seem separate to me as there is no obvious single ...
testicular swelling?12/30/2011
  Q: my bro whos 23 yrs old had scrotal pain and swelling on his right side..the dr prescrbed antibiotics ...
  A: It is certainly possible to have a scrotal abscess without a fever. This is most commonly found ...
testicular swelling?12/30/2011
  Q: my bro whos 23 yrs old had scrotal pain and swelling on his right side..the dr prescrbed antibiotics ...
  A: From your description, it seems pretty obvious that he had a bad infection with two small abscesses. ...
Wife12/30/2011
  Q: A month ago, my wife Kim went into a coma. While she was in a coma they used an indwelling catheter. ...
  A: Jerome: Bladder infections are not uncommon after having catheters for extended periods. Your ...
Question on Varicosity12/29/2011
  Q: Leslie, Thank you so much for the detailed and thoughtful answers you provide. This is a wonderful ...
  A: Jason: The varicosities that are significant enough to cause some actual harm to the testicle are ...
about medication.12/28/2011
  Q: i would like to seek your kind suggestion regarding the continuation of taking a medicine. Because, ...
  A: Jampa: Among other things, you didn't mention the name of the medication. In general, you should ...
priapism12/27/2011
  Q: dr leslie, am 37i still get morning and night erections yrs old and in good health, my urologist ...
  A: Jeff: There is no evidence that you presented that suggests the cialis has hurt you or caused any ...
pinching12/27/2011
  Q: i used penis pump some time ago. after it sumtimes when i think sexual things i feel pinching and ...
  A: It is very unlikely that the pump caused any erection difficulty but in medicine anything is ...
Urethritis testing and diagnosis12/27/2011
  Q: One year ago, I had non-chlamydial NGU. Was treated with a zpack and two weeks of doxy. Two urethral ...
  A: Joe: The testing you had is generally considered sufficient, but a retest may be needed since you ...
trup surgery12/27/2011
  Q: sir iam a 61 old male and back in 2009 i had a turp operation ,and i also have prostatis and back in ...
  A: Thomas: Given your prior surgery, there would normally be little or no semen during ejaculation. ...
post prostate biopsy issues12/27/2011
  Q: I am 66 years old and I had a prostate biopsy about two weeks ago and it seemed everything went Ok ...
  A: Steve: Blood in the urine is expected after a prostate biopsy, even a few weeks later. Cipro is ...
post prostate biopsy issues12/26/2011
  Q: I am 66 years old and I had a prostate biopsy about two weeks ago and it seemed everything went Ok ...
  A: Steve: Most likely you weren't perfect before the biopsy. At 66 you probably have some prostate ...
premature ejaculation12/25/2011
  Q: I want to ask that what could be the causes of premature ejaculation in men? .. and kindly tell me ...
  A: Faizi: Your issues are mainly due to guilt over what you've assumed is an abnormal activity. As ...
premature ejaculation12/24/2011
  Q: I want to ask that what could be the causes of premature ejaculation in men? .. and kindly tell me ...
  A: Faizi: The cause of premature ejaculation is usually stress, anxiety and nervousness. The actual ...
Testicular lump.12/24/2011
  Q: I have just recently been to the family doctor and was diagnosed with a case of epididimytis. I work ...
  A: Andrew: Epdidymitis typically heals with some degree of shrinkage. The lump is probably just scar ...
Erection problems12/23/2011
  Q: About a week ago I was sitting in my chair felt pain in my lower stomach. Really didn't think much ...
  A: Thomas: Sounds like you had an infection. You didn't specifically ask a question but I presume ...
Urethral swab12/22/2011
  Q: I was just wondering about the side-effects of a urethral swab. It was taken as a last resort of ...
  A: Jackson: There is always the possibility, however remote, of some damage but this would be quite ...
thigh/groin tightness12/22/2011
  Q: GROIN/INNER THIGH TIGHTNESS SYMPTOMS Started 2 months when I was lifting weights, but never felt ...
  A: Pat: Lifting weights is not wise if you have prostatitis as it can get aggravated by that activity. ...
penis swelling12/21/2011
  Q: i have a problem regarding my penis. when i masturbated for a long time my penis foreskin below the ...
  A: Ddraa: You must understand that I am specifically prohibited from making diagnoses on this forum. ...
Stone in kidney for several years12/21/2011
  Q: I'm a male in my early 30s, reasonably fit and healthy. My father has a history of multiple kidney ...
  A: A recheck to see if the stone is still present is reasonable. Typically, this is done with either a ...
Erection After Surgery12/21/2011
  Q: I've had three kidney stones in the past six years and each of them required surgery with access via ...
  A: Kyle: While almost anything is medicine is possible, there is no obvious way kidney stone surgery ...
Side Effect of a medication12/21/2011
  Q: Good Day Dr Leslie.. I'm a resident doctor, my brother was diagnosed with obsessive-compulsive ...
  A: Ahmed: Delayed ejaculation is a common side effect of SSRI meds like Zoloft. Typically, these side ...
Semen12/21/2011
  Q: Dr. Leslie: My 34 y/o boyfriend, who is in good health, has had several wet dreams the last few ...
  A: Maddie: Your boyfriend is being a little obsessive. Transfer of semen is theoretically possible ...
ED progression12/20/2011
  Q: does ED progress? from mild to severe. regardless of the cause. thanks doc. ANSWER: Ben: The ...
  A: Cures for ED are quite rare. If the problem is bad anatomy, poor blood flow, hormone problems, ...
My penis12/20/2011
  Q: my name is ramish age 31 year old hight 5.9 inch weight 75 kg sir i already asked u that my penis ...
  A: Ramish: My answer is the same. There is no way to safely enlarge the penis and your size is within ...
Problem passing urine / numb penis12/20/2011
  Q: I am a 22 year old with some issues I am desperate to find help for. It all started 2 years ago ...
  A: Frank: There is no simple, easy, single diagnosis that would cover both decreased sensation in the ...
Retrograde ejaculation12/20/2011
  Q: Leslie, I am having some problems, maybe you can help me. I'm a 19 year old male and recently I've ...
  A: Jared: I am not at all sure if you have retrograde ejaculation or not, but it certainly sounds like ...
blood from penis12/20/2011
  Q: i bled the last two times i ejaculated which were 3 weeks ago and a week before that. the first time ...
  A: Jonathan: You will need to see a urologist and get checked out. Most of the time, we don't find ...
Loss of sensitivity in penis and no bulbocavernosus reflex12/20/2011
  Q: i feel like i have ruined my life. It all started when i was masterbating on the ADD drug vyvanse. ...
  A: Bob: I cannot tell if you have actual nerve damage or not. You will need to consult a urologist ...
Burning in my penis12/20/2011
  Q: I am a 46 year old caucasian male. I have had a burning sensation in my penis for about 4 or 5 ...
  A: Frank: A modern cystoscopy with a flexible scope should not be a horror story. Prostatitis is one ...
Loss of sensitivity in penis and no bulbocavernosus reflex12/18/2011
  Q: i feel like i have ruined my life. It all started when i was masterbating on the ADD drug vyvanse. ...
  A: Bob: You have correctly identified your problem as coming from the Vyvanse medication which is ...
Bent penis12/18/2011
  Q: i feel very ashamed to talk about this malfunction to anybody. I am thinking about this all the time ...
  A: Aditya: Youo could have Peyronie's disease which typically causes curvature of the penis. Talk to ...
i do not have any Cowpers`s fluid(pre cum )12/18/2011
  Q: . i do not have any pre cum and i am dry all the time .. i had 2 drops in my life and since then ...
  A: Marcos: There is no specific treatment to either increase or decrease precum. It generally doesn't ...
Colourless sperm12/18/2011
  Q: I am a 17 year old boy. When i masturbate my semen is came out forcelessly and its colour is like ...
  A: Thirm: It sounds like your semen is within normal parameters. IT is highly unlikely that this ...
testosterone12/17/2011
  Q: i am 25 years old and i still do not have mustache and beard on my face, also my penis size is too ...
  A: Raja: Your symptoms strongly suggested a testosterone deficit. The testosterone shot will help ...
penis swelling12/17/2011
  Q: i have a problem regarding my penis. when i masturbated for a long time my penis foreskin below the ...
  A: Ddraa: There is no enough information to make any reliable conclusion. Swelling could be from ...
Urethritis testing12/17/2011
  Q: I have been having very scant clear discharge from my penis when I squeeze it. Sometimes, five to ...
  A: Ryan: A urine culture may or may not show a urethral infection. If the urethra has been cleaned ...
Interstitial cystitis or bladder pain syndrome (commonly abbreviated to "IC/BPS"12/16/2011
  Q: i think i have Interstitial cystitis or bladder pain syndrome of penis pump streched my penis. ...
  A: Joel: In medicine, almost anything is possible and IC is probably an overlooked diagnosis ...
slight lower right discomfort12/16/2011
  Q: I am a white 41 yr old male. 5'11"/240 lbs. I take bp med(Lisinopril HCTZ) and cholesterol ...
  A: MJ: First, they do a more thorough history. When did it start, what is the nature of the pain, ...
slight lower right discomfort12/16/2011
  Q: I am a white 41 yr old male. 5'11"/240 lbs. I take bp med(Lisinopril HCTZ) and cholesterol ...
  A: MJ: Pain in the area you've indicated could be anything from a bowel problem, hernia, nerve issue ...
DISCHARGE OF BRIGHT BLOOD FROM PENIS12/16/2011
  Q: DR. LESLIE I AM CAC MALE AGE 70 HAVE ALWAYS HAD WHAT I WOULD CONSIDER VERY GOOD HEALTH UNTILL AGE ...
  A: david: blood from the penis is never normal. You're on blood thinners so that makes bleeding more ...
Mucus In Urine12/16/2011
  Q: Dr. What could Mucos showing in urine specimen(3)on urinalysis be an indicator of? Male,Cystoscopy 3 ...
  A: Michael: Its possible that the cause of the retrograde ejaculation could have something to do with ...
sensitive head of penis12/15/2011
  Q: The past couple of months when I have received oral sex the head of my penis is real sesitive to it. ...
  A: Chris: How people perceive different levels of stimulation can vary. It sounds like you may be ...
weak erection12/15/2011
  Q: recently 2 to 3 weeks i feel weak erection(almost absent) also leakage in semen after foreplay ...
  A: Galaxy: Remember that the purpose of this forum is to answer general questions, not to diagnose or ...
Prostate cancer12/14/2011
  Q: In Nov 2010 I was diagnosed with prostate cancer per PSA and a prostate biopsy. I chose "watchful ...
  A: Bill: I agree with your physician. It would be quite unjustified to believe that a cancer would ...
follow up on question re epididymectomy12/14/2011
  Q: I cannot tell u what a relief it is to get a straight answer. Since writing to you my prostatitis ...
  A: Robert: Sorry, but the final conclusion must be between your urological surgeon and yourself. ...
Urinary tract infection12/14/2011
  Q: I have a symptoms of urinary tract infection like pelvic pain,burning urination pain in testicle, ...
  A: Mahmoud: there is no specific test for prostadynia. Prostadynia is a condition where no specific ...
Hello12/14/2011
  Q: Doctor, I am a college student and a friend of mine told me that masturbation or wet dreams cause ...
  A: Jackson: Your college student friend doesn't know what he's talking about. It is absolutely untrue ...
Pain and sex after cystoscopy12/14/2011
  Q: I am a female and just got a cystoscopy on Monday at 3pm. It is now Tuesday evening at ten. I also ...
  A: Tiki: It is impossible to accurately predict how long it will take until the symptoms subside, but ...
Circumcision-meatus tearing12/13/2011
  Q: Sir, I am 21 years old. When I was about 12, I had a circumcision. Over the years the meatus ...
  A: Mukesh: In medicine, almost anything is possible, but in a normal circumcision the meatus is not ...
Urinary tract infection12/13/2011
  Q: I have a symptoms of urinary tract infection like pelvic pain,burning urination pain in testicle, ...
  A: Mahmoud: We frequently give antibiotics for prostatitis whether or not any bacteria are found. To ...
Prostate problem - test results12/12/2011
  Q: Leslie, I just received my test results in the mail. I have a couple of questions - I'd be grateful ...
  A: Greg: Again, these questions are more properly addressed to your personal physician. After all, ...
Penis Curviture12/12/2011
  Q: I have a condition where my penis curves downward very close to the base. When fully erect and ...
  A: Chris: Curvature in the penis is usually caused by some level of scarring or fibrosis. There is no ...
another prostatitis question12/12/2011
  Q: 45 yo ,been battling off and on prostatitis for 6 years now. Recently had a uric acid test that was ...
  A: Brian: Allopurinol was studied to see if it would be helpful in prostatitis and was found not to be ...
anterograde ejaculation12/11/2011
  Q: I M 53 YEARS OLD AND I HAD A TURP 14 WEEKS AGO MY CUESTION IS ABOUT IF IS POSIBLE RECOVERY DE ...
  A: Alejandro: It is not possible to restore antegrade ejaculation after a TURP procedure. Your ...
stent12/11/2011
  Q: i was hospitalized 1 month ago for kidney stone pain. i had a 12 mm kidney stone and a couple ...
  A: Maria: You can use tampons with the stent in, but you may be more comfortable temporarily using ...
Erection woes12/11/2011
  Q: When I ejaculate, I lose the erection almost immediately and it seems like not all the semen comes ...
  A: Jerome: Loss of the erection soon after ejaculation is not uncommon. Your other symptoms with ...
penis shaft edema12/10/2011
  Q: I am a married 25 yo male, I got married 5 months ago, and used to masturbate moderately like once a ...
  A: Bijan: Sorry, but we specifically don't make diagnoses on this forum. Penile edema after long ...
Dull pain inside base of penis- difficulty getting erection12/10/2011
  Q: Dr. Leslie, Approximately 2 months ago I had probably too much sex over the course of 4 weeks. One ...
  A: Andrew: Any injury in or near the penis can theoretically cause erection difficulties even if the ...
Almost no ejaculate12/9/2011
  Q: I know this subject is abused by men, but I suspect a problem. I am 59. The amount that I ejaculate ...
  A: Barry: In most cases like this, the semen is just going backwards into the bladder instead of ...
Dull pain inside base of penis- difficulty getting erection12/9/2011
  Q: Dr. Leslie, Approximately 2 months ago I had probably too much sex over the course of 4 weeks. One ...
  A: Andrew: As you can imagine, it is not possible to make an accurate diagnosis based only on the ...
Hematuria after Exercise12/8/2011
  Q: I am 38 (run approx 50k per week) and recently developed gross hematuria after an 18 k run. This ...
  A: Matthew: A cystoscopy is a good idea to check for bladder tumors and prostate disorders. It ...
Scrotal swelling with Erection12/8/2011
  Q: I seem to have a unique problem that my current Urologist cannot seem to diagnose. When I get an ...
  A: Riggs: In my 30 years of urology practice I have not heard of a similar problem to the one you ...
bladder and anus pain12/7/2011
  Q: I've been going through several months of slight urinary problems, like a sensation of not ...
  A: John: A prostate infection or disorder can cause both anal discomfort and bladder issues. While ...
low sperm count after epididymitis12/7/2011
  Q: I'm writing on behalf of my partner. We have a 3 year old daughter together and earlier this year ...
  A: Louise: I don't agree that it is likely to get better but 100 days isn't really long enough to ...
Erection "points" left12/6/2011
  Q: Leslie, Hi I am 29. I have a slight left hand curvature of my penis, been that way for years. And ...
  A: Bill: Its not normal for the penis to consistently "point" in any direction. Any deviation could ...
HIFU12/6/2011
  Q: In a prior posting you stated: “HIFU is a very expensive but promising technology that causes ...
  A: Dan: As much as I like and admire Dr. Wheeler, the current standard of care is to do the biopsy. I ...
NON std discharge12/6/2011
  Q: Husband had discharge. Neither of us is unfaithful. Both got tested using urine NAAT. All ...
  A: There is always a chance for a false negative based on handling of the specimen or other problems. ...
my penile doppler results12/6/2011
  Q: I had a penile doppler ultrasound investigation last month and my results were: Left artery - PSV = ...
  A: Aman: We don't interpret test results here. If we did, that would be all we would be doing. ...
Bleeding after Ejaculating12/5/2011
  Q: Possibly Kidney stones? or something else ? I had the first episode of profuse bleeding six month ...
  A: Leonardo: Blood with ejaculation is usually self limited and benign. It tends to go away by itself ...
pain!! non obstructing renal calculus12/5/2011
  Q: male with high level of pain in left thigh leg to knee...described as excruciating, with narcotic ...
  A: Evan: The location of your pain suggests that it has nothing to do with the kidneys. However, a ...
cavernous nerve12/5/2011
  Q: Good day doctor steven. Is it possible that after penis pump i maybe streched cavernous nerve? ...
  A: Joel: It is remotely possible that a penile pump may have stretched or damaged a nerve, but it ...
ED & TMS problem12/4/2011
  Q: i am 30 years old. suffering from erectile dysfunction..i smoke.. i do masturbate at prone position ...
  A: Nanda: I am not aware of any evidence of masturbation prone or otherwise causing ED although your ...
Urethritis, thrush and urine tests12/4/2011
  Q: Sorry for the number of questions. I hope you can help. 1. a. Are there non-STD causes of ...
  A: Sean: There are non-STD forms of urethritis. They are less common than the sexually transmitted ...
Penile injury12/3/2011
  Q: Sir, I really don't know where to start. I did something extremely stupid. I tried using a vacuum ...
  A: Vann: You should consult with a urologist to be sure. This can be provided through the VA. It ...
Urethral burning12/2/2011
  Q: I apologise for writing so much but I really wanted to be as comprehensive as possible. I have ...
  A: Simon: You have a complicated problem not responding to standard treatment. You've already seen ...
ED progression12/2/2011
  Q: does ED progress? from mild to severe. regardless of the cause. thanks doc.
  A: Ben: The answer is not necessarily. If there is an underlying problem like diabetes, narrowed ...
Epididymectomy as solution to chronic epididymitis12/2/2011
  Q: What are the real statistical odds of a successful epididyectomy (meaning no more pain) for someone ...
  A: Robert: I can't give you any statistics on this because none are published. My own numbers suggest ...
erectile dysfunction12/1/2011
  Q: i am a male patient 29 years old,married for 8 months.i had an erectile dysfunction since marriage.i ...
  A: Joe: It sounds like this could be a psychological issue related to stress, anxiety or just nerves. ...
kidney stones12/1/2011
  Q: I wrote you a while back about my daughter with kjuidney stones. The hosp told me that 8 mm were too ...
  A: Joyce: The stone doesn't much care if you are moving around or not. Additional activity may ...
burning.. fore and aft12/1/2011
  Q: Sorry, not sure if this is your ideal topic, but the others are not taking questions at the moment.. ...
  A: John: Your symptoms suggest a urethral inflammation either from direct infection, urethritis, or ...
kidney stones11/30/2011
  Q: I wrote you a while back about my daughter with kjuidney stones. The hosp told me that 8 mm were too ...
  A: Joyce: Kidney stone prevention testing requires a 24 hour urine collection. They analyze the urine ...
kidndey problems11/30/2011
  Q: so here goes.....last year...i went to hospital for extreme pain in my right lower back they kept me ...
  A: Jennifer: I presume the double J stent was replaced at some point because they can become calcified ...
ED11/30/2011
  Q: i've been suffering ED for almost a year now. i still get an erection but cant maintain it, lose it ...
  A: Ben: Loss of an erection after orgasm is normal, even if it seems quicker than previously. If the ...
Prostatitus11/30/2011
  Q: I have recurring pain in right testicle.Medics say epididymitus. No germ found in culture. It seems ...
  A: Alan: Scans are of no help when trying to diagnose a muscle issue. Typically, general surgery or ...
symptoms11/30/2011
  Q: if a patient has the following symptoms 1.P.E 2.yellow cum 3.pain on the groin area after sex ...
  A: OP: A diagnosis is not possible based solely on a laundry list of symptoms. However, premature ...
Penile glans becomes small/soft on supine position11/30/2011
  Q: The glans of my penis on erection is either a little bit larger than the shaft or similar to it on ...
  A: Mahmood: None of the medications you mentioned are intended to do what you want and as I mentioned ...
burning sensation during urinating and ejaculating11/30/2011
  Q: iam 40 years old ,male,I have a mild burning sensation when urinating and ejaculating since more ...
  A: You probably have prostatitis which is why the standard treatment is not quite enough. The cultures ...
blood from penis11/30/2011
  Q: I began masturbating when i was 15 year old. i recently turned 17. For the past year i've ...
  A: Jonathan: You have blood in the semen and blood from the urethra. The cause of this is unclear at ...
kidney stones11/29/2011
  Q: I wrote you a while back about my daughter with kjuidney stones. The hosp told me that 8 mm were too ...
  A: Joyce: There is no "normal" when talking about kidney stones; just common or uncommon. It is not ...
pain in perineum11/29/2011
  Q: at the start of my orgasm i get pain when the sperm first enters the canal then goes away for the ...
  A: Mike: This could be an ejaculatory duct cyst, but is more likely to be prostatitis. Try sitting in ...
Prostate problems 9emptying the bladder)11/29/2011
  Q: I have always had minor prostate problems. Probably not an enlarged prostate, but prostities, ...
  A: Joe: If the bladder is not completely emptying on the scan, that still doesn't tell us why. Is ...
Recurrent Penis Burning Mystery11/29/2011
  Q: My 31yo bf, no PMHx of STDs or trauma, is complaining of penis shaft pain for two months described ...
  A: Sara: Penile shaft pain can be due to trauma, peyronie's, scarring, prostatitis, damage to the ...
Prostatitus11/29/2011
  Q: I have recurring pain in right testicle.Medics say epididymitus. No germ found in culture. It seems ...
  A: Alan: You could certainly have both a muscle problem and a testicular problem. Often, no bacteria ...
doubt regarding discharge11/29/2011
  Q: Sir, I have this feeling of penile discharge sometimes when I sit for long time or when I dont have ...
  A: Ali: Prostatic secretions are not abnormal and they can easily be mistaken for infectiouis and ...
white ejacuation in urine11/28/2011
  Q: can you please explain me what is the white ejaculation in urine? is it sperm or anything else. ...
  A: Nitesh: It is impossible to accurately or reliably identify the "white ejaculation" in the urine. ...
nerves11/28/2011
  Q: how can i heal A psychosomatic or functional pain? And do you how much can nerves strech and go ...
  A: Joel: There is no documented degree or length about how much the nerves can "stretch" and still ...
nerves11/28/2011
  Q: question 1. When i used penis pump did i streched dorsal nerve + deep penerial nerve and pundeldal ...
  A: Joel: In medicine, anything is possible. Having a pain in the penis or the central pelvic area is ...
prostatitis11/28/2011
  Q: Been battling prostatitis for a while now. I quit the use of nicotine(smokeless), which I am sure ...
  A: Matt: Since you've had prostatitis once, you are obviously likely to get it again. Avoiding ...
Cramping pain on delayed urination.11/28/2011
  Q: For the past two years I have had sudden onset cramping pains after urination. This happens only ...
  A: Sandra: The cramping pain could easily be just that; a cramp. It sounds like a mild ...
yellow semen11/27/2011
  Q: my semen has always had a white color,then i went to my Doctor for an urinary tract infection for a ...
  A: Gregory: A plain x-ray called a KUB would help identify if the stone is easily seen by x-ray. If ...
Testicle torsion - aftermath11/27/2011
  Q: My 14 year old son woke up with screaming pain and we rushed to local hospital ER. Doctor on duty ...
  A: Goran: I will try to answer your questions. While it may be theoretically possible that the events ...
WEAK EJACULATION & PAIN IN PENESE11/27/2011
  Q: I am a 46 year old Indian male. I got married 16 years ago. I used to have erections as usual and I ...
  A: Ram: "Strong" ejaculations such as your wife described are usually found only in fictional novels ...
testicle twisting11/26/2011
  Q: My left testicle hangs upright like a lower case b and does not twist at all. My right testicle has ...
  A: Brian: By definition, torsion is not painless. The fact that you can twist it so freely suggests ...
whitish discharge frm urine11/26/2011
  Q: i am suffering since last 3 year form whitish discharge that is slippery from urine.after 1-2 days ...
  A: Ankit: Any OTC laxative will help with the constipation. There is no established timetable to ...
blood in unrine11/26/2011
  Q: My brother is 72 this spring he had 45 treatments for prostate cancer. after treatment the doctor ...
  A: Bob: You state that he had his bladder and kidney checked out, but you didn't indicate how this was ...
kidney prob.11/25/2011
  Q: Have gone through some tests results of which are:- 1.PROTHROMBIN TIME-- 12.30Sec. 2.Mean normal ...
  A: Manish: First, we do not evaluate blood, urine or semen tests on this forum. If we did, there ...
urine pressure11/25/2011
  Q: I am a 51 you male that is having discomfort in the tip of my penis and have pelvic pain/discomfort ...
  A: Anthony: First, make sure that you are taking the medications as prescribed. You can try avoidance ...
nerves11/24/2011
  Q: question 1. When i used penis pump did i streched dorsal nerve + deep penerial nerve and pundeldal ...
  A: Joel: Specific advice should come from your personal physicians. In general, we recommend avoiding ...
Hello11/24/2011
  Q: Doctor: I am a healthy single 47 y/o male whose wondering how long one can go without urinating? I ...
  A: John: After 3 days? That's quite a long time not to urinate. The actual limit is based on bladder ...
broken penis11/24/2011
  Q: sir,i bent my penis down in erected state and heard a pop sound 4 months ago.there was no swelling ...
  A: Gow: I am not able to give you a prognosis when we don't have a diagnosis. Just because you heard ...
Whitish discharge during latrine from penis11/23/2011
  Q: Sir, i am a 23 year, married couple. I have a problem since 2 year that whenever i go for latrine a ...
  A: Manoj: The discharge could indicate an infection such as prostatitis or urethritis. It could also ...
Prostate problems 9emptying the bladder)11/23/2011
  Q: I have always had minor prostate problems. Probably not an enlarged prostate, but prostities, ...
  A: Joe: You may know your body but you don't know medicine. With a history of prostatitis, prostate ...
Penile glans becomes small/soft on supine position11/23/2011
  Q: The glans of my penis on erection is either a little bit larger than the shaft or similar to it on ...
  A: Mahmood: There is no specific remedy or treatment for a vascular problem located exclusively in the ...
Penis Clot of skin11/22/2011
  Q: I have a lump on my the skin covering my penis. I am worried about it, I am a virgin, 21 years age. ...
  A: James: I can't diagnose the lesion based only on your description and the foto, but it does not ...
irritated , swollen, scar penis11/22/2011
  Q: I been having this problem for a bout 2 years . I don't know Wat I have or how I got it . But ...
  A: Juan: I can't tell you exactly what it is, but I can tell you who to see. The experts on unusual ...
How soon can I have a orgasm after urethral sling surgery?11/22/2011
  Q: I understand that I'm supposed to wait 4-6 weeks after urethral sling surgery to have intercourse. ...
  A: Kim: That is a question that should be directed to your surgeon who has the responsibility for your ...
testes problem11/21/2011
  Q: sir actualy am facing a problem in my testicles i am feeling no pain no swelling just enlargement of ...
  A: Malik: There is not enough information to answer your question. The testicles enlarge due to ...
whitish discharge frm urine11/21/2011
  Q: i am suffering since last 3 year form whitish discharge that is slippery from urine.after 1-2 days ...
  A: Ankit: What you describe sounds like a possible infection for which you are getting the ...
benadryl11/21/2011
  Q: which at my age is to be expected.i have no problems urinating.i have a steady stream and no ...
  A: Howard: WE do not normally recommend benadryl with prostate enlargement because of a mild ...
use of foley catheter - added info11/21/2011
  Q: Leslie - as I sent a prior question regarding use of Foleys, I forgot to add that I've tried condom ...
  A: WIlliam: You didn't ask a question, but my response is the same. Foley catheters often have ...
use of foley catheter - considerations11/21/2011
  Q: Leslie, I'm a 60 year old male with a long family history of incontinence and bladder control ...
  A: William: First, your condition is not yet properly evaluated. You haven't had a cystoscopy or a ...
epididymitis11/20/2011
  Q: I had a Vasectomy over 17 years ago. within the past 5 years my epididymitis has been getting ...
  A: Ed: No, they can remove just the epididymis if that is causing a problem. If the epididymis is ...
pain after urination11/19/2011
  Q: i am 10 days post lap/abdominal surgery for a large 10cm fibroid. i blve i am healing well. anyhow, ...
  A: Tonia: There should definitely not be any pain in the area of the incision on urinating. It could ...
painful lump on the penile shaft11/19/2011
  Q: I'm a 39 yrs old married male. Since last month or so I'm experiencing a lump on the shaft very ...
  A: Rupen: Obviously I can't make an accurate or reliable diagnosis based only on your description. A ...
poor blood flow?11/19/2011
  Q: About ten years ago when i was about 17 i think i damaged my penis during intercourse. What happened ...
  A: Mark: The narrowing suggests scarring in the mid shaft such as from an injury or Peyronie's. ...
kidney stones11/18/2011
  Q: I heard that kidney stones damage the kidneys? How long does that take? I called the primary Dr on ...
  A: Joyce: I don't understand why you can't get the referral, but that's between you and your primary ...
No Pre Cum11/18/2011
  Q: Just before I turned 20, I started having symptoms of prostatitis. I've been back to the doctor ...
  A: Michael: It is not common to see a sudden change in the volume, but the normal range is from ...
HIFU11/18/2011
  Q: In a prior posting you stated: “HIFU is a very expensive but promising technology that causes ...
  A: Dan: Now that you ask, I must admit that I hadn't actually asked Dr. Wheeler about this. I'll send ...
kidney stones11/18/2011
  Q: I heard that kidney stones damage the kidneys? How long does that take? I called the primary Dr on ...
  A: Joyce: Kidney stones can damage kidneys, but it usually takes months to years unless there is an ...
No Pre Cum11/18/2011
  Q: Just before I turned 20, I started having symptoms of prostatitis. I've been back to the doctor ...
  A: Michael: Lubrication is the function of the female. If she remains too dry, then use a commercial ...
kidney stones11/17/2011
  Q: I pasted your last answer so you would know who I was and possibly remember me. Here is my next ...
