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About Stephen W. Leslie, MD
(Top Expert on this page)

Expertise
Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience
Full time practicing urologist with 20 years experience. Assistant Clinical Professor of Urology at the Medical College of Ohio. Editor in Chief of eMedicine Urology internet textbook. Author of only book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison

Awards and Honors
Thirlby Award of the American Urological Association.

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

Questions Answered By Expert Stephen W. Leslie, MD
In Category Urology

Subject	Date Asked

microscopic damage	11/17/2008
Q: my name is christian and i am 39 years old,i needto ask: 1)is there anything in the medical ... A: There is no good test for microscopic damage to the penis. If there is no problem with voiding or ...
PSA	11/17/2008
Q: I am a 52 year old male in good health. At my annual physical 18 months ago my PSA was 1.3. November ... A: Garth: The issue is not that the ratio is not valid. The issue is that it hasn't been proven to be ...
Urine Burning	11/17/2008
Q: Please help me. My urine is burning, and yellowish. It was in the hot, and it is still in this cold ... A: Fayyaz: It would help to know your age, medical history and gender. It may not be obvious, but ...
microscopic damage	11/17/2008
Q: my name is christian and i am 39 years old,i needto ask: 1)is there anything in the medical ... A: Christian: These are actually good questions. There is very little in the medical literature about ...
PSA	11/17/2008
Q: I am a 52 year old male in good health. At my annual physical 18 months ago my PSA was 1.3. November ... A: Garth: The issue is that at age 52 we don't like to see a 100% increase in the PSA, regardless of ...
Vacuum Pump Trama	11/17/2008
Q: Several months ago I tried out a vacuum pump that my friends bought me as a gag gift. I used it ... A: Stu: While anything is possible, it's quite unlikely that the vacuum pump caused this problem. The ...
Possible Penis Nerve Damage	11/17/2008
Q: Recently I participated in a long distance bike race. I was not used to being on a bike for such a ... A: Brian: You're not off base. The pressure from the bicycle seat is pointed directly at the ...
Adult Buried Penis	11/16/2008
Q: I was recently diagnosed with adult buried penis by an out-of-area urologist while seeking a consult ... A: This kind of surgery is rarely done. When it is, it is often done by a plastic surgeon although ...
Prostate 'twitch'	11/16/2008
Q: First of all; thank you in advance for taking the time to read my question. Secondly; it concerns ... A: Daquan: The prostate cannnot "twitch" so I'm at a loss to understand what is happening to you. You ...
Pain after hydrocele surgery	11/16/2008
Q: Last month I was operated (hydrocele,right side) to drain liquid and to reverse the sac. I was ... A: Rizwan: The next course of action is to go back to the surgeon. It's impossible for me to ...
catheters	11/15/2008
Q: What is the difference between a males and a females catheter? If the females catheter is smaller ... A: Richard: There is no such thing as a male or female catheter. The difference in size depends on ...
erection problem	11/15/2008
Q: I just purchased for the first time a penis pump, after just an half hour intermitant use my penis ... A: JW: It's not likely to have caused any permanent damage, but it depends on just how you used the ...
Bleeding through my Penis	11/15/2008
Q: I got up this morning with an erection and went to the bathroon to urinate. I felt a pop and ... A: RT: It's possible you "burst a blood vessel", but that cannot be concluded from the information ...
Possible prostatitis	11/15/2008
Q: Let me just start by saying I am a 34 year old married male with no history of health problems. . ... A: Dave: Saying Relexin is similar to PEENUTS is like saying a Ferrari is similar to a Fiat. One has ...
Red brown crytal like spots in seaman	11/15/2008
Q: I am a 60 yrs old male with chronic on going bouts with blood in seaman and a PSA that is showing a ... A: David: Most likely this is just some old blood in the semen. As you know, blood in the semen is ...
Cystoscopy	11/15/2008
Q: I had a cystoscopy recently. There was some lubricant on the device, but they did not use any type ... A: Ed: Well, I use some anesthetic gel prior to the cystoscopy, but there is evidence that it doesn't ...
Vas Deferens	11/15/2008
Q: My husband has been through a battery of testing in the past two months due to pain and blood in ... A: Roxy: I have not heard of any condition causing blood in the vas deferens. A prostatic ultrasound ...
proscar after turp	11/15/2008
Q: i am 58 years old had problems off an on since my late twenties really got bad about 4 years ago ... A: David: Neither the alpha blockers, Proscar or Avodart is going to help you after the TURP. ...
Possible prostatitis	11/15/2008
Q: Let me just start by saying I am a 34 year old married male with no history of health problems. . ... A: Dave: You realize that if two urologists are stumped, it's unlikely I'm going to solve the problem ...
blood blister on penis	11/14/2008
Q: after having sex there is a large blood blister that forms on my penis under the head on the fleshy ... A: Tom: The blood blister suggests a skin problem. Using lubrication is one solution, a condom is ...
Numb	11/14/2008
Q: Dr. I need some help the lower half of my penis is a bit numb no tingling or anything like that just ... A: CL: The fact that part of the penis is numb is serious. It could indicate a problem with the ...
Blood in Semen	11/14/2008
Q: My wife and I have been consulting with a fertility clinic. During some lab tests prescribed by her ... A: Todd: Your thinking is correct. At worst, this represents a mild case of prostatitis which is ...
less pressure while urinating	11/14/2008
Q: When we were young the pressure at which urine used to pass is strong but now at 43 , i see that the ... A: Simanta: It could just be that your prostate is growing and reducing the flow. If the flow is as ...
testosterone replacement therapy	11/13/2008
Q: 33yr old male History of high blood pressure and high cholesterol. I've been having erection ... A: Sean: Your ED problem is almost certainly psychological. This is due to the fact that masturbation ...
Swollen Urethra, Painful Ejaculation	11/13/2008
Q: I'm 21. I was found positive for chlamydia two years ago, and I was treated for it, but the pain ... A: David: It is not possible to determine the nature of your problem from the given description. I ...
Urinate often, unique symptoms	11/13/2008
Q: I have a set of symptoms I have not seen anywhere, exactly. I am a 43 year old male. I have to ... A: Michael: It is not unsafe to take the meds described by your physician. Serious side effects and ...
BPH vs. Prostatitis	11/13/2008
Q: In the last week of September I passed two (2) kidney stones within a week of each other. After the ... A: You have two urology opinions and a history that suggests both prostatitis and BPH. Since ...
urinary track infection	11/13/2008
Q: Im a 25 year old female and after sex with my ex-boyfriend i would have a UTI. But after we broke up ... A: Brooke: Urinary tract infections in women after sexual activity is common. This can be lessened by ...
hard lump in shaft of penis	11/12/2008
Q: I have recently started to worry about a small, hard lump in the shaft of my penis. It is a small, ... A: Jesse: I don't know what the lump is. Even if I thought I knew, it would be very inappropriate to ...
White 'stuff' in urine	11/12/2008
Q: I'm a 20yr. male and I've had a recurring problem for a while concerning a white 'solid' like ... A: Rick: Sorry, but I can't determine what this substance might be from your description. A ...
Prostate and Blood work	11/11/2008
Q: .. I have a question on my prostate... and blood work... I have been having a lot of pain in the ... A: The PSA is not very helpful until the Prostatitis is over. We urologists don't generally look at ...
testicular pain	11/11/2008
Q: I have had a dull pain in my right testicle for 30 years since I was age 27, ultra sound proved no ... A: Cecil: No, I don't believe it either. You may or may not have BPH, but even if you do, it doesn't ...
