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Urology/Questions
| Subject | Date Asked | Expert |
| voiding problems | 7/11/2007 | Scott M. Press, M.D., F.A.C.S. |
| Q: I am ashamed to say this but I have been suffering for twenty years with frequent voiding and never ... A: The size of the prostate on sonogram does not correlate with symptoms. People can have the prostate ... | ||
| frank blood in urine | 7/11/2007 | Stephen W. Leslie, MD |
| Q: this question is regarding my dad, he is 76yrs old and lives in ST. Vincent in the Caribbean. He is ... A: I do not know the reason for his bleeding. This should have been investigated when the bleeding ... | ||
| voiding problems | 7/11/2007 | Scott M. Press, M.D., F.A.C.S. |
| Q: I am ashamed to say this but I have been suffering for twenty years with frequent voiding and never ... A: Andrew, First of all there are other therapies then Saw Palmetto which for mild symptoms may have a ... | ||
| i have single testicle | 7/11/2007 | Arthur Goldstein, M.D. |
| Q: I have Undescended Testicles, 1 testcle is at normal place and the other one is just above left to ... A: Srinu, as a rule of thumb, it is recommended that males with undescended testicles undergo ... | ||
| Blood after sex? | 7/11/2007 | javier cardozo |
| Q: Hey Havier, My name is Jose and I am only 27 years old. Ever since I was 18 years old I have been ... A: For some reason not known so far, some people have blood with semen, it does not imply any medical ... | ||
| Venous Leak.. | 7/11/2007 | Arthur Goldstein, M.D. |
| Q: Hey thanks for the response. But I had to further ask, can a venous leak happen from injury? I am ... A: Hank, a venous leak may be caused by injury. Although the diagnosis can be suspected by history, ... | ||
| Blood during and after intercourse | 7/10/2007 | javier cardozo |
| Q: After intercourse which lasted quite a long time (gay-anal), me being the active partner, when ... A: There most be some type of lesion in your urethra that is causing this bleeding.We can exclude the ... | ||
| Sedimentation and catheters | 7/10/2007 | Stephen W. Leslie, MD |
| Q: I was not able to find a category for female urinary problems, but I think this would be universal ... A: The material that clogs catheters is calcium phosphate. There are several solutions that can ... | ||
| Kidney stones | 7/10/2007 | Stephen W. Leslie, MD |
| Q: I just had a kidney stone removed with a Ureteroscope and a stent inplaced for a couple of days. How ... A: Removing the stent will require a flexible cystoscopy which is somewhat uncomfortable but very ... | ||
| Sexual weakness | 7/10/2007 | javier cardozo |
| Q: I am now 29 years of age. I have been having sexual difficulty for about 2 years now. I am married ... A: Testosterone levels seen to be normal.I would not say any thing about your testicle, it is better to ... | ||
| Weak urinating stream after holding in too long | 7/10/2007 | Scott M. Press, M.D., F.A.C.S. |
| Q: i am an 30-y old male. When i hold in urinating too long i have a very weak urinating stream. This ... A: Milan, No you do not. Holding urine in in the morning stretches out the bladder wall as the bladder ... | ||
| prostate massage | 7/10/2007 | Scott M. Press, M.D., F.A.C.S. |
| Q: I have just read that "chronic inflammation and swelling of the prostate can also occur with age. It ... A: Michael, Prostatic massage can indeed help with chronic prostatitis, but masturbation is not a ... | ||
| Clear fluid | 7/10/2007 | Arthur Goldstein, M.D. |
| Q: Male 24 years, not circumcised. Because of this I seen to have difficulty finding people in this ... A: Kyle, I suspect that the fluid is coming from the urinary canal (urethra) and is not being secrteted ... | ||
| Sexual weakness | 7/9/2007 | javier cardozo |
| Q: I am now 29 years of age. I have been having sexual difficulty for about 2 years now. I am married ... A: With the information provided I have to say you are suffering from erectile dysfunction. You have to ... | ||
| Sperm/Semen Color | 7/9/2007 | Stephen W. Leslie, MD |
| Q: I was visting my mom's with my girlfriend for the weekend. We ending up having sex with a condom. So ... A: No. It's impossible to make any conclusion or diagnosis based on the contents of a 2 week old ... | ||
| Trouble urinating | 7/9/2007 | Scott M. Press, M.D., F.A.C.S. |
| Q: Press: I am a 66-year-old male. I underwent procedures to remove several kidney stones plus a large ... A: A urodynamic evaluation will tell you if your bladder is functioning. If it is functioning and ... | ||
| Prostate Cancer/Hytrin | 7/9/2007 | Scott M. Press, M.D., F.A.C.S. |
| Q: Press: I am almost 80 and have always been very active and in good health until recently. In April ... A: The very aggressive cancers ie Gleason 8 to 10 are so aggressive that they do not make PSA. These ... | ||
| Numb glans.. | 7/9/2007 | Arthur Goldstein, M.D. |
| Q: Hey I noticed that my glans of my penis has turned numb. Just on the top portion of it, the portion ... A: Ted, excessive trauma to the penis can indeed damage the sensory nerves causing a numb feeling. ... | ||
| Venous leak | 7/9/2007 | Arthur Goldstein, M.D. |
| Q: Hey Arthur glad your back. What is a venous leak of the penis? Is there a difference between say ... A: Hank, the penis is composed of three cylindrical bodies called corpora. The single corpus spongiosum ... | ||
| change in erection shape/size | 7/8/2007 | javier cardozo |
| Q: I am a 63 year old gay male who has had not health problems to this point: however, I do now have ... A: You may be suffering from erectile dysfunction. One of the causes been low testosterone levels. If ... | ||
| Trouble urinating | 7/8/2007 | Scott M. Press, M.D., F.A.C.S. |