  A: Joyce: Intermittent pain is characteristic of kidney stones. Its possible for a stone to rock back ...
looking for a cure for ED11/17/2011
  Q: Please help me with my problem. I'm 30 year old male and I have: severe ED with sudden onset, was ...
  A: Michael: Sudden onset of ED is usually psychological but you've indicated an injury which may or ...
Penile shaft Burning /tingling11/16/2011
  Q: i contracted an std two months ago which was treated leaving me with a burning penile shaft ...
  A: Paul: The two most likely causes are prostatitis and neuropathy. Prostatitis is an inflammation of ...
penile injury11/16/2011
  Q: I was hit by a rubber ball on the penis while playing cricket 2 weeks back, I immediately felt a ...
  A: Vijay: You may have an injury. This injury may heal or it may not heal quickly. There is little ...
kidney stones11/16/2011
  Q: Sunday morning, my daughter went to the hosp with back pain. A CT scan was done and revealed kidney ...
  A: Joyce: Highly unlikely to pass 8 mm stones, but its not impossible. However, just because the pain ...
urinary problems11/16/2011
  Q: I have been having some very strange symptoms for the past couple of months. I believe that they ...
  A: Manny: There is no single diagnosis that will account for all of your symptoms. A yeast or candida ...
Prostate gland11/15/2011
  Q: My husband had a TURP about 15 years ago and did fine for Dr says prostate has enlarged and has scar ...
  A: Dorothy: Trust your instincts. A second opinion would be a good idea in a high risk patient where ...
Scrotum Pain11/15/2011
  Q: Dr. Leslie, I'm a 27 year old male, and while having sex, my penis slipped out and slammed into her ...
  A: Aaron: You should contact the urologist office and indicate this is an emergency. You could have a ...
possible retrograde ejaculation?11/15/2011
  Q: Last Monday, I had a kidney stone broken up, but not totally removed. A stent was placed in my left ...
  A: Joe: When you have the sensation of an orgasm and ejaculation but nothing comes out, it usually ...
wee pains11/15/2011
  Q: When i go for a wee i get pain in what i think is my bladder area, it only started 3days ago, if ...
  A: David: Its not that simple. You could have a kidney stone, bladder spasm, urinary tract infection, ...
Testicular Pain11/14/2011
  Q: I have had unexplained testicular pain for the last 8 years even after seeing 8 different ...
  A: Evan: We don't or very rarely give any specific recommendations for physicians. In general, the ...
Neuropathy11/14/2011
  Q: Dr. Leslie, Recently I've been wondering what penile neuropathy "feels" like, or lack thereof. I ...
  A: Brian: Penile neuropathy is a significant loss of nerve function in the penis, usually loss of ...
1st nephrologist appointment11/13/2011
  Q: My little sister who's 18, has to go see a nephrologist (kidney dr) on Saturday. Her left kidney has ...
  A: Ally: I honestly can't tell you what a nephrologist would do as I am a urologist. We both deal ...
Testicles11/13/2011
  Q: My testicles have lost all feeling and I no longer have the sexual urges and impulses that once ...
  A: John: First you will need a good neurological evaluation to determine if in fact there is a ...
sediment in urine11/13/2011
  Q: 13 Nov 2011.In my research for information on sediment in urine I came across a question directed to ...
  A: Richard: I cannot determine the nature of the sediment from your description, but it doesn't sound ...
Penile pain after sex11/13/2011
  Q: Dr. Leslie, First of all thank you for reading my letter and taking time to write a reply, i hope ...
  A: Jose: Good idea to have the HIV test, but HIV does not cause urethral or urinary burning. That ...
Kidney stone prevention11/13/2011
  Q: Good day, I'm a 21 year old male and I've had kidney stones twice already. Once in 2009 and again 2 ...
  A: Duan: There is not enough information to make any conclusions. Struvite stones require an alkaline ...
water drinking on empty stomach11/13/2011
  Q: Stephen W. Leslie, One of my friend drink 8 to 10 tumbler of water on empty ...
  A: Nithish: There is little harm in drinking some extra water, but I'm not sure I understand the ...
prostate sensation11/13/2011
  Q: I have sensations in my prostate for 6 months.It is not like pain but like a touching sensation and ...
  A: Dan: Your sensations may or may not be in the prostate. A biopsy would not necessarily be the best ...
Weak stream, high frequency/urge11/12/2011
  Q: I'm a 25 year old male, and this problem started ~12-13 years ago. I have a very weak stream of ...
  A: Sean: Intermittent flank pain in your age group is most likely a stone. The voiding problem could ...
blood leaking from penis11/12/2011
  Q: hello im in my early teens and recently i've been having blood leaking from my penis and its ...
  A: Damon: You have blood from the penis associated with lower back pain. A urinary tract infection, ...
one sided ache11/12/2011
  Q: I am a 42 yr old male I have an intermittent dull ache at the right side of penis and groin area. ...
  A: Steve: I can't determine the nature of your problem from only your brief description. Peyronie's ...
childhood surgeries...?11/12/2011
  Q: In the late 50's and early 60's I had three major surgeries where they rebuilt my bladder. It was ...
  A: Roy: I am a urologist with 30 years experience. I'm also the Chief of Urology at Creighton ...
penis surgery11/11/2011
  Q: I apologize if this question is inappropriate here. I want to know if surgery is possible to reduce ...
  A: Martin: I am not aware of any penis reduction surgery as part of the standard armamentareum of ...
severe oligospermia11/11/2011
  Q: Iam suffering from severe oligospermia.is there any treatment for me.
  A: Ramesh: There may be. It depends on the cause of your problem. If you have a varicocele, it can ...
Prostatitis / UTI11/11/2011
  Q: Good day ! Just need to ask you about an easy test for bacterial prostate infection. Can I perform ...
  A: Ahmed: There are 4 types of prostatitis: acute bacterial, chronic bacterial, abacterial and pelvic ...
pre mature ejaculation physical problems11/11/2011
  Q: I have premature ejaculation. My corpus spongiosum appears to sort of droop out and not be defined ...
  A: Jake: There is no such thing as a physical cause for premature ejaculation. This is always due to ...
Penis11/11/2011
  Q: Leslie. Thank you so much for your time. I used to twist my flaccid penis. I could twist the penis ...
  A: charles: It certainly is possible that you did some damage, but that is unlikely. Healing would ...
nerves11/10/2011
  Q: is there sum cure for nervesdamage in area of prostate(prostate is fine) where the pain is after ...
  A: Joel: If you are having pain after using the external vacuum pump, you may not be using it ...
scrotal webbing/penis tacking11/9/2011
  Q: I notice when i wear my underwear and start playing sports, my left testicle keeps getting pushed ...
  A: Ed: I seriously doubt you developed an actual scrotal web. We typically only do a surgical tacking ...
penis nerve damage11/9/2011
  Q: gudmrng , i hv a ask a question . i use to mastub. nd doing jelg exc. from a week , bt 3 days ago i ...
  A: Nit: Masturbation does not cause any harm, but doing a jelking exercise can injure tissues and ...
urination11/8/2011
  Q: two weeks ago i was diagnosed with a urinary infection,given an anti-biotic, seemed to go away until ...
  A: George: First, you have a complicated infection and you should be under the care of a urology ...
Injury to a flaccid penis11/8/2011
  Q: I was wondering, is it difficult to have a nonpenetrative injury to a flaccid penis. I was standing ...
  A: James: I don't see how you could easily injure the penis by kicking at something, however very ...
urethral bleeding11/8/2011
  Q: I am 44 years old, male, About 2 weeks ago i was having sex with my girlfriend when i started ...
  A: David: Most of the time its nothing, but there are infections like prostatitis and urethritis that ...
Right distal Ureterolithiasis with hyroureteronephrosis11/8/2011
  Q: After under going Ultrasound the above impression came ...the doctor prescribed me the painkiller ...
  A: Ashok: You probably have a stone stuck in the ureter. The ultrasound is not sensitive or accurate ...
prostatitis11/7/2011
  Q: Been having symptoms of prostatitis for 7 years now. The symptoms come and go,sometimes I wont have ...
  A: Matt: There are no hard and fast answers to these questions meaning it will be different for ...
childhood surgeries...?11/7/2011
  Q: In the late 50's and early 60's I had three major surgeries where they rebuilt my bladder. It was ...
  A: Roy: You can try to look up articles using the names. But to do this without the computer is a ...
Numbness and difficulty peeing11/7/2011
  Q: For the last 1.5 years I have been experiencing diminished sensation in my penis, I can barely feel ...
  A: Martin: Diminished penis sensation is often due to injury, diabetes and sometimes liver trouble. ...
Large capsular lesion in left kidney11/6/2011
  Q: I am a patient of cronic glomerulonephritis from 15 years under immunosuppressive medicine ...
  A: Ritesh: A 6 cm mass may be a litte too big for a radiofrequency or cryoablation but it may be worth ...
infertility due to bilateral varicocele11/5/2011
  Q: I got married three years back and still we don't have a kid.when we both went for tests,it is ...
  A: Josh: It is certainly possible that the varicoceles have affected your fertility. Since they are ...
Cord Like Lump on Penis11/4/2011
  Q: I am 17 and a virgin. About 4~5 weeks ago, I noticed a lump just underneath the head and going ...
  A: Pete: I can reassure you about the lesion because I honestly can't determine if its something ...
Cranberry Juice?11/4/2011
  Q: I used to sometimes get the sudden urge to pee, until recently i've started to drink cranberry juice ...
  A: Kal: Cranberry juice does seem to have some benefit in trreating infections, but it is not known to ...
non-bacterial prostatitis / CPPS11/4/2011
  Q: Age 41 - suffering from non-bacterial prostatitis for close to 2 years now. I tried alpha blockers ...
  A: John: There is no answer to your question about "tight muscles" as there are proponents on both ...
Burning sensation in Urethra11/3/2011
  Q: I am a male 39yrs old. Since last one month I am feeling burning sensation and itching in my ...
  A: Tanveer: There are few things more difficult to do in URology than to treat a "sensation" when the ...
Large capsular lesion in left kidney11/3/2011
  Q: I am a patient of cronic glomerulonephritis from 15 years under immunosuppressive medicine ...
  A: Ritesh: It can be very difficult to differentiate various complex cystic masses. A nephrectomy in ...
was shot and damage my prostate11/2/2011
  Q: i was shot in my stomach and the bullet came out and went back in hitting my prostate and clipping ...
  A: Edward: I don't have enough details of your injuries to know exactly what may have been damaged. ...
PFD11/2/2011
  Q: SIR, i am suffering due to pelvic floor dysfunction last 8 years.is there any heat producing ...
  A: Naushad: I am not aware of any heat producing massager. I usually ask my patients to sit in a hot ...
Frequent urination/Spasms after UTI11/2/2011
  Q: Please can you advice me. I am female aged 35 with three children and not in a relationship for 2 ...
  A: Jessie: I can't say for sure what the problem is. It could be an unusual infection like yeast or ...
childhood surgeries...?11/2/2011
  Q: In the late 50's and early 60's I had three major surgeries where they rebuilt my bladder. It was ...
  A: Roy: Sorry, but I'm not a personal medical researcher. If the original physicians and hospitals ...
40 and Really Concerned10/31/2011
  Q: Doctor, Something has been troubling me and I hope you can clarify it. Recently, my girl friend ...
  A: Terry: Semen is a biological fluid that contains protein. It is possible to spread various ...
ED / prostitus10/31/2011
  Q: In the beginning I suddely noticed that i was losing sensation in my penis and that erections where ...
  A: Dave: The Feliciano method is based on getting a culture and using that as the basis for the ...
Xylocaine jelly to alleviate pain during urination10/31/2011
  Q: I have a small urethral laceration near the tip of the penis because of which I feel sharp stinging ...
  A: Mark: I would not recommend xylocaine jelly. It dries out fairly quickly and can get things ...
Strange sensation on my penis10/29/2011
  Q: This is going to sound like a joke but starting a week ago, I get what can best be described as a ...
  A: Chas: A vibrational sensation in the head of the penis where everything looks OK is most likely a ...
loss of hardness10/28/2011
  Q: Hey there stephen, I am sure you get a lot of emails on this topic so forgive me for giving you one ...
  A: Ben: No, there aren't any herbs, minerals or vitamins that will help with erection rigidity. If ...
Vein/Dorsal Nerve10/27/2011
  Q: Dr: For the last couple days,a vein or perhaps Dorsal Nerve on the top part of the penis shaft has ...
  A: Mike: Its impossible to accurately diagnose the problem only from your brief description. I ...
chronic prostatitis and kidney infection10/27/2011
  Q: from one year ago i had an intercourse with a prostitute , after 9 months from this intercourse i ...
  A: Mark: You've already seen a number of specialists including urologists so it is unlikely I can come ...
Too Much Masterbation10/26/2011
  Q: Can frequent masterbation without use of lotion leave behind a friction mark of sorts or iritate the ...
  A: David: There is no harm from masturbation, however it is conceivable that a truly excessive degree ...
Popping?Peyronies?10/26/2011
  Q: All my life I've been able to "pop" or "crack" my penis. Usually this occurs in the morning while ...
  A: Jack: There is no good evidence that the "popping" is causing any harm, but you do have a problem ...
Kidney stone10/26/2011
  Q: I presently having one pass from kidney to bladder had a CT scan found a stone about 7.6 mm. Wanted ...
  A: Robert: A stone that is 7.6 mm is unlikely to pass by itself. You should definitely consult a ...
Pink colored Ejaculate at time of climax10/25/2011
  Q: Dr. Leslie, I am a very active, healthy and sexually adequate white male, 60 yrs old, 6 190 32w ...
  A: Mark: If you've read the other postings on this issue, then you realize that I can't "put your mind ...
johnson worrys10/25/2011
  Q: ive been to the doctor over family jewel concerns before, it was awkward and he didnt take it ...
  A: Ross: I can't identify the problem from only your description. No physician should deliberately ...
bleeding during urination10/25/2011
  Q: Sir, age 18, i have frequent irritation while urinating since last 2-3 days.. But i ignored it ...
  A: Kaustubh: Your masturbation almost certainly has nothing to do with this problem. You could have ...
Genital Warts10/25/2011
  Q: I believe I have contracted genital warts and I can see them visibly on my penis. I have three under ...
  A: Darius: Genital warts are caused by a skin virus, HPV. With unprotected sex, the virus can be ...
Sudden Penis Shrinkage10/24/2011
  Q: I am 43 with no risk factors for ED except mild high blood pressure for which I take Lisonopril. ...
  A: John: Now that the testosterone levels are normal, you may want to try the Viagra type medications ...
ED / prostitus10/23/2011
  Q: In the beginning I suddely noticed that i was losing sensation in my penis and that erections where ...
  A: Dave: Prostatitis can have many side effects in patients including decreased sensation and ED. I ...
kidney stone evaluation10/23/2011
  Q: Dr. Leslie-- I wanted to thank you for your excellent advice about kidney stones and it also helped ...
  A: SUsie: Vitamin D is not directly related to immunity and I can't explain the change in UTI's from a ...
Low ejaculation Volumn10/22/2011
  Q: Over the last 6 months I have notice a decrease in semen volume, at one point down to just drops. My ...
  A: Johnny: We don't usually get all that excited about a low semen volume. It is not considered a ...
right testis problem10/22/2011
  Q: actually while playing cricket the cricket ball hit my urinary bladder.and a day after the pain in ...
  A: Ramakrishna: While the injury may not need any immediate treatment, we don't really know the extent ...
low sperm count10/21/2011
  Q: I have a count of 30 million with 5% motility. As i know only one sperm will fertilize the egg. out ...
  A: Madhus: Its impossible to interpret just the isolated number. Is the 30 million a total count or ...
Concerned at 1710/21/2011
  Q: Doctor, I am a healthy 17 year old, who has had 2 ejaculations within the last 5 nights? Is this ...
  A: Sam: I believe you are referring to nocturnal emissions which are normal. Semen can be transferred ...
Diagnosing Low T symptoms10/19/2011
  Q: I am 47 years old athletic male with a sudden (over three months) onset of depression, loss of ...
  A: Arnold: Have the look at the bioavailable testosterone and not just the total which is ...
urine problem10/18/2011
  Q: in the present days i have noticed many young boys are complaining about the problem in urinary ...
  A: Qaisar: Small amounts of post void dribbling are not unusual. Treatment is usually just to ...
Alternative antidepressant10/18/2011
  Q: I started a daily routine of fluoxetine (Prozac) five months ago. The addition of the ...
  A: Chris: It is extremely unlikely that a varicocele surgery would cause ED. However, depression is a ...
Slight post-urination dribble10/18/2011
  Q: After peeing, i feel slight drops discharging out of my urethra. Sometimes when i apply pressure to ...
  A: Kaloshi: No real problem; you just have some post void dribble as many men do. The best remedy is ...
no errection10/18/2011
  Q: ...kindly help me here...im 24 and 10 months....6 months back i had a peculiar pain in the left ...
  A: Talis: I can't determine the underlying problem from your description and I can't explain the ...
PSA Testing over 7510/18/2011
  Q: What is your opinion in regard to testing men over the age of 75 for PSA levels? If there was a ...
  A: MK: In this case, I agree with the USPSTF recommendations not to continue with PSA screenings after ...
ED and penile desensitization10/17/2011
  Q: I've been unable to reach a full and hard erection for over two years. Every now and then I can get ...
  A: Gregory: We do not have tests that "map" the nerves in the penis. There are tests such as ...
no errection10/17/2011
  Q: ...kindly help me here...im 24 and 10 months....6 months back i had a peculiar pain in the left ...
  A: Talis: The bottom line is you have erection difficulties and obviously alot of stress, nervousness ...
ED and penile desensitization10/17/2011
  Q: I've been unable to reach a full and hard erection for over two years. Every now and then I can get ...
  A: Gregory: Its hard to tell from your description if the problem is physical, psychological or both. ...
prostatitis10/16/2011
  Q: My husband has been on Cipro for his prostate infection for a month now, it seems to be getting ...
  A: Teresa: The fact that his problem is getting worse suggests that Cipro is not the optimal drug for ...
Secretions10/16/2011
  Q: Sir, I'm Nigerian and 25yrs of age. I have this problems of secreting clear fluid (prostate fluid, I ...
  A: Akeem: The fluid is either precum or prostatic secretions; especially after a bowel movement. ...
Wet dreams10/15/2011
  Q: I am 30, healthy and have been experiencing quite a few "wet dreams" lately. Why do they occur and ...
  A: Peter: Wet dreams occur to help empty the seminal vesicles and prostate periodically. Semen is ...
Diagnosing Low T symptoms10/14/2011
  Q: I am 47 years old athletic male with a sudden (over three months) onset of depression, loss of ...
  A: Arnold: The results are consistent with hypogonadrophic hypogonadism. We usually repeat the ...
penis sweling caused by pump10/14/2011
  Q: Yes, I used a penis pump for about the 3 rd or fourth time today and I pumped it up quite a bit and ...
  A: Andrew: It is not appropriate for me on this forum to diagnose or treat such a problem: you need to ...
hydrocele returning after surgery10/14/2011
  Q: 4 months ago my husband had a kidney stone which caused a kidney infection, which led to him getting ...
  A: Christine: Check on the credentials of the new doctors. If they are board certified and trained in ...
Damaged Penis?10/14/2011
  Q: Dr. Leslie, When I had first learned about exercising my penis by stretching and jelqing, I tried ...
  A: Ben: Most likely you did no real damage at the time of the exercises. But to diagnose a problem ...
hydrocele returning after surgery10/13/2011
  Q: 4 months ago my husband had a kidney stone which caused a kidney infection, which led to him getting ...
  A: Christine: You are asking many reasonable questions but they need to be directed to his treating ...
shrunken penis10/13/2011
  Q: I recently visited my teenage sweetheart after 37 years and to my surprise, his formerly 6 inch hard ...
  A: Poly: I answered the first time, too. I cannot explain the shrinking in penis size. This usually ...
prostrate10/13/2011
  Q: I have read recently that more than 3 eggs a week can cause prostrate cancer.Is that true? Thanks
  A: Pradeep: That's not baloney! A study by the Harvard School of Public Health found an 81% increase ...
Prostatic Hyperplasia with Urinary Obstruction10/12/2011
  Q: My father is 70-years old and recently was diagnosed with benign Prostatic Hyperplasia with Urinary ...
  A: Maribel: The PSA levels are high because the prostate is enlarged. When the prostate enlarges, the ...
what is the right cock ring?10/12/2011
  Q: Because it is a little difficult for me to maintain erection, I used a silicone cock ring. For ...
  A: Thomas: Your problem is not high blood pressure. While not dangerous, it could indicate the ring ...
Inflammation10/12/2011
  Q: as far as I understood the inflammation of the my chronic epididymis will be with me for the rest of ...
  A: Mohammad: I've answered this already. The inflammation is probably not permanent, but the chronic ...
Bleeding from Penis10/12/2011
  Q: I have this situation that I bleed from my penis but it only occurs when I have sexual penetration ...
  A: Dennis: You've had a complete workup and nothing was found. Since the evaluation was negative, its ...
hydrocele returning after surgery10/11/2011
  Q: 4 months ago my husband had a kidney stone which caused a kidney infection, which led to him getting ...
  A: Christine: Kidney stones and kidney infections have nothing to do with hydroceles. I would have ...
neurologist,urologist10/11/2011
  Q: like you believe, greetings ANSWER: Abdulhamit: I'm not sure I understand the comments from your ...
  A: Abdulhamit: I'm not going to get into a debate between your specialists. If you are having pain in ...
skin bridge10/11/2011
  Q: im 14 and i have a skin bridge about half an inch wide it is painfull during erictions and i want to ...
  A: Colton: Unfortunately, at 14 you are still a minor and cannot make a legal decision about medical ...
prostrate cancer10/11/2011
  Q: A little over 1 year ago my PSA was 2.8 and recently it was tested at 4.0, so I was told to see a ...
  A: Stan: Prostate cancer is generally very slow growing so there is some time to speak to several ...
neurologist,urologist10/10/2011
  Q: like you believe, greetings
  A: Abdulhamit: I'm not sure I understand the comments from your urologist. The bottom line is that ...
Hydrocele Incision10/10/2011
  Q: I had left hydrocele surgery on 9-22-11. The incision is about 5 inches long in the center of the ...
  A: Dan: I can't tell if this is a wound infection or not, but if you tell the doctor's gatekeeper that ...
Wet Dreams at 45?10/10/2011
  Q: Dr. Leslie, I am a single, healthy 45-year-old, who has had several "wet dreams" for the past 2 ...
  A: Jack: Your "wet dreams" are not that unusual. Afterwards, your internal sphincter muscle will ...
Potential danger with achieving dry orgasms10/10/2011
  Q: About a year ago, I started to consistently masturbate to a dry orgasm. I basically accomplished ...
  A: Joe: The best way to check for hypothyroidism is with a blood test. Same for low testosterone ...
Penis Cracking10/9/2011
  Q: I can crack the base of my penis like it is one of my knuckles, it can only be done while erect, and ...
  A: Norman: I suspect the cause is the same as cracking your knucles but I can't be sure. Since it ...
Transparent fluid comes after urine10/9/2011
  Q: my age is 25 yrs unmarried (History) I am habitual of doing masturbation two day a week and two or ...
  A: Allen: You can't damage the dorsal nerves by excessive masturbation although various so called ...
big to little penis10/9/2011
  Q: I recently visited my teenage sweetheart after 37 years and to my surprise, his formerly 6 inch hard ...
  A: Paula: Unfortunately, there is not enough information to determine the cause of problem. However, ...
penis shrinkage10/8/2011
  Q: Four and a half years ago I had anal cancer. The radiation I had absolutely did shrink the size of ...
  A: Arthur: Yes, radiation therapy can shrink some of the ligaments holding the penis and make it ...
Hydrocele Incision10/8/2011
  Q: I had left hydrocele surgery on 9-22-11. The incision is about 5 inches long in the center of the ...
  A: Dan: The watery liquid is sero-sanguinous fluid which typically leaks from wounds. At this point ...
Dark red blood in urine after ureteroscopy10/8/2011
  Q: Had a ureteroscopy on Thursday morning (it is now Saturday afternoon) to remove 2 stones lodged in ...
  A: Ham: It is quite common to have bleeding after ureteroscopic surgery. The stent helps with drainage ...
MILD:TESTICULAR VARICES(4-months).10/8/2011
  Q: sir,i have mild testicular varices in left testies. when i touch left testicle , i feel little bit ...
  A: Mudasir: You didn't indicate if you've had a testicular ultrasound. This is the best way to ...
Re: Penile bleeding10/5/2011
  Q: Immediately following ejaculation after oral sex my boyfriends penis began to bleed. can you please ...
  A: Tasha: It is obviously not normal to have any bleeding from the penis. Possible causes include ...
Varicocele or worse? - feeling of a detached epididymis10/5/2011
  Q: Leslie, I see that your specialty is in kidney-related disease but I have a more urology directed ...
  A: Jeremy: You have a varicocele confirmed by ultrasound. It is highly doubtful that the epididymis ...
Potential danger with achieving dry orgasms10/4/2011
  Q: About a year ago, I started to consistently masturbate to a dry orgasm. I basically accomplished ...
  A: Joe: There is no benefit to having a dry orgasm and the potential for some harm with chemical ...
Urethra stricture10/4/2011
  Q: I am having Urethra strictur since last 3 years. I underwent cystoscopy last year and after that I ...
  A: Ravi: There are no medicines specifically for urethral strictures. I personally prefer the DVIU ...
softer morning erections and no erection at all later on10/3/2011
  Q: I'm a 25 year old healthy male, Over the past few days I would say maybe 3-4 days I have been ...
  A: Saurev: Your age, lack of medical problems and relatively short duration of the problem suggest an ...
Prostate problems and masturbation10/3/2011
  Q: I am in my late teens and I have been getting so pain in my testes and between my but and scrotum. I ...
  A: Mike: Masturbation does not cause prostate problems or anything else. The pain is most likely from ...
blood in urine10/3/2011
  Q: My husband (36 yrs old) has found blood in urine, which can also seep into his semen. We are trying ...
  A: Debbie: There is always the risk of an infection, but since you are trying for a pregnancy there is ...
Urinary bladder10/3/2011
  Q: What does pre void urine- 58 ml means? Pre void urine- 58 ml is good or pre void urine- 73 ml is ...
  A: Abhi: A prevoid urine usually indicates the amount of urine voided before some type of other test. ...
Discomfort during erection10/3/2011
  Q: First of all, excuse me for my bad English. I'm Ricardo, 26 years old and live in Brazil. In ...
  A: Ricardo: You may or may not have injured the penile suspensory ligament. This usually heals, but ...
Low Testosterone10/2/2011
  Q: Just to give a little history about my issue. I am a 30 y/o male, weigh 205, 67 inches. I had a ...
  A: Scott: Well, in medicine almost anything is possible but a varicocele surgery even if done "badly" ...
Clear penis discharge10/1/2011
  Q: Ok so I'm 24. Recently had unprotected sex with a girl I apparently shouldn't have. And I now have a ...
  A: John: Just because the chlamydia was treated doesn't mean the inflammation is also gone. Check ...
Weird Sensation in the Penis when I move my Neck from Up to Down9/30/2011
  Q: Leslie, I am facing this situation from the last couple of weeks now. I feel a strange movement / ...
  A: A strange feeling when you move your neck is a neck and nerve issue, not a urological one. A ...
urology9/30/2011
  Q: there is lots of blood in my seaman over the past 6 weeks i have ejaculated 5 times and there is ...
  A: Michael: Blood in the semen is a relatively common problem and is not related to prostate cancer. ...
Kidney stones & pregnancy9/29/2011
  Q: Leslie, I'm a 35 year old female who experienced kidney stones for the first time during a recent ...
  A: D: So many of your readings are very far out of the normal range. This suggests an improper ...
sexually transmitted disease9/29/2011
  Q: while i went to a prostitute and had a masturbation from her i think my upper part of penis got hurt ...
  A: Ranveer: We don't do random "tests" to check for infection without symptoms or some additional ...
Re: Erectile Dysfunction While Standing9/28/2011
  Q: I am a 19 year old male who eats well and exercises regularly. I can achieve a firm and long-lasting ...
  A: David: This is supposedly a rare problem, but it shows up on this forum periodically. ...
Small cloudy substance still after STD treatment9/28/2011
  Q: First I am out of the country and living in a developing country that from previous hospital ...
  A: G: Your treatment was incomplete and you never had a proper diagnosis. At least you took the ...
urination instead of ejacuation of semen9/28/2011
  Q: when i masturbate, i usually orgasm/ejacuate normally at first. but if i continue masturbating, the ...
  A: Iswor: The exact nature of your second ejaculation is unclear. If it were urine, it wouldn't have ...
Right Testicle Tubes?9/28/2011
  Q: Leslie, Thank you so much for your time. I am writing to inquire about a pain that I've been ...
  A: James: I cannot determine the exact nature of your pain from only the information provided. An ...
Undeveloped Testis9/27/2011
  Q: My son was born with an undescended testis on the left side. He is now 4 yrs old. I have taken him ...
  A: Stacey: It is untrue that having an undescsended testicle will not affect fertility. It might. ...
Testicle discomfort9/27/2011
  Q: My name is John. Im 27 years old and im having some discomfort on my testicles. I went to a local ...
  A: John: Well, we don't have a diagnosis. Testicular ultrasound is very good at finding problems in a ...
chronic pelvic pain9/27/2011
  Q: really i do have most of the time pevic pain n sometimes its down there the pelvic n at the direct ...
  A: Moody: Its impossible to provide an exact or reliable diagnosis based on the limited information ...
dont urine for 4 days9/26/2011
  Q: hey my name is aisha i am 17 years old and i haven't peed for 4 day what you think i could take for ...
  A: Aisha: Unfortunately, you need to go to the hospital. Either you are not making any urine (kidney ...
Avodart9/25/2011
  Q: I am a 55 year old male who has been on Flomax and Avodart for the past five years. I have had some ...
  A: Byron: There is very little risk to Avodart. You may or may not at this point be able to stop the ...
Erections only with constant stimulation.9/24/2011
  Q: I am a 22 year old male, my problem has been persistent for the last 3 years now and is ruining my ...
  A: Ricky: OK. First, you can still have erections. You state your hormone (testosterone) levels are ...
being homosexual9/24/2011
  Q: Leslie To avoid beating about the bush,I ask my question.I would like to cure homosexual men,but I ...