ED	11/10/2008
Q: I always experience erectile dysfunction and it is worsening by the day, for the last 2 months I did ... A: Daniel: Venous leak is a condition that occurs alone or in combination with other problems to cause ...
Painfull Urination and white discharge	11/10/2008
Q: I am 28 and around February this year I noticed some painful sensation after urination and when i ... A: Kelly: Your last question, about what medication I will prescribe, is the easiest so I will start ...
ED	11/10/2008
Q: I always experience erectile dysfunction and it is worsening by the day, for the last 2 months I did ... A: Daniel: It sounds like you really do have ED. The very poor maintenance suggests at least a ...
genital pain	11/10/2008
Q: ive been having pain from my genitals to my lower abdomin. ive had a cyst before on my testical, and ... A: Matt: Obviously I can't tell exactly what the cause of your pain is without a full exam. Equally ...
ED/High Cholestrol/High LDL	11/10/2008
Q: As u advised, I consulted a urologist and discussed all my situatin. In his first prescription, he ... A: Muhammad: Lexotanil is a tranquilizer, much like Valium. It has no specific activity on erection ...
ED/High Cholestrol/High LDL	11/10/2008
Q: As u advised, I consulted a urologist and discussed all my situatin. In his first prescription, he ... A: Muhammad: High cholesterol has been linked to increased hardening (narrowing) of the arteries. The ...
urethal diverticula surgery	11/9/2008
Q: 9 weeks ago I had surgery to remove a urethal diverticuli still in very much pain and urenate every ... A: Jackie: Nine weeks is a long time to have continuing pain, but urethral diverticula are hard to ...
Penile sensitivity	11/9/2008
Q: In Dec 2005 I was diagnosed as incurably impotent due to smoking. I was able to gain, but not ... A: Keith: Just for the record, smoking doesn't cause ED although it can exacerbate the problems that ...
Throbosed Vein in Penis?	11/9/2008
Q: Leslie, I am a divorced, 45 year old male who usually mastrubates a couple times a week. A couple ... A: Tim: Remember that diagnosing yourself from the internet is not always smart and that this is a ...
white blood cells in urine	11/9/2008
Q: ive just been to the docs with i think a water infection,i had sweating bouts an a throbbin pain in ... A: Sonia: White cells or white blood cells usually accompany inflammation. Their presence suggests an ...
Meatus	11/9/2008
Q: 47 yrs old...6 months ago I noticed my meatal opening was getting smaller...I saw my urologist who ... A: Donald: Tightness of the urethral meatus is most often due to scarring, infection or a condition ...
Free testosterone questions	11/8/2008
Q: Dr. Leslie: Does inflammation or infection of the testes or epididymis affect free testosterone ... A: Rob: It is obviously the responsibility of the ordering physician to explain the results of the ...
Varicocele	11/8/2008
Q: My Q is? I had operation of varicocele on both side. 3 yrs later. Now My right side testis is ... A: Anand: I'm trying to tell you that it's impossible to give you the medical advice you want on an ...
Ultra sounds	11/8/2008
Q: Leslie. I crashed my 4 wheeler and jammed my testicle up on the steering bar that holds the ... A: Cocci: If the blood supply to the testicles is damaged, it is usually not fixable as the arteries ...
androgen defficiency	11/8/2008
Q: I have been diagnosed with testosterone defficiency my level has been checked twice and both times ... A: Scott: OK, that helps a little, but the units are not those typically used here in the US. For ...
androgen defficiency	11/8/2008
Q: I have been diagnosed with testosterone defficiency my level has been checked twice and both times ... A: Scott: The numbers don't make sense to me because you didn't include the units. 8 what? What does ...
prostititis	11/8/2008
Q: I was diagnosed a couple mo/ ago w/ prostatitis. My symptoms started off as burning when i ... A: Chris: No, it's not normal to have pain in the testicle. It's impossible to say how long it might ...
testicle problems	11/8/2008
Q: Your Open Question Show me another » Why is my left testicle smaller and feels more like jelly? I ... A: James: One testicle is frequently smaller than the other. As for consistency, it's impossible to ...
Antibiotics	11/8/2008
Q: Dr. Leslie, I would like to know if doxycycline is commonly prescribed for prostatitis and what the ... A: George: Doxycycline is a commonly used antibiotic for prostatitis. The usual dose is 100 mg daily. ...
cremaster muscle strain	11/7/2008
Q: i have encountered a pain in my right cremaster muscle and every time i stretch my abdomen muscle, ... A: Farid: X-rays are not the way we diagnose hernias. It's best done by a good physical examination ...
PSA results	11/7/2008
Q: I am 53 years old and have recently had three PSA tests, the first 13.9 the second 14.9 (at a ... A: Alan: Yes. A repeat biopsy is reasonable, especially since some of the samples were "suspicious", ...
pain in penis and scrotum	11/7/2008
Q: Mr. Stephen I am 26 years old. From last 3 months I run by some problems related to my penis and ... A: This is a general information forum and not intended to make diagnoses or recommend treatment. The ...
ED/High Cholestrol/High LDL	11/7/2008
Q: As u advised, I consulted a urologist and discussed all my situatin. In his first prescription, he ... A: Muhammad: Treatment of high cholesterol is not part of my specialty area. I'm sure the urologist ...
frequent urination	11/7/2008
Q: I am a 26 year old male and over the last few months I have started urinating a lot more frequently. ... A: John: Early diabetes and prostatitis would be the most likely causes based on your description. ...
Discomfort in penis	11/7/2008
Q: I am a 27 yr old male. I have had a general discomfort in my penis for jus about 2 months now. It ... A: Jack: Remember, this is a general information forum where we don't give medical advice. Your ...
small bump on penis	11/7/2008
Q: I have a question. There are some small bumps that appeared on the head of my penis. Two are ... A: Steve: A text based internet advice service like this cannot and should not make a diagosis, only ...
pain in tecticle	11/7/2008
Q: I have been having pain in left testicle for several months. I went to my doctor, had a cat scan, a ... A: Steve: I really can't tell what he was talking about from your description. There cannot be backup ...
Free testosterone questions	11/7/2008
Q: Dr. Leslie: Does inflammation or infection of the testes or epididymis affect free testosterone ... A: Rob: There are no studies I could find on the effect of infection/inflammation on free testosterone ...
nocturnal erections,weak erections	11/6/2008
Q: my name is chris,38 years old. it has been about 3 years now,that i have been experiencing totally ... A: CHris: We don't usually get into too much testing because it isn't necessary or critical in ...
Male Urethral Pain -- 8+ weeks still no resolution	11/6/2008
Q: -- Self Described Symptoms and Medical History Last Updated: 11-4-08 I'm a 45 healthy monogamous ... A: Mike: This is a very long and complicated history. Obviously, it is not going to be possible for ...
nocturnal erections,weak erections	11/6/2008
Q: my name is chris,38 years old. it has been about 3 years now,that i have been experiencing totally ... A: Chris: The issue is not getting the nocturnal erections back, it's how best to treat your current ...
Traumatic dislocation of testis - risks	11/6/2008
Q: I had traumatic dislocation of testicle in to inguinal region.. Very painful condition.. Is it ... A: Dragan: It is unlikely to affect fertility unless both testicles are affected. There may be some ...