| Q: Press: I am a 66-year-old male. I underwent procedures to remove several kidney stones plus a large ... A: Something is fishy about this story. The kidney stones were removed I assume by ESWL. The bladder ... | ||
| venous leak | 7/6/2007 | Stephen W. Leslie, MD |
| Q: Is there a difference between not being in the mood or having a venous leak? What are symptoms of a ... A: Not being in the mood is a mood issue. Venous leak is a physical issue. Typically, venous leak ... | ||
| Prostate Cancer/Hytrin | 7/6/2007 | Scott M. Press, M.D., F.A.C.S. |
| Q: Press: I am almost 80 and have always been very active and in good health until recently. In April ... A: I am sorry to hear that your prostate operation for BPH did not work. It is very uncommon to have ... | ||
| Not sure what to do | 7/6/2007 | Stephen W. Leslie, MD |
| Q: I am 21. And Recently I have been noticing that I am unable to get an erection while watching porn ... A: Yes, you have ED. The fact that it is related to the situation suggests a psychogenic component. ... | ||
| Blood in urine | 7/5/2007 | Scott M. Press, M.D., F.A.C.S. |
| Q: I am 69 years old and have never had any urination problems. Several days ago I was not feeling ... A: You are having gross hematuria (visible blood in urine). This can be caused by many factors, one of ... | ||
| Pain in right testicle | 7/5/2007 | Scott M. Press, M.D., F.A.C.S. |
| Q: Press, For a while now, I have had on and off "pain" in my right testicle. It is not so much ... A: It is hard to say without and examination, but what you are describing sounds like a thing called ... | ||
| penile nodule | 7/5/2007 | Scott M. Press, M.D., F.A.C.S. |
| Q: I found a nodule on the shaft of my penis about 6 months ago it was about the size of a pea and ... A: Obviously an exam would help me make a diagnosis , but it sounds like you may have Peyronies ... | ||
| Cause of Azoospermia | 7/5/2007 | Stephen W. Leslie, MD |
| Q: I recently found out that I am azoospermic. Urologist is looking into further option, but I forgot ... A: No, the shaving lotion on the scrotum cannot cause azospermia. Most of the time, the condition is ... | ||
| bruises,pimples on penis | 7/5/2007 | Stephen W. Leslie, MD |
| Q: Ive got bruises over the shaft of my penis.. and now some small pimple like lumps are coming up on ... A: The bruises may disappear with time if you avoid reinjury. If you're on blood thinners, they could ... | ||
| Shrinking penis | 7/4/2007 | Stephen W. Leslie, MD |
| Q: Over the past 10/11 years i have noticed that my penis has gradually been shrinking, or getting ... A: There is no good medical or scientific evidence that smoking, alcohol, marijuana, nerve problems or ... | ||
| Hormones - sexual development | 7/4/2007 | Stephen W. Leslie, MD |
| Q: my testicles are very small (2cm wide and 3.5cm long) my doc says they are fine just really small ... A: Enlargement of the testicles is usually the first sign of puberty. Your testicles are a little ... | ||
| Prostatitis vs Kidney Stone | 7/3/2007 | javier cardozo |
| Q: I am a 43 year old male who is in good health. I was diagnosed with Prostatitis one year ago. I ... A: Infection on the prostate gland can reach the kidney especially if unattended. Prostatitis is not ... | ||
| Chronic Prostatitis Treatment | 7/3/2007 | javier cardozo |
| Q: For the past few years I have been suffering from a dull ache in the testicles and a swelling of the ... A: Treatment for chronic prostatitis requires long antibiotics span and mainly to have a specific agent ... | ||
| Double stream while urinating | 7/3/2007 | Stephen W. Leslie, MD |
| Q: I am a 26 year old male diagnosed with the problem of varicocele. I have been facing the problem of ... A: No, it doesn't sound serious. Post void dribbling is very common and is usually dealt with by ... | ||
| Alterations of the cremaster muscle | 7/3/2007 | Stephen W. Leslie, MD |
| Q: I would like to know if it is possible for the cremaster muscle to grow significantly through ... A: There are legends of samurai warriers doing this to protect the testicles, but no definitive ... | ||
| avanafil,PT 141,SLX | 7/1/2007 | Stephen W. Leslie, MD |
| Q: my name is rony,and i need to ask : there are many clinical trials for some new PDE5 inhibitors ... A: Avanafil and SLX-2101 are new PDE5 inhibitors which are still in testing. So far, they appear to be ... | ||
| is the clock ticking on my kidney stone | 7/1/2007 | Stephen W. Leslie, MD |
| Q: Leslie, I am a 61 year old male in excellent health, who began my very first encounter with a ... A: I'll try to answer your questions in order. The fact that you feel fine means absolutely nothing as ... | ||
| Penis size and past injury | 7/1/2007 | Stephen W. Leslie, MD |
| Q: When I was younger, about 13-14 and discovered that I could please myself, I did one time masturbate ... A: A popping sound could be just like cracking your knuckles or a major tear inside the penis. Yours ... | ||
| penis injury | 7/1/2007 | Stephen W. Leslie, MD |
| Q: I asked you a question last week, and your answer was that I might have a hematoma or a thrombosed ... A: I need to remind you that this forum is intended for general questions about men's health and not as ... | ||
| ED post op bilateral inguinal hernia surgery | 6/30/2007 | Stephen W. Leslie, MD |
| Q: Sir, Thank you very much for providing this service. I am 46 M excellent health 8 weeks post OP of ... A: Chances are the nerves on that side were injured or damaged during surgery. They do not generally ... | ||
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Urology
Answers by Expert:
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 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved 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. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute
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