  A: Naser: Issues about homosexuality are usually best addressed by psychiatry rather than urology. It ...
Repairing a torn Prince Albert9/24/2011
  Q: I had a Prince Albert tear out and leave the subsequent 'gap' remaining in the tip of my penis. ...
  A: Byron: It depends on the nature and severity of the injury. Most urologists would not try to ...
Pain in perineum and testes and pain after ejaculation.9/24/2011
  Q: Leslie, I am 17 years old, I am still a virgin, I do however masturbate at least 4 times a week. ...
  A: Sam: I believe your doctor is mistaken. WHile sexual activity is often involved in prostatitis, it ...
testosterone replacement question9/22/2011
  Q: Dr. Leslie, a urologist has advised me that while I don't have a clear cut testosterone deficiency ...
  A: Peter: The concerns are reasonable but misplaced. If you are borderline now and you are having ...
Transgender examined for kidney stone9/22/2011
  Q: Leslie, My husband is a transgender male who was biologically born as a woman. He has had top ...
  A: Christine: The intention of the examination was probably reasonable, but it doesn't sound like ...
Urinary pain on left side only9/22/2011
  Q: I am a 57 yr old male, and have had burning pain for about 3 years on my left side where base of ...
  A: Marty: Remember that we do not give individual advice here; just answer general questions. ...
bladder damage9/22/2011
  Q: I had abdominoplasty done on a Wednesday . I ended up getting urinary retention after the surgery ...
  A: Parul: You obviously had some bladder damage at the time of the retention. Frequency and urgency ...
Hi9/22/2011
  Q: What are the couses of lost of penis feeling?
  A: Mike: Causes of decreased sensation in the penis include neuropathy or nerve disorders, diabetes, ...
Balanitis?9/21/2011
  Q: I'm a 24 year old male uncircumcised male, not sexually active and never been. I have red spots on ...
  A: Roger: A fungal infection is likely. Remember that the dermatologists are the experts in skin ...
hi9/21/2011
  Q: the main problem for me is that when i go to the bathroom i always have difficulty to get my stoole ...
  A: Mody: The main problem is your bowels. Once those are cleared, the urination will improve. I ...
urethristis9/21/2011
  Q: I am 27 years old boy.2 years ago, some time i feel mild pain in my panis only during erection. this ...
  A: Bilal: After several urologists have seen you, it is unlikely that I can come up with the optimal ...
Urology9/20/2011
  Q: I am 24 year old female suffering from Chronic interstitial Cystitis. I have been to urologist ...
  A: Monique: I do not understand "metolast of the bladder" or "urethradectomy". Urinary spraying ...
recommendation9/20/2011
  Q: ..would like to know what is the most effective and quick treatment for congestive prostatitis. Both ...
  A: Davids: The easiest treatment for congestive prostatitis is regular ejaculation. If that fails or ...
Mild perineum pain9/20/2011
  Q: I'm 32, fairly healthy, not over weight, office worker. Over the past week I have developed this ...
  A: Rich: What you've described sounds like prostatitis. This is an inflammation of the area around ...
Adult circumcision9/19/2011
  Q: I am a 31 years old man. Are there any advantages why I should go into the circumcision? Which are ...
  A: Leonardo: Circumcisions in adults are usually optional unless there is an infection or severe ...
Male lubrication9/19/2011
  Q: What is truth about male lubrication when he is sexually excited? How much is normal? How much is ...
  A: Leonardo: There is no official normal amount of male lubriction, but it does seem to vary from ...
Penis Enlargement9/18/2011
  Q: Is there any way to enlarge a penis safely? ANSWER: Peter: Sorry, there isn't. Pills, exercises, ...
  A: Peter: Curvature is usually due to scar tissue or fibrosis in the walls of the erection bodies. It ...
Erectile dysfunction after trauma9/17/2011
  Q: 2 years ago (I was 29 then) my flaccid penis was damaged by a kick to the groin, which produced ...
  A: Daniel: An injured dorsal artery is not usually responsible for ED. The critical arteries are the ...
diminished penis sensitivity9/17/2011
  Q: I am in my late forties in a monogamous relationship of over twenty years and have struggled with ...
  A: Mitchell: You could very well have diminished sensitivity in the penis. This could be due to ...
Pain in perineum and testes and pain after ejaculation.9/16/2011
  Q: Leslie, I am 17 years old, I am still a virgin, I do however masturbate at least 4 times a week. ...
  A: Sam: I wouldn't worry yet. Obviously I can't make a reliable diagnosis from the limited ...
Urinary retention9/15/2011
  Q: I was recently diagnosed with polyuria, and a cystoscopy revealed obstruction of the bladder neck. ...
  A: Carla: You have not indicated your sex. Carla is usually a female name. Saw palmetto is not ...
Testicle sizes are not even9/15/2011
  Q: My name is Wilson. I am 24 years old. I have problems with my testicles. The left one is bigger ...
  A: Wilson: No, I don't think this is a joke. Your testicle needs to be checked to see if the left one ...
Chronic Infection/inflammation9/15/2011
  Q: Dr. Leslie, To put a long story short, I have been experiencing pernieal pain and discomfort for ...
  A: Dan: We rarely do surgery on the seminal vesicles. They are not easy to reach and they rarely ...
Acute change in prostate/urination9/15/2011
  Q: Some history - My husband, who is 56, had 3 urinary retention episodes in the 5 months before he had ...
  A: Elayna: I agree with you that the sudden onset of a slow stream 1 year after TURP surgery is more ...
Change of foreskin and Glans Colour9/14/2011
  Q: I have been observing that foreskin of my penis has undergone a change of colour in last 2 years, ...
  A: Alan: There is no way you can tell the difference. What you described sounds like a very general ...
penis injury9/14/2011
  Q: I masturbated last night by vigorous stroking of my penis. Shortly thereafter, there was a bulge ...
  A: Bill: It isn't possible to say for sure what happened. This could be anything from a paraphimosis ...
Three problems9/14/2011
  Q: First of all I apologize for writing such a long article and I`d like to thank you in advance for ...
  A: Silver: The basis of a diagnosis of hypogonadism is low or borderline testosterone levels (usually ...
Penis discomfort / pain.9/14/2011
  Q: I'm an 18 year old male, for the last couple days, I've had discomfort, and a light pain on the left ...
  A: Jay: That depends on the word "vigorous". Under normal circumstances, masturbation does not cause ...
bubbles in urine9/13/2011
  Q: was wondering if you can help, about 10 years ago i was admitted to hospital with fever stomach ...
  A: Steven: The most likely cause of gas or bubbles in the urine associated with infections is a ...
Change of foreskin and Glans Colour9/13/2011
  Q: I have been observing that foreskin of my penis has undergone a change of colour in last 2 years, ...
  A: Alan: A change in color of the foreskin and glans suggests a skin infection, possibly yeast which ...
Penis discomfort / pain.9/13/2011
  Q: I'm an 18 year old male, for the last couple days, I've had discomfort, and a light pain on the left ...
  A: Jay: You have several symptoms but the underlying cause is not clear. Masturbation does not cause ...
My 8 month old baby9/13/2011
  Q: Actually around his 5-6 month old checkup his pedi had mentioned that one testicle feels smaller ...
  A: Annon: Obviously I can't solve the problem without performing my own examination. It is possible ...
Renal Ultrasound9/12/2011
  Q: Dr Leslie Greetings! I have received the results today regarding the Renal ultrasound and will not ...
  A: Phillip: The kidneys seem normal with a small cyst. Such cysts are common and are not considered ...
Penis shrinkage due to opiate use9/11/2011
  Q: My penis erection is two inches shorter after six years of heavey opiate use. What is this from? I ...
  A: Dan: Narcotic use is not associated with any significant decrease in penis size. If there have ...
what stops blood leaving penis through arteries9/11/2011
  Q: Stephen, During erection, the corpora cavernosa (CC) fils with blood and swell against the tunica ...
  A: Peter: The problem with blood leaving via the arteries is that there is this thing called blood ...
burning while urinating9/10/2011
  Q: I'm a 22 yr old female and I've been having burning while urinating and even for like a hour ...
  A: Sally: Inflammation of the lower urinary tract can cause problems and symptoms such as you suggest ...
Erection Potency9/9/2011
  Q: Stephen, Do think that the alternative pills to Viagra like Zenrex,Enztye,VigRx,etc. are safe and ...
  A: John: According to Ira Sharlip, a spokesperson for the American Urological Association, "There is ...
bad nerve damage9/8/2011
  Q: iam 20 years old male.i had an operation when i was 10 to have my testicle pushed down . i cannot ...
  A: Jake: There is no explanation or scientific rationale to explain any possible connection between ...
about erectile dysfunction9/8/2011
  Q: before 2003 every thing was normal after that i see a secrection of semen after urination and my ...
  A: Sumit: You didn't ask a question but I assume you want some advice. Lack of sexual arousal ...
Injury in childhood9/8/2011
  Q: Can the serious blunt trauma to the testicles in childhood (until age of 7 or 8 for example) be ...
  A: Maro: It's possible but very unlikely. Very significant trauma to both testicles would have to ...
Penis Extender Injury9/7/2011
  Q: Kindly advise whether penis extenders may cause permanent injury and please inform whether they ...
  A: John: My opinion is the same for this new device as for the others. Either it doesn't work and is ...
blood in urine9/7/2011
  Q: Leslie, My husband has had visible blood in his urine that comes and goes for a few weeks at a time ...
  A: Priscilla: The good news is that he's had the required testing and no significant problem was ...
penial retraction9/7/2011
  Q: I am over 40 and have not always had this problem but for the last 3 years my penis has become non ...
  A: John: I cannot identify the medication you described. There is no medication that we know of that ...
ENLARGED GLANS PENIS & TIGHT PREPUCE9/7/2011
  Q: Kindly follow the web link to watch my video (video is in Windows Media Player ...
  A: I'll try to answer your questions. 1) Masturbation is very normal and very common. It causes no ...
Urinating Problems because of Bladder Enlargement9/7/2011
  Q: I AM NIKOLAS ELEFTHERIOU FROM CYPRUS. I WOULD LIKE TO ASK YOUR OPINION ON PROBLEM THAT MY FATHER ...
  A: Nikolas: If he has had surgery and has been found to have a damaged or decompensated bladder, there ...
Penis Extender Injury9/7/2011
  Q: Kindly advise whether penis extenders may cause permanent injury and please inform whether they ...
  A: John: Reports are inconsistent, but the majority opinion is that they don't work and may cause ...
Can't pee.9/6/2011
  Q: This has been going on for a couple weeks or a months or so I don't know, but I noticed that ...
  A: Curt: There isn't enough information to make a diagnosis, but some typical problems include ...
Urinating Problems because of Bladder Enlargement9/5/2011
  Q: I AM NIKOLAS ELEFTHERIOU FROM CYPRUS. I WOULD LIKE TO ASK YOUR OPINION ON PROBLEM THAT MY FATHER ...
  A: Nikolas: He needs to see a urologist urgently. He may have a damaged bladder and/or prostate ...
Spraying from penis during urination9/5/2011
  Q: A few months ago my urine stopped coming out in a solid and steady round stream and started spraying ...
  A: Beni: Problems with the stream such as you describe may be caused by an alteration in the anatomy ...
Flomax & Avodart9/4/2011
  Q: Why should I take Avodart & Flomax at the same time as instructed by urologist???
  A: DeWayne: First, it was prescribed. Second, they work differently. Avodart will shrink the prostate ...
Ejaculation prior to orgasm9/4/2011
  Q: I am a 48 year male. For the past year, I have started ejaculating prior to orgasm. This is NOT ...
  A: Ryan: There are rare and odd side effects from many drugs, but no specific drug class would cause a ...
PROSTATITIS9/4/2011
  Q: i'VE JUST finished A BOOK THAT HAD TO DO WITH THE CURING OF PROSTATE ISSUES. The book indicates that ...
  A: Fred: This is still a controversial issue. For example, populations that congenitally have very ...
Ejaculation prior to orgasm9/3/2011
  Q: I am a 48 year male. For the past year, I have started ejaculating prior to orgasm. This is NOT ...
  A: Ryan: This is an unusual problem. A medication effect is one possibility but in general, a ...
urinary tract infection9/3/2011
  Q: I have a problem of recurring urinary tract infection. This time I took a 20 tabs course of niftran. ...
  A: You will probably need to consult with a urologist. Causes of recurrent infections could be various ...
bad nerve damage9/2/2011
  Q: iam 20 years old male.i had an operation when i was 10 to have my testicle pushed down . i cannot ...
  A: Jake: An operation to move the testicle is not likely to have caused any of the problems you've ...
Something wrong with my penis9/1/2011
  Q: General info: 21 years old No records of any illness prior to this No mental component No drugs, ...
  A: Peter: Unfortunately, your symptoms do not correspond to any clearcut diagnosis. Essentially you ...
ua blood and RBC9/1/2011
  Q: My husband just got a routine urinalysis done for work and it showed ua blood 150/uL and ua rbc ...
  A: Dee: The first number is just the cutoff on the dipstick and while it indicates blood the number is ...
fixed undesended testicle9/1/2011
  Q: Had right testicle fixed at age 13. The testicle is smaller and stay up at base of penis at all ...
  A: Todd: First you have to know what exactly was fixed. Was there a torsion or was it undescended? ...
Autoimmunity8/31/2011
  Q: Doctor, I received your reply to my question earlier today, but didn't understand it that so good. ...
  A: Pavo: Antisperm antibodies can cause infertility problems but do not generally cause an orchitis. ...
hernia8/31/2011
  Q: Mr Leslie Thanks in advance. Ive bilateral "sports" hernia's / gilmore groin, that require ...
  A: David: There are lots of treatments for ED that would not require an implant such as MUSE, penile ...
Pain on perineum8/31/2011
  Q: Every time i jump from something thats 2 feet or more i get this very sharp pain on my perineum when ...
  A: Jesus: I've not heard of this particular problem before, but its suggestive of prostatitis. You'll ...
ambiguous pain and varying symptoms8/31/2011
  Q: I'm a 29 year old male who has been experiencing pain in the pelvic area for about 8 months now. I ...
  A: Anthony: The most common cause of penile pain is prostatitis. Since your examinations have been ...
aching pain testicles8/30/2011
  Q: Dr. Leslie, I have been having dull aching pains in my right testicle that comes and goes. I went to ...
  A: Jeff: An ultrasound to check for cysts and infection might be a good idea. If a cyst is found, ...
Question8/30/2011
  Q: I'm 22 years old. I have recently got pain on the bottom of my right testicle. can't really tell if ...
  A: Mortaza: You asked what it could be which is just a laundry list of possibilities. I don't usually ...
Erectile dyfunction8/29/2011
  Q: Prior to June 13 2011, I usually have an erection and was able to have sex with my wife. After about ...
  A: Pertex: Difficulty with erections after bike riding is a known phenomenon. It is due to pressue ...
black penis lump8/29/2011
  Q: im really woried ive had this thing for years never known what it is, it started off clear and skin ...
  A: David: I can't really tell what the problem is from just your description and the picture. In ...
ongoing urinary complaint8/29/2011
  Q: I am a 70 year old woman with a problem of frequent (2 or 3 times during the night) urination. ...
  A: Robin: I can't say what is causing your problem as there are too many possibilities ranging from ...
drops of pee8/29/2011
  Q: sorry for my bad English. I'm 22 years old and had this problem for years and it's really impotent ...
  A: Ahmad: Its unclear if this is post void dribbling or some mild stress incontinence. Usually, we ...
Long-term cystitis symptoms8/29/2011
  Q: I am a 29 year old female who has been suffering with cystitis symptoms (mainly burning after ...
  A: Laura: There are several possibilities, but you would be best advised to see a urologist ...
Drop of Blood in Semen8/27/2011
  Q: I'm 19 and I have this issue that worried me a little bit. This morning when i woke up I was ...
  A: Robert: There is no point in guessing where the blood might have come from. Its best to have it ...
burning sensation8/26/2011
  Q: What might cause a burning sensation in the tip of my penis, near urethra opening that is NOT ...
  A: Barry: You may have caused some injury with your sexual encounter. Its not possible to explain the ...
incontinence after prostatectomy8/25/2011
  Q: I had radical prostatectomy in 9/2004. This is my urinary situation since: as often as not I get up ...
  A: Helmut: Botox would not be appropriate at this point. We don't have a diagnosis and you haven't ...
Testicle8/25/2011
  Q: Doctor, I emailed you two days ago about the testicle calcification. The fact that 17 years ago I ...
  A: Mark: The second calcification may be related to the first or it could be totally unrelated. There ...
break flow of urine8/25/2011
  Q: one of my elder brother has a problem that while doing urine it does not come in its full flow not ...
  A: Bikash: You brother has a problem. It could be prostatitis, BPH, urethral strictures or a weakened ...
Cytoscopy8/25/2011
  Q: Male Age 65 having trouble with urine retention and an enlarged bladder - am using an FR 14 cath 2x ...
  A: Ray: Usually, twice a day catheterizations are not enough. If the amount drained is more than 500 ...
blood in semen8/24/2011
  Q: I have been having blood and blood clots in my semen after sex or after I become aroused. It has ...
  A: Rob: If you've seen your own physician and a urologist who have been unable to identify the ...
vein8/24/2011
  Q: it can be a damaged blood vein in my pelvic pain and provide the emotional loss of my penis and ...
  A: Abdulhamit: I'm sorry but I am not going to be able to answer these questions. You are getting ...
Testicle Calcification8/23/2011
  Q: In 1994 they found a lump, 9mm on my left testicle. After marker tests, ultrasounds, color ...
  A: Mark: Calcifications don't turn into cancer any more than your bones do. However, some cancers ...
vein8/23/2011
  Q: it can be a damaged blood vein in my pelvic pain and provide the emotional loss of my penis and ...
  A: Amdulhamit: If I understand your question correctly, it sounds like you are asking if a damaged ...
Pimples8/23/2011
  Q: For about 2-3 years now i have have had pimples on the shaft of my penis. Is this serious? Can you ...
  A: Martin: If indeed these are pimples and not Fordyce spots or sebaceous cysts, the usual method of ...
bleeding from urethra8/23/2011
  Q: I am a 50yo caucasian male (Greek descent). 5'9" and 250 pounds. I have no major medical history ...
  A: Christopher: Bleeding from the urethra is never normal. It could turn out to be nothing, but it ...
Loss of penile sensitivity8/23/2011
  Q: I'm an 18 year old male. In the past year or two I've noticed a serious decrease in the sensitivity ...
  A: Mark: Tensing the groin is not likely to cause any nerve damage or loss of sensation in the penis. ...
important question8/23/2011
  Q: This is very serious and i don't know how to start..I am able to urinate..i am able to get an ...
  A: Joseph: I can't explain your problem, but there is clearly a psychological aspect to it. While it ...
Lack of precum and delayed ejaculation8/23/2011
  Q: It is very difficult for my boyfriend, 24, to climax. This is true even when he stimulates himself ...
  A: Helena: Delayed ejaculation is usually a result of medication side effects or psychological ...
Incontinence in Parkinson's Client8/22/2011
  Q: I am the patient advocate and healthcare coordinator for a 75 year old man diagnosed with ...
  A: Mary: Given his Parkinson's and falling tendancy, I would not recommend Terazosin. A trial of ...
Dear sir8/21/2011
  Q: Sir im 20 yr old male ,i have a problem for last 4months..there is oozing of sperms whenever i ...
  A: Amjad: It is almost certainly not sperm that is oozing. This could be an infection, a discharge, ...
Bleeding when ejaculating8/20/2011
  Q: I read the other peoples questions about this problem but my situation is a little different and ...
  A: Sheldon: It is not always possible to determine the cause. It is not likely to be the celestamine ...
Post void urine8/20/2011
  Q: Sir, iam 28 Yrs male. 3-4 yrs back i was diagnosed with Significant Bladder Outlet Obstruction for ...
  A: Akhilesh: A post void residual of 65 cc is acceptable. Urethral calibration is just a measurement ...
Bleeding when ejaculating8/19/2011
  Q: I read the other peoples questions about this problem but my situation is a little different and ...
  A: Sheldon: Your problem is basically the same as everyone else who noted blood with the semen during ...
Post void urine8/19/2011
  Q: Sir, iam 28 Yrs male. 3-4 yrs back i was diagnosed with Significant Bladder Outlet Obstruction for ...
  A: Akhilesh: You diagnosis of bladder outlet obstruction doesn't go along with a post void residual of ...
Burn in Male penis tip8/19/2011
  Q: "It started early february 2011, i had protected sex and am sure the condom didnt leak.i had a lot ...
  A: Kem: We can't diagnose a patient over the Internet and we would not even if we could. This forum ...
penile injury8/19/2011
  Q: sir,couple of days ago i wrote to you about the penile injury i had(it has been around 40 day when i ...
  A: Wakas: After an injury where scar tissue forms in the penis, there is the possibility of shortening ...
Irritated Tip of Penis8/19/2011
  Q: About a month ago I had a one time thing with a guy that involved masturbation and oral. He said he ...
  A: Aaron: With all the cultures and tests negative, there is no reliable way to make a diagnosis from ...
Movement in testis8/18/2011
  Q: I am 18 years old...I have noticed smooth wave like motion in my testis.... What is it? Is it ...
  A: Chinmay: I don't understand what you mean by a "smooth wave like motion" in the testicle. There is ...
penis8/18/2011
  Q: My boyfriend let his x wife insert a knitting needle into his penis several different times.Which ...
  A: Lena: Putting a knitting needle into the penis to cause bleeding is dangerous as well as ...
Penis lump8/17/2011
  Q: Hey Doc, I have been sexually active this summer with one girl in particular, and was recently ...
  A: Ryan: I can't make a diagnosis or predict the course of your lump. There is just not enough ...
Hematospermia, Flank and testicular pain8/17/2011
  Q: I have had several episodes of left low flank pain, adjacent SI joint pain, and testicular pain. ...
  A: Frank: Hematospermia usually is quite benign and harmless. It is not usually connected with any ...
Urethral Stricture Guidance8/17/2011
  Q: I have 2 questions and I would be glad if you can answer these. 1. I am 48 years old male suffering ...
  A: Rajendra: Several other options are available. Depending on the exact location and length of the ...
pain8/17/2011
  Q: i have the folowing symptoms pain in the groin area when i have an erection or when ejaculating ...
  A: Paul: This is only a general information forum and we don't treat patients from here. Your ...
post priapism ed8/17/2011
  Q: Leslie, I am a 22 year old male and in December of 2010 I had a very painful priapism. I was with my ...
  A: Robin: Since you've had an injury and the penis is not working normally 6 months after the injury, ...
rejuvenation8/16/2011
  Q: I was reading about some side effects about overmasturbation such as fatigue and that it can change ...
  A: Nes: Not much. While some temporary fatigue will occur after masturbation, the other effects are ...
erectile dysfunction or PSSD8/16/2011
  Q: I am 34 year old male from India and my problem is related to sex, i have sexual dysfunction ...
  A: Arnav: You have many misconceptions about ED. I will try to address most of them. First, ...
penile fracture8/15/2011
  Q: if penile fracture is allowed to heal on its own and scar tissue forms and lead in curvature of ...
  A: Wakas: With minor trauma, we don't know how long it may take but scar tissue usually heals in about ...
penile fracture8/15/2011
  Q: if penile fracture is allowed to heal on its own and scar tissue forms and lead in curvature of ...
  A: Wakas: Peyronie's Disease causes limited scarring called Plaques in the walls of the erection ...
testicles8/15/2011
  Q: I am due for an operation on the 11th of November, it is due to my left festive not functioning ...
  A: Colm: A replacement testicle is usually selected to be the same size as the remaining original. ...
Question on symptoms8/14/2011
  Q: I am 34 years old and I exercise 3-4x per week, doing cardio and weights. I work as a physical ...
  A: Marc: We don't yet have a diagnosis. A stone is one possibility, but muscle issues are more ...
weak sperm count , very short penis8/13/2011
  Q: Im 23 years old boy my severe and embarresing problem which have made me depressed too , is my penis ...
  A: Mehdi: First, your penis length is within normal limits. While you may want it longer, there is no ...
Prosatitis8/12/2011
  Q: Recently my doctor suspected prostatitis, and put me on a 10 day regimend of Ciprofloxacin and ...
  A: Robert: Anything is possible, but yeast would be unusual. 10 days is not enough time in many ...
Injury during sexual intercourse.8/12/2011
  Q: Greetings Doctor S. W. Leslie, I have noticed that you preferably want to answer problems, ...
  A: Ilie: The problem is not that I "prefer" other injuries, but that without any testing or even a ...
Not Constipation8/12/2011
  Q: I think I asked you a question 1 year ago as well. But this time it is slightly different. It takes ...
  A: Abhishek: I can't help you with the bowel issues as that is out of my area. If the constipation is ...
Biopsy for High PSA Readings8/12/2011
  Q: Leslie: I am 59 years old male. Last Year PSA: 0.9 2010 (June) June 2011 PSA: 4.0 August 2011 PSA: ...
  A: Orrin: He has a point. The percentage increase is quite large even with the total being stable. ...
Penile Discharge NOT STD8/12/2011
  Q: I was facing penile discharge without any pain. but little burning after peeing. i see it usually ...
  A: Jad: I'm not a believer in the above scenario although it does sound plausible. You could have ...
Priapism8/11/2011
  Q: I have unfortunately experienced the truth of your information, that more than 3-4 hours long ...
  A: Alen: I don't have any immediate references, but if you can go to a medical library and check ...
Shrinking testicles , low testosterone..8/11/2011
  Q: For the last couple months I have noticed my testicles are markedly smaller than previously. Even in ...
  A: Joey: Once testicle shrink in size, there is no reliable way to increase their size. As for your ...
Help8/10/2011
  Q: doctor can excessive erection do weakness or can do any type of disease ? i get erection mostly 10 ...
  A: Jhon: Prolonged erections can do some harm to the erection mechanism, but there is no evidence that ...
Serum creatinine8/9/2011
  Q: Upto what level creatinine can go? At what stage a person require Dyalysis? Do medicines act at ...
  A: Madanmohan: There is no limit to how high a creatinine level can go. It can theoretically keep ...
penis ligament8/9/2011
  Q: Sir,I am a student from india.And my question is 'will any ligament break would cause any ...
  A: Shaluk: It would be exceedingly difficult to cause a penile fracture from manual manipulation. The ...
control urination8/7/2011
  Q: Are there any side effects of control urination because i used to control urine for more then 7-8 ...
  A: Ulka: I'm not sure what you mean by "control urination". If you postponed voiding excessively, you ...
penis size8/7/2011
  Q: docter,does the penis size matter?
  A: William: Not really. Most men have a penis that is "average" in size. Guess what! Women prefer a ...
No Arrousal or Penis sensation8/6/2011
  Q: I am a 22 year old male with completely normal hormone levels. The problem is that when I try ...
  A: Ricky: While there may be a physical componenet, your description would be more likely due to a ...
Erectile dysfunction8/5/2011
  Q: I am a 30 yr old healthy male, I am having erectile issues, frequent urination with no pain, lower ...
  A: Matthew: Of course. You should consult a physician. I don't believe in reflexology and can't ...
Fertility - Post-chemo8/4/2011
  Q: Stephen, I will try to keep this as short as possible for you. I am a 22 years old male wilms tumor ...
  A: Ed: Normal sexual development suggests normal testosterone levels, but that doesn't necessarily ...
kidney stone cause?8/3/2011
  Q: I had my very first kidney stone while pregnant 8 years ago. I passed 4 stones in the 4 months ...
  A: Jenny: Dr. Preminger at Duke and Dr. Assimos in Winston-Salem would be the closest. Contact their ...
Erectile Dysfunction8/3/2011
  Q: Leslie, I can achieve erections suitable for intercourse but not as hard as they should be or used ...
  A: Eric: Hair on the shaft is not considered a cause of ED. We look at testosterone levels in many ...
spermatocele / epididymal cyst8/3/2011
  Q: My husband (age 54) was seen for gross hematuria about 18 months ago. The hematuria was apparently ...
  A: Lisa: Specifics about time off from work would be decided by the operating surgeon. A spermatocele ...
pain in testis8/3/2011
  Q: I am now 33 but about 18 years ago I had a acute ache in my right testicle during the walking or ...
  A: Samir: It is not appropriate for me to give specific medical advice such as you are requesting. I ...
Pain in left Testis8/3/2011
  Q: I am 60 yrs.old. Smoking and having 2/2.5 peg drink twice a week - Wed & Sun. Non veg once in 3 ...
  A: Ravi: Given your age, the most likely causes of testicular pain would be an infected testicle or a ...
long term nephrostomy tube8/3/2011
  Q: I want to ask about my nephrostomy tube due to kidney stones on left side. I have had this ...
  A: Lucy: While its true that a nephrostomy tube can cause problems such as stones and infections, it ...
Proscar/Avodart and the prostate.8/2/2011
  Q: I'm 24 years old male and a month ago I experienced hematuria after ejaculating then complete ...
  A: Goodman: These are questions to ask your urologist. I wouldn't worry too much about side effects ...
Bleeding after ejaculation.8/2/2011
  Q: I am 25yrs old and been experincing bleeding at ejaculation and in urine after sex. I masterbate ...
  A: Drizzy: You need to see a physician. Blood in the semen is not usually due to anything dangerous ...
Erectile Dysfunction8/1/2011
  Q: Leslie, I can achieve erections suitable for intercourse but not as hard as they should be or used ...
  A: Eric: You had a pretty complete workup. A Rigiscan test for nocturnal erections might be helpful. ...
help8/1/2011
  Q: okay i got an ultra sound and foud i have hydrosele, but i only have a lil bit fluid, what should i ...
  A: Matthew: Just because an ultrasound found a hydrocele doesn't mean its clinically significant or ...
is it possible to have surgery outside of the tunica albuginea to take out scar tissue where theirs nerves and blood vessels?7/31/2011
  Q: is it possible to have surgery outside of the tunica albuginea to take out scar tissue where theirs ...
  A: Terry: Since the scar tissue is part of the tunica, it is not possible to have surgery outside the ...
Erectile Dysfunction7/31/2011
  Q: I am 34 year old male and have recently discovered that during sex my penis looses it hardness. In ...
  A: Stephen: Its difficult to say for sure how well the natural remedies work since placebo effect is ...
pain in testis7/29/2011
  Q: I am now 33 but about 18 years ago I had a acute ache in my right testicle during the walking or ...