Balanitis	11/6/2008
Q: The tip of my penis is red and was itchy. My doctor believed it was balanitis and gave me some ... A: Peter: The cream is usually enough, but if not additiional medication can be used. Balanitis just ...
no ejaculate	11/6/2008
Q: I was diagnosed with mild prostatitis 2 months ago. Treated with 3 weeks Bactrim and then 2 weeks ... A: Andy: Lack of ejaculation usually means retrograde ejaculation, where the semen goes into the ...
Lump on penis	11/6/2008
Q: Hi im Kevin im 14 years old and a couple of days ago i felt this lump on my penis its not by the ... A: Kevin: I can't tell you what it is, but I can tell you that it's quite rare for something like this ...
unable to ejaculate in oral sex or masterbation	11/6/2008
Q: My girlfriend thinks it is all in my head that i cant relax and when we got back from a night out a ... A: Richard: You didn't indicate if you can ejaculate with other activities so it's unclear if you ever ...
penile pain & puss cells	11/5/2008
Q: I'm hoping you can help as my boyfriend is getting really irratated with this problem. He's has a ... A: Gemma: I can't make a diagnosis just from this description. An infection or scarring sounds like ...
incontinance	11/5/2008
Q: 3 years ago I have a prostate surgery remove since them I have a licking all the time :when I made ... A: Jose: There is a device called an artificial sphincter that can help with leakage not otherwise ...
Burning, Pain, Irritation.. and no leads	11/5/2008
Q: Apologies in advance, it's a long one -- Just let me clarify I am a female. Basically I let a yeast ... A: Brittany: First, I'm not sure what you have so you'll need to talk to a urologist and/or a ...
Slow urination	11/5/2008
Q: First off, I have been diagnosed with IBS, constipation predominant for about a year. Lately when I ... A: Michael: Yes, constipation can cause urinary trouble. If you can get the bowels working well, the ...
cremaster muscle strain	11/4/2008
Q: i have encountered a pain in my right cremaster muscle and every time i stretch my abdomen muscle, ... A: Farid: I suspect you might have a hernia, but making a reliable diagnosis of a confusing case by ...
Urine tests	11/4/2008
Q: I recently had a procedure done to remove a kidney stone. On the day of the operation they took a ... A: James: Having the stone analyzed will determine what it is made of, but there are many ways and ...
Prostatitis	11/4/2008
Q: I've had prostatitis about 3 times in the last 10 years. Starting in my early 40's. 2 urologists ... A: Tim: It's hard to say since I didn't do the exams. I suspect you have some muscle tightness in the ...
ed.....somewhat	11/4/2008
Q: Leslie, I have noticed, starting last week, that all of a sudden, my erection hasn't been as hard as ... A: Nick: The problem could be anything, but at 21 the most common cause for sudden erection problems ...
Kidney Issues	11/4/2008
Q: I'm back . . . Reference the previous question for background. Expert: Stephen W. Leslie, MD Date: ... A: An ammonia smell can indicate kidney or liver problems. I don't think that lacking carbs is the ...
Testicles pushed back inside and now causing numb pain.	11/4/2008
Q: During sex with my partner both my testicles were pushed into my body,i managed to pop them out ... A: Jack: The testicles, obviously, should not retract into the groin or inguinal canal during sex or ...
Impotence From Jelging	11/3/2008
Q: This is a bit of a long post and it is definitely not spam, so please any help would be appreciated. ... A: Jonothan: If you're pretty smart in biology and a possible med student, then you need to appreciate ...
what's kegels and relation to sex	11/3/2008
Q: What is kegels exercise and is there a connection to having a stronger and firmer erection/ability ... A: Ed: The Kegel exercise is intended to increase pelvic muscle tone to assist in urinary control ...
Penis redness and blisters	11/3/2008
Q: I went to the tanning salon on a Saturday and there was a patch of redness on the right side of my ... A: Daren: It could have been a burn, although it's impossible for me to say for sure with only your ...
Traumatic Epididymitis	11/3/2008
Q: hi common is it for the testicles to shrink after an event like this? and do they continue to shrink ... A: Patrick: There are no documented statistics on the frequency of shrinkage after traumatic ...
Urine Analysis	11/3/2008
Q: Is there anything that causes both high PH and specific gravity in a urinary analysis other than ... A: Jordan: Dehydration or medications that cause the same thing are the only things that can cause a ...
Male Climax	11/3/2008
Q: I have had this problem for about 10-12 years now. My climax when I have sex is not even close to ... A: Allan: First, your testosterone levels need to be checked to make sure they are adequate. Next, ...
test after a prolonged erection	11/2/2008
Q: my name is david,37 years old.i need to ask: 1) what test is currently considred the best and most ... A: David: We don't generally test for scar tissue. There is no acceptable treatment for scar tissue ...
How long will it take to heal?	11/2/2008
Q: When I got my injury I was overly excessively masturbating. There is a pain going down through the ... A: Jack: It's impossible to say how long a particular injury, especially a nerve or sensory related ...
semenal discharge	11/2/2008
Q: About four years ago I had a vascectomy done and recently I have been having semen coming out of my ... A: Bud: The fact that you've had a vasectomy only means that the semen has no sperm. You are still ...
Inverted Penis	11/2/2008
Q: I've never had a very large penis in the soft state, but as I've gotten older, now 51, my penis has ... A: Dan: Typically, the penis doesn't shrink as much as the body and suprapubic fat pad enlarges around ...
test after a prolonged erection	11/2/2008
Q: my name is david,37 years old.i need to ask: 1) what test is currently considred the best and most ... A: David: There really is no single specific test for penile tissue injury after the fact. Since our ...
ED/Curvature	11/2/2008
Q: I have a mild to moderate ED and a slight curvature in my penis. This curvature is due to the ... A: Muhammad: There is no scientific rationale I am aware of that would account for what you are ...
bladder control issues	11/2/2008
Q: I'm not sure if you can help me with this problem (since you specifically said you specialize in ... A: Jeonna: The most common causes for this are urinary tract infection or an overactive bladder. A ...
Epididymitis from multiple orgasms?	11/1/2008
Q: During sex, my girlfriend will bring me just short of ejaculating several times, over a period of ... A: Joe: There is no known or confirmed connection between this process and epididymitis, but in my ...
Seminal Vesicles Problems	11/1/2008
Q: I'm 47 years old and have been in good health all of my life (thank God.) I've been having the ... A: Paul: You really shoudl have a nice long talk with the urologist. He has an obligation to explain ...
High viscosity semen	11/1/2008
Q: I am 45yrs old, trying to conceive with my wife. Recent semen analysis results indicated high ... A: Kelly: You may want to discuss this with a male infertility expert. It is thought that vitamin C ...
Groin Ache	11/1/2008
Q: , I have had this slight dull ache in my right groin now going on a year and some days it is ... A: Jeff: I don't believe there is any relation between the groin pain and trouble with ejaculation. ...
Kidney stone, passed?	11/1/2008
Q: I hope you can help answer a quick question. I went to the doctors last week with the complaint of ... A: About 10% of all kidney stones are uric acid. Since there is no calcium, they don't appear on a ...
protien supplements	11/1/2008
Q: I am currently involved in an intense body building program which required me to consume protien in ... A: Musa: It may depend on the type of protein (plant based is better than animal or fish based) but in ...
Unable to ejaculate while having sex	10/31/2008
Q: I am a 30 years old male, who haven't had sex before but i used to ejaculate normally when ... A: Ayman: Your problem is most likely psychological. If you can find a certified sex therapist or ...
Kidney issue??	10/31/2008
Q: I have been having this problem for a couple of weeks now where I would void during the morning ... A: Will: You are voiding without drinking because the kidney is obliged to make urine whether you ...
traumatic orchitis	10/31/2008
Q: I'm Duško from Serbia. While I was playing handbal, I got kicked in my testicles. I had to see a ... A: Dusko: Essentially, this is just a bad bruise. Inflammation happens whenever there is an injury; in ...
Microscopic hematuria, lower abdominal pain and normal CT scan	10/31/2008
Q: My husband is 38. He has been complaining of pain in his lower back for about a week. He recently ... A: Lorraine: Most of the time, in this age group, the evaluation for blood in the urine is usually ...
ED/Curvature	10/31/2008
Q: I have a mild to moderate ED and a slight curvature in my penis. This curvature is due to the ... A: Muhammad: The rigiscan is a device that measure nocturnal penile erections. If there is a ...
Kidney stone, passed?	10/31/2008
Q: I hope you can help answer a quick question. I went to the doctors last week with the complaint of ... A: Brandi: It's impossible to determine the source of your bleeding and abdominal pain from the ...
Swollen testicle	10/31/2008
Q: I am actually writing concerning my 47 year old husband. On and off for approximately 5 years out ... A: Jamie: If two urologists have seen it and determined that there is nothing wrong, it's unlikely to ...
Prostate Irritation	10/30/2008
Q: I am 22 years old, good health. No diabetes. Urinalysis normal. I have asked several questions ... A: Jonathan: Not ejaculating may actually hurt your progress in dealing with the prostatitis. It's ...
blood in testicle	10/30/2008
Q: what cause a testicle to have blood in it and what is the treatment and why and what are the long ... A: Brenda: I can't answer your question without more specifics. Obviously a testicle has a blood ...
testicle pain	10/30/2008
Q: I have had some significant testicle pain over the last 5 days. I got hit directly above my left ... A: William: It's highly unlikely to be "dislocated" since that only applies to joints. Some injury to ...
kidney stone treatment	10/30/2008
Q: Doctor, I have calcium oxalate stones. I started having them one year ago, and have had forty ... A: Roger: THere is no good scientific information confirming any benefit from chanca piedra. This, ...
venous leakage?	10/30/2008
Q: I recently took a rigidity test(via injection-ouch!), the result of which indicates I have venous ... A: Nick: There is no clear connection between groin pain below the testicles and ED. A hernia, groin ...
urine instead of semen	10/30/2008
Q: I have had an on-going problem for as long as i can remember. When i masturbate or have sex, when i ... A: Timothy: Only specific testing will determine, for sure, if this is in fact just urine or urine ...
bladder pain/cramping in the lower abdominal area	10/30/2008
Q: First of all I have to say thanks to you and so many others on this website that help so many ... A: Candy: I have no information on what this "bladder cocktail" might be. There are some solutions we ...
inability to orgasm or ejaculate	10/29/2008
Q: In January of 2000 I had an operation on c2 through c7 for a compressed spinal cord. Bone was ... A: Don: I don't understand why you want to know if you make semen or not. The real question is whether ...
kidney stones and ed	10/29/2008
Q: is there a correlation between passing kidney stones and ed? Is it possible for passing stones to ... A: Jerry: I suppose in medicine almost anything is possible, but there is no known connection between ...
Penis angle	10/29/2008
Q: When I was in my teens, I have a circumcision because my foreskin could not be retracted backward. ... A: Tohtonku: You probably have a very tight penile suspensory ligament. This is just the opposite of ...
penis glans	10/29/2008
Q: a little over 4 weeks ago, my friend thought it would be funny to give me a "tipper", he hit my ... A: Steven: Nerves have a limited ability to heal. That's why people with spinal cord injuries are ...
Erection angle	10/28/2008
Q: I am in my early 20s. My erection angle is about 20 degree lower than horizontal, and I have noticed ... A: Han: Most likely, your suspensory ligament is a little looser than some. This will cause no harm, ...
erection problem	10/28/2008
Q: I am 21 years old.I have masturbated for more than two years(once or twice in a week and some times ... A: Picha: Total cures for erection troubles are uncommon, but they can be treated with various ...
penis fracture?	10/28/2008
Q: about 3-4 months ago while my girl girlfriend was on top while having sex my penis slid out and was ... A: Jon: It depends on what anatomical area is injured or scarred. If the scarring occurs in the ...
Passing urine and stool at teh same time	10/28/2008
Q: What would be the cause of passing the stool at the same time as urine. If the urine is passed with ... A: Jerzy: I'm not sure I understand your question. It is not normal to require a full bladder in ...
E D	10/28/2008
Q: A few years ago I took pepcid ac for a couple months and ever since then my erections are not as ... A: James: I doubt the pepcid had anything to do with your current problem. What you have is a loss of ...
Vas Deferen pain	10/28/2008
Q: had an epididymitis, not sure what if it was the infectious type or trauma. Anyways its been a ... A: Luke: You had some type of inflammatory process involving the testicle. There is a painful lump in ...
Frequent Urination	10/27/2008
Q: In September 2007 I had LLETZ surgery for CIN 3. A couple of days after the surgery I began to ... A: Sabrina: First, I have no idea what LLETZ surgery is or what CIN 3 represents. These are probably ...
Undiagnosed Bacteria/Virus	10/27/2008
Q: I've been having an ongoing problem that seems to only get worse. Was in Nevada last year and went ... A: Doug: Yes, there are viruses and infections that can last for months/years. A yeast is possible, ...
supplements for prostate health	10/27/2008
Q: I am 30 and in pretty good health. Could lose maybe 15 pounds or so. At about age 21 or so, I ... A: James: The tingling you feel is not normal. It could be nothing or it could be early prostatitis. ...
kidney stones	10/27/2008
Q: i am 25 and have a kidney stone in my bladder and one in my right kidney its been almost 4 months ... A: Josh: A kidney stone in the bladder may or may not pass. It depends on the size. The stone in the ...
blood and protein in urine w/ no UTI?	10/27/2008
Q: I will do my best to be brief and I apologize in advance if this query should really be on the ... A: Brandi: You have not had an adequate evaluation. You may or may not have a stone, a UTI or some ...
urethral polyp or prostatitis?	10/26/2008
Q: Leslie, I feel like I am at the end of my rope and searching for answers. I hope you can take the ... A: S: While it's always possible that something was missed during a cystoscopy, it's extremely ...
Scar tissue	10/26/2008
Q: On 09/18/08 I had green light laser treatment for BPH. Two weeks later I had an internal hemroid ... A: Robert: Since I didn't do the surgery or the scope, I have to assume that the urologist saw what he ...
testicular problem	10/26/2008
Q: not overwieght and eat a healthy diet. Since i could remember my left testicle is undersized about 5 ... A: Musa: First, if you're concerned about fertility, the bottom line is to get a semen analysis and ...
lower abdominal pain	10/26/2008
Q: I am 47 years old and I drive long distances for a living. Recently I began having pain in my lower ... A: JR: Prostatitis is not uncommon in your age group, particularly among those who sit for long ...
urethral polyp or prostatitis?	10/26/2008
Q: Leslie, I feel like I am at the end of my rope and searching for answers. I hope you can take the ... A: S: You've had a cystoscopy so that rules out a urethral polyp. Your only real treatment so far has ...
Bleeding on ejaculation and erection	10/25/2008
Q: For over the past 6 months I have had bleeding on ejaculation and often with a mild erection (No ED ... A: Sheldon: A transrectal ultrasound might be helpful, but it sounds like you've had a complete ...
sensitive skin on penis	10/25/2008
Q: I have a question concerning the skin on my penis. On the underside of the shaft, about midway ... A: Raz: It isn't a good idea to put any old cream or ointment on the penis without a clear indication ...