  A: Samir: Injection of the spermatic cord with a local anesthetic can help differentiate visceral pain ...
kidney stone cause?7/29/2011
  Q: I had my very first kidney stone while pregnant 8 years ago. I passed 4 stones in the 4 months ...
  A: Jenny: Too much information is missing. First, what is the exact chemical composition of your ...
Recurrent urine infection7/28/2011
  Q: Please take a few minutes to read my mail. I am 67years old male. I have hypertension and Diabetes ...
  A: Gnaneshwar: I suspect that the underlying cause of your problem is the stones in the kidneys. ...
penis7/27/2011
  Q: first of all I thank you for the service you do.I am 17.My question is, about 5 days ago i was ...
  A: Jack: It would be exceedingly rare and unusual to have ligament damage or a penile fracture from ...
post-vasectomy sperm count7/27/2011
  Q: I had a vasectomy nine months ago and though my sperm count has been consistently decreasing over ...
  A: Charlie: After 9 months, the sperm count after a vasectomy should be zero. Either the vasectomy ...
is once a day cialis safe for long term usage like a month straight?7/27/2011
  Q: is once a day cialis safe for long term usage like a month straight? and also does xiaflex ...
  A: Terry: Once a day Cialis is safe even if used for a whole month straight. There are risks ...
corpora cavernosa ,tests,viagra7/27/2011
  Q: my name is david,i need to ask: 1)what is the most accurate and sensitive test to be done,to detect ...
  A: David: Some good questions. 1. The most accurate way to tell if there has been any significant ...
sperm count7/27/2011
  Q: How does a man know's that he cannot produce children or sperm? I know that this is a question ...
  A: Cornell: If a man is not producing any sperm at all, it is far more difficult and expensive for him ...
sperm count7/26/2011
  Q: How does a man know's that he cannot produce children or sperm? I know that this is a question ...
  A: Cornell: The color of the semen has nothing to do with the presence or absence of sperm. The only ...
can plaque from peyronies disease compress on a nerve causing numbness?7/26/2011
  Q: can plaque from peyronies disease compress on a nerve causing numbness? i had a penile fracture 5 ...
  A: Terry: Penile fractures are rare. THe vast majority involve a tear in the tunica on the lateral ...
My husband's testicle has been hurting for years7/26/2011
  Q: I recently noticed that my husband's right testicle hurts him. At first I thought he was lying but I ...
  A: Sara: It is normal for one testicle to be higher than the other. But it is not normal for a ...
Prostate cancer7/26/2011
  Q: I had my prostate removed about 8 years ago, and the PSA readings since then have all been ...
  A: Michael: The fact that you had detectable PSA after your surgery meant some prostate tissue, ...
minor penile fracture7/26/2011
  Q: the think i want to ask is that if someone had a minor penile fracture and if he let it heal on its ...
  A: Wakas: There is no such thing as a "minor penile fracture". Either its a fracture or its not. Any ...
can plaque from peyronies disease compress on a nerve causing numbness?7/26/2011
  Q: can plaque from peyronies disease compress on a nerve causing numbness? i had a penile fracture 5 ...
  A: Terry: First, this may not be peyronie's. Just scar tissue following an injury. You didin't ...
Testosterone Injection material7/25/2011
  Q: Is it possible that my body could respond differently to the same testosterone injection material ...
  A: Dave: Anything is possible, but there should not be that drastic a difference between ...
Urothelial clusters on cytology report7/25/2011
  Q: I asked this same question in the Pathology section but did not receive a reply so I thought I'd try ...
  A: Tami: Kidney stones do not typically cause "clusters" of urothelial cells. Renal cell carcinoma ...
Prostate cancer7/25/2011
  Q: I had my prostate removed about 8 years ago, and the PSA readings since then have all been ...
  A: Michael: Then I assume you had prostate cancer if you had a radical. If so, then ANY PSA reading ...
Prostate cancer7/25/2011
  Q: I had my prostate removed about 8 years ago, and the PSA readings since then have all been ...
  A: Michael: You have indicated you had your prostate removed, but you didn't say if you had a radical ...
Severe burning urination of my mom7/25/2011
  Q: Basically i am from india and i have a question related to my mom's severe burning urination since ...
  A: PB: Obviously I cannot diagnose a patient from here. Interstitial cystitis is one possible cause. ...
urinating every minute and not very much7/24/2011
  Q: Help! I am a 24 year old woman, on various psych drugs(trileptal, clonodine, lamactil, risperdone) ...
  A: Helen: There are only a few conditions that cause the level of urinary frequency you've described. ...
PROSTATE ENLARGEMENT WITH CONSTIPATION7/23/2011
  Q: Sir,I am suffering from PROSTATE ENLARGEMENT since 2008. The doctor prescribed me some medicines. ...
  A: Shandilya: First, your status needs to be clarified using a symptom score, such as the AUA symptom ...
potential for prostate cancer7/22/2011
  Q: I have had two negative 10 core biopsies and two low PCa3 tests (6.5 and 11.3). In january I had a ...
  A: Ron: There is no hard data on your odds at this point, but I would think that unless there is an ...
Penile shrinkage7/21/2011
  Q: During the last 3 years my penis has shrunk dramatically in length, width and girth when flaccid and ...
  A: Adrian: Your symptoms suggest prostatitis. You should talk to your physician about this or consult ...
Strangury and ejaculation..7/21/2011
  Q: I am sure you are aware of the great service you provide, and I would like to truly thank you. I ...
  A: Drew: There is no obvious or common reason for urgency following ejaculation. However, during ...
Prostate7/21/2011
  Q: i am a 27yr old male. All my problems started with a night full of beers following a masturbation ...
  A: Cedriac: The fluid after a bowel movement is probably just prostatic secretions (not semen) and is ...
VCUG in a year old girl7/21/2011
  Q: My daughter had 2 UTIs and my doctor recommended to do the VCUG, when the test was performed, the ...
  A: Alla: WHile there is always some radiation risk with any x-rays, the overall risk is quite small ...
Possible Infection7/20/2011
  Q: Dr Leslie, I think I may have a UTI.I am a 63 yoa Male. I have an enlarged prostate that can reduce ...
  A: Joe: We don't typically give that type of medical advice on this forum; just answer general ...
2 quick questions7/20/2011
  Q: I have a kidney infection. It's beginning to improve with Cipro antibiotics. I've also bought 1 big ...
  A: Amanda: There's not much more you can do with the UTI. Try some extra vitamin c (500 mg twice a ...
Low testosterone and high LH7/19/2011
  Q: i'm 28 years old 6'1 270 lbs. About 3 weeks ago I had my primary physician check my testosterone ...
  A: Scott: Zinc is not likely to ensure fertility. You may want to do a sperm count/semen analysis to ...
peynorie's disease7/19/2011
  Q: sir how size of the penis approximately in peynorie's disease,before the progression of the disease ...
  A: Wakas: There is no known amount of time between any particular injury and Peyronie's. It isn't ...
peynorie's disease7/19/2011
  Q: sir how size of the penis approximately in peynorie's disease,before the progression of the disease ...
  A: Wakas: There is no arbitrary standard. Each case is different. Peyronie's disease causes a ...
Low testosterone and high LH7/19/2011
  Q: i'm 28 years old 6'1 270 lbs. About 3 weeks ago I had my primary physician check my testosterone ...
  A: Scott: An elevated LH level with low testosterone suggests an unresponsive testicle that is not ...
Retrogade Ejaculation7/19/2011
  Q: Dr: I had Prostate Seed Implant 17 months ago, fortunately I have no ED issues (still like a 19 year ...
  A: Michael: Probably not much can be done. The prostate seed implant has probably affected the ...
Erections7/19/2011
  Q: I would like you to clear something up for me please. What is considered to be normal hardness or ...
  A: Greg: There is no standard way of measuring erection rigidity so I can't give you a pressure ...
Blood in urine7/18/2011
  Q: A few days ago, I started noticing a burning sensation at the termination of my urination; I also ...
  A: Fred: Depending on your location, schistosomiasis may be common. However, in most of the rest of ...
Vasectomy Problem7/18/2011
  Q: Leslie, Thank you for taking the time to review my issue. I guess just a little background is in ...
  A: Shane: The sperm counts are extremely low: in the single digits, so I would just wait. Usually, 30 ...
Urology7/18/2011
  Q: Respected Sir I am a 25 years old boy, unmarried. From previous 6 months I have a urology problem. ...
  A: Asad: I suspect the fluid is just periurethral gland secretions, also known as pre-cum. You may ...
testicle still very large, swollen epididymis?7/18/2011
  Q: I first had a hernia with a communicating hydrocele. I had surgery but the hydrocele recurred. I had ...
  A: Jason: After all the surgeries on that testicle, it is questionable if the remaining problem is ...
enlarged bladder7/17/2011
  Q: I am female aged 64. I have had a complete hysterectomy, gall bladder removal and hernia repair. I ...
  A: Marion: Getting a yeast infection after using antibiotics is not uncommon, but they are not the ...
penis injury during ejaculation7/17/2011
  Q: OK I masturbated several days ago and just before I ejaculated I stretched the end of my penis. This ...
  A: Philip: While a significant, permanent injury would seem unlikely I can't give you a 100% ...
help7/16/2011
  Q: Ok.. I have had this for two anda half years...i was having sex in around the first week of november ...
  A: Joe: You can probably start with your family physician. This sounds like an infection. Urologists ...
Prostititus7/16/2011
  Q: This is kind of a follow up to a couple of questions you were kind enough to answer for me last ...
  A: Don: IT is certainly possible and even likely to have prostatitis with all tests normal. ...
Foreskin retraction without future side effects7/16/2011
  Q: I am currently 17 years old and only up to now I have started being concerned about my penis. ...
  A: Arthur: Phimosis occurs when there is infection or injury to the foreskin that causes scar tissue ...
inverted penis7/16/2011
  Q: i have an inverted penis i weigh 300 lbs if i was to lose weight would the size increase and length ...
  A: Wayne: What you actually have is probably a buried penis. It's still there, but the surrounding ...
symptoms7/15/2011
  Q: Im a 25 year old male. I drink beer daily, average about 10 or so. For the past 2 months I've been ...
  A: Michael: Your problems are way outside my specialty of urology. I suggest you get an opinion from ...
Problem with my surgery7/15/2011
  Q: my name is Abraham and I had surgery for testicular torsion about 2 years ago. I did not know ...
  A: Abraham: You are asking alot of the same question. AFter a surgery, the testicle will be ...
pre-seminal discharge in females7/15/2011
  Q: My question is regarding pre-seminal discharge. i want to know what extent of sexual stimulation ...
  A: Suny: I'm not sure I understand your question. Preseminal discharge or "precum" is normal. The ...
Kidney stone7/14/2011
  Q: I've been struggling with passing a mm kidney stone for the last month or two, and after my last ...
  A: Cameron: If the stone is in the bladder, you will most likely void it out. If not, it can be ...
Penis damage7/14/2011
  Q: Sir, I am a 59 year old male that has an issue with my erect penis recently. I've read quite a bit ...
  A: Jeff: The most likely diagnosis is probably Peyronie's. This can cause an abnormal area in the ...
Kidney pain7/14/2011
  Q: please could you help me I have recurrent symptoms which have been going on intermittently for seven ...
  A: Nerissa: You may have an infection but you could also have some other problem like a fistula or a ...
Varicoceal7/14/2011
  Q: Myself Raja 26 years unmarried boy. I enjoy masturbation from 13 years old & continuously I enjoying ...
  A: Raja: If the varicocele surgery and exploration are unsuccessful and other, conservative measures ...
Shrinking testes, loss of feeling, loss of erections7/14/2011
  Q: I have been having a horrid time with my sexual health in recent years. It started two years ago, ...
  A: Joe: Most of your symptoms are not obviously related. You will need to see a urologist about the ...
Creatinine level in infant7/13/2011
  Q: I have a 2 month old infant with one kidney...what is a normal creatinine level for her?
  A: Jessica: The generally accepted normal value is 0.2-0.6 mg/dl for infants up to 1 year old. But ...
Traumatic epididymitis7/13/2011
  Q: Doctor, I know trauma causes traumatic epididymitis, but but what exactly trauma (injury) makes in ...
  A: Lujo: I'm not sure I understand your question. Any kind of sigificant injury to the testicle can ...
Urinary Retention Treatment7/12/2011
  Q: I am a 58 year old male, diagnosed with urinary retention problem. PVR readings from the last three ...
  A: Kamal: Failure of the Jalyn to help your problem should have suggested to your physician that ...
peynorie's disease7/12/2011
  Q: sir i was reading an article on peynorie's disease and it said that a tender lump might be felt on ...
  A: Wakas: Tender means painful when touched. A lump is a nodule or thickening of the skin or ...
Injury to the testicles7/12/2011
  Q: Doctor, what could be the worst result of injury of the testicles that resulted in intratesticular ...
  A: Mile: If the hematomas are not treated, they will tend to shrink over time and may cause scar ...
Pain long after hydrocelectomy7/12/2011
  Q: I am growing more and more concerned with my situation. In January of 2009 I had a hydrocelectomy ...
  A: Adel: 2 years is too long to wait for a hydrocele surgery to heal. Your current pain may or may ...
Frequent Urination7/11/2011
  Q: Dr. Leslie, I'm curious how many times most 30-40 y/o women urinate in a typical 24 hour period. I ...
  A: Donna: Most women void about every 4 hours during the day. If you are having infections, try ...
penis size7/11/2011
  Q: im rehan from india.. my penis size is to small around 10 cm in erect position n im too stressed for ...
  A: Rehan: Testostereone is not indicated to enlarge the penis. Unfortunately, we don't have any ...
Penis hit by basket ball7/11/2011
  Q: I am 26year old guy. A month before i was hit by Basketball in penis and right testicle. ...
  A: John Paul: It is impossible to make any kind of reliable diagnosis from the limited information ...
Prostititus/cipro and flomax7/10/2011
  Q: You gave me an answer early in the week and I appreciate it but I need further advice with this ...
  A: Dom: Flomax does not commonly cause nausea, but anything is possible. You should check with your ...
thickened sperm7/10/2011
  Q: if i have thickened sperm can i have children and if so what are the odds compared to some one who ...
  A: Bernard: Chances are the semen is within the normal range of viscosity. If you are concerned, ask ...
penis fracture7/10/2011
  Q: Sir,I think that i caused some trauma to my penis.But no any swelling.bruising,or severe pain.It was ...
  A: Debie: In most cases, minor injuries to the penis will heal with minimal problems, depending on the ...
kidney stone7/9/2011
  Q: will a kidney stone there is 7x4x5 mm pass by it self or not?
  A: Carmen: Stones are very unpredictible. Large stones sometimes pass and small ones sometimes don't. ...
when people get impotence because of penile fracture that went untreated is it because of a venous leak? or is it because of nerve damage?7/9/2011
  Q: when people get impotence because of penile fracture that went untreated is it because of a venous ...
  A: Terry: The answer is it depends. What part of the penile function area was damaged by the ...
Burn,nerve damage?7/9/2011
  Q: I have symptoms like very less sensation while sex. It feels like the area between anus and penis is ...
  A: Christoffer: Your episode with the light has nothing to do with your current problem. I can't ...
when someone has a penile fracture when is it too late to have surgery?7/8/2011
  Q: when someone has a penile fracture when is it too late to have surgery? like 2 weeks? 3 weeks? a ...
  A: Terry: That's a good question. Since there are no studies or data on this issue, I can only give ...
Burning sensation in prostate ...7/8/2011
  Q: Dr Leslie, First of all, thanks for your willingness to address a concern or two that I have. ...
  A: Alan: Burning sensation in the perineum is not considered a symptom of prostate cancer. Proscar is ...
Bladder7/8/2011
  Q: I had urine retention problem, finally last week rushed to ER and 2.5 liter was drained via ...
  A: Mo: 2.5 liters is about 5 times the normal bladder volume. In most cases, short term retention ...
Perineum7/7/2011
  Q: I had a question. I've been having some issues as of late, and really, it's been one heck of a ...
  A: Jack: Prostatitis can be the cause of all of the symptoms you've described. It can take quite a ...
Urination immediately after orgasm7/7/2011
  Q: I'm a 41 years old man. When having sex, it recently happened a couple of times that I took my penis ...
  A: David: In urology, anything is possible but I cannot explain what you've experienced. Pain at ...
penile injury7/7/2011
  Q: i'm 20 year old.couple of days ago i was masturbating and my penis was erect and i jumped on the bed ...
  A: Wakas: You may have caused some injury but it isn't a penile fracture. There is a possibility this ...
sperm coming out7/7/2011
  Q: i have my problem from last five years i m 24 years old now .the problem is everyday when i wake up ...
  A: Ranbeer: The discharge could just be periurethral gland secretions or it could indicate an ...
Pain in Vas Deferens and Erectile Dysfunction7/6/2011
  Q: Respected Sir, I have three of problems all related to my genitals and the most annoying and ...
  A: Tames: Even if your semen volume is unusually high, the contribution from the testis is extremely ...
Testicle Issue7/6/2011
  Q: While having sex with my boyfriend i noticed a bulge form just above his penis on the right side. I ...
  A: Queendee: Its impossible to make any reliable diagnosis from the limited information available. A ...
Pain in Vas Deferens and Erectile Dysfunction7/6/2011
  Q: Respected Sir, I have three of problems all related to my genitals and the most annoying and ...
  A: Tames: The cause of your ED cannot be determined from the available information. Since treatment ...
penile curvature7/6/2011
  Q: My penis length grows when it gets hard, would that be a problem for surgery? It started to curve ...
  A: Quinn: The curvature might respond to medical treatment, drugs, supplements, Verapamil penile ...
Pain and indentation7/6/2011
  Q: My problem started about 11 years ago. One night while masturbating in a seated position, I was ...
  A: Bob: 1: Go ahead and send this ahead to Dr. Spitz. Won't hurt. 2: I am not going to speculate on ...
pensil fracture7/6/2011
  Q: respected great sir,please consider my following query. 2 days ago i stretched my dick ...
  A: Lalsky: You should see a urologist. This forum is not a substitute for a proper exam, diagnosis ...
Early Semen Liquefaction7/6/2011
  Q: Stephen ! I am a very healthy 18 year old male. Since more than 4 years ago, I've been noticing ...
  A: Gabriel: Given the normal exams and ultrasound, I don't believe there is a significant problem. ...
Difficulty urinating and constipation7/5/2011
  Q: You were kind to answer my previous question the other day. This is kind of an update. I'm 65 and ...
  A: Don: A urinary infection wuld be unlikely and it was normal in the ER. Trouble urinating is not ...
Retrograde Ejaculation7/5/2011
  Q: I have the turbo procedure for enlarged prostate back in 2001. Ever since I have retrograde ...
  A: Rusty: I assume you mean the TURP procedure as there is no turbo procedure that I know of. ...
Hematuria (Unknown cause)7/5/2011
  Q: Leslie, I have been experiencing terminal hematuria for a while now (it stops and then comes back). ...
  A: Victor: If you were my patient, we would be doing the cystoscopy to make sure there isn't something ...
ED7/5/2011
  Q: I have been experiencing erectile dysfunction for the past year. I am 32 years of age. I do not have ...
  A: David: I can't tell you precisely how likely it might be to have the erections return, but it won't ...
Penis Shrinkage7/4/2011
  Q: I'm wondering if I should see my doctor about this or a urologist. It's a pretty embarrassing ...
  A: Mike: There is no specific treatment for what sounds like retraction rather than actual shrinkage ...
pensil fracture7/4/2011
  Q: respected great sir,please consider my following query. 2 days ago i stretched my dick ...
  A: Lalsky: This is not a penile fracture but it is an injury. In most cases, it slowly heals but ...
Testical Pain7/4/2011
  Q: My condition started about three and a half weeks ago, I notice that at the base of my penis near my ...
  A: Brian: We would not expect prostatitis to show up on an ultrasound. There is no specific test, ...
Prostate7/4/2011
  Q: i am a 27yr old male. All my problems started with a night full of beers following a masturbation ...
  A: Cedriac: Your treatment is not unusual. Clearly you should avoid sexual activity/ejaculation after ...
Problem with my surgery7/4/2011
  Q: my name is Abraham and I had surgery for testicular torsion about 2 years ago. I did not know ...
  A: Abraham: You didn't give your age as this may be important. The surgery can be reversed, but most ...
backach7/3/2011
  Q: i have a bad backach or u can say waistach for many years which has made me worried. sir f u can do ...
  A: Aaheer: Obviously I cannot determine the nature or cause of your back pain from the limited ...
Testes tender7/3/2011
  Q: What could be causing my testes to get really sore when it gets the slightest knock?
  A: Joel: Possible causes include compromised blood flow, prior surgery or injury, scarring, epididymal ...
Bump on shaft of penis7/3/2011
  Q: I have a painless pea sized bump on the shaft of my penis about a centimeter below the head on the ...
  A: Roger: Its probably harmless given the facts in your message, but even if you're a trained surgeon ...
testicle pain and spasms7/1/2011
  Q: For the past three months I've had a constant pain behind the left testicle and into the lower ...
  A: Bob: Specific medical advice can only come from your treating physician. I suspect some type of ...
Penis Spot6/30/2011
  Q: I have had a red spot on my penis for about 6 months it sometimes is dull red and sometimes is ...
  A: James: Obviously I can't determine the nature of a "red spot" that I haven't personally examined. ...
Pain and occasional burning in penis6/30/2011
  Q: For six months I have had occasional pain and burning in my penis. It doesn't seem to be associated ...
  A: Chris: A negative white blood cell count only means there is no acute infection. A cystoscopy is ...
rash6/29/2011
  Q: i i hve a question.. i have a rash on my penis. ive seen a regular physician, who says its a fungal ...
  A: Scott: Fungal infections are common on the male genitalia. In most cases, we try an anti-fungal ...
Unexplained ED6/29/2011
  Q: A while back a gentleman by the name of Frank asked a question about some ED he experienced in which ...
  A: Steven: The issue with Frank was that he had provided symptoms that suggested a psychological ...
2 things6/28/2011
  Q: i'm 58 and i have a couple questions. first, i have a Rx for 100 mg viagra. i understand they take ...
  A: Jim: No, "snorting" the viagra will only give you inconsistent and incomplete absorption. The ...
Side discomfort during erection6/28/2011
  Q: I am 37yrs old and for the past 8 years I've been dealing with this same problem. When I get an ...
  A: Anthony: There is no obvious cause for your symptoms. In other words, I cannot explain any ...
mild pain in right testicle during ejaculation or during a bial movement or passing gas6/28/2011
  Q: Has started some 3 to 4wks ago not knowing whether or not there has been sometype of strain or wat, ...
  A: Donald: The discomfort might be from prostatitis. Just prostate enlargement would not normally do ...
Regarding ejection of sperm6/28/2011
  Q: I have to masturbate everytime before ejecting my sperm to my wife's vagina.Is this a problem for ...
  A: Arnab: Since the ejaculation is inside the vagina, there is no loss of mature sperm. Your semen ...
painless*** epididymal cyst6/27/2011
  Q: I am 26 yrs. I have painless*** epididymal cyst on my right testical from last 9 years, recently i ...
  A: Khan: In general, we do not suggest surgery on these cysts unless they are actively enlarging or ...
Urinating After Ejaculation6/27/2011
  Q: Sometimes after I ejaculate, I find it very difficult to urinate. This morning, about 3 hours after ...
  A: Dan: Ejaculation requires the contraction of the internal urinary sphincter to keep the semen from ...
lumps around scrotum.6/27/2011
  Q: I found three lumps around my scrotum two on the left and one on the right ( little bigger one ) .. ...
  A: Prince: If the lesions are in the scrotum or inside the scrotum, then a urologist would be the ...
did i have a penile fracture?6/26/2011
  Q: i had a penile injury 5 years ago all the symptoms of a penile fracture came up swelling, pain, ...
  A: Terry: There is no such thing as a "minor penile fracture". Either the wall of the erection body ...
blocked semen6/26/2011
  Q: i just had kidney stone surgery now my semen is blocked , is this harmful ?
  A: Tom: It is hard to imagine a mechanism where kidney stone surgery would cause an actual blockage to ...
unexplained symptoms6/26/2011
  Q: Im a 25 year old male. I drink beer daily, average about 10 or so. For the past 2 months I've been ...
  A: Michael: Your symptoms are way outside my area of specialization. You would probably benefit from ...
Group B. Strep6/26/2011
  Q: I have kidney stones in both kidneys, and am scheduled for Lithotripsy soon. Now in my urine ...
  A: Judy: You are getting the right treatment of pre-op amoxacilling to control the Strep infection. ...
Penis prolems6/25/2011
  Q: I'm 14 and I'm having some pains in my penis mainly on the sides and when i get an erection i get ...
  A: Bradyn: Prostatitis is a common disorder in men involving a symptom complex usually involving some ...
Annoying Consistant sensation in pelvic area6/24/2011
  Q: This is a little embarrassing, but I am constantly having an "itch" in the pelvic area that only an ...
  A: Ryan: This is a very interesting question. There may be some physical issue such as prostatitis, ...
Need Some help6/24/2011
  Q: dr can tension loose erection ? or when i focus on my penis to much my penis get losse ? what is the ...
  A: Jhon: Nervous tension can cause some erection difficulties, but it doesn't generally cause the loss ...
burning during urination6/24/2011
  Q: I am a 29 year old female with a burning when I urinate for over 2 years now. Ever since my daughter ...
  A: Johanna: When all of the tests are coming back "normal", its very difficult to just treat a ...
Chocolate chip semen cells6/24/2011
  Q: I'm 30 years old, and suddenly began ejaculating blood. There's no pain, and the blood is mostly ...
  A: Kenneth: Blood in the semen is a scary but usually harmless and self-limiting problem. If it ...
penis skin condition6/24/2011
  Q: uh the skin looks irritated or sore. i thought id ask should i see a doctor or physician would he be ...
  A: Scott: Without looking at the image, the answer to your question is yes; you should contact a ...
Blister on penis6/23/2011
  Q: ... I am a 21 yr old boy and i am VIRGIN. I masterbate regularly......sometimes even twice a day ...
  A: Sagnik: The medications are antibiotics. Azithromycin is a standard antibiotic, similar to ...
Penis fracture6/23/2011
  Q: Sir, One day when i was sleeping i rolled over my erect penis accidentally.Then i felt some small ...
  A: Nalaka: You did not have a penile fracture, but you obviously did some trauma or injury to the ...
infertility related to kidney disease6/22/2011
  Q: I have a kidney disease(fsgs) and I received a transplant on 7/2006, and have been on immune ...
  A: Meneek: There is not alot of data on this issue. In most cases, fertility and semen quality is ...
penile retraction6/22/2011
  Q: For the past couple of months my penis and scrotum are retracting into my body. When I wake up in ...
  A: Robert: The most common cause is weight gain. The penis and scrotum and still there and are ...
ejaculation6/22/2011
  Q: "are there long term dangers for a male to have an erection and not ejaculate. I am having sex every ...
  A: JR: There are no documented, peer reviewed medical studies. Basically, there isn't enough interest ...
herpes6/22/2011
  Q: I had rashes that crusted over around the bearded area above my penis, and at first my doctor said ...
  A: Paul: Herpes symptoms can clear completely on their own. Medication tends to hasten their ...
retroperitoneal mass6/22/2011
  Q: My brother is 69 y asian male and was diagnosed with retroperitoneal liposarcoma in 2009. Underwent ...
  A: Malik: This is way outside my specialty of urology. However, given the extent of the disease, it ...
ejaculation6/21/2011
  Q: "are there long term dangers for a male to have an erection and not ejaculate. I am having sex every ...
  A: JR: There are no specific dangers, but some have speculated that this can cause prostatic ...
herpes6/21/2011
  Q: I had rashes that crusted over around the bearded area above my penis, and at first my doctor said ...
  A: Paul: It is possible to have a second herpes outbreak with discomfort, but this is almost always ...
low testosterone6/21/2011
  Q: I am a 40 yr old male, 5'11", 235 lbs, take meds for BP and Cholesterol (Lisinopril hctz, Lipitor). ...
  A: MJ: If your testosterone levels are truly low, you cannot raise them significantly by diet or ...
low testosterone6/20/2011
  Q: I am a 40 yr old male, 5'11", 235 lbs, take meds for BP and Cholesterol (Lisinopril hctz, Lipitor). ...
  A: MJ: You didn't indicate if your blood tests have confirmed low testosterone. If so, the next step ...
Penis Injury During Sex followed by strange symtoms6/20/2011
  Q: I understand in looking at my submission to you, that you have in no way examined me personally and ...
  A: Robert: I agree with the second urologist that a tear in the corpora is unlikely. It would cause ...
Protien in Urine6/20/2011
  Q: I have been feeling extremely fatigued lately and had been having pretty painful flank pain for ...
  A: Christina: I'm not that worried about the protein although a 24 hour urine protein test might be ...
Pain after Ejaculation6/19/2011
  Q: Periodically, just after climax I suffer from severe debilitating pain at the base of my skull. It ...
  A: Stan: Erection function is a parasympathetic nervous system event, while climax and ejaculation are ...
Muscle pain/Erection Difficulty6/18/2011
  Q: Dr. Leslie, About two months ago, after a night of sex I woke up the next morning to have almost 0 ...
  A: Brian: Sorry, but the nature of your ED is unclear from the limited description provided. ...
penis damages6/18/2011
  Q: Sir, One day when i was sleeping i rolled over my erect penis accidentally.Then i felt some small ...
  A: Nalaka: Your story is that you had a possible injury to the penis and now there is a small bend. ...
Weak Ejaculation6/18/2011
  Q: I'll give you some history to begin with. I have had two seperate testicular cancers, the last ...
  A: Tom: Prostatitis would still be a possibility. Weakness in the bladder neck is the most likely ...
ed6/17/2011
  Q: dr would a couple of hrs a week for about a six month peiod likely cause erectile dysfunction ...
  A: David: There is such testing, but since there is no specific treatment and the testing is expensive ...
urine leaking6/17/2011
  Q: I am 39 years old and for the past year or two I have been having issues with urine leaking. It does ...
  A: Kristen: There would not be any obvious connection with Lyme disease. The fact that an antibiotic ...
ed6/16/2011
  Q: dr would a couple of hrs a week for about a six month peiod likely cause erectile dysfunction ...