Pain of Testicle	10/25/2008
Q: Reading your previous answers helped a lot.However i think i need confirmation on my situaton.two & ... A: Sagren: Arousal without ejaculation is not supposed to be painful, although this issue comes up ...
Blood in urine	10/24/2008
Q: I'm a 52-year old male who discovered blood in his urine immediately after masturbation one week ... A: Marc: Having bleeding from the urine is never normal, not even after masturbation; so it should be ...
Incontinence	10/24/2008
Q: Since the birth of my son ten months ago, I've suffered from incontinence. It's not stress ... A: Nicole: I can't fuarantee that I can give you a "correct" diagnosis from just your brief ...
penis fracture?	10/24/2008
Q: about 3-4 months ago while my girl girlfriend was on top while having sex my penis slid out and was ... A: Jon: Severing a nerve is unlikely but an injury is certainly possible. The damage can get worse if ...
Testosterone production.	10/24/2008
Q: A couple of questions, if I may: Like spermatogenesis, is the production of testosterone within the ... A: Bob: Sperm production is very sensitive to temperature so boxers are usually preferred in cases of ...
penis fracture?	10/24/2008
Q: about 3-4 months ago while my girl girlfriend was on top while having sex my penis slid out and was ... A: Jon: If there was no angulation, pain or immediate swelling, then it wasn't a fracture. Urinating ...
Kidney stone?	10/24/2008
Q: 12 days ago, I began to experience a constant urge to urinate. That has continued without stopping, ... A: Kelly: Your general physician is wrong. You may or may not have passed the stone. Or it may be an ...
neuropathic bladder	10/24/2008
Q: Dr. Leslie, Thank you for your time. I am a robust 79 year old who didn't realize I had any ... A: Robert: There is no medication that will help the bladder muscle at this point. Reducing the ...
How long will it take for a kidney stone to pass?	10/23/2008
Q: I have Hashimoto's Thyroiditis/hypothyroidism, elevated SED rate (109 and one point but now down to ... A: Sarah: First, you should consult a good urologist for some reliable information. It is uncertain ...
Calcification in ejaculatory duct	10/23/2008
Q: 42 yrs old. Just had an Ultrasound to advance understanding of 8yrs of prostatitis. Doc identified ... A: Tom: There's just no good alternative treatment for this condition. The transurethral resection of ...
epididmitis	10/23/2008
Q: A few days agoI went to see a docter because one of my testicles had a large lump on the side of it. ... A: Leigh: Epididymitis can cause significant pain and swelling. Typically, the immediate treatment is ...
Holding urine for sometme	10/23/2008
Q: i (sometimes) have dull flank pain for 5 months on both sides, i have done Ultrasound twice during ... A: Parvaiz: Holding back on urinating when you need to is not a smart thing to do although it may be ...
neuropathic bladder	10/23/2008
Q: Dr. Leslie, Thank you for your time. I am a robust 79 year old who didn't realize I had any ... A: Robert: Self catheterization is not your only option, but may be the best. An indwelling catheter ...
Non-STD burning sensation urination, discharge in morning	10/23/2008
Q: I have not had sexual activity for two months and I am confident this is not STD-related, but for ... A: Samuel: I'm not sure I want to answer your question. Selecting the antibiotic depends in part on ...
priapsm	10/22/2008
Q: my question is this... 5 yrs ago my husband had a priapsm which lasted 24 hours and he had to have 2 ... A: Amand: I suppose there is a remote chance of anything, but given the history and two separate ...
Ongoing Prostatitis	10/22/2008
Q: I am 35 years old (white, english) and was diagnosed as having prostatitis by a urologist 3 years ... A: Chris: This is actually one of the more commonly asked questions. You can review my previous ...
burning and blood in my urine	10/22/2008
Q: I have about 10 days with burning sentation when I urine I have blood the blood is sometime after I ... A: Celandia: This probably represents an infection. The fact that you can overcome it with extra ...
non-bacterial prostatitis	10/22/2008
Q: I am 27. I have had prostatitis on and off for about 12 years. The recent case has not improved ... A: Michael: The jelly like globs are proteinaceous material. They help make the semen sticky and they ...
what is the possible problem with erection	10/22/2008
Q: Here is the situation: I didn't have sex for almost 2 years since the break up with my gf. During ... A: Alex: Your problem sounds more psychogenic than physical. What you've described is not typical of ...
Testicles	10/22/2008
Q: Dr Leslie first off thank you for your time, A few months ago my testicles were squeezed during a ... A: Shrinkage of the testicles is unlikely. Shrinkage of just one may be more likely, however. I can't ...
Non-STD burning sensation urination, discharge in morning	10/22/2008
Q: I have not had sexual activity for two months and I am confident this is not STD-related, but for ... A: Samuel: Urethritis is the most likely cause, but prostatitis is also possible. A specific culture ...
Tubular swelling in penis	10/21/2008
Q: I've recently had what feels like a swollen portion of a vein or something about 1cm below the head ... A: John: It's impossible to make any kind of reliable diagnosis on the tubular lesion without being ...
E D	10/21/2008
Q: I am a 47 year old type 1 diabetic(22 yrs) and I`m having an issue with a significant loss of ... A: Richard: Add me to the list of "I don't know" as well. There is no good reason I'm aware of, ...
Reoccuring kidney stones	10/20/2008
Q: I have been kidney stones now for the past 13 to 14 years. First it seemed that it was only every 4 ... A: Tracy: Chronic diarrhea is a risk factor for stones, due to fluid loss and loss of citrate. (The ...
Cytology and cystoscopy testing	10/20/2008
Q: Can you explain what the standards of care are for ordering cytology and cystoscopies, or tell me ... A: John: Your questions are not simple ones. You will need to check a urology textbook for a full ...
penial implant	10/20/2008
Q: I have had prostate cancer and surgery to remove the prostate. A year after the surgery my PSA ... A: Chris: The problem is not the implant, it's the penis. There is shrinkage of the tissue after ...
Gross Hematuria	10/20/2008
Q: Just a question about my dad; he's a dialysis patient, has congestive heart failure and last night ... A: Glenda: A diagnosis cannot be made from the given information. A bladder infection, stone, ...
Prostate Cancer metastasis	10/19/2008
Q: My MD found that my PSA was 17.99 on 7/28/08. My previous PSA was 1.6 on 5/23/05. I saw an ... A: Paul: You're right that this is probably an aggressive cancer. A bone scan and CT scan are ...
watery semen testicular pain	10/19/2008
Q: Dr. Leslie, I am a 24 year old male. I've experienced testicular pain and pain at the tip of the ... A: Juan: Semen consistency is not something we generally consider very significant as far as diagnosis ...
Slanted testicle	10/18/2008
Q: MY left testicle was put through trauma. I was hit in the testicle and thought the testicle flipped, ... A: Bobby: You had an injury to the testicle. This usually results in scar tissue and may account for ...
hematuria w/blood clots	10/18/2008
Q: My husband has had two episodes--one in late July and another one two days ago when upon urinating ... A: Victoria: Your husband absolutely positively needs to see a urologist about this problem. It could ...
Flank pain	10/18/2008
Q: i (sometimes) have dull flank pain for 5 months on both sides, i have done Ultrasound twice during ... A: Parvaiz: Yes, even a non-obstructing stone in the ureter can cause damage. The stone can easily ...
BPH treatment	10/18/2008
Q: I am a 52 year old male. I have had difficulty urinating for the past ten years. I have been taking ... A: Mark: The very miniscule amount of cortisone absorbed from the Flonase is inconsequential with ...
Rash on scrotum	10/18/2008
Q: Suddenly one afternoon I notice my scrotum had become red/pink and the texture was dry and hard, ... A: Vincent: This sounds like a yeast infection, but it's hard to know for sure without actually seeing ...
blood in semen (due to testicular trauma)	10/17/2008
Q: I'm 22. I'm from Slovenia, European union. My occupation is kick boxing. Once, while I was fighting ... A: Drago: An injury to the testicles does not usually cause any blood in the semen. However, that ...
Flank pain	10/17/2008
Q: i (sometimes) have dull flank pain for 5 months on both sides, i have done Ultrasound twice during ... A: Parvaiz: Yes, it's possible to have a stone causing pain without hydronephrosis. Ultrasound is not ...
problem	10/16/2008
Q: umm neaver had this fellin befor it hurt when i get a hard on what could be causeing that...also it ... A: Tyrik: It's a little difficult to identify your question. It sounds like you are having pain with ...
Varicocele surgery question	10/16/2008
Q: I don't know if you are very learned in this area but the other doctor is away on vacation so I ... A: Vishnu: Veins don't get "weak" so I don't really understand your question. There are plenty of ...
swollen in testies	10/16/2008
Q: im 15 years old and about 9 months ago i had pain and swollenness in my testicals. I got an ... A: Stephen: At 15 years of age, I would have suggested a urology consultation even after the first ...
Prostatitis	10/15/2008
Q: I am a 22 year old male in very good physical shape. I have been experiences urinary problems for ... A: Jonathan: You asked alot of questions. The symptoms can disappear without treatment. Urinary ...
Kidney stone / numbness in leg	10/14/2008
Q: Dr. Leslie, I have a long history of kidney stones (calcium oxalate). Three weeks ago I started ... A: Bill: The numbness in the leg is not related to your stones. You didn't indicate if you had ...
about prostate cancer	10/14/2008
Q: My father had done a blood test and his PSA result is 532.1 ug/L. The reference range is 0.0 - 3.8. ... A: Jessica: The cells staining positive for PSA virtually guarantees that they are prostate cancer ...
Reduced penis sensitivity...	10/14/2008
Q: I am a 27 years old circumcised male. I have been masturbating over the years mostly without any ... A: James: It isn't clear that you actually have reduced sensitivity or sensation. What has happened ...
Hemotaspermia and Periodic Hematuria	10/14/2008
Q: About 10 months ago I had my first episode of blood in the semen. It passed quickly, and then ... A: Scott: I don't think a renal ultrasound or MRI are needed. An IVP or CT scan of the kidneys would ...
ache and visible veins in scrotum	10/14/2008
Q: I took doxycycline for 5 days (100mg) and began to notice a discomfort in the scrotum and around ... A: Jeff: This type of reaction to doxycycline would be very rare. The skin problems related to ...
pain after ejaculation	10/14/2008
Q: I've been experiencing pain after ejaculation on the spot between the anus and the testicles. What ... A: It's a little unusual for someone just 17 but not rare. Medications used for prostatitis, if that's ...
my penus retracts involuntarily	10/13/2008
Q: Dr. Leslie, I have a rather puzzling condition that began around 4 years ago. At various times ... A: Frank: While it could be the hernia, this sounds more like a buried penis issue. Essentially, this ...
prostatitis	10/13/2008
Q: First, thanks for your time. Now my question. When I turned 40, about 2 1/2 years ago I was ... A: JA: It's impossible to say from the information provided. If the amount of blood in the urine is ...
lupron/orgasm	10/12/2008
Q: I have been taking lupron injections quarterly for 10 months and am wondering if that could be part ... A: Gary: It is certainly possible that the Lupron is affecting your ability to have ...
retrograde urethrography	10/12/2008
Q: I have had urethrotomy in my country. However, i went to cornel hospital for follow up as i am in ... A: Rahman: Retrograde urethrograms can be done either with gravity pressure or with direct injection. ...
Urological Problem.	10/11/2008
Q: Stephen, My father (61 year old,Diabetic & cardiac Patient) has been suffering from Urological ... A: Vishwanath: When the bladder is removed, an alternate pouch or urostomy is constructed. The ...
Minor pain in tip of penis	10/10/2008
Q: I'm a 40-year-old male. On Saturday (10/4/08), I was giving a urine sample for a life insurance ... A: Todd: Prostatitis or urethritis would be the most likely causes. Unfortunately, these are not ...
Flank pain	10/10/2008
Q: I have had left flank pain for several weeks now. It is especially painful and tender during the ... A: Irene: Flank pain is more likely to be urological than gynecological. I would start with the ...
radiation effects to the bladder what the name of the condition?	10/10/2008
Q: I had cervical cancer & had a total hyst. And radiation plus the brac. therapy also,what effects ... A: Angie: The name for the condition is radiation cystitis. Treatments are mostly symptomatic. ...
Testicle Dysfunction and Vas Deferen	10/10/2008
Q: Short story - I had an inflamed vas deferen and epdidymis from twisting and flipping of the left ... A: Derek: Testosterone production is unlikely to be affected as long as at least one testicle is ...
slight ache	10/9/2008
Q: I have set up an appointment with a doc. in a couple days that asisde my question is What might ... A: Ross: What you want is a differential diagnosis. Possible causes of testicle pain include ...
enlarged prostate	10/9/2008
Q: yeah my son who is 17 was just diagnosed with an enlarged prostate i was wondering what would cause ... A: Paula: It's unusual to have an enlarged prostate at 17. You didn't indicate how this diagnosis was ...
penis erection	10/8/2008
Q: sir, I heard "Bore Chest" medicines used for penis erection. What is this medicine? Is it correct ... A: Mohd: I have no information on any "bore chest" medicines used for erection trouble. I have been ...
penis size	10/8/2008
Q: ..i m from Pakistan.sir i want to ask you about my penis size..i have 5.2 inches but so thin as the ... A: Your size is within the normal limits. The other problems are probably from anxiety about penis ...
please answer	10/8/2008
Q: Dr iam a male where i used to masterbuate for a long time since when i was 7 years old, it first was ... A: The urine dribbling is either from urine left in the urethral tubing or leakage. The fact that the ...
Low sperm volume and ED	10/8/2008
Q: i am in my early 20s and had a serious drug problem till 2 years ago when i did a programme. i know ... A: The pills you are referring to don't really work and have not been tested in an approved fashion. ...
urinary calculi & erectile dysfunction	10/8/2008
Q: Sir, I am having a renal calculi in right kidney calyses and right midureter about 4-5mm from 1 ... A: Gopinath: You need to get over your anxiety and have the kidney stone surgery or risk permanent ...
no sex drive, no erection, no orgasm	10/8/2008
Q: My 30 year old husband suffers from sleep apnea and roughly about 6 weeks ago came to me and ... A: Natalie: Obviously, he has problems. He should start with a good general physical exam by his ...
swollen and clogged	10/7/2008
Q: I had a pain in my epididymis during orgasm, and occasionaly at random times during my day 2 day ... A: Jared: I can't give you all the answers. That's what your local urologist will do. You could have ...
red scrotum	10/7/2008
Q: i bought OTC cvs jock itch cream for a red scrotum. Used a lot, cover my scrotum until its white ... A: Pat: Chances are, the OTC cream you got is too strong for the skin of the scrotum. The testicles ...