  A: David: Bicycle riding can cause ED due to pressure on the blood vessels and nerves near the base of ...
Urinary Odor?6/16/2011
  Q: This is a strange question, but my urine consistently smells like chicken broth/soup. Other than ...
  A: Stephanie: Urinary odor is generally due to infection, high concentration, medications, supplements ...
Varicocele: Can it affect the whole body.6/16/2011
  Q: Basic Details Age: 22 Height: 5,4'' Sex: Male Hello! I've recently been diagnosed with bilateral ...
  A: Rohit: No, a varicocele cannot affect total body circulation. Its effect is limited to the ...
Question6/16/2011
  Q: One of my friend's had done a hormone test because he is experiencing stress and wanted to check ...
  A: Robert: Your friend is overly concerned. There is no need to increase the FSH. This is one of the ...
Question6/15/2011
  Q: One of my friend's had done a hormone test because he is experiencing stress and wanted to check ...
  A: Robert: While the numbers seem reasonable, each laboratory is required to provide their own normal ...
Cystoscope exam6/15/2011
  Q: i had a Cystoscope exam to day they uesd some numbing stuff in my penis and put a clamp on my ...
  A: Erik: There are several different types of clamps. Some use a spring, others just tension. The ...
Penis6/15/2011
  Q: the base around the head of my penis is swollen, &red. it doesn't hurt but is sore and its more ...
  A: Scott: Obviously its impossible to make an accurate diagnosis from the limited description ...
Brown Spots on Penis6/14/2011
  Q: First time ever posting here, so looking forward to see how this works out. Basically I have a ...
  A: Jon: Its not possible to make any kind of accurate diagnosis over the Internet. This forum is ...
Veins/masturbation6/13/2011
  Q: I always use sex lube when I masturbate, and I consider my practices gentle. I use my right hand ...
  A: Billy: I can't diagnose your problem from here on the Internet and anyway its not permitted. ...
erectile dysfunction6/13/2011
  Q: dr, thank you for taking this my problem started suddenly about a year ago with ed. never in th e ...
  A: Jeff: We do not generally perform lots of laboratory testing for ED with the exception of a ...
B.U.N CR ratio6/13/2011
  Q: Im a 23 y/o male 195 pound i lift weights and run . NO PMHX, i take no MEDS, I recently went to the ...
  A: Adrian: Don't try and dissect your laboratory tests one by one. A creatinine of 1.4 is within ...
Blood in urine and CT scan6/13/2011
  Q: I am a 67 year old male and have had two biopsies for prostate cancer with negative results. The ...
  A: Dan: Allergy to dye material and radiation exposure are reasonable considerations; but not properly ...
Fishy smell from my penis6/12/2011
  Q: I've been having this fishy smell from my penis even when i shower.i was wondering if over ...
  A: Everard: There is no specific condition or infection that causes a "fishy smell" from the penis. ...
Microcalcifiations6/11/2011
  Q: My son went to the ER one night this week and they did a ultrasound behind his left testicle and ...
  A: Clara: Microcalcifications are just small, tiny calcified spots in the testicle. In most cases, ...
Urethral Pain6/11/2011
  Q: I am 47 years old gay man. Current symptoms: Various uncomfortable urethral symptoms which include: ...
  A: David: Yes, you could have CPPS even though the only noticeable symptoms are related to the ...
Question6/11/2011
  Q: Can we test Y chromosome in blood as we do a testosterone test in blood.?or else how it is done. ...
  A: Jimeesh: There is no simple listing to check. It is necessary to check each individual drug ...
Blood in urine and CT scan6/11/2011
  Q: I am a 67 year old male and have had two biopsies for prostate cancer with negative results. The ...
  A: Dan: The CT is just an X-ray and isn't invasive at all. The cystoscopy or bladder exam by ...
prostate cancer6/10/2011
  Q: I have prostate cancer after a biopsy.I have been getting psa tests after the biopsy.The Doctor has ...
  A: Edward: PSA is extremely useful after a diagnosis of prostate cancer as it tells you the status of ...
urine color change possible pregnancy?6/10/2011
  Q: I hope I am writing to the correct area... I couldnt decide between urology or obgyn. I decided to ...
  A: Rachele: Urine color does not change with pregnancy. From the provided information, I cannot ...
Question6/10/2011
  Q: Can we test Y chromosome in blood as we do a testosterone test in blood.?or else how it is done. ...
  A: Jimeesh: There are no specific studies of particular weight loss drugs and sperm counts, but many ...
blood in urine6/10/2011
  Q: my father was in the hospital for a few months a lot of that time he had a foley cath he had lots of ...
  A: Tiffany: Basically, your father had a catheter for a prolonged period, followed by some ongoing ...
Question6/9/2011
  Q: Can we test Y chromosome in blood as we do a testosterone test in blood.?or else how it is done. ...
  A: Jimeesh: Y chromosome testing is usually done for paternity issues. The standard test involves a ...
Penis Injury During Sex followed by strange symtoms6/9/2011
  Q: I understand in looking at my submission to you, that you have in no way examined me personally and ...
  A: Robert: There are three issues. Did you have an injury, how bad is it and what can be done about ...
Prostate Infection6/8/2011
  Q: Doctor my husband suffered from an abacterial prostate infection. For awhile he took antibiotics ...
  A: E: Get another urology opinion, perhaps from a university hospital center. Besides antibiotics, ...
undescended testicles6/7/2011
  Q: an adult male age 27 with undescended testicles. i noticed this since my teens but have been shy to ...
  A: Mike: There is no way to make a reliable diagnosis on the limited information provided. ...
Orchitis6/7/2011
  Q: Doctor, thanks for earlier answer, now, I should ask more things: 1.) Are the autoimmune orchitis ...
  A: Dano: Autoimmune orchitis is very rare and is not well described. It is not the same as traumatic ...
air in the urinary bladder6/7/2011
  Q: I've been searching the internet for the medical term for air in the urinary bladder seen on plain ...
  A: Je-Ann: The correct term is pneumaturia which means voiding air. There is no specific term for ...
urine problem6/7/2011
  Q: I am only getting small amount of urine from 3 days? I have no symptoms at all .The only symptom ...
  A: Ravi: I can't tell what the problem is from your description. Neither can I determine why a ...
smegma6/7/2011
  Q: Is uncleaned smegma for 2 years dangerous? Is there any problem?
  A: Ravi: Smegma is just shed skin cells. In most cases, its not dangerous but it can accumulate and ...
Surgery6/7/2011
  Q: This might not fall under urology, but I assumed it might be close, and I honestly don't know the ...
  A: James: You're right, its not a urology question. The question should go to a Plastic surgeon or ...
Sudden Erection troubles6/5/2011
  Q: Greetings Dr. Leslie, About 9 weeks ago I developed sudden problems getting/maintaining an ...
  A: Brian: Desensitization, as you put it, has not been identified as one of the potential causes of ...
Non-obstructing UVJ stone: remove or leave alone?6/4/2011
  Q: I have a 4 mm left UVJ stone for about a year. It started with several acute and extremely painful ...
  A: Anatol: In general, we recommend removing or treating stones that haven't moved or passed within 30 ...
Sudden Erection troubles6/4/2011
  Q: Greetings Dr. Leslie, About 9 weeks ago I developed sudden problems getting/maintaining an ...
  A: Brian: An infection is one possibility, but sudden onset of ED is most likely psychological since ...
urine problem6/3/2011
  Q: I am 17 years old.I am unable to urinate from yesterday. I am getting only very small amount of ...
  A: RaviTeja: Without more information I'm just guessing as to your problem. Ofloxacin is an ...
Varicocele/Hydrocele6/3/2011
  Q: Not sure if this is the right section but... I'm 35 now and when I was 18 I developed a Varicocele ...
  A: Matthew: I can't tell you why the testicle is larger. There could be scar tissue around it or ...
Info6/3/2011
  Q: and went back in 2007 to lower the left one. now the left one it looks lyk its small cnt fil it. so ...
  A: Themba: Undescended testicles are associated with a higher rate of testicular cancer than the ...
Audible Pop, pain in penis during sex6/2/2011
  Q: While having sex earlier this week I heard an audible "pop" and felt a pain at the base of my penis. ...
  A: Mike: At this point, its not possible for me to reliably diagnose your problem. You may have ...
Bleeding after passing urine - Continued6/2/2011
  Q: I took my dad to a new urologist yesterday and he went through all the reports and finally advised ...
  A: Raj: In general, when there is substantial bleeding in the urinary tract, we do x-rays of the ...
Ejaculate problem6/2/2011
  Q: I am a male age 27 yrs.I married just 9 month.my problem i can't Ejaculate when having sex,but i can ...
  A: Shihab: You should probably contact your primary care physician first. Failure or delayed ...
Enlarged blood vessels on penis6/1/2011
  Q: a blood vessel on my penis popped. After about 2 weeks the swelling went away and the urologist said ...
  A: Jeff: IT is quite unlikely for all the veins in the penis to suddenly enlarge. Use of hot or cold ...
rectal burning on ejaculation5/31/2011
  Q: I am experiencing painful burning in my rectum upon ejaculation.This has occurred the last 3 times I ...
  A: Vic: PRostatitis can possibly do this, but there could also be a problem involving the rectum ...
hard and smaler testicle5/31/2011
  Q: am a 58 male i have a hard and small testicle for about 30 or 40 years now .my doctor examined me ...
  A: Mark: Having a hard, small testicle is not "normal" but it may not be dangerous; especially if it's ...
prostatitis5/30/2011
  Q: Have a burning sensation in groin and testicles later in the afternoon. Rest seems to fix it ...
  A: Marty: Flomax works on the muscles around and inside the prostate, but is usually not the only ...
Scar Tissue Blockage in Penis5/28/2011
  Q: My husband was losing sleep to go to the bathroom and dribble. He dealth with this discomfort until ...
  A: Kim: If the bladder has been permanently damaged by the blockages due to overstretching, there may ...
Reflux post reimplantation5/28/2011
  Q: Leslie, My 11 year old son just had bilateral uretor reimplantation surgery in February 2011. The ...
  A: Lara: Reflux up to the kidney is a grade II. Grade I usually doesn't need to be fixed as we ...
Ecoil and urinary infection for more then 1 year and pus cells in urine.5/28/2011
  Q: I am suffering from frequent urination,white discharge and some times burning sensation while ...
  A: Anne: Your problem is more complicated than can be reviewed here. Do the pus cells come from the ...
testicle pain5/27/2011
  Q: 6 months ago i was stabbed in the right testicle with a fingernail during sex. I kept having sex up ...
  A: Triaminolone is a steroid cream. It would not help a fungal or bacterial infection but would work ...
Varicocele/Hydrocele5/27/2011
  Q: Not sure if this is the right section but... I'm 35 now and when I was 18 I developed a Varicocele ...
  A: Matthew: I can't give you an exact answer, but in general, when you get multiple surgeries on the ...
injury5/27/2011
  Q: In watching this video http://www.youtube.com/watch?v=a86cQobU-n4 I sort of buy why the pain is ...
  A: Mark: The testicles hang loosely in the scrotum and will move out of the way. They are oval and ...
residual urine5/24/2011
  Q: My 6 yera old son had two proteus utis in 4 months. We did a pre and post void ultrasound that ...
  A: Evi: To me, a 33 cc residual in a 6 year old is not that much. He has no reflux and no stones ...
scarr tissue in uthera5/23/2011
  Q: About 2 1/2 years ago I had a Greenlight PVP procedure due to an enlarged prostate which caused ...
  A: Steven: You'll need to see a urologist about the scar tissue. Depending on the exact location and ...
possible trauma to lymphatic vessel5/22/2011
  Q: I noticed a that one side of my penis had became swollen after intercourse. I have read up on it and ...
  A: Kyle: Some edema or welling just below the corona is evident. THis doesn't necessarily mean trauma ...
Strange issue5/22/2011
  Q: Dear doctor this query is regarding my friend he's a 32 year old male slightly over weight does ...
  A: Y: A second opinion is definitely needed here. A screening for infected stones should be done, but ...
pain when bowel movements and sharp pain in left testicle5/22/2011
  Q: i woke up and felt like my blatter was full, the time to urinate was much less that expected, and ...
  A: Adam: Its not possible to make a reliable diagnosis from the limited information presented. Your ...
Hematuria5/19/2011
  Q: I have a question concerning Hematuria to which I’ve been experiencing for roughly 2 years – on and ...
  A: Sean: If you've only had ultrasounds, then the kidneys have not been completely evaluated and a CT ...
14 yr old penis always has retracted5/19/2011
  Q: my son had a circumcision when born-went normal. he has always been alittle overweight. his penis ...
  A: Monica: He almost certainly has normal nocturnal erections, but they may not be visible due to what ...
Erectile problems5/19/2011
  Q: I practiced a penis enlargement exercise known as clamping, which involves trapping blood in the ...
  A: John: Its impossible to say for sure what damage you may have done. Specific and personal medical ...
concerned about urinalysis5/18/2011
  Q: I had a urinalysis last week. My internist called me and asked if I had any pain. I did not. She ...
  A: Danielle: Your physician had already identified a possible infection and given you an appropriate ...
Difficulty urination in the morning5/18/2011
  Q: I am a 53 year old female. The first time I urinate in the morning I sometimes have to force it ...
  A: Esther: Its because the early morning is when the bladder is usually the most full. You might have ...
pentox and peyronies pain5/18/2011
  Q: I have had a couple of areas of small peyronies scar tissue for about the past 9 years. I have had ...
  A: Philip: The exact mechanism of action for pentox in Peyronie's is not well understood. I also ...
ejaculation during urination5/17/2011
  Q: sir i have a problem of ejaculation during urination when ever i urinate the semen come out of my ...
  A: Muhammad: You didn't indicate if this is a true ejaculation with muscular contractions or just a ...
Urination 1 year after prostate surgery5/17/2011
  Q: I've spent much of the last year recovering, very slowly, from green light PVP surgery on my ...
  A: Dave: 6 hours is a little long. The real question is how much is the bladder holding and how well ...
My penis is numb5/16/2011
  Q: My penis has been numb now for about a month and half. I could still have erections and i could feel ...
  A: Alberto: You have some numbness in the penis for 6 weeks. This could indicate a neuropathy, ...
Sperm at the end of urination5/16/2011
  Q: Sir am Nicholas 21 years old. I have been experiencing a sperm coming out at the end of my ...
  A: Nicholas: The fluid is almost certainly not sperm and probably not semen. It may be periurethral ...
dysuria, testicular pain, feeling cold in the feet5/16/2011
  Q: I am a male, 32 years of age. About three months ago I started having a burning sensation after ...
  A: Pete: Elmiron is a specific therapy for interstitial cystitis. If this or the other treatments ...
Bleeding after passing urine5/15/2011
  Q: My dad 79 yrs old is recently having a problem of bleeding after passing urine. This is happening ...
  A: Raj: If he's had a complete workup and nothing was found, then we just deal with the bleeding. In ...
Soft painless lump on penis shaft5/15/2011
  Q: Hey I'm aged 14 and have had this soft lump on the inside of my penis for roughly 4months. I'm kind ...
  A: Jeff: It is not allowable nor possible to make an accurate diagnosis solely on your description on ...
Bleeding after passing urine5/15/2011
  Q: My dad 79 yrs old is recently having a problem of bleeding after passing urine. This is happening ...
  A: Raj: The patient needs a more complete workup for his bleeding such as a cystoscopy. The Noklot is ...
prescriptions5/15/2011
  Q: Whose responsibility it is to tell a patient about side effects from medicine? Is it a doctor, a ...
  A: D: The primary responsibility is with the physician to inform the patient about the reasonably ...
Q5/15/2011
  Q: My question is can a person have sex immediately after passing urine for causing pregnancy. What are ...
  A: Jimeesh: It is possible to have sex immediately after voiding and this could cause a pregnancy. ...
Question5/15/2011
  Q: My question is if a person doesn't develop thick moustache after 21 years does it mean that he has ...
  A: Ram: There may be no identifiable symptoms of low testosterone or there could be mood changes, loss ...
Groin pain/retracted testicles5/15/2011
  Q: I have been working out a lot trying to lose weight for my wedding in June--mainly bodyweight ...
  A: Frank: Normally, the testicles don't react to lifting weights. You may have prostatitis which ...
Chronic pelvic pain5/14/2011
  Q: Dr. Leslie, I am a 24 y/o male with no outstanding medical conditions and in fairly good health. ...
  A: Dan: A pelvic MRI may not be a bad idea, but it is unlikely to demonstrate any abnormality. Try ...
Blood at the end of urination5/14/2011
  Q: About 4 weeks ago right at the end of urination I cleaned myself with tissue only to discover bright ...
  A: Richard: I typically like to get the kidney CT scan before the cystoscopy, but that's minor. I'm ...
Prostatitis question5/13/2011
  Q: Why does prostatitis cause pain and burning at the tip of the penis, and what is the general course ...
  A: Stephen: Burning at the tip of the penis is caused by a nerve reflex. Discomfort in the prostate ...
Large lump on undershaft of penis5/12/2011
  Q: This morning after I masturbated (I happened to be standing up) a large lump formed on the underside ...
  A: Chuck: In medicine, almost anything is possible but unejaculated semen causing a lump in the penis ...
skin tags on penis head5/12/2011
  Q: I have a bunch of small skin tags on the rim of my penis head. They are very sensitive and make me ...
  A: John: Trying to remove skin tags without a circumcision can be difficult because the skin in this ...
Reddish Urine, Back Pain5/12/2011
  Q: For last two days I am having reddish urine and also the Back Pain on right side. Latest ...
  A: Ofvat: ESWL is a reasonable treatment for the renal stones. However, if the only study done was an ...
TUNA5/11/2011
  Q: How bad is this in-office. My Doc says that is the way to go but I am skeptical. I am a coward.
  A: Dave: It can be done in the office, but many prefer to have it done with an anesthetic in a ...
Dry ejaculations5/11/2011
  Q: I have been concerned for some time about dry ejaculations that i have been experiencing. Upon ...
  A: Ike: Avodart can affect semen volume, but most likely you have retrograde ejaculation where the ...
Question5/11/2011
  Q: My question is if a person doesn't develop thick moustache after 21 years does it mean that he has ...
  A: Ram: There is no official study linking a thin moustache and no other symptoms with a low ...
Lower abdominal pain for 6 months and low ejaculate volume5/10/2011
  Q: i have been having this problem for over 6 months now and i don't know what to do. I had never had ...
  A: Wilson: Passing a stone is usually painless, but it can scratch and cause some persistent ...
Is cystoscopy really necessary?5/10/2011
  Q: I'm a healthy 37 year old woman (non smoker, normal weight) who during a routine check up was ...
  A: Cecilia: The most common finding on cystoscopy in your age group is nothing: totally normal. But ...
Erectile Dysfunction5/10/2011
  Q: , thank you for your time and advice. I am concerned about possible sudden erectile dysfunction. ...
  A: Carlos: You should start by have a checkup with your regular physician. He will check on things ...
Painful intercourse5/10/2011
  Q: My "man friend" of nearly 2 yrs has something going on and just today a I think I have figured it ...
  A: Diana: The best course would be for him to see a good general physician and have all of his issues ...
Lower abdominal pain for 6 months and low ejaculate volume5/9/2011
  Q: i have been having this problem for over 6 months now and i don't know what to do. I had never had ...
  A: Wilson: I'm a urologist. The issue about testosterone comes from your statement about low sex ...
Testicular pain and symptoms5/9/2011
  Q: For a little over a year I've had pain in my testicles that is also causing groin pain. I found a ...
  A: Joe: Prolonged testicular pain when all of the physical findings are negative is a difficult ...
Uretha Burning after TURP5/9/2011
  Q: My 85 year-old father continues to have a burning sensation in his urethra after having a TURP done ...
  A: Kathy: Its a little unusual to still have urethral sensitivity 2 months after a TURP. I would ...
Erection without Testicles5/9/2011
  Q: Kindly let us know that if a person has no testicle, can he still experience erection with sexual ...
  A: Ofvat: Yes, it is possible to have erections and sexual urges with a low testosterone level due to ...
complex multiseptated cystic masses5/9/2011
  Q: we have not got to see the doctor since his ultrasound but i picked up his results and of course i ...
  A: Christy: This sounds like an ultrasound report. Complex means complicated. Multiseptated means ...
Lower abdominal pain for 6 months and low ejaculate volume5/8/2011
  Q: i have been having this problem for over 6 months now and i don't know what to do. I had never had ...
  A: Wilson: The urologists probably do not see any surgeries in your future and that may be why they ...
DIABETIC PATIENT5/8/2011
  Q: How a 51 years old DIABETIC PATIENT can be treated effectively suffering from erectile dysfunction ...
  A: GUL: In diabetic patients where the diabetes is controlled, ED is usually treated with Viagra or ...
one testicle5/8/2011
  Q: is one testicle sufficient to serve all the purposes? ANSWER: Ofvat: One testicle is more than ...
  A: Ofvat: The only reason to urgently removed an atrophic testicle is pain. There are no special ...
what the differnce between scar tissue and plaque?5/8/2011
  Q: what the differnce between scar tissue and plaque?
  A: Terry: Plaque is a specific type of scar tissue. When used in urology, plaque refers to the dense ...
pain in testical and yellow gelatin lumps in semen5/7/2011
  Q: I am 30 years of age. For some 10 years already, I'm having time by time shooting pain in my left ...
  A: Marek: Semen color is normally between white and yellow. Gelatinous lumps in the semen are also ...
Burning5/7/2011
  Q: Hey Doctor, I have had a burning feeling at the tip of my penis for the last week or so. It doesnt ...
  A: Sean: I suspect your discomfort is due to prostatitis. In addition to the antibiotic, try avoiding ...
nerve5/6/2011
  Q: but I can not find something I'm looking mainly on the nerve ilioinguinalis I would like to know ...
  A: Abdulhamit: The ilioinguinalis nerve is not the perineal nerve. The perineal nerve is a branch of ...
bleeding5/6/2011
  Q: My father is 80, and had laser resection of his prostate in Sept of 2010 to treat 2-3 X per nite ...
  A: Jeff: There is no "normal" treatment. Each case requires its own solution. Where is the bleeding ...
vacuum device5/6/2011
  Q: as I'm having some erectile difficulties lately, and I'm having difficulty obtaining and maintaining ...
  A: John: The devices cost betwenn $150 and $450 depending on the manufacturer and the model. Most ...
penis bypass surgery5/5/2011
  Q: Can a post- op Radical Patient, who has used Al-Prostadil for several years,and is losing ...
  A: William: Vascular bypass or reconstruction has not been shown to be helpful after radical ...
urine drops5/5/2011
  Q: I observed 1 or 2 drops of urine coming out even after 15-30 mins after urination . I'm so depressed ...
  A: Kashif: Your problem is post void dribbling. This is a very common problem. The best solution is ...
one testicle5/5/2011
  Q: is one testicle sufficient to serve all the purposes? ANSWER: Ofvat: One testicle is more than ...
  A: If the testicle is not causing symptoms, no treatment is needed. Hernia symptoms are variable but ...
Decompensated Bladder?5/5/2011
  Q: I am a 48-year-old woman in general good health. For one week, I have had pelvic pressure and leg ...
  A: Nikki: I can't determine what is wrong with you, but obviously more than just a decompensated ...
dysuria, testicular pain, feeling cold in the feet5/5/2011
  Q: I am a male, 32 years of age. About three months ago I started having a burning sensation after ...
  A: Pete: The gold standard for diagnosing prostatitis is the 4 glass or 2 glass urine test. THis is ...
Prostate Massage5/4/2011
  Q: I am 65 years old, unmarried, and virtually celebate. On a few occasions I have had an ejaculation ...
  A: Bpic: Your condition is called hematospermia and is usually harmless. Still, we recommend that ...
one testicle5/4/2011
  Q: is one testicle sufficient to serve all the purposes? ANSWER: Ofvat: One testicle is more than ...
  A: 1. Recommended treatment for an atrophied testicle that has reasonable blood flow and is ...
Broken Penis5/3/2011
  Q: I am a 47 year old male. While having sexual intercourse with my wife around 3am or 4am in the ...
  A: Russ: You may have had a fractured penis. This is considered a surgical emergency and immediate ...
Post-ejaculatory pain and frequent urination5/3/2011
  Q: I am 57 years old and have chronic symptoms as follows. I am experiencing post-ejaculatory pain, ...
  A: Joe: Unfortunately, we don't have many good treatments for this condition. The hot sitz baths work ...
hw to administer hydrotherapy?5/3/2011
  Q: . could u pls tell me what are the guidelines for giving intravenous hydrotherapy in pts with small ...
  A: Bhushan: There are no special or specific guidelines on hydrotherapy. Many stone patients are ...
sexually transmitted prostate infection5/3/2011
  Q: I have prostate infection which is sexually transmitted, my main symptoms are burning in urination ...
  A: Balil; First, there are other antibiotics you can try that are appropriate for prolonged use such ...
Stint5/2/2011
  Q: I've been having issues this month with a kidney stone. My urologist said that my right kidney was ...
  A: Keg: Most likely, the orgasm problem is medication related. Tamsulosin is often used with stents ...
prolonged erection,chronic use of viagra5/2/2011
  Q: my name is chris ,i am 44 years old. i had a 6 hour erection 3 years ago caused by papaverine ...
  A: Chris: Unfortunately you cannot assume anything from the "normal" test results other than your ...
Refractory period for my 21 year old boyfriend5/2/2011
  Q: My boyfriend is only 21 but he can't seem to orgasm more than once a day. Sometimes, it even takes ...
  A: Ashley: If he never could have more than one climax a day even with masturbation, then that's ...
prolonged erection,chronic use of viagra5/1/2011
  Q: my name is chris ,i am 44 years old. i had a 6 hour erection 3 years ago caused by papaverine ...
  A: Chris: Despite the tests, I suspect you have endothelial cell damage and/or some nerve damage. ...
urinary problems4/30/2011
  Q: respected sir,i am a 28 year old male.i am still a virgin.3 months back i was diagnosed with "right ...
  A: Ashish: Your symptoms are most compatible with prostatitis. Check with your physician or consult a ...
Testicular pain and shrinkage4/30/2011
  Q: Leslie, I'm asking this because my PCP has referred me to a urologist but it may be awhile before I ...
  A: Maxwell: I suspect you could have prostatitis. Testicular pain without any abnormalities on ...
Question about penis size4/30/2011
  Q: First, is there a specific way to scientifically measure penis size that is used by those conducting ...
  A: Aaron: I suspect it is just some tremulousness from high level of nervous stimulation involved in ...
lasix and sulfa allergy4/30/2011
  Q: I was born with 1 healthy kidney and recently had a uti (staph 30,000,) could that have come from ...
  A: Jim: Touching the container might theoretically contribute to a possible infection. Lasix is a ...
Sperm Cell Survival4/29/2011
  Q: I wonder if you can answer this query. I was concerned about sperm survival on clothing. My ...
  A: Jill: Dried semen as in a used condom. Although dry, some of it may remain moist and could ...
Sperm Cell Survival4/29/2011
  Q: I wonder if you can answer this query. I was concerned about sperm survival on clothing. My ...
  A: Jill: In most cases, dried semen has no viable sperm. However, assume all semen is viable for the ...
Bladder infections and multiple cysts4/29/2011
  Q: Am 66 yr old woman. Have had many recurrent urinary tract infection over several year, increasing in ...
  A: Audrey: Cystoscopy would normally find anything abnormal in the bladder. A repeat examination ...
Re:4/29/2011
  Q: I had one more question to ask. While a person intakes medicines for diseases,a persons urine ...
  A: Jimesh: I am unable to access any drug informatin on Oleanz plus or modalert. I suspect these are ...
Untreated penis fracture4/29/2011
  Q: I am 26 years old. As outrageous as this may sound, I fractured my penis when I was 13 years old. At ...
  A: Steve: After 13 years, the tear has undoubtedly healed and any attempt to try and surgically fix it ...
Question about penis size4/28/2011
  Q: First, is there a specific way to scientifically measure penis size that is used by those conducting ...
  A: Aaron: There is no specific scientific way to measure penis size except to do a length from the ...
Re:4/27/2011
  Q: I had one more question to ask. While a person intakes medicines for diseases,a persons urine ...
  A: Jimesh: It is not true that the urine becomes more yellow or acidic after taking medications. It ...
dry skin on penis4/26/2011
  Q: I had a circumcision about 5 years ago due to a case a fimosis, I didn't knew then that there where ...
  A: The circumcision didn't "cause" it, but opening the penis to the drying air without its normal ...
burning in urine since last 12 years4/26/2011
  Q: my name is bilal my mother is feeling burning in urine since last six year.she feels burning in ...
  A: Chaudary: I am unable to tell you the cause of the burning as the urine examination appears to be ...
If i treat diabetes the right way could i still get blind?4/25/2011
  Q: If i have diabetes and i treat it the right way could i still get blind?
  A: Jairo: With diabetes, the earlier it is discovered and the better it is treated the lower the ...
Veins on Penis4/25/2011
  Q: I m a 26 yr old Guy. Has an active sex life. Recently i noticed some protuding veins on shaft of my ...
  A: Dev: You are not likely to become impotent. The treatment you have received is reasonable given ...
Pimple on the underside of penis4/25/2011
  Q: , I have had a pimple on the underside of my penis ( i am uncircumcised) for about 10 days. I have ...
  A: Ankit: First, this does not appear to be a syphilitic chancre which typically have a different ...
concerned4/25/2011
  Q: I was wondering what is life span of sperm that might be left in the ureter? I ask because I've ...
  A: Edward: Sperm don't typically live very long outside the body. They never get into the ureter. I ...
loss of sensation in penis and smelly urine4/25/2011
  Q: I've noticed a while ago that my urine was smelling bad and around the same time, I found out that ...
  A: Dimitry: A urinary tract infection and/or prostatitis are the most likely causes of what you've ...
Erection trouble and Anti Seizure Meds.4/23/2011
  Q: Dr. Leslie, I am 38 years old and have had erection issues for the past year and half. I have ...
  A: Kevin: First, you can't rule out organic issues with an ultrasound. Many, many medications have ...
orgasm problems4/22/2011
  Q: About two years ago I went on a biking trip and the narrow and hard seat of the bike accomplanied by ...
  A: Mark: You have a number of questions. First, the fluid expressed after a bowel movement is ...
drops after urinating4/21/2011
  Q: i have a serious issue, whenever i urinate,there is drops some times yellow mostly white, i used ...