Pre-Ejaculate but no orgasim	10/7/2008
Q: My Husband is diabetic and produces pre-ejaculate during sex but experiences no ejaculate when he ... A: Dee: Most likely he has retrograde ejaculation, where the semen goes into the bladder instead of ...
MY SON	10/6/2008
Q: I HAVE A 14YR. OLD SON WHO ALL THE SUDDEN HAS BEEN GETTING UTI'S AND YEAST IN HIS URINE. HE HAS A ... A: Julie: This is a complicated problem. He needs to be checked for neurogenic bladder and reflux. ...
Prostate problems of Kidney transplant receipent	10/6/2008
Q: I have a query related to my own condition as follows. Can prostatectomy be done in case of ... A: Nirmal: A prostatectomy can be done, but we prefer not to operate on patients with transplants. ...
Dull ache in right testicals	10/6/2008
Q: Sir, I am 28 year old male.I have very dull(Very very dull) ache in my right testes. Its already ... A: Deepak: Technically, you didn't ask a question so I presume you want some advice. That's easy. ...
kidney stones and rare red blood cells	10/5/2008
Q: I'm 31 and suffer from kidney stones. I've had several including one during pregnancy. No one has ... A: Cynthia: Rare blood cells means just that: that you have very few "rare" blood cells in the urine. ...
Lumps on either side?	10/5/2008
Q: I'm a teenager, and sometimes I masturbate a lot. Yesterday, i masturbated a TON, and ended up ... A: Jeremy: I don't think you can realistically expect us to recommend anything but seeing a physician. ...
Prostate gland	10/4/2008
Q: My partner who is 49 has had problems with a weak urine stream, lower back pain occasionally, he ... A: Lynn: With an incomplete or unreliable diagnosis, it's not possible to make much of a ...
Treatment of both multiple ston plus left ureter ston	10/4/2008
Q: Salaam professor, My brother son had both kidney stons plus left ureter ston. After operation and ... A: Qahir: Unfortunately, it sounds like more operations will be necessary. A stone that is 12 mm is ...
Cyst	10/4/2008
Q: I am a 29 year old female, but have more health issues than a 70 year old! I got a catscan the other ... A: Liz: You live with it forever. The cyst, I mean. It will not hurt you and is not the cause of ...
Frequent urination/urge prevents sexual arousal	10/3/2008
Q: For the past few years off and on, and most recently during a romantic weekend, I was unable to get ... A: Shannon: The answer would be different for men and women. In women, you need to change your ...
No ejaculation during climax	10/3/2008
Q: I recently had a large benign tumor removed from my abdomen. Ever since surgery when I climax I ... A: Joe: The nature and location of the tumor may have something to do with your situation. If it ...
sterility	10/3/2008
Q: Hey doc. i know that in order to truely know the answer to my question, i need an exam. but im not ... A: Brian: That's impossible to estimate. An unknown amount of overdose of an unspecified cancer ...
Testicles changing consistancy	10/2/2008
Q: Leslie, I was scanning your previous answers, and came across an answer to a 07/13/08 post entitled, ... A: Robert: There is no such thing as a fluctuating hydrocele, although there is a communicating ...
Cooled Thermo Therapy	10/2/2008
Q: I am 64 yrs old and this procedure was optional but I got tired of taking the flomax and proscar. ... A: William: I wasn't there, so I can't say for sure if the catheter was "too big" or not. It's very ...
Biopsy	10/2/2008
Q: Stephen, you've mentioned that you do not recommend general anesthesia for biopsy. What about ... A: Mark: Similar problems. First, it's not necessary. Second, the room where the biopsy is done is ...
blood during sex	10/2/2008
Q: Dr. Leslie, I felt a pain during intercourse last saturday, and discovered that I had a cut on my ... A: Andrew: The bleeding is from the cut. Exactly how you got the cut isn't clear, but often it's from ...
unprotected orally sex	10/1/2008
Q: i was curious as to the risks of receiving unprotected oral sex. i just recently had sex protected ... A: The main risks from oral sex are HPV types one and two. SInce this involves areas outside of ...
Return of Varicocele	10/1/2008
Q: I am a male aged 23. I have had previous occurrence of Varicocele a year ago in October 2007, and i ... A: Sam: The only way you will know if this is a varicocele, hernia or something else is to consult a ...
excessive masturbation??	10/1/2008
Q: I know that masturbation is usually normal, but sometimes I worry that I do it too much. About how ... A: John: There is no "official" determination on how much masturbation is normal. Let me put it this ...
Small wart-like bump on penis.	10/1/2008
Q: Leslie, I have a small wart-like lump on the top right hand side of my penis, about a centimeter ... A: Rick: You realize that I can't possibly identify exactly what this lump is without seeing and ...
Slight penis pain	9/30/2008
Q: I had unprotected oral sex with my girlfriend the other day. I now have a slight pain of the side, ... A: Chris; I'm sorry, but IT'S NOT POSSIBLE TO ANSWER YOUR QUESTION THE WAY YOU WANT! I can't tell ...
Cooled Thermo Therapy	9/30/2008
Q: I am 64 yrs old and this procedure was optional but I got tired of taking the flomax and proscar. ... A: William: I do not personally do the cooled thermotherapy for some of the reasons mentioned in your ...
Cystoscopy	9/30/2008
Q: I realize a cystoscopy is not useful to determine prostate cancer. But would a routine cystoscopy ... A: Bill: Cystoscopy is the best way to determine the presence of bladder cancer, so it is recommended ...
epididymal cyst	9/30/2008
Q: i have an epididymal cyst, i am taking antibiotics and the pain and swelling has decreased by 90% ... A: Nick: Epdidymal cysts by themselves are not painful; only if they get inflammed or infected. ...
Overactive bladder	9/30/2008
Q: I have for some time had an overactive bladder but it seems to be worsening. Frequency of urination ... A: Mathieu: If I read this correctly, you have at least 10 voids a day and one at night for a minimum ...
severely over-stretched bladder	9/29/2008
Q: if my dads bladder was stretched due to improper medical diagnosis,could it be corrected if we knew ... A: Iris: I think an incorrect diagnosis would be a better description than "improper". Most likely, I ...
cystoscope	9/29/2008
Q: Leslie, I'll get right to the questions but first wanted to thank you so much for your expertise ... A: Edward: A modern cystoscopic exam is nothing to be afraid of. 50 years ago, it would have required ...
hernia	9/29/2008
Q: ........i was operated for hernia an year ago....does it matter what kind of underwears i wear...i ... A: Musa: Hernias are not in my specialty area, however an injury to the ilioinguinal nerve during the ...
prostate	9/29/2008
Q: My psa is always very good and when I have it checked yearly its good. However I do have to go the ... A: Bud: Flomax is an excellent drug, but it may or may not be appropriate for your particular problem. ...
High calcium	9/28/2008
Q: I have high calcium in my urin. I just had surgery for parathyroid disease . My blood calcium ... A: Bob: Not so fast. If you just had surgery for parathyroid disease, your system may not yet have ...
Urine leak from side of penis	9/28/2008
Q: I am 27 m New Delhi Few months back, my zipper got stuck in lower skin of penis.a mole emerged ... A: Tarunbansal: It sounds like you have a fistula. It will probably need a formal surgical repair and ...
Kidney Stone Surgery	9/28/2008
Q: My mother has kidney stones. She had a surgery 3 years ago. She had it done in Hong Kong. ... A: Chen: Sorry, but I can't give you that information. It depends on what kind of surgery or ...