  A: Mrkhan: The best solution is to press with your fingers at the base of the scrotum and then move ...
Sudden Erectile Strength difficulty.4/21/2011
  Q: Stephen, I have had trouble in the last 2 weeks getting an erection without manual stimulation. I ...
  A: Brian: The usual checks for ED include a testosterone level and a blood and/or urine test for ...
My penis is numb4/21/2011
  Q: My penis is numb for about 3 days now can't really feel it but i could get hard. What's the causes ...
  A: Jairo: There are multiple possible causes. I don't usually like to give a laundry list because it ...
Meatus Concerns4/21/2011
  Q: A few years ago while masturbating I accidentally allowed my thumb to impact the lower end of my ...
  A: Brian: The miniscule injury you may have caused is unlikely to be anything significant. If you can ...
proteus infection4/20/2011
  Q: my 6 year old son had a uti from proteus m in december.He was treated with ceclor (cefaclor) and ...
  A: Evi: Your son definitely needs to see a urologist and preferably a pediatric urologist. Proteus is ...
Bleeding from penis after ejaculation4/20/2011
  Q: Hey Stephen, I work on a ship and on a recent port call had intercourse with a prositute and un ...
  A: Steve: Since no physician is available, its not possible to determine a diagnosis or recommend ...
vascetomy4/20/2011
  Q: I have had a vascetomy and my wife and I are interested in having another child, which would be the ...
  A: Barry: Consult with a urologist who is experienced and skilled in microscopic vasectomy reversal. ...
UTI and Haematuria - How long should haematuria resolve after treatment for UTI4/20/2011
  Q: My mother was diagnosed a few weeks back for urinary tract infection in a visit to the GP, after a ...
  A: Jonathan: There is no automatic or "set" time for the hematuria to resolve at it depends on the ...
scar tissue surgery4/19/2011
  Q: Leslie, I'm sure i have some scar tissue deep inside my right shaft. Its from a penile fracture ...
  A: Terry: Scar tissue inside the erection body is not likely to be causing numbness as the nerves for ...
8 months post turp4/19/2011
  Q: My husband had turp surgery close to 8 months ago. The healing time was long but he had issues for a ...
  A: Laney: My guess would be that he is developing scar tissue blocking the flow. Its too soon for ...
Erection injury4/19/2011
  Q: Over the last 2 years ive seen some changes in my erection quality I believe my problems have ...
  A: Joe: Surgery is not going to help your problem. The glans is SUPPOSED to stay soft to minimize ...
diabetic penis4/19/2011
  Q: I am 21 years old and was diagnosed with diabetes about 8months ago.sometimes,the tip of my penis ...
  A: Tarquin: You should probably consult a urologist to determine if a circumcision would be helpful. ...
Abdominal and Penis pain4/18/2011
  Q: ,Hi Doc, i am a healthy 54 year old,i had a vasectomy over 25 years ago and have had occasional ...
  A: Greg: Technically, you didn't actually ask a question but I suppose you want some advice. Usually, ...
Need a Diagnosis4/18/2011
  Q: Heidi, a woman of 52, awoke in the middle of the night from excruciating pain on the right side of ...
  A: Miriam: I am very surprized that a patient with "colicky" pain in the flank did not receive an IVP ...
Injury on glans4/18/2011
  Q: Seven months ago I was foolish enough to mastrubate very forcefully when I couldn't get an erection, ...
  A: Kristian: I can't tell the exact nature of the injury from only your description. Since its had 6 ...
paraphimosis4/18/2011
  Q: I hope you will be able to answer my question in relation to paraphimosis. I am in my late teens and ...
  A: Martin: The best way to know if this is likely to be a problem is to have it physically checked by ...
pulled something while lifting?4/17/2011
  Q: Me and another person were bringing up a heavy piece of machinery up a flight of stairs and i had at ...
  A: WIlliam: Heavy muscular straining should not affect either ejaculation or urination. You indicated ...
Left Cremaster Muscle in testicles4/16/2011
  Q: I have a similar problem to a previous question - but my right cremaster was damaged due to aldara ...
  A: Mike: It is untrue that the cremasteric muscle contracts to pull up the tesicles just before ...
Dead Testie4/16/2011
  Q: How long does it take for a testie to die? My Son had a testie removed a few days ago and the ...
  A: Lisa: Its impossible to say how long it takes a testicle to "die" as it depends on the problem. If ...
Numb bladder4/16/2011
  Q: I was born with weak kidneys. I'm 17, almost 18 now and my kidneys are fine now. Except I get stones ...
  A: Priscilla: Obviously the 24 hour urine collection doesn't prevent stones, but the chemical test ...
load size and forskin4/16/2011
  Q: Is it an issue if the size of the load has decreased in size noticeably and is thicker then it used ...
  A: Mike: You may have retrograde ejaculation where some of the semen goes backwards into the bladder. ...
Low % Free PSA4/16/2011
  Q: Would you be so kind as to enlighten me on what the following lab results might indicate in a 63 ...
  A: Connie: The role of interpretation of the above tests officially lies with the physician who ...
kidney infection4/15/2011
  Q: my mother is highly involved in kidney infection,her uric acid and creatinine is out of range.she is ...
  A: Syed: There is no way I can give any reliable advice based on such limited information. The ...
premature ejaculation & ED problem4/15/2011
  Q: I am 43 year old male. I am facing the problem of premature ejeculation since my marriage. During ...
  A: Kchandk: Your major problems are probably psychological. Premature ejaculation is a problem of ...
Some Concerns4/15/2011
  Q: sorry, last question, I promise: I was the one just inquiring about all the VCUG related stuff. does ...
  A: J: I understand you have some concern, but this is the last time I am going to respond to this ...
penis burning during urination and ejaculation4/14/2011
  Q: I am a 23 year old male. I am pretty sexually active but havent been with someone in a little over ...
  A: Dan: You're going to be disappointed. THere is no way to be sure its not an infection without ...
urine drops after urinating4/14/2011
  Q: I experience urine drops 10minutes after urination and as it proceeds i had pains at the kidney ...
  A: Adan: Post void dribbling is common as there is a little pocket at the base of the penis that holds ...
Prostate Infection?/Congestation?4/14/2011
  Q: Doctor for over a year I have had prostate problems which involve pain and discomfort. I went to a ...
  A: E: Assuming the diagnosis of prostatitis is correct, you can try behavioral modifications and ...
not chlamydia?4/13/2011
  Q: So just over a year ago I had symptoms consistent with chlamydia. Cloudy discharge and some pain in ...
  A: John: Jamming your penis into a tight vagina can certainly cause problems, but does not usually ...
numb penis shaft and underside4/13/2011
  Q: Back in 2006 when I was 19 I was masturbating and was too rough with my penis. I pushed down on it ...
  A: Terry: 1. Its remotely possible for the lump on the penis to be directly or indirectly responsible ...
psa reading4/12/2011
  Q: I termed fro my company in the past we so I ran to my doctor to ensure my health was up to snuff as ...
  A: Gregory: You will need to see a urologist. There is no medical urgency and as you found out it can ...
Epididymitis ??4/12/2011
  Q: here is my case. i found a small lump under my testicle in jan 2011 and went to a urologist. he ...
  A: Sam: "Prominent" rather than "swollen" is a matter of semantics. Swollen suggests that there is ...
Some Concerns4/12/2011
  Q: I have been worried for quite awhile about VCUGs. I had some done quite awhile ago (1997 +) starting ...
  A: J: There is no mention of erythema in your question. Contact with CRT's even with a tiny radiation ...
small lump on skin on penis4/12/2011
  Q: i recently discovered a skin colored raised bump on the underside of my penis i would say its like a ...
  A: John: I really can't tell much from the picture. Please understand that this forum is specifically ...
kiddney stones4/12/2011
  Q: i have had stone analysis test done and result is that i have 60%calcium oxalate monhydrate ...
  A: Carlos: Calcium oxalate stones are by far the most common type of kidney stone. Monohydrate means ...
FROM DR.SAMEER ,7 YEARS UTI MISERY!!4/11/2011
  Q: ‏DEAR UROLOGIST DR MY WIFE IS 30 YRS HAVING 3 KIDS C/O: SEVERE PAIN AND DYSURIA & ...
  A: Dr. Sameer: I do not feel comfortable recommending an antibiotic in this type of situation. ...
Torn Penile suspensory Ligament4/11/2011
  Q: I tore/ruptured/damaged my suspensory ligament about 3 months ago. I heard a popping noise when it ...
  A: Guss: The ligament may heal, but often it doesn't. We rarely repair it as it does not return ...
bloody urine4/10/2011
  Q: my grandmother is a 85 years old female patient she recently complained from blood in urine and her ...
  A: Islam: I am unable to diagnose the reason for her new symptoms. Dehydration can cause letharge but ...
PSA velocity4/10/2011
  Q: I am 63, in excellent health. My PSA level went from 2.7 last year to 3.4 today. The rectal exam ...
  A: Michael: You should probably follow the advice of your urologist. Recent studies have suggested ...
penis4/10/2011
  Q: how can i fix my sex life some times my penis hard all day.at night win we have sex it dies.
  A: John: This sounds like a psychogenic problem since it only occurs with sexual activity but not ...
Venous leakage4/10/2011
  Q: I have read stories that some people might have some defect on the penis valves that produce an ...
  A: Terry: Doppler studies and cavernosography are intended to diagnose a problem in patients with ...
Difficulty urinating, especially first thing in the morning4/10/2011
  Q: I am 48, and had some slight difficulty urinating (a little bit hard to get started sometimes and ...
  A: Chris: Early morning is when the bladder is fullest the longest which is why men often have trouble ...
Need Help4/10/2011
  Q: I have some problem with my penis. I should give the detail of my sex life. I am 24 years old now ...
  A: Saurabh: Anorgasmia is considered a psychological issue so you should consult with a psychologist ...
FROM DR.SAMEER ,7 YEARS UTI MISERY!!4/9/2011
  Q: ‏DEAR UROLOGIST DR MY WIFE IS 30 YRS HAVING 3 KIDS C/O: SEVERE PAIN AND DYSURIA & ...
  A: Dr. Mahmood: I am not familiar with any organism that would behave as above, so perhaps you should ...
Left Cremaster Muscle in testicles4/9/2011
  Q: I have a similar problem to a previous question - but my right cremaster was damaged due to aldara ...
  A: Mike: I've never heard of Aldara cream causing a cremasteric muscle problem. We do not normally do ...
Penile pain4/9/2011
  Q: So the whole story.a little over 3months ago, i received unprotected oral sex from a stranger, then ...
  A: chris: I doubt the pinching you mentioned has anything to do with your problem which sounds like ...
Chicken Pox + Prostate Infection really REALLY bad combo?4/9/2011
  Q: Ok - I'm asking here because I already left the emergency room earlier today and they won't answer a ...
  A: Nick: Sometimes aspirin can help with itching and you can take allegra, another OTC antihistamine, ...
kidney stones4/9/2011
  Q: I have a 24 year old daughter who has been having kidney infections twice a year now for 5 years. ...
  A: Debbie: This is not related to any kidney cancer. Larger stones may need to be removed with ...
Need Help4/8/2011
  Q: I have some problem with my penis. I should give the detail of my sex life. I am 24 years old now ...
  A: Saurabh: Unfortunately you have both anorgasmia and premature ejaculation. These are not always ...
Testicular atrophy4/8/2011
  Q: I've been on transdermal testosterone for about 6 years now to treat very low testosterone levels, ...
  A: Mark: Most of the time, testicular atrophy is permanent. Yours, due to hormones, might benefit ...
bloody urine4/8/2011
  Q: my grandmother is a 85 years old female patient she recently complained from blood in urine and her ...
  A: Islam: THe most common causes of blood in the urine in elderly ladies is infection, followed by ...
Distended Bladder4/8/2011
  Q: I was recently diagnosed with a distended bladder. My symptoms are interruption in urine flow as ...
  A: Howard: Your situation is a distended bladder with significant symptoms of obstruction such as a ...
STD's4/8/2011
  Q: i had unprotected sex back in October and immediately was tested for an STD to be exact it was ...
  A: Tony: I can't determine the nature of the lesion from only your description. Only your physician ...
Painful, Enlarged Scar Tissue 8 years After Hydrocele Surgery4/8/2011
  Q: I had a Hydrocele that was surgically repaired about 8 years ago. Now, I have a painful enlarged ...
  A: Shannon: 8 years after surgery, the scar is stronger than the surrounding normal structures so its ...
opinion or treatment4/7/2011
  Q: male 21 yrs c/o passing white discharge after urination since 4 yrs, c/o weakness, c/o wt loss, he ...
  A: Dharmesh: I hope you understand that a reliable diagnosis is not possible on the limited ...
creatinine level4/6/2011
  Q: my fathers creatnine level reached to 7.25 he is diabetes and heart patient as well..is there anyway ...
  A: Desert: Creatinine is a marker for kidney function. It is normally filtered by the kidneys. When ...
Epididymis4/6/2011
  Q: Sir,i had epididmytis about 18 months ago.now i feel lumps like large bag of worms above my both ...
  A: Aidee: I can't make a diagnosis from your description, but varicoceles are possible and typically ...
Penis hard while flaccid4/6/2011
  Q: Leslie, About a month ago I may have strained myself masturbating. Afterwards, when trying to get ...
  A: John: I'd rather not speculate on what it might be, but anything serious is not likely to be cause ...
Difficulty inserting a catheter.4/6/2011
  Q: I am an RN at a community hospital. I have an order to insert a foley catheter in a male patient, ...
  A: Letra: First, there are many types of prostatectomy such as TURP, TUVP, TUNA, Radical ...
Ejaculation without erection4/6/2011
  Q: My husband suffered a gunshot wound to his pelvis a month ago which caused a fairly large scrotal ...
  A: Caitlin: Depending on the exact nature of his injury, he may or may not have his normal erections ...
HIFU4/5/2011
  Q: In a prior posting you stated: “HIFU is a very expensive but promising technology that causes ...
  A: Dan: I wasn't aware that Dr. Wheeler wasn't Board Certified. However, I've known him for years and ...
Penile Numbness4/5/2011
  Q: I've been struggling with this for a while, at least 5 months. i'm 21, no health problems, blood ...
  A: Zach: I would start with a urologist to check for prostatitis and similar problems. A complete ...
Problems4/5/2011
  Q: I would be grateful of your advice. Here goes. 17th Dec 2010 I had a drunken sexual encounter with a ...
  A: chris: There are always infections that are resistant to antibiotics such as MRSA and yeast ...
early ejaculation and not proper errection4/5/2011
  Q: well i am 26 years old university student and i am very upset with a problem with my sexual organ. i ...
  A: Aman: If the premature ejaculation problem is persistent, you should consult a therapist or ...
Median Raphe Cyst on Penis4/5/2011
  Q: I have a question about the above condition. Research articles as noted below indicate that the ...
  A: Jack: Your question is why does it take so long to make the diagnosis? The answer is that scrotal ...
penis4/5/2011
  Q: dr. leslie, past few months have noticed that my penis does not move in conjunction with my scrotum. ...
  A: Walter: I have not seen or heard of this type of problem. It certainly is not a common issue. The ...
Research topic4/4/2011
  Q: Stephen W. Leslie, MD I'm studying in MBA course at Naresuan University Bangkok Campus in ...
  A: Donna: There is no medical reason that men stand to urinate. It's strictly convenience and its ...
Penile enjury4/4/2011
  Q: I am 30 years old male from India.Today I was putting on my pants when my pennis was semi ...
  A: Summeet: No, a penile fracture causes immediate and intense pain with significant distortion, ...
dude or discharge4/4/2011
  Q: first, sorry for my english. I tell him my situation briefly. Six months ago, I have unprotected ...
  A: Espa: A congested prostate is possible. A clear discharge that is similar to pre-ejaculate. It ...
nerve4/4/2011
  Q: greet
  A: Michael: Essentially all of them. Some deal with erections, some with ejaculation and orgasm. ...
Pain in penis4/3/2011
  Q: for about a ,month or so I have been experiencing a constant pain in my urethra. On top of that I ...
  A: Jay: Its not possible to arrive at a reliable diagnosis from just your brief description. An ...
is it pyronie's dse4/3/2011
  Q: i am 24 years old and i got this problem about my penis. it was since birth that my penis is ...
  A: Glennford: No, the hanging of weight on the penis is NOT good. Aside from the fact that it won't ...
testical question4/3/2011
  Q: Me and my wife have been trying to have a baby for 3 years now, and nothing. I have a low sperm ...
  A: Chris: It is extremely unlikely to have a testicle that is twisted. If so, the opposite side ...
Early signs of Peyronie's disease?4/2/2011
  Q: First and foremost, thanks for taking the time to read this and provide your input. I am a 26 year ...
  A: Kyle: This is one very good reason why we don't normally like to give technical reports to ...
Urology4/2/2011
  Q: What does it mean when I expel a large amount of semen whenever I try pee?
  A: Robert: I can only tell you that is is unlikely to actually be semen. Prostatic fluid is more ...
bleeding from the penis4/2/2011
  Q: When u bleed from the penis,is it one of the symptoms of hiv/aids?
  A: Stefanie: Blood from the penis is not considered a potential symptoms of AIDS. It usually means ...
Post ProstatectomyComplications4/2/2011
  Q: In January 2009, I had a radical prostatectomy (RPP) due to a diagnosis of prostate cancer. Since ...
  A: Bill: Unfortunately, you got the maximum common complications from radical prostate surgery; both ...
mri results4/1/2011
  Q: I had a right partial nephrectomy surgery in May, 2010. I had a clear cell renal cell carcinoma, ...
  A: Debbie: Its not that the MRI made a mistake, but interpretation is not always easy. A biopsy would ...
penis shape4/1/2011
  Q: i hv an 7.5 inch but problem is that.that it curves down when fully erect and even my testicles have ...
  A: Prince: The lump on the testicle could be nothing or it could be a problem. A scrotal ultrasound ...
damage of one testis4/1/2011
  Q: 4 year ago my left testis was damaged due to exess of ejacultion of sperm.The size of two testis are ...
  A: Kim: I've never heard of an injury to a testicle due to excess production of sperm. This sounds ...
Will calcification in semen tubes clear itself?3/31/2011
  Q: Leslie, I wrote to you several months ago about a pain in my left groin immediately prior to ...
  A: Mark: I am not familiar with any successful treatment. Calcification of the vas is often due to ...
Prostate problem3/31/2011
  Q: I have always had minor prostate problems. However, recently my IBS has been acting up, and as such, ...
  A: Joe: Flowmetry and the post void residual ultrasound determination are typically done in the ...
Prostate problem3/31/2011
  Q: I have always had minor prostate problems. However, recently my IBS has been acting up, and as such, ...
  A: Joe: Most of the tests we urologists do aren't painful: urinalysis, void into a machine for flow ...
PSA prostate biopsy3/31/2011
  Q: I am a 54 yr old male, had a recent PSA of 7.5 (after DRE). Another very next day 6.5. DRE normal. ...
  A: Mike: Statistically you are more likely to have prostatitis than prostate cancer. While a biopsy is ...
Penile tissue damage3/31/2011
  Q: For a period of about two years, rather than rubbing my penis when I masturbated, I would grip it ...
  A: Ben: There are no quick solutions to this problem. First, you need a good general checkup with ...
how can i fix this3/31/2011
  Q: ok for about the past 5 months i have been experiencing a problem wen i ejaculate sometimes an ...
  A: Brandon: Sorry, but I can't identify an "orange piece" that you've described in the semen. An old ...
sperm count3/31/2011
  Q: my husband having only 3 sperms in his seman. is there any treatment to improve these cases?
  A: Sumathi: It isn't exactly clear what you are asking. Only 3 sperm would be exceedingly unlikely. ...
Irritation/slight pain on left side of penis near base3/29/2011
  Q: For about the past month I have had slight pain/discomfort on the left side of my penis near the ...
  A: John: You should see a physician and not just because that's what we always say on this forum. It ...
testicle pain3/28/2011
  Q: 6 months ago i was stabbed in the right testicle with a fingernail during sex. I kept having sex up ...
  A: Eric: You probably don't have a testicular infection or the ultrasound would have been abnormal. I ...
Vasectomy - Pregnancy3/28/2011
  Q: My husband and i have been married for about 2 years now. He is 40 and I'm 23, he had a vasectomy 15 ...
  A: Erika: There is a very, very, very remote chance of a pregnancy since his sperm count isn't 0. We ...
urniary meatus sensitvity and stricture3/28/2011
  Q: I am a 35 year old male who did not have much urinary mucus prior to a uti 6 months ago. I have a ...
  A: Jon: Urethritis just means inflammation of the urethra. A urinalysis might miss it if it doesn't ...
urniary meatus sensitvity and stricture3/27/2011
  Q: I am a 35 year old male who did not have much urinary mucus prior to a uti 6 months ago. I have a ...
  A: Jon: Your urethra could be making some extra mucus or you could have a mild infection of the ...
Constant passing of gas from the anus3/27/2011
  Q: I have masturbated for close to ten years . Now i have a problem of ED coupled with pressure very ...
  A: Doxycycline is a standard antibiotic for prostatitis. There is no evidence that Vitamin C or ...
Will calcification in semen tubes clear itself?3/27/2011
  Q: Leslie, I wrote to you several months ago about a pain in my left groin immediately prior to ...
  A: Mark: I am not familiar with any successful treatment for calcification of the vas. If it appears ...
Numb bladder3/26/2011
  Q: I was born with weak kidneys. I'm 17, almost 18 now and my kidneys are fine now. Except I get stones ...
  A: Priscilla: I can't say what is wrong from the limited information presented. It could be a number ...
Advice please.3/26/2011
  Q: I'll get to the point. I have an ongoing problem. 17th December I had protected vaginal sex and ...
  A: It seems unlikely that it could be an STD given all the antibiotics you've taken but that is not a ...
Post Vasectomy Pain3/26/2011
  Q: My husband had a vasectomy 6 months ago, and it healed with no abnormal pain or swelling. A few ...
  A: Jessica: The source of the discomfort is not clear from the information presented. I can only ...
epididymal cyst3/23/2011
  Q: i was diagnose of epididymal cyst since 2006. i took couple of medicines before but it didnt make ...
  A: Glynn: If the cysts aren't bothering you, then no surgery needs to be done at this time. Semen is ...
Sex drive3/23/2011
  Q: Steven, I'm 31 years old, single. A year back, I was diagnosed with mild prostatitis and I was given ...
  A: Saif: Small increases of prolactin are not clinically significant. Waiting for headaches before ...
penis sensation3/23/2011
  Q: I am 19 years old, and dont feel any sensation in my penis when masturbating. I have never really ...
  A: Dave: The circumcision has no real bearing on your problem. Lack of a pleasureable sensation ...
ED & PGE13/22/2011
  Q: I am 63 years old and have been using PGE1 for about 4 years. My dosage is 20-30 units. Lately I ...
  A: Dave: There is no specific antidote for PGE1, but you can inject a vasoactive medication like ...
lost of feeling3/22/2011
  Q: I AM 43 I have one of the penis extender used it for 14 days for 4 to 5 hr daily i removed it every ...
  A: Billy: You may have damaged some of the nerves that control sensation in the penis. I strongly ...
oral sex.3/22/2011
  Q: my name is Aaron and I’m curious to ask some questions. I’m 21 years old, Latino, I have a 7 1/2 in ...
  A: Aaron: THere is no specific test to determine if the testicles are shrinking although we can do an ...
urine stuck3/22/2011
  Q: 1-all the time doctor feel like i wanna to got to the bathroom the main problem i go to the bathroom ...
  A: Jack: Some urine dripping after voiding is not that unusual. If you feel you need to void and only ...
Epididymitis3/21/2011
  Q: I am very frustrated!! I have a 15 year old with epididymitis. He has suffered off and on since he ...
  A: Sharon: I suggest you consider taking him to a pediatric urologist. As you noted, it is unlikely ...
Narrow stream3/21/2011
  Q: I tried some (light) jelq some time ago (yes, now I know about the danger). I was just out of an ...
  A: Gavin: Your imagination is running away with you. There is no evidence of a narrowed urethra and ...
PSA3/21/2011
  Q: Dr. Does the time of day that the PSA is drawn have an effect on the #, I know testostrone levels ...
  A: Once a seed implant is done, usually no other radiation therapy is available and most of the time we ...
yellow discharge3/21/2011
  Q: my dad was impotent for years and was diagnosed with prostate cancer 2 years ago. he had surgery and ...
  A: Cindy: What you've described is not a normal reaction. If he had surgery, I presume he had a ...
how to stop early discharge of male3/21/2011
  Q: i am married and i am 35 years ,i have problem when i go sexual position with my wife.i am early ...
  A: Kamal: The problem is called Premature Ejaculation or PE. It is a common male sexual disorder. ...
Follow-up3/20/2011
  Q: A follow-up on my previous question about my chronic bacterial prostatitis treatment. After my ...
  A: Red: You are over-reading the material. Amoxacillin is not the best choice for most prostatitis ...
elevated psa3/20/2011
  Q: MY PSA HAS BEEN ELEVATED EVER SINCE I HAD BEEN DOING THE TEST. THE LAST TWO YEARS IT HAS STAYED AT ...
  A: Al: There is no absolute answer to your question. My own view is that if you've already had 2 ...
PSA3/19/2011
  Q: Dr. Does the time of day that the PSA is drawn have an effect on the #, I know testostrone levels ...
  A: M.K.: The time of day has nothing to do with PSA levels. In addition to prostate seed implants, ...
Pain inside penis glans3/19/2011
  Q: i recently started experiencing sharp pain inside my penis left shaft.i feel pain when i have ...
  A: Jonathan: Sometimes when the prostate is inflammed, it can be felt in the tip of the penis. That ...
Pain in left abdomen and red urine after sex3/19/2011
  Q: I have been having pain in the lower left abdomen since six month which has been on and off. But ...
  A: Rajesh: Prostatitis can do this, but anytime we have blood in the urine we like to have it checked. ...
Erectile dysfunction3/19/2011
  Q: I have masturbated for close to ten years . Now i have a problem of ED coupled with pressure very ...
  A: Sabastine: Excessive masturbation is a fiction. There is no such pathological disease or disorder ...
epididymal cyst3/19/2011
  Q: i was diagnose of epididymal cyst since 2006. i took couple of medicines before but it didnt make ...
  A: Glynn: Epididymal cysts will not go away with any medication. The only way to get rid of them is ...
Sexual Desire3/18/2011
  Q: I have been married for 21 yrs and never have had a strong sex drive, but now it is almost down to ...
  A: Norm: The most common causes of decreased sexual desire and ED are depression and low testosterone. ...
Peyronie vs. Injections & Arginine by mouth3/18/2011
  Q: Please give me some recomendations. Why you say that Potaba + vit. E is not recomended to treat ...
  A: Paul: The typical Verapamil injection protocol involves a series of injections (20-30) at a time ...
urine stuck3/18/2011
  Q: 1-all the time doctor feel like i wanna to got to the bathroom the main problem i go to the bathroom ...
  A: Jack: I can't answer you "in little details" as you requested because I don't have all the facts ...
how to totally empty bladder3/17/2011
  Q: I am a mother of 2 and have been doing crossfit exercises for a year and a half. One of the ...
  A: Marcie: THe problem is not that you aren't emptying the bladder. The problem is that you are ...
abstinence after surgery3/17/2011
  Q: I've been told that after a surgery for venous leak, one should avoid sex for at least one month. In ...
  A: Eric: First, we generally don't do venous leak surgery anymore as it rarely holds up for more than ...
my 10 month son3/17/2011
  Q: Once catherised to empty he stabled quickly but after test there is no explanation for this eg no ...
  A: Lesley: You need to take your son to see a pediatric urologist. His kidney function is declining ...
urine stuck3/17/2011
  Q: 1-all the time doctor feel like i wanna to got to the bathroom the main problem i go to the bathroom ...
  A: Jack: You clealy have some type of urological problem of which prostatitis is one possibility. ...
boyfriend lacks of feeling/sensation in penis3/17/2011
  Q: I am concerned about my boyfriend of 3 years who is 27 years of age. Ever since we met and started ...
  A: Rhiannon: Decreased sensation in the penis is usually due to prolonged alcoholism, liver disease, ...
mucus in urine and urine retention3/17/2011
  Q: I am 35 and had at uti with dilation 6 months ago. I still have some split streaming with meatus ...
  A: Johnny: A few clear mucus threads are not considered abnormal. Scar tissue doesn't heal. Its the ...
CKD and Urology3/16/2011
  Q: I am a 32 year old female that just got diagnosed with Stage 3 kidney disease. I have pretty ...
  A: Liz: You've asked alot of questions. Your UTI's and kidney disease are not related except that you ...
mucus in urine and urine retention3/16/2011
  Q: I am 35 and had at uti with dilation 6 months ago. I still have some split streaming with meatus ...
  A: Johnny: There is some mucus that forms in the bladder as protection, but there is no mucus normally ...
Retroaortic left Renal vein3/15/2011
  Q: I just found out that i have a retro-aortic left renal vein. I have been suffering from pain in my ...
  A: Bridgette: I'm not sure I understand the problem. The renal vein on the left side is normally in ...
Brownish foamy urine - cause for concern?3/15/2011
  Q: A little background: I'm a 35 year-old white male, 6'1" 155 lbs. I am a vegetarian, social drinker ...
  A: Corey: A workout should not cause such a color change in the urine. The first thing you need is a ...
Varicoceal Surgery Problem3/15/2011
  Q: Myself Sahil Kumar 24 years old. I am suffering from varicoseal problem in left testis. Before ...
  A: Sahil: The report only indicates that there is a left sided varicocele. It isn't clear if this is ...
little squishy bump on my penis shaft3/15/2011
  Q: For awhile I've had this little bump on my penis shaft, on the front, about an inch below the head, ...
  A: Jim: I can't really tell what it is from only your description. As long as the erections are ...
feeling of discharge of pre cum3/14/2011
  Q: I am a 31 year old male living in India. I have recently observed few drops of thin white ...
  A: Kevin: THe nature of this fluid isn't necessarily clear. It could just be pre ejaculate fluid or ...
my urine3/14/2011
  Q: the disaster start to happen only when i did sex with my girlfriend with no protection ofcourse .at ...
  A: Hassan: It is normal to have a few drops left after voiding. This can sometimes be eliminated by ...
my husband3/14/2011
  Q: My husband just recently found out that he has crystallized calcium inside one of his testicles. The ...