Oozing scrotum	9/28/2008
Q: I am a 84 year old male who is experiencing an oozing out of the scrotum. This condition is causing ... A: Bill: That's not enough information to make any kind of reliable diagnosis. It's like saying my ...
Possibility of venous leak?	9/27/2008
Q: I am a healthy, active 19 year old male. I never thought I had erection problems until I started ... A: Jacques: What you've described sounds more like an anxiety related issue rather than venous leak. ...
pain in penis	9/27/2008
Q: I'm now 29. I hope you can provide me some advice with regards to my problem with my penis. Its ... A: Tiger: This is a very difficult problem to diagnose or treat. If there is no discrete or ...
PSA increase	9/26/2008
Q: I'm 54, my PSA increased from 1.7 to 2.7 within 1.5 years My doctor recommends biopsy Questions: 1. ... A: Mark: You can ask for a general anesthesia, but in most medical communities this would not be done. ...
testicle shrinkage	9/26/2008
Q: Doc, what are signs and common symptoms of testicular atrophy? thanks A: The normal size for a testicle is 4 cm or larger. If the size is less, then that indicates some ...
-	9/25/2008
Q: lately i have experienced a little bit of bleeding during sex and at the end once i have ... A: Tom: The most likely source of blood during sex is from a lesion inside the passage of the penis, ...
erection - problem?	9/25/2008
Q: I can get erection by manual stimulation and if I stop the stimulation erection goes softer in about ... A: Alex: What you are describing could have some element of mild venous leak but is obviously not the ...
erection - problem?	9/25/2008
Q: I can get erection by manual stimulation and if I stop the stimulation erection goes softer in about ... A: Alex: Getting soft after stopping stimulation is normal. No conclusion about venous leak or any ...
Urine after ejaculation	9/24/2008
Q: 41 year old male. Ive noticed recently my ejaculations are not as "powerful" and volume has ... A: Paul: This is another very hard question to answer. Urine should never be "bubbly". This ...
Erectile Dysfunction	9/24/2008
Q: My boyfriend cannot stay hard at all as soon as i get on top. Being on top is the only way I can go ... A: Nicki: I'm not sure there is any good physical explanation for this. Pelvic steal syndrome and ...
Small Prostate	9/24/2008
Q: Very recently - within the last three months - I noticed a frequent failure to ejaculate and when ... A: David: First of all, you don't want your "small" prostate to enlarge. This will not correct the ED ...
Testicle shrinkage and low ejaculayion volume	9/23/2008
Q: I am guy,33 years old from Sweden. Because of my problem my life is ruined, so I appreciate some ... A: Matthias: The minimal normal size for a testicle is considered to be 4 cm. The two functions of ...
A problem from Stretching device(JES EXTENDER) that might caused ED	9/23/2008
Q: im 27 years old male, i had congenital penile curvature since i was teenager he errection till ... A: Unfortunately, there is no good test to determine what was damaged, except to look at the results. ...
A problem from Stretching device(JES EXTENDER) that might caused ED	9/22/2008
Q: im 27 years old male, i had congenital penile curvature since i was teenager he errection till ... A: What could possibly be the damage? There could be damage to the blood vessels, arteries, veins, ...
periprostatic nerve block	9/22/2008
Q: I have read that Periprostatic nerve block at the apex is superior to intrarectal lidocaine gel for ... A: Intrarectal lidocaine is a very poor way to control discomfort during TRUS guided biopsies. We ...
vasculature of the penis	9/22/2008
Q: I am a body piercer. Recently the shop I work for did a prince albert piercing (through the ... A: Roy: I'm quite familiar with "our culture" and the commonality of body modifications. If the ...
Future problem with single testis	9/22/2008
Q: Respected sir, i am 29 yr old and very soon i m going for marriage. i am having single ... A: Sunil: It is unlikely that your single testicle will have any effect on future children. There are ...
Erectile Dysfunction	9/22/2008
Q: I am a 30 Years old male. My problem is that i am facing low erections or even very few erections. ... A: Muhammad: You are correct in that Viagra, Cialis and Levitra are not permanent cures for erectile ...
Epididymitis?	9/21/2008
Q: I've had pain in the testicles for about 2 weeks now, I was given the diagnosis of UTI, and ... A: Kevin: If possible, consult a urology specialist about this problem. Next, get copies of all your ...
sperm	9/21/2008
Q: when you masturbate is it unusual for the sperm to be sometimes clumped together in a way ANSWER: ... A: Jack: First, you can't see the sperm. Second, clumping of the semen is usually a normal variant. ...
Question about PC muscle	9/21/2008
Q: Leslie, I read some article about PC muscle, and it seems that this muscle is great for both sexes. ... A: Leo: I think you have a misunderstood the true nature of the PC muscle. It does not open the ...
e coli infection in urinary tract	9/21/2008
Q: how many days does it take to recover from infection when under antibiotic treatment A: Kumar: Assuming there is no other problem like a stone, prostate enlargement, kidney infection, ...
vasculature of the penis	9/20/2008
Q: I am a body piercer. Recently the shop I work for did a prince albert piercing (through the ... A: Roy: We do not generally approve of body piercings through the urethra. Essentially, you are ...
A problem from Stretching device(JES EXTENDER) that might caused ED	9/20/2008
Q: im 27 years old male, i had congenital penile curvature since i was teenager he errection till ... A: It sounds like you have an injury from the Jes extender. The sudden change would suggest a more ...
4mm Kidney Stone	9/19/2008
Q: I have a 4mm stone that is very close to the bladder. After reading some of your advise, I am ... A: Tracy: I believe there are plenty of sites out there promising all sorts of things, but there is no ...
couldn't ask another follow-up ques.	9/19/2008
Q: i wasn't able to ask another follow up so i'm just going to write a new thing i was the one that ... A: The usual way to diagnose pelvic steal syndrome is with a penile-brachial index (blood pressure ...
hygiene	9/19/2008
Q: how can one clean the glans on the penis which are under the foreskin,as it pains when touched?? A: Rahul: Usually, the foreskin is retracted so it can be cleaned directly or just with a stream of ...
couldn't ask another follow-up ques.	9/19/2008
Q: i wasn't able to ask another follow up so i'm just going to write a new thing i was the one that ... A: Pelvic steal syndrome is exactly what I told you last time. A condition where blood is shunted away ...
burning fromthe penis	9/19/2008
Q: I went to the doctor about three weeks ago because I was bleeding from the penis. I went to the ... A: Jay: I can't tell you precisely why you're bleeding, but in general, urethral or penile bleeding is ...
Testicle Symptoms	9/19/2008
Q: Doc, My symptoms are a hot, red burning, scrotum and the tip of my uretha Stings, it doesnt burn ... A: Pat: The burning scrotum sounds like a yeast infection. The cream may or may not work as it's ...
testicles	9/19/2008
Q: My husband went to the uroligist and he said his testicles were sized at 2mm. I wanted to asked the ... A: Atrophic (small) testes bilaterally and azospermia (no sperm) means that normal fertility for that ...
Waning Erection	9/18/2008
Q: Can pelvic tension or tight muscles in that region lead to weak erections? I'm a 40 year-old male ... A: Alonzo: The most likely cause of bleeding was the prostate, but your evaluation was normal. Pelvic ...
peyronie's disease	9/18/2008
Q: Im a 22 yr old male and I hope i've diagnosed myself correctly as i have several hardened bumps ... A: Sharon: This is an easy question. CONSULT A UROLOGIST! Possible treatments are varied, but there ...