  A: Samantha: Testicular calcifications are very common. If they are floating in the fluid around the ...
red blood cells in urine 9 years after prostate removal for cancer3/13/2011
  Q: Nine years ago I had my prostate removed for cancer. I needed no further treatment and was told I ...
  A: Gene: The urologist is just doing his job. Looking into unexplained blood in the urine is ...
epididymitis and arousal3/13/2011
  Q: About a week ago I started noticing that I was having a difficult time being sexually aroused, ...
  A: Francesco: Epididymitis does not normally affect testosterone levels, but it could cause or be ...
Overstretched bladder3/13/2011
  Q: I have a bladder that is stretched way over the limit for permanent damage. My initial problems came ...
  A: Neville: You need a CMG or bladder pressure test to determine if there is sufficient bladder muscle ...
Frenuloplasty3/13/2011
  Q: I have some BXO scarring on what i thought was the foreskin, but i have realised it is on the ...
  A: Andrew: We don't typically just fix the frenulum without also doing a circumcision, but it's ...
enlargement of right testis3/13/2011
  Q: recently my right testes has become some what long and big than my left testis and iam getting pain ...
  A: Raviteja: As stated earlier, the exact nature of your problem cannot be determined from the ...
change in sexual and penis behaviour3/12/2011
  Q: Till the age of 28 I had excellent potency and i could masturbate three times a day and my penis was ...
  A: John: Some increase in latency time is normal as we get older, but the degree of your problem is a ...
UTI, urine retention, self-cathing3/12/2011
  Q: I'll try to be cut-and-dry with this so you don't have to wade through useless info. :) 1.) Feb ...
  A: Amber: It doesn't sound like the steroids are working and you haven't yet been started on an alpha ...
UTIs3/12/2011
  Q: I have had 3 UTI's since December. They've been coming every couple of weeks or so and I don't go ...
  A: Joyce: You haven't indicated if you're following the guidelines given earlier about wiping and ...
hyperprolactinoma3/12/2011
  Q: Twice I have been diagnosed of Hyperprolactinemia:first on 8th of march 2009 where I had 13ng/ml ...
  A: We do not normally check prolactin except in men who have low testosterone levels. If your ...
burning in urine since 1year and seeking for help3/12/2011
  Q: my name is krishna.male age 21 years.i have not done sex till date.i have a habit of masterbation ...
  A: Krishna: With all of the tests being normal, and several urologists disagreeing on the diagnosis, I ...
bleeding after masterbation3/12/2011
  Q: I am 45-50years old and have been masturbating regularly since teens. I have tried to stop this ...
  A: Gebre: Blood in the semen, called hematospermia, is a relatively common occurrence. It is rarely ...
lower back pain and flank issues3/11/2011
  Q: I am a 40 year old white male - married with a normal sex life I have recently experienced lower ...
  A: Richard: Obviously, I am not going to be able to give you a definitive diagnosis when your regular ...
Burn when pee3/11/2011
  Q: Well I'm 36 years old when I go to use the restroom it burn so I went to urgent care place and the ...
  A: Gerald: You could have a yeast infection or prostatitis. My advice is to consult a urologist. ...
Vasectomy pain3/11/2011
  Q: I had a vasectomy 10 days ago. My right testicle seems to be ok, with what seems to be a lima bean ...
  A: Ike: You are already having more problems than the typical vasectomy patient. However, it is still ...
Infertility3/11/2011
  Q: Low sperm count led me to seek answere from my urologist whom specializes in infertility. Per my lab ...
  A: Robert: I agree that the low FSH is a little puzzling. It might be possible to check testosterone ...
Post vasectomy count3/10/2011
  Q: ..obviously I went well past the 25 ejaculations they suggest. The test came back negative for no ...
  A: Jeff: Not everyone recommends two separate tests. In my practice, I'm usually satisfied with 1 if ...
Prostatitis3/10/2011
  Q: I am 37 year old male. I have had on and off again pelvic aches, sudden urges to urinate and ...
  A: Anthony: I have found such supplements to be helpful. I have used both PEENUTS and Prosta Q. Use ...
Premature Ejaculation/sensitive glans3/10/2011
  Q: Ive been having this ejaculation problem for almost a year. During oral and intercourse i feel the ...
  A: Joe: PE is a problem of control and anxiety. WHile sprays and creams work, they don't deal with ...
mild hydronephrosis3/10/2011
  Q: What is mild hydronephrosis? sir recenly my kidny stone operation is done of ledt kidny for the 14mm ...
  A: Shailesh: Mild hydronephrosis is a finding; not a disease. If its associated with a problem like a ...
Blood in Urine, lower back pain3/10/2011
  Q: I am an otherwise healthy 25 year old female. No previous UTI's. I went to the doctor with lower ...
  A: Laura: You have not yet had a complete evaluation for your pain and hematuria. A CT urogram (CT of ...
hyperprolactinoma3/10/2011
  Q: Twice I have been diagnosed of Hyperprolactinemia:first on 8th of march 2009 where I had 13ng/ml ...
  A: We normally only check prolactin in men when the testosterone levels are abnormal. It isn't clear ...
UTI, urine retention, self-cathing3/9/2011
  Q: I'll try to be cut-and-dry with this so you don't have to wade through useless info. :) 1.) Feb ...
  A: Amber: You will probably be able to void on your own at some point. There is no apparent ...
Bacterial infection and urologist3/9/2011
  Q: I am a 23-year-old male. I have been suffering from various mild-to-moderate dysuric symptoms for ...
  A: Red: Levofloxacin is an excellent antibiotic for bacterial prostatitis. However, you probably now ...
mild hydronephrosis3/9/2011
  Q: What is mild hydronephrosis? sir recenly my kidny stone operation is done of ledt kidny for the 14mm ...
  A: Shailesh: Mild hydronephrosis means that there is some minimal dilation of the urinary system of ...
hard mass at base penis head3/8/2011
  Q: I am a sexually active straight male. A couple weeks ago, my foreskin (uncircumcised) got red and ...
  A: John: Understand that this is a general information forum. We don't diagnose or treat. I can't ...
penis3/8/2011
  Q: some of people has 5 1/2 inch penis? 5 1/2 inch penis can make satify a women and can make pregnent?
  A: Aji: Of course some men have a penis that is only 5 1/2 inches. This is certainly sufficient to ...
Question3/8/2011
  Q: I am 19. My problem has to do with the shaft of my penis. More specifically, the right side of the ...
  A: John: Obviously, dents or divots in the penis are not normal but I can't determine their nature ...
Spermatic artery injury?3/7/2011
  Q: I had a left varicocelectomy back in October and I am thinking the spermatic artery was compromised. ...
  A: Scott: Usually, if the spermatic or more correctly the testicular artery is cut, there could be ...
Premature ejaculation3/7/2011
  Q: I wanted to know do techniques based on strengthening PC muscle work to control ejaculation. In ...
  A: Al: PC muscle exercises have not been shown to be helpful in treatment of ejaculatory problems, but ...
UTI3/7/2011
  Q: Apology if I have asked you again. But am just curious about a solution. I'm 27 years old. Just ...
  A: Ali: Multiple recurrrences means that you are getting the same problem multiple times. It keeps ...
Torn Lower Abdominal + Hematoma?3/6/2011
  Q: Appreciate any advice you have on my condition. I was working out last week and upon doing (in ...
  A: Your question is better directed to general surgery or sports medicine. However, what you described ...
burning while urination since 1 year3/6/2011
  Q: im suffering from severe burning while urination since 1 year. i took all possible treatments from ...
  A: Saurabh: YOur symptoms suggest prostatitis but you've been resistant to the standard antibiotics. ...
Errection problem after varecocele surgery.3/6/2011
  Q: Sir, 2 years back, I had a vericocele surgery ( on both testicles, open surgery). one day after ...
  A: Rajkumar: Standard varicocele surgery should not have any significant effect on erections or cause ...
compare/contrast BPH with epididymitis3/6/2011
  Q: wondering how to compare and contrast BPH and epididymitis or would it be easier to compare and ...
  A: Pat: There is absolutely nothing similar between BPH and epididymitis. Epididymitis is an ...
cure for wetdream3/6/2011
  Q: Sir i am 18 old male. I am masturbating once or twice a day since my last 2 years. I have stopped ...
  A: Joh: Nocturnal emissions are normal and natural. At 18 you are likely to have this relatively ...
dull testicle pain3/6/2011
  Q: This has never happened before. Just about a month ago I noticed a very dull, hardly noticeable pain ...
  A: Jim: Ideas? Sure. Consult a urologist. In many cases, we don't find anything significant, but ...
Topical oils3/5/2011
  Q: Is there any product that can be used directly on the penis that will case an erection? I have heard ...
  A: Bob: There is no medication in Instant Performer; just natural herbal extracts and similar. There ...
Unexplained erectile dysfunction early in life3/5/2011
  Q: I deeply appreciate anyone with expertise who will take the time to read and consider this! I am too ...
  A: Frank: First, the endocrinologist was correct. An appropriate repeat blood test off of the ...
testicular blood supply3/5/2011
  Q: Could you plz tell us if blood supply to a testicular is compromised in a surgery then how would it ...
  A: Ofvat: If the doppler showed good blood flow, then the testicle should be able to produce sperm and ...
enlargement of right testis3/5/2011
  Q: recently my right testes has become some what long and big than my left testis and iam getting pain ...
  A: Raviteja: It is not possible to make a diagnosis from the available information so it is also ...
Nerve damage question3/5/2011
  Q: So I have been experiencing a certain amount of decreased sensitivity/numbness now for about 2 ...
  A: John: Excessive masturbation is not a clinical disorder and does not cause numbness or other ...
enlargement of right testis3/4/2011
  Q: recently my right testes has become some what long and big than my left testis and iam getting pain ...
  A: Raviteja: I can't determine why the testicle is enlarged from the limited information provided. If ...
nuclear renal scans3/4/2011
  Q: i was just wondering if either a nuclear renal scans or nuclear cystogram were considered CT type ...
  A: Ron: Nuclear scans are images produced by a type of imaging Geiger counter. A radioactive isotope ...
Doxycycline and Cipro don't work for me when it comes to prostattitis3/3/2011
  Q: -I had unprotected sex with a woman, I developed a burning in my penis and rectal area. All STD ...
  A: George: The three medications that have been most effective for prostatitis include Cipro, ...
Erection Problems3/3/2011
  Q: I am 30 male having some Erectile Dysfunction problems from last 10 plus days. before two weeks. i ...
  A: Raza: Your problem is relatively new and might be anxiety related. Your blood pressure meds could ...
Erectile Problem3/3/2011
  Q: I am 26 yrs old recently married. Some times I feel that the erection is very less or sometimes I am ...
  A: Abhishek: THe fact that your problem is intermittent suggests that its related to psychological ...
Bumps on Penis head. How do I cure it to be smooth and shiny again?3/3/2011
  Q: I'm 22 years old and have had this problem since I was 11 years old. My doctor doesn't seem to know ...
  A: Rishi: This does not appear to be any disease or disorder. Some of this may be the normal Fordyce ...
Penis injury3/2/2011
  Q: A couple of weeks ago I tried jelqing which I had done before and decided to try again because I ...
  A: The arginine may be helping but its not possible to determine if this is just psychological or not. ...
one testicle3/2/2011
  Q: is one testicle sufficient to serve all the purposes? ANSWER: Ofvat: One testicle is more than ...
  A: There should not be pain on simple palpation of the head of the epididymis, the area you've ...
Penis injury3/2/2011
  Q: A couple of weeks ago I tried jelqing which I had done before and decided to try again because I ...
  A: Thomas: I can't say if your full erection function will return or not. The fact that you've seen ...
pennis3/2/2011
  Q: am umer do u remember me.i have a good news there is a fluid coming out from my pennis after ...
  A: Umer: I checked out the site you requested. There is absolutely no scientific justification or ...
Penis injury?3/2/2011
  Q: A month ago, I tried the penis exercise called jelqing. I only did it for one week and only about 4 ...
  A: John: There are numerous questions on this forum about jelking and injury. A typical injury is ...
Science Career Project--Urologists3/2/2011
  Q: my name is Williecia! I am doing a project in my class on the science career Urologists. I have a ...
  A: Schooling for Urologist: College graduate - 4 years Medical school - 4 years General Surgery ...
Incontinence3/2/2011
  Q: I am a 52 year old, healthy gay white man. As a elementary school age child, I had several ...
  A: Ricky: You are correct that a botox injection can paralyze the urinary sphincter for a prolonged ...
prolongeprolonged erection,normal tests,erectile dysfunction3/1/2011
  Q: , as you are an excellent urologist,i deeply need your help. my name is david and i am 39 years ...
  A: David: You are putting way too much faith in these tests. A normal ultrasound only means that ...
Prostatitis/urethritis3/1/2011
  Q: I am a 45 year old male who tested positive for chlamydia about 3 months ago, which was ...
  A: Jim: It is unlikely that you have Reiter's syndrome or now correctly called "reactive arthritis". ...
discolored semen3/1/2011
  Q: For the last few years, I've noticed that my semen has a slight green tint to it. I don't know if ...
  A: Mike: Its impossible to make a diagnosis based on a verbal description of an unusual semen color. ...
Prostatitis/urethritis2/28/2011
  Q: I am a 45 year old male who tested positive for chlamydia about 3 months ago, which was ...
  A: Jim: From your description, prostatitis seems reasonable. You have received sufficient treatment ...
thrombosis (clot) of a penile lymphatic vessel.2/28/2011
  Q: firstly-let-me-say-sorry-for-how-this-is-written-the-spacebar-has-stopped-working.Ive-noticed-a-lump ...
  A: Noel: This doesn't sound like a clot, but it could be a blocked lymphatic channel or just a ...
Urology2/27/2011
  Q: I have a small BXO/leichen sclerosis stricture located at the top, distal, part of my urethra. I ...
  A: Andrew: The final outcome depends on the exact nature of the problem. In most cases, cosmetic ...
Info. about meds.2/26/2011
  Q: W hat is the difference between TERAZOSIN HCL 5 mg and TAMSULOSIN .4mg .Our Dr. put my ...
  A: Mary: It's safe, but terazosin needs to be titrated (start on very low dose then slowly increase) ...
loss of Sensation in Glans2/26/2011
  Q: i have been experiencing a loss of sensation in the head of my Penis. It first started late last ...
  A: Leighton: Damaged nerves do not typically regenerate in humans, but may heal if not too badly ...
Epididymectomy2/26/2011
  Q: About 9 years ago I started experiencing discomfort and some swelling in my left testicle. My ...
  A: Orlando: Have a urologist check it out. A scrotal examination and ultrasound together with a rectal ...
What are there skin coloured taste bud tiny sized bumps on the actual penis head2/25/2011
  Q: First of all, what im talking is not forcydes or pearly papules. I have had these small tiny skin ...
  A: Peter: We can't make diagnoses based on your limited description or that they look like something ...
Medication2/25/2011
  Q: Dr. Leslie, I was wondering if you knew of any medications/supplements that are good at targeting ...
  A: D: Prostatitis is often a difficult problem to treat. In addition to antibiotics, we like to have ...
my husband is having a problem2/25/2011
  Q: Ok my husband is having a problem this is the third time this has happened. He has sperm come out ...
  A: Samantha: He could have a discharge such as from an infection or if its related to a BM it could ...
e coli2/24/2011
  Q: stool culture report found Escherichia coli .how it comes to our body .Escherichia coli bacteria ...
  A: Aji: E. coli is a normal bacteria of the bowel. It's supposed to be there. When it enters the ...
penile adhesions in a 5yr old2/24/2011
  Q: I was a young mother when I had my 1st son, I had him circ. I was born pretty fat so when I got his ...
  A: Tammy: I'm a little doubtful that a penile adhesion at age 5 will "fix itself". You should take ...
gonor2/24/2011
  Q: if a women has a positive for gonorrehea or chomodliya how long it will stay without showing ...
  A: Jinith: It is possible to be positive for gonorrhea and chlamydia and never show any symptoms. It ...
curvature2/24/2011
  Q: noticed left penile curve after being treated for a prostate infection.three urologists say its not ...
  A: Russ: It's unllikely tob e a urethral problem, but Peyronie's is by far the most common cause of ...
Prostate Tests2/24/2011
  Q: Dr Leslie: What are your thoughts on PCA3 & Transrectal Ultrasound for Prostate Screening? Is there ...
  A: Michael: The PCA3 test is possibly useful in a small number of cases where the PSA readings are ...
Relaxing pelvic muscles2/24/2011
  Q: -------------------------------------------------------------------------------- Hello, I have a ...
  A: I can't say if your pelvic floor dysfunction is contributing, but it probably is. Still, anhedonia ...
PDE52/23/2011
  Q: I started taking Cialis for daily use. I'm not sure if it is working. Since I'm having blood work ...
  A: Richard: There is no such blood test to confirm if the PDE-5 is working. Either the Cialis is ...
Urology2/23/2011
  Q: I wanted to ask this for my friend He used to keep morning alarms in mobile phones and when he got ...
  A: Ram: There is no data on the safe duration, but people don't generally put their cell phones next ...
Bladder Cancer2/23/2011
  Q: I am a 24 year old male. In Sep 08, when I was urinating, a few drops of blood came out of the penis ...
  A: The cause of your bleeding could be a polyp, infection, fissure, tumor, stone, trauma or ...
UTI2/23/2011
  Q: Apology if I have asked you again. But am just curious about a solution. I'm 27 years old. Just ...
  A: Ali: Bacterial or chronic bacterial prostatitis requires long term antibiotics. Your prostatitis ...
Bladder Cancer2/22/2011
  Q: I am a 24 year old male. In Sep 08, when I was urinating, a few drops of blood came out of the penis ...
  A: It is quite unlikely that your problem is due to bladder cancer, mainly because of your age. ...
Gonorrhea2/22/2011
  Q: how we gets Gonorrhea ?how we can test for Gonorrhea?urine rutine can finds Gonorrhea or urine ...
  A: Gonorrhea is obtained exclusively from sexual contact with an infected person. Testing can be done ...
pus in urine2/22/2011
  Q: if we found 08 hpf/ pus cell in urine of a male is it 100 percent sure for he has positive for ...
  A: Abhay: The presence of WBC's in the urine is suggestive of an infection, probably a urethritis. ...
prostrate2/22/2011
  Q: Is it ok to massage the prostrate area from outside? Thanks ANSWER: Pradeep: It's OK but it's not ...
  A: Pradeep: I can't say why it feels pleasant to you. I guess it's just what happens to feel nice to ...
urine odor2/22/2011
  Q: When I urinate sometimes it smells like "potatoe salad" (best way to describe it), especially first ...
  A: Mrs. Johnson: Odor alone is a very unreliable indicator of a urinary problem. There could be an ...
varicole question2/21/2011
  Q: Doc, I had a left varicocelectomy Oct 6th, and now my testotosterone is Low 207(normal range ...
  A: Scott: In general, varicocele surgery should not affect testosterone levels. Even if something ...
Relaxing pelvic muscles2/21/2011
  Q: -------------------------------------------------------------------------------- Hello, I have a ...
  A: Harry: We generally consider anhedonia a psychological condition. Your use of SSRI's would ...
Teen very concerned about possible penile fracture (previous question on suspensory ligament tear)2/21/2011
  Q: Dr. Leslie, As a follow-up on previous question of presumed suspensory ligament tear 2/2/2011. If ...
  A: Meg: There is no such literature as there is only some early, preliminary studies on the use of the ...
SOCIAL EMBARRASSING DUE TO PENIS2/21/2011
  Q: PLEASE READ THIS WHOLE LATTER & THEN REPLY The Problem: Finding myself in social embarrassing ...
  A: You've seen three specialists and essentially all have suggested circumcision. A partial ...
Prostatitis Symptom2/21/2011
  Q: Dr. Leslie, I was recently diagnosed with Prostatitis. I've noticed lately that there is some ...
  A: Derek: What you describe in the head of the penis is not considered a common, expected or typical ...
Undescended Testicles2/21/2011
  Q: I've done 2 operations to reposition on testicle at the age of 1 year and 8 months and the other in ...
  A: Neo: There is an excellent chance that there are sperm in the testis, but there could be blockages ...
Penis Twisted To Far2/21/2011
  Q: I am going to make a doctors appointment tomorrow but I just want a quick opinion and it appears ...
  A: Jeff: You may have suffered an injury to the penis. Unfortunately, we don't have any good ...
urine test2/20/2011
  Q: hope you can help.... i go to a drug and alcohol team regularly, and they asked for a urine test a ...
  A: Camille: Sorry, but I can't diagnose from just your description of what the floating bits looked ...
Teen very concerned about possible penile fracture (previous question on suspensory ligament tear)2/20/2011
  Q: Dr. Leslie, As a follow-up on previous question of presumed suspensory ligament tear 2/2/2011. If ...
  A: Meg: First, it seems unlikely from the information provided that you had a penile fracture. If you ...
penis skin2/19/2011
  Q: When I was 22 I started growing hair almost all the way up the underside of my pens even to the head ...
  A: Erick: The urologist is correct. Shaving the skin should not have any effect on erection ...
Testicular cancer2/19/2011
  Q: I am a 21 yrs old male. History of stage IV wilms tumour in right kidney. Nephrectomy, chemo & ...
  A: Moses: It would be unlikely to be a Wilms, but we cannot completely rule out some other testicular ...
prostrate2/18/2011
  Q: Is it ok to massage the prostrate area from outside? Thanks
  A: Pradeep: It's OK but it's not going to be very effective. Prostate massage itself is quite ...
ED2/18/2011
  Q: I am an otherwise healthy 36 year old man,(workout regularly, eat healthy) but for the last two week ...
  A: Terry: There are a long list of causes such as medications, arteriosclerosis, neuropathy, ...
penis skin2/18/2011
  Q: When I was 22 I started growing hair almost all the way up the underside of my pens even to the head ...
  A: Erick: I am not aware of any surgery that can "fix" the shaved skin. Surgery can remove the ...
testicular blood supply2/18/2011
  Q: Could you plz tell us if blood supply to a testicular is compromised in a surgery then how would it ...
  A: Ofvat: As stated previously, there is no way to restore the blood supply to the testicle if it's ...
pennis2/18/2011
  Q: actually its about one and a half year i have got brain problem and it disabeld my sexual ...
  A: Umer: Viagra is only going to work on the erection and is not likely by itself to fix the ...
Numbness in Penis2/18/2011
  Q: I do not receive pleasure for sexual contact, either by my partner or by my own hand. The only ...
  A: F.G.: I can't say what the cause of the numbness is. A prostate infection like prostatitis is one ...
pennis2/17/2011
  Q: actually its about one and a half year i have got brain problem and it disabeld my sexual ...
  A: Umer: First you see a specialist to review in detail the problem and try to determine what is ...
Problem urinating with SP Tube2/16/2011
  Q: Background: I had an infection below the testicles and it broke when I went to the hospital. My ...
  A: John: It sounds like you have a complicated problem. I can't offhand think of any good reason why ...
i have a red bump on my penis2/16/2011
  Q: hey, i know you cant diagnose me on here but can you give me a profesinl guess to what this bump is ...
  A: Dave: Sorry, but I can't really "guess" at a diagnosis. You'll need to talk to your physician or ...
sex is painful2/16/2011
  Q: During sex my penis head becomes sensitive and painful on penetration. It does not hurt when erect ...
  A: Morgan: What you describe is a bit odd. For the short term, try a condom and see if that helps. ...
Testicular Pain2/16/2011
  Q: I'm an active 29 y/o male. I’ve had a previous hernia on the right side of my groin a few years ago. ...
  A: Steve: You should definitely get a second opinion. It would be highly unusual for a testicle to ...
Edema pain after stent removal2/16/2011
  Q: I just had my stent removed today and 3 hours after I was having excruitiating pain(feels like a ...
  A: Nikki: After a stent is removed, there is nothing to block the swelling in the ureter where the ...
"Jammed" penis during intercourse2/15/2011
  Q: Leslie, Yesterday I was having intercourse with my girlfriend (missionary position) and my penis ...
  A: Ian: We will always suggest that you consult a physician after any significant injury. In this ...
nerve2/15/2011
  Q: I mean the sense of touch in the penis, I mean those nerves ANSWER: Sensation in the penis is ...
  A: Other nerves that go to the penis have roles to play in erection function such as the cavernosal ...
Prostatitus treatment2/15/2011
  Q: Leslie, About four weeks ago, just before and during ejaculation, I experienced a sudden twisting ...
  A: Mark: A calcification causing some partial obstruction might possibly cause some of your problems. ...
sensation2/15/2011
  Q: I would like to know what nerves for the nice sensation during masturbation and sex make the penis ...
  A: Abdulhamit: The main nerves to the penis that provide sensation is the dorsal penile nerve which is ...
Recent Testicular pain and change in shape2/15/2011
  Q: I'm 20 years old and ever since I was about 10 my left testicle has been bigger then my right, which ...
  A: Kevin: I can't determine the nature of the problem based only on your description. My best advice ...
Blood In Urine2/15/2011
  Q: For the past year I have had a slight burning sensation during urination that comes and goes. I have ...
  A: James: It would be extremely unlikely for anything serious to be found in the urinary tract in a 17 ...
Pain in lower left abdomen2/14/2011
  Q: For the last 2 months I have been feeling sudden pain in my lower left abdomen while ejaculating ...
  A: Joe: You should consult a urologist to look into this. Even when the vas (sperm tubes) are tied or ...
Kidneys2/14/2011
  Q: I had a test result recently and can't understand what it says. Would you be able to tell me what is ...
  A: Natacha: Sure. You know what a scar is. It's just fibrous or scar tissue, usually from an old ...
Urethra Burning2/14/2011
  Q: Can using too much personal lubricant or the wrong type of lubricant (lotion, lip balm) on the male ...
  A: Derek: Water soluble lubricant, the most typical type used, cannot penetrate the skin or enter the ...
Voiding Cystography/ Voiding Cystourethrogram2/14/2011
  Q: I am an eighteen year-old male currently in good health, but I have some concerns about my medical ...
  A: Jesse: Voiding cystography is a general term for any voiding x-ray. Voiding cystourethrogram is ...
Horrible pain after orgasm post kidney stones2/14/2011
  Q: I suffered from a 5mm kidney stone in my right kidney about six months ago. Upon examination my ...
  A: ES: The small caliber of the ureters would not likely cause any problems with masturbation, ...
vericocele and treatment2/14/2011
  Q: respected sir, i am 21 years old and is suffering from this disease since 2 years. i experience a ...
  A: Mahesh: First, we don't have a diagnosis. Pain in the testes as you describe suggests prostatitis. ...
Blood in Urine2/14/2011
  Q: Starting about a month ago I have had three episodes of urinating bright red blood. All have ...
  A: Darin: Bleeding can be due to low grade bruising of the kidneys during extended exercise. I am ...
Less time during intercourse2/13/2011
  Q: Stephen, I am 31 year old. I last only one minute (even less time when i give stroke) during my ...
  A: KS: We are not allowed to prescribe any medication on this forum, especially since in many parts of ...
ED2/13/2011
  Q: I am a diabetic patient who was diagnosed in spring of 2009. Now I keep my blood sugar below 150 ...
  A: RM: By the time the erections are affected, the arteries are already clogged and medication to ...
pennis2/12/2011
  Q: actually its about one and a half year i have got brain problem and it disabeld my sexual ...
  A: Umer: First, a blood testosterone level should be checked. If that is adequate, a trial of ...
precum drops and maintain of erection..2/12/2011
  Q: am 30 year unmarried male living in Pakistan and doing business In past I had problem that I had ...
  A: There is no specific remedy for excessive secretion of precum, but there have been a few reports of ...
UTI / Prostatitis2/11/2011
  Q: Good Day ! I want to explain you about my problem of urinary problem which happened around 2 years ...
  A: Ali: I am not your treating physician so I would not prescribe a medication for you even if I ...
Scrotal Support2/11/2011
  Q: Please look at the QNS Scrotal Support to recommend for patients with the need to support large ...
  A: Dr. Quinn: I doubt there are very many scrotums that are so heavy and/or large that they would ...
Peyronie's Disease2/11/2011
  Q: My dad has been diognosed with peyronie's disease and has been unable to get the answers that he is ...
  A: Courtney: If the lump is getting smaller, that's good news. Hopefully this will continue. There ...
Lump on my penis2/11/2011
  Q: I've had a lump on my penis just below the glans since I was in my teens (I'm now 30). It has got ...
  A: Mike: You probably have a sebaceous cyst. This is not particularly dangerous but can be ...
Bladder mass2/11/2011
  Q: In the process of diagnosing an ulcer (extreme pain in chest/stomach area), a UA showed blood in my ...
  A: Becky: Clearly, a mass just outside the bladder is a concern. If your physicians who have actually ...
UTI / Prostatitis2/10/2011
  Q: Good Day ! I want to explain you about my problem of urinary problem which happened around 2 years ...
  A: Ali: You clearly misunderstand the role of antibiotics. A few can have potentially harmful effects ...
discharg from penis2/10/2011
  Q: i had un-protective sex 3 weeks ago and before 2 weeks i noted some penal discharge which is cloudy ...
  A: Ahmad: E. coli is not a sexually transmitted bacteria. Your exact diagnosis is unclear from the ...
Frequent urge to urinate2/10/2011
  Q: For the last 4 weeks I have been suffering from constant pressure on my bladder & urge to urinate. ...
  A: Heloise: I would suggest that maybe you should consult a urologist before undergoing a procedure ...
penis extender2/10/2011
  Q: What are your thoughts on the fastsize device? I bought one a few years ago and used it off and on ...
  A: There is some evidence that the Fastsize device can be useful in helping with curvature, but this is ...
UTI / Prostatitis2/10/2011
  Q: Good Day ! I want to explain you about my problem of urinary problem which happened around 2 years ...
  A: Ali: I can't make a diagnosis of prostatitis. That can only be done by your physicians, but ...
Erectile help2/10/2011
  Q: I have many issues medically, I have High Blood Pressure, Hypothyroidism, Sleep Apnea and Diabetes. ...
  A: Robert: You probably should see a different urologist. A trial of Viagra or Levitra should still ...
Foreskin2/10/2011
  Q: My son is 3 years old. His foreskin is stuck to the head of the penis. And he has small yellow ...
  A: Olga: You can start with a pediatrician or go directly to a urologist. Many urologists will not ...
Prostatitus treatment2/9/2011
  Q: Leslie, About four weeks ago, just before and during ejaculation, I experienced a sudden twisting ...
  A: Mark: First, we can't be sure about the diagnosis. Pain in the area you described in the groin ...
Lump on Penis2/9/2011
  Q: I am a 20 year old male. I am Circumcised. I have a tiny little lump under the skin on my penis, ...
  A: Anthony: Obviously, I can't tell you what the problem lump is. Also, it is obviously not "normal" ...
Oil in Urine2/9/2011
  Q: I have noticed lately a clear oil floating in the toliet after I have urinated and when I have a ...
  A: Tina: I suspect you are picking up some material when urinating possibly from the vagina or ...
Prostatitis?2/9/2011
  Q: Leslie, I'm a 29 year old healthy individual who has been having a testicular problem and would ...
  A: Mark: My comment did not exclude other potential problems. Constipation and diarrhea are not ...
Blleding during foreplay and during eyaculation2/8/2011
  Q: For more than 10 years I have had a problem that comes and goes. During ejaculation I bleed. When ...
  A: Manuel: A cystscopy and a transrectal ultrasound might also be considered. You have hematospermia ...
prone masterbation2/8/2011
  Q: sir, iam 22 year old male and i maturbate in prone position.The problem is when ever i try to ...
  A: Rahul: It shouldn't matter how you prefer to do masturbation. When the time comes for intercourse, ...
Prostatitis?2/8/2011
  Q: Leslie, I'm a 29 year old healthy individual who has been having a testicular problem and would ...
  A: Mark: You've seen several physicians who basically agree on a diagnosis but the treatment so far is ...
Bladder Infections after intercourse2/8/2011
  Q: Despite undergoing Greelight PVP on my prostate I still unfortunately have to use intermittent ...
  A: Peter: It is possible for an antibiotic to still be effective the next morning after taking it in ...
Bladder Infections after intercourse2/7/2011
  Q: Despite undergoing Greelight PVP on my prostate I still unfortunately have to use intermittent ...
  A: Peter: First, I think you need to be re-evaluated by urology. After surgery, you either still have ...
prostatitis in 27 yr old2/7/2011
  Q: My son was diagnosed with prostatitis 5 wks ago and the urgent care center started him on ...
  A: Barbara: Prostatitis does not usually involve a varicocele. The nature and degree of his ...
Varicocele Embolization After Failed Microsurgery2/7/2011
  Q: Dr. Leslie, First I'd like to thank you for answering my last questions in detail. I finished my ...
  A: A radiological embolization for varicocele is an excellent way to treat persistent veins after a ...
erectile dysfunction and pain2/7/2011
  Q: AND THANK YOU FOR TAKING TIME TO ANSWER MY QUESTION. I AM STILL IN MY TWENTIES MARRIED AND ONE DAY ...
  A: Danny: I certainly can't guarantee that your previous level of functioning will return or that you ...
hydrocele after operation2/5/2011
  Q: I'm 16 years old, I just did the hydrocele operation, it was successful i guess, the doctor told me ...
  A: Munif: Your surgeon should have told you what to expect. The testicle often swells alot after a ...
Hardened vein on underside of penis2/5/2011
  Q: I was just wondering what this hardened external vein on the underside of my penis is. It starts at ...
  A: Jason: I can't really make a diagnosis from just your description and the picture. Besides, I'm ...
Penile Discharge2/4/2011
  Q: I have been married for 26 years and my spouse and I have been faithful to each other. About 15 to ...
  A: Bob: It is not clear from your description if this is truly an STD or just a standard UTI ...
problems urinating. stretched bladder?2/4/2011
  Q: i'm a male, 24 years old. i've been having problems urinating since about 3 week ago, when i held in ...
  A: Michael: You may have some retention, but the urine doesn't go "back into my system". I can't ...
Prostate biopsy treatment options2/4/2011
  Q: I am in week 4 of a 6 week course of the IV antibiotic ceftriaxone for a resistant E. Coli sepsis ...
  A: The DaVinci is just a tool. It's like saying I want a scalpel. No, we NEVER do a radical ...
Jelqing and Penis Pumps2/4/2011
  Q: I know there are a lot of questions about jelqing on here, but I was just wondering simply if it is ...
  A: Matt: This forum is FULL of men with permanent and long lasting injuries from jelking. Aside from ...
blood during erection2/3/2011
  Q: I am a 17 yr. old male and starting two weeks ago I have been bleeding every time I have had an ...
  A: Alex: A stone can certainly cause the bleeding, but if you've had a procedure by a urologist who ...
Prostate biopsy treatment options2/3/2011
  Q: I am in week 4 of a 6 week course of the IV antibiotic ceftriaxone for a resistant E. Coli sepsis ...
  A: First, we need a better diagnosis on your biopsies. I suggest you ask the pathology department to ...
Jelqing and Penis Pumps2/3/2011
  Q: I know there are a lot of questions about jelqing on here, but I was just wondering simply if it is ...
  A: Matt: In my opinion, jelking is not safe. There is too great a chance that you do it wrong or ...
UTI2/3/2011
  Q: Dr. Leslie, I'm sorry to ask you this since it is not listed as something you normally respond to, ...
  A: Sarah: I'm assuming that GBS means Group B Streptococcus. This organism is a common bacteria on ...
Pain in right groin area2/3/2011
  Q: I am 26 years old. I get pain in right groin area after masturbation. It all started when I ...
  A: V: There are no specific diets or foods that we can recommend without a clearer diagnosis. You ...
stones2/2/2011
  Q: Someone told me that she has had kidney stones, and she passed them. is this possible. Can you pass ...
  A: JC: The vast majority of stones are passed, but those that get stuck can cause tremendous pain and ...
left testicle different2/2/2011
  Q: My left testicle seems different from the right one. When the scrotum is fully hanging, from frontal ...
  A: Mark: I can't tell from your description if this fits within the normal parameters. Some ...
suspensory ligament or other injury2/2/2011
  Q: Does suspensory ligament tear (unclear if partial of rupture) need to be evaluated urgently by ...
  A: Meg: We don't usually surgically repair these injuries so it doesn't need to be seen that urgently. ...
testicular blood supply2/1/2011
  Q: Could you plz tell us if blood supply to a testicular is compromised in a surgery then how would it ...
  A: Ofvat: An anesthetic might cause some temporary numbness, but would not normally be expected to ...
vein like lump2/1/2011
  Q: I have a soft vein like lump that appears on the base of my penis when I am erect or when my scrotum ...
  A: David: The urologist is correct. A varicocele can sometimes cause infertility, but most of the ...
Insterstitial Cystitis with Enlarge Prostate2/1/2011
  Q: Doctor Leslie, I am a 63 year old male which was diagnosed with Interstitial Cystitis (IC) in ...
  A: Ron: Impossible to determine cause of your urinary blockage from the available information, but ...
Painful micturition with bleeding through penis1/31/2011
  Q: Sir, i'm raja. I'm a male of 20 and a half years of age. About 11 days ago , i was suffering from ...
  A: Raja: I don't know what a USG is. I suggest you contact your physician and ask him how urgent the ...
testicular blood supply1/31/2011
  Q: Could you plz tell us if blood supply to a testicular is compromised in a surgery then how would it ...
  A: Ofvat: There is no way to restore arterial blood supply to the testicle. Unfortunately, the ...
erection issue1/31/2011
  Q: Dr Leslie, I hope you can give me an opinion to lead me in the right direction. I am a 39 ...
  A: Greg: It is entirely possible to have a chronic bacterial prostatitis and have this affect ...
Painful micturition with bleeding through penis1/30/2011
  Q: Sir, i'm raja. I'm a male of 20 and a half years of age. About 11 days ago , i was suffering from ...
  A: Raja: An infection is still the most likely problem, especially since it improved after treatment. ...
ED1/30/2011
  Q: I have a problem and was wondering if you could offer some insight. Ever since puberty I have had a ...
  A: Jim: I can't tell you either, but spending alot of money to find out you have a nerve or a vascular ...
Operation for testicular torsion1/30/2011
  Q: Almost for past two years my left testicle was in rotated position (say 180 degrees). One of the ...
  A: Neevan: You situation sounds a little confusing. IF there is a torsion, we ALWAYS suture the ...
enlarged testicule1/29/2011
  Q: when having surgery for an enlarged testicle with a water sack surrounding it is the patient put ...
  A: James: The typical surgery does include an anesthetic and the patient is asleep. The surgery ...
Erectile Dysfunction 26 y/o1/29/2011
  Q: About a year ago is when I started having ED. It happened out of the blue. Ever since then I haven't ...
  A: Sean: Technically, you have erection difficulties but probably not ED since you can still function. ...
Erectile dysfunction and absent facial hair1/28/2011
  Q: I am a 24 year male, i have not developed moustaques and beard till now, and feel problem during ...
  A: In this case, the number appears normal, but you still need a "free" testosterone level to know for ...
testicular pain / infertility1/28/2011
  Q: Stephen, My wife and I have been trying to conceive for around 8 months with no luck. Last week, I ...
  A: Brett: Varicoceles infrequently cause pain. They can reduce sperm counts but are not generally ...
Stone in Upper Fundibulum1/28/2011
  Q: I have a stone of 7mm in upper fundibulum in right kidney. it was diagnosed in a routine ultrasound. ...
  A: Ofvat: I don't agree with leaving such a large stone in a relatively dangerous place in the kidney. ...
Post Varicocelectomy Concern1/27/2011
  Q: I had a varicocele removed through an incision in my lower abdomen (just above base of penis) 8 days ...
  A: I can't tell you why the veins are hard. Either they are thrombosed (filled with blood clots) which ...
Post Varicocelectomy Concern1/27/2011
  Q: I had a varicocele removed through an incision in my lower abdomen (just above base of penis) 8 days ...
  A: We usually try an interventional radiology approach if a surgery was done first and vice versa. I ...
spermatic chord nerve block1/27/2011
  Q: I've had chronic R testicle pain since the time of my varicocoelectomey about 20 months ago. I've ...
  A: George: Urologists don't typically do spermatoc cord blocks although we probably could. I would ...
Post Varicocelectomy Concern1/26/2011
  Q: I had a varicocele removed through an incision in my lower abdomen (just above base of penis) 8 days ...
  A: Seth: This doesn't sound like an infection so I don't think waiting the 2 weeks is all that ...
Urethral Tear?1/26/2011
  Q: Saturday the 22nd, today being Wednesday the 26th, I experienced a substantial amount of blood in my ...
  A: Scott: I very much doubt that your problem is "a urethral tear". You have some hematuria and ...
Urology1/26/2011
  Q: is there any problem when right side testis is getting enlargement more than 3 times then left side ...
  A: Jagan: There should not be that much difference in size between the two testicles. This could be ...
Possible cyst1/26/2011
  Q: The past week or so I have had some scrotal itching going on and was scratching like a m'fer. Then ...
  A: Rok: I doubt that what you've described is an epididymal cyst. Even if it were, an antibiotic is ...
Urology / Kidney Stone1/26/2011
  Q: Dr. Leslie-- You helped me with questions regarding chronic UTI and kidney stone in the fall. I ...
  A: The test from Labcorp that I used to recommend is no longer available, so go ahead and get the test ...
not painful epidydimitis1/26/2011
  Q: i have varicocele and always had uneasiness but recently i found something swelling on my testicle ...
  A: Jack: Testicular swelling after an infection will tend to last much longer than in other parts of ...
Epididymitis1/25/2011
  Q: This will be my last question From our last discussion you said the antibiotics given for ...
  A: Sam: An infected epididymis is hot, painful, red and sore. The response to the antibiotics is ...
Injury1/25/2011
  Q: Theoretically, which kind of problems about infertility in males can produce serious injury of ...
  A: Dragan: You have it backwards. Infertility is not by itself a dangerous condition and it can be ...
glans problem1/25/2011
  Q: At the time of erection it will not come out easily and i have to force my penis only then it will ...
  A: Aman: I'm not sure I understand your dilemma. You say that the glans "will not come out easily". ...
vasectomy badly performed1/24/2011
  Q: My husband had a vasectomy and the day it was done we noticed it didn't look like the pictures we ...
  A: Vic: It is extremely uncommon to have to revise a vasectomy in the way you've described. I've been ...
loss of sensation due to circumcision?1/24/2011
  Q: My 23 year old son states he has no sexual function, but is instead numb due to a "botched" circ ...
  A: Jan: I sincerely doubt there was any problem with the circumcision and even if there was it is ...
testicle infection1/24/2011
  Q: i consulted a urologist regarding the swelling ofmy epididymis and he diagnosed me with ...
  A: Sam: Scrotal abscesses are relatively rare and very uncommon after adequate antibiotic therapy. A ...
Possible Penile Injury1/24/2011
  Q: One year and eight months ago I hurt my penis, it occurred two days after I tried jelqing and have ...
  A: Steven: The answer is yes, I think there is a good chance you've done some lasting damage to the ...
penis go1/23/2011
  Q: dactor!hru sir my penis 6 month ago 6" but he turn back &now 4" what can i do thanks hami
  A: Hami: You can have this checked by your physician, but there is no treatment to safely or reliably ...
post TURP bleeding1/23/2011
  Q: Greetings. You answered a question for me a few years ago and were very helpful. I had a PK TURP ...
  A: John: Bleeding at 12 days after prostate surgery is not unusual. This can go on for several more ...
slight tear meatus1/23/2011
  Q: Quite a long time ago, I'm not sure exactly how, but the meatus slightly tore towards the frenulum ...
  A: Richard: I suspect that if it is not healing, it has either healed part way, is continually being ...
erectile dysfunction1/22/2011
  Q: I am a male of 43 and for the last 7 years i have been unable to tell when i have cum in any type ...
  A: Mick: Your question seems to be that you have ejaculation without orgasm. If that is correct, the ...
Pain in abdomen1/22/2011
  Q: I am an Indian male, age 40. Married, one daughter. Have had no sexual partners except wife. Height ...
  A: Parth: We generally do not give credence to the theory that lack of ejaculation can cause pain such ...
discharge while defacating1/22/2011
  Q: i am a 22 year old boy who resides in Accra, Ghana. i have this problem of always discharging a ...
  A: Robert: The fluid is just normal prostatic secretions which are expressed from pressure in the ...
Loss in Testicle Size1/21/2011
  Q: Dr. When Varicocele is treated with surgery, why that particular testicle loose the size? and ...
  A: Ofvat: There is no specific "solution for the complexities for the man's sexual health" relating to ...
Pain on glans tip1/21/2011
  Q: Leslie, I am 29 years of age and it seems that for the past 2 days I've been having trouble ...
  A: Michael: Obviously something is wrong and you need to seek medical help for it. I suspect ...
left testicol discomfort1/21/2011
  Q: i have some discomfort on my lower left side of my stomach, and a little on my left testicule. it ...
  A: Leo: From the limited information presented, it's impossible to identify the nature of the problem. ...
Loss in Testicle Size1/20/2011
  Q: Dr. When Varicocele is treated with surgery, why that particular testicle loose the size? and ...
  A: Ofvat: It's possible that the actual testis was that size but could not be appreciated due to the ...
prostate cancer1/19/2011
  Q: I have been diagnosed with prostate cancer. My Dr. is with a very big urological association. I am ...
  A: John: An extensive discussion of the pros and cons of treatment options for prostate cancer is ...
Loss in Testicle Size1/19/2011
  Q: Dr. When Varicocele is treated with surgery, why that particular testicle loose the size? and ...
  A: Ofvat: The testicle does not usually shrink in size after varicocele surgery but the surgery does ...
OAB and Varicocele1/18/2011
  Q: I would like to ask you if you can see some connection between Varicocele and Overactive bladder? I ...
  A: Diagnosis of IC is difficult because there is no specific diagnostic test. Essentially, it is ...
cryotherapy scar on corona1/18/2011
  Q: I am a 25 year old male. In October 2009 I was infected with moluscum contagiosum on the shaft and ...
  A: Nerve injuries heal very slowly if at all. It may take a year or longer. Other complications could ...
Testicles1/18/2011
  Q: my question is concerning this, a few days ago i sat on my left testicle. For the first day i had ...
  A: Justin: You may or may not have done some injury to the testicle. Even if you did, it should not ...
Weak urine stream was diagnosed as over-developed muscle????1/18/2011
  Q: Dr. Leslie, I am 37 years old and around six months ago I went to the urologist about a weak urine ...
  A: Alexander: Yes, you can safely take tamsolosin for as long as you need to. There are some possible ...
Erection1/17/2011
  Q: I had Radical Cystectomy done. I seem to feel no sexual erection though I have not tried anything. ...
  A: David: A radical cystectomy can certainly affect sexual function. It depends on exactly what ...
OAB and Varicocele1/16/2011
  Q: I would like to ask you if you can see some connection between Varicocele and Overactive bladder? I ...
  A: Tomas: There is no known connection between varicoceles and OAB. I would have to say that you ...
Post prostectomy kegel1/15/2011
  Q: My prostatectomy was nearly two years ago. I've been doing the kegel exercises since but not every ...
  A: George: I can't tell you if you're doing it right or not. After 2 years, you hopefully have found ...
Vanishing Erection1/15/2011
  Q: I am a 34 year old sexually frustrated woman. My husband will be turning 40 in a few months. He is ...
  A: Your husband needs another urologist. Premature ejaculation is a problem of control. This can be ...
cipro and the prostrate1/15/2011
  Q: This question is on behalf on my 89 year old dad. He was recently seen by his primary care physician ...
  A: Jean: A course of Cipro is not unreasonable given the increase in his PSA leve. At 89, I wouldn't ...
self catheterizing1/15/2011
  Q: I hope you can answer this question. I have been self cathing for overflow and stress incontinence. ...
  A: Rebecca: No, the feeling of the bladder clamping (a bladder spasm perhaps) is not normal. This may ...
19 and having ED problems for nearly 2 years.1/14/2011
  Q: I've been having ED problems for nearly 2 years now, and I don't why. I have been to the doctors and ...
  A: Jack: Obviously I can't give you a diagnosis or treatment over the internet. An erection lasting ...
nocturnal erections1/14/2011
  Q: I am 33 and my nocturnal erections seem to be lasting longer periods of time or maybe im just aware ...
  A: James: It is highly doubtful that your nocturnal erections duration is putting you at any risk. ...
nerve1/13/2011
  Q: you said that one device with the sensation of the penis can be measured how is that allowed? are ...
  A: The biothesiometer only checks basic vibrational sensation in the penis. It does not check an ...
nerve1/13/2011
  Q: you said that one device with the sensation of the penis can be measured how is that allowed? are ...
  A: Nerve sensation in the penis can be measure by a device called a Biothesiometer. It uses a variable ...
Pain in Testicles1/13/2011
  Q: Recently something odd happened to me. I was feeling sick and gagged, and then noticed that ...
  A: Pain is never natural. I can't guarantee to you that there is nothing to be concerned about. I'm ...
blood ejaculation1/12/2011
  Q: when I was masturbating it came to the point of ejaculation when suddenly blood came out and it was ...
  A: Alex: You have hematospermia. Some blood was leaked into the seminal vesicles and mixed with the ...
magnetic devices1/12/2011
  Q: I've read about magnetic and electronic devices for symptomatic treatment of ED and penile ...
  A: Francesco: Currently, there are no hospitals or centers in the US currently using either magnetic ...
Pain in Testicles1/12/2011
  Q: Recently something odd happened to me. I was feeling sick and gagged, and then noticed that ...
  A: Mason: I can't be sure, but you may have tensed the cremasteric muscles. These are the muscles that ...
plz clarify1/12/2011
  Q: 1)What is the importance of supporter for testis? 2)I came to know that without supporter, if we ...
  A: Madhu: The purpose of the supporter is to keep the testicles closer to the body for protection and ...
sphincters1/12/2011
  Q: I think I understand about the 2 bladder sphincters (non voluntary internal & voluntary external). ...
  A: Irv: The internal sphincter is part of the prostate. If you've had prostate surgery, this ...
hematuria, urinary retention1/12/2011
  Q: I'm 31 female and about a month or so ago began having urinary hesitancy with urinary retention. I ...
  A: Liz: You need to see a urologist. A cystoscopic examination of the bladder is needed to make sure ...
Strange post ejaculation pain. Prostate?1/12/2011
  Q: This may be a little long, but here goes. I am a 26 years old. I exercise at least 5 times a week. ...
  A: Rhyn: Not everyone believes there really is such a thing as levator ani syndrome. In your case, ...
blood coming out with ejaculation1/11/2011
  Q: My husband and i was having sex and when he climax blood came with it not a little but alot. We ...
  A: I can't tell you what's wrong. Usually blood in the semen is quite painless, self limiting and goes ...
Permanent Finasteride Side Effects1/11/2011
  Q: Leslie, I am a healthy 34yo male. When I was 26 I started to use finasteride 1mg/day to treat ...
  A: Roderick: There is no scientific evidence that stopping finasteride will cause the types of ...
penis damage1/11/2011
  Q: When I was younger I stupidly decided to try penis exercises or jelqing. After only doing the ...
  A: Dave: There is no specific treatment. Various things have been tried with varying degrees of ...
jelqing injury1/11/2011
  Q: Sincere apologies, I should have been clearer. My question is, based on what you know, what do you ...
  A: Gary: There is not enough information to make even a guess as to what injury may have happened. It ...
Erection ?1/10/2011
  Q: This may sound weird but whenever I have a stomach pain , I get an erection and it last awhile then ...
  A: Dan: I'm not sure I totally understand your question whe you refer to the "left testicular..goes ...
Chantix / Levitra interaction1/10/2011
  Q: I've been taking 5mg morning doses of Cialis supplemented by an additional 10 - 15mg prior to sexual ...
  A: Jim: The first thing to do is stop mixing the Levitra and the Cialis. You could easily end up with ...
Penile fracture recovery1/10/2011
  Q: further to a few recent questions you answered very well for me I have some more; 1. The ...
  A: Brett: It's too soon to tell what the scar tissue will be like, but I suspect you will continue to ...
Damage due to acute Priapism1/10/2011
  Q: S.W.Leslie, I am 55 year old black man with sickle-cell disorder, I 1984 had acute-priapism which ...
  A: Howard: You are welcome to come, however there are experts in the US and possibly in your own ...
sexual performance1/10/2011
  Q: according to a book i read sperm is derived from cholesterol if one tanks up on cholesterol the ...
  A: Nestor: Taking extra cholesterol is stupid and dangerous. Not only will it not increase ...
UTI1/9/2011
  Q: I need to ask a question about UTI. My mom had a UTI 3 month ago and the culture showed Klebsiellia ...
  A: Patrick: That's why we do cultures. Not every bacteria that used to be sensitive in the past to ...
Prostatitis1/9/2011
  Q: I am a 26 year old male.I have been diagnosed with mild prostatitis and have been given ...
  A: Surath: Tamsuolosin is known to have the side effect of lack of ejaculation or retrograde ...
urinary urgency1/8/2011
  Q: Leslie: I am 57 year old female with urinary urgency for almost a year. It started with extreme ...
  A: Karen: It would be almost impossible to have bladder stones that would not show up on cystoscopy. ...
UTI1/8/2011
  Q: I need to ask a question about UTI. My mom had a UTI 3 month ago and the culture showed Klebsiellia ...
  A: Patrick: Bacterial resistance happens all the time. You don't have to take the antibiotic to have a ...
erection/nerve damage questions1/8/2011
  Q: First want to thank you for providing this service. I feel like I have a lot to ask so I'll try to ...
  A: John: Abstaining from masturbation or at least excessive masturbation may give the penis a chance ...
BPH1/8/2011
  Q: I am a 54 year old male who has had difficulty urinating for the past decade or so. I went on Flomax ...
  A: Bryon: I can't say what caused the burning or if it was related to the antihistamine. There is no ...
sexual performance1/8/2011
  Q: according to a book i read sperm is derived from cholesterol if one tanks up on cholesterol the ...
  A: Sperm is mostly protein and is not derived from cholesterone. Tanking up on cholesterol is only ...
swollen vein in penis sometimes1/8/2011
  Q: a few years ago, my girlfriend and i were having some rough sex play with my penis. In short my ...
  A: Westfal: I can't be sure from only your description, but this sounds like a venous aneurysm or ...
Testicular Pain1/7/2011
  Q: I am 28 years old, and recently had an operation for a hydrocele in my right testicle. It had been ...
  A: James: If you are still having pain now that the hydrocele is repaired, then the pain is likely to ...
Penile Fracture1/6/2011
  Q: I suffered a penile fracture approximately 3 weeks ago and had prompt surgery within 10 hours of the ...
  A: Brett: It is not common to have any kinks, curvatures or depressions after a fracture penis repair ...
did i damage my vagina?1/6/2011
  Q: I am 23-year-old female. 2 months ago I had beared down extremely hard while standing up to get out ...
  A: Jane: I think you should check with another OB-GYN. This sounds like a problem that is best ...
Penile Fracture1/6/2011
  Q: I suffered a penile fracture approximately 3 weeks ago and had prompt surgery within 10 hours of the ...
  A: Brett: This is a question that I will defer to your surgeon as it depends on the nature of the ...
urethral scarring and meatus sensitivity1/6/2011
  Q: I had a dilation (over 2 months ago)due to a stricture(in the meatus) and still have some ...
  A: JS: The sensitivity could be an infection or just residual inflammation from the original dilation. ...
penis problems1/5/2011
  Q: i been reading alot about penis problems but none fit the profile im seeking.i have elastic none ...
  A: David: I'm not sure I completely understand your situation, but I can tell that there is a possible ...
Urine discharge often1/5/2011
  Q: i am 25 year old male, i am going to married in 10 months.....my problem is...urine discharges ...
  A: Salman: Sorry, but I don't buy it. Lots of people have various levels of stress, fear and anxiety. ...
PE1/5/2011
  Q: I am samir, aged 27. Suffering from Severe premature ejaculation.(From the beginning - puberty) I ...
  A: Samir: Ask him about treatment for your problems and if there are any sex therapists in your part ...
semen assessment1/5/2011
  Q: Stephen, My husband had a varicocele grade 3 he did the operation since 10 months he did a semen ...
  A: Danielle: We don't typically give odds, especially after only a single semen sample. The cound and ...
Damage due to acute Priapism1/5/2011
  Q: S.W.Leslie, I am 55 year old black man with sickle-cell disorder, I 1984 had acute-priapism which ...
  A: Howard: You'll need to consult a urologist with experience in ED. Unfortunately, your current ...
PE1/4/2011
  Q: I am samir, aged 27. Suffering from Severe premature ejaculation.(From the beginning - puberty) I ...
  A: Samir: No herbal cure is available. Pain after ejaculation usually suggests prostatitis fro which ...
Retrograde Ejaculation after accident1/4/2011
  Q: I had femoral head fracture as a result of an accident in which I was hit by car that tossed me in ...
  A: Sam: It is unlikely to be the result of a hip injury since that would not usually involve nerves to ...
Mystery condition...urethritis/prostatitis?1/4/2011
  Q: He has had constant daily pain in his urethra for 8 weeks now. He has no problem urinating, no ...
  A: A digital prostate exam make prostatitis less likely, but not impossible. The most definitive test ...
prostate problem?1/3/2011
  Q: I'm a young man in my mid 20s and I have a frequent need to urinate and a sensation of incomplete ...
  A: Berry: A feeling of incomplete emptying and urgency suggests either prostatitis or overactive ...
premature ejacualtion1/3/2011
  Q: I am 34. Married. Father of two daugher. but suffering from premature ejaculatioin since the ...
  A: Anwar: Premature ejaculation is a problem of control and anxiety. Treatment usually consists of ...
Prostatitis symptoms1/2/2011
  Q: I am 64 and have trouble starting urination (sometime it takes 5 minute to start) and urinate ...
  A: We don't recommend a complete prostate removal except for cancer because of the side effects. I ...
hydrocele surgery1/2/2011
  Q: I have recently had hydrocele surgery on both sides. One side was very successful and one side was ...
  A: Mark: Without knowing more of the details of the surgery, it will be hard for me to answer your ...
nerve1/2/2011
  Q: I wish you a happy new year you said it was not proven the ilioinguinalis da nerve to provide ...
  A: Abdulhamit: This will be my final word on this issue. The ilioinguinal nerve only covers part of ...
medication treatment1/2/2011
  Q: "Hi Dr.Leslie, My name is Madhan and I am 30 years old. When I have sex, I notice that I have ...
  A: Madhan: Sorry, but we don't do test interpretation on this forum. That would be practicing ...
slightly painful, tingling erection...dent?1/2/2011
  Q: I'm so glad there's a forum like this. Okay, I'm under 30 and in all ways healthy, partner on top ...
  A: Joe: It sounds like you have a traumatic injury to the penis that is now mostly healed with a dent. ...
Testicular Pain after varicocelectomy (one month)12/31/2010
  Q: Sir, I had right varicocelectomy (vericocle surgery) on Dec 1 (one month ago) after few days i got ...
  A: Vincent: No, it's not normal to have this much pain a month after varicocele surgery. The ...
Male Enhancement12/31/2010
  Q: What is the best male enhancement supplement in your opinion?There are so many on the market not for ...
  A: Nes: SInce the ingredients are not tested and there is no verification of the contents, you have no ...
Small lump under skin of penis12/31/2010
  Q: Leslie, I am writing to you today to ask about the possibilities of what a small bump under the ...
  A: Shane: What you ask is beyond the scope of this forum. You already have the list of some of the ...
Recurrent hematuria12/31/2010
  Q: I'm a 47 year old male who noticed pink tinged urine a year ago. I had the blood tested and it ...
  A: Kirk: Yes, sometimes there is just some bleeding from the prostate. You can have BPH without ...
mass12/30/2010
  Q: i found 2 4mm mass under pines skin in the left side in the middle of pines with small ones in raw ...
  A: Moh: Obviously I can't make a reliable diagnosis or suggest any treatment from only your brief ...
Erection problems12/30/2010
  Q: So this is my story and problem, the condensed version. First off about 6 months ago I was fooling ...
  A: Joe: Can precum prevent an erection. No. It's a separate process that has no effect on the ...
feeling12/29/2010
  Q: i havenormal erection and orgasms.but when ihave orgasm i cant feel it coming out. i am a 43 yr old ...
  A: Jeff: Nothing is harder to diagnose or treat than a "feeling" or a