About Experts Sitemap - Group 52

About Experts Sitemap - Group 52 - Page 6 2013-05-21

Urology: Diet Soda, diet sodas, diet soda
Urology: Diet Soda, diet sodas, diet soda, soda industry

Urology: foamy urine and past constipation, dark yellow urine, foamy urine
dark yellow urine, foamy urine, endolimax: Mike: Your symptoms do not necessarily indicate an infection. High protein can best be determined by a 24 hour urine protein measurement. I cannot comment on the stool issues since that is outside my field. Foamy urine is not from temperature differences:...

Urology: found milky liquid while urinating, inflammation of the urethra, lower abdomen
inflammation of the urethra, lower abdomen, frequent urination: Kadir, the milky fluid is either fluid from the prostate gland or a urethral discharge. You will need to see a urologist to distinguish between the two. Your symptoms are typical of an inflammation of the prostate gland, so called prostatitis. However,...

Urology: Herpes and pelvic pain, sex drive loss, pain in the rectum
sex drive loss, pain in the rectum, loss of sex drive: Brandon: I cannot explain your symptoms nor the response you seem to have when an outbreak occurs. I m familiar with PEENUTS and find that it usually helps but not, apparently, in your case. Loss of sex drive is often due to low testosterone level or...

Urology: Hydrocele, tunica vaginalis, strenuous physical activity
tunica vaginalis, strenuous physical activity, susceptible individuals: Jason, surrounding the testicle is a thin layer of tissue folded upon itself with a potential (but empty) space between these leaves. This membrane is called the tunica vaginalis. The cells of the inner lining of this membrane have the potential to secrete...

Urology: Hydrocyle, university medical center, sergery
university medical center, sergery, hydrocele: Harish: A hydrocele is not a converted form of a hernia. It is something totally different and it rarely affects the penis the way you describe. If this is indeed a hydrocele, there is virtually nothing you can do without medical help. I can only...

Urology: hydrocele recovery, hydrocelectomy, scrotal wall
hydrocelectomy, scrotal wall, scar tissue: Steven, this is normal 3 weeks post-operatively & of no concern. There is always a variable degree of inflammation in the scrotum after hydrocele surgery. In most cases as this resolves, the tissues loosen up and things go back to normal. However, as all...

Urology: Kidney Stone post kidney removal, upper quadrant pain, kidney removal
upper quadrant pain, kidney removal, white blood cells: Julie: Stones only cause pain when there is dilation or obstruction to urinary flow. After all, the day before the stone caused any trouble it was still in the kidney system just not in any position causing pain. Making an effort to remove a stone that...

Urology: Kidney Stones, shock wave lithotripsy, renal parenchyma
shock wave lithotripsy, renal parenchyma, outflow tract: Karyn, stones this size rarely pass intact from the kidney. However, having a foreign body in the kidney can predispose you to infection and the formation of additional stones. Although a 7-8 mm stone rarely will pass intact, it can become impacted in the...

Urology: Orchitis not well healed?, seminal vesicles, ultrasound exam
seminal vesicles, ultrasound exam, andrologist: Bruno L, before answering your question directly, let me give you some background information. During sexual arousal the prostate gland manufactures fluid that accounts for about 2/3 of the volume of ejaculate. The seminal vesicles are paired structures...

Urology: Overly sensitive penis, psychological cause, preferred treatment
psychological cause, preferred treatment, sexual disorder: STeven: I m sorry if you don t agree with the explanation, but in the absence of a clear catastrophic even like a major trauma, a psychological cause is the most likely factor in the sudden onset of premature ejaculation. Lidocaine ointment can help, but...

Urology: Pain after rough sex, penis injury
penis injury: Steve: There is no automatic time period for healing of a penile trauma because how fast people heal differs and the amount and type of injury will also be different. I suggest you consult a urologist at this point since you are not healing very quickly....

Urology: Pain in Left Testicle/Groin Area, pain in left testicle, groin area
pain in left testicle, groin area, lower abdomen: Diego, by far the most common cause of your symptoms is referred pain to the groin and testicle from an inflammation of the prostate gland, so called prostatitis. This is a disorder that I have commented on extensively on this web site. In case you have...

Urology: Pain in the tip of penis, lateral internal sphincterotomy, inflammation of the urethra
lateral internal sphincterotomy, inflammation of the urethra, mild inflammation: Stephen, burning in the penile tip & after voiding along with some urinary frequency is common after catheterization. However, these symptoms rarely last for 1-2 days after catheterization. It is due to mild inflammation of the urethra from the catheter....

Urology: Penis Trauma, doctor brian, morning erection
doctor brian, morning erection, strange angle: Brian: This sounds like an injury. Unfortunately, unless it is severe with a rupture of the erection bodies, we usually don t do much. Still, you should check with a urologist immediately if possible. At least, contact your family physician and have...

Urology: PreCum, retrograde urethrogram, vaginal introitus
retrograde urethrogram, vaginal introitus, proximal urethra: Privacy, pre-ejaculate ( precum ) is a normal secretion of a mucous like material from the paired Cowper glands that empty into a man s proximal urethra. The glands are analogous to the Bartholin glands located at vaginal introitus. The discharge they produce...

Urology: Prolonged Urine infection (doc suspects verumontanum problem ), spasmo urgenin, cystography
spasmo urgenin, cystography, urine infection: Yousuf, I am suggesting a second opinion and cystoscopy if recommended by that physician. Cystoscopy is generally less uncomfortable that a cystogram because some type of anesthesia is used. In most cases, a liquid/gel form of novocaine is instilled into...

Urology: Prostate, low ferritin level, iron deficiency anemia
low ferritin level, iron deficiency anemia, serum ferritin: Mike, ferritin is a naturally occurring protein in the blood that binds iron. It is used in the evaluation of certain types of anemia and metabolic diseases. For example, a low ferritin level is found in iron deficiency anemia and an elevated level in diseases...

Urology: Prostate Bleeding while ejaculation, seminal vesicles, pain killers
seminal vesicles, pain killers, alfuzosin: George: This forum is not intended to replace your physicians or to diagnose/treat anyone. We are also not intended for second opinions, but I can tell you that, in general, bleeding related to ejaculation is not that unusual and most of the time nothing...

Urology: Prostatic Fluid, prostatitis
prostatitis: T M Sharaf: The analysis suggests a mild inflammation of the prostate called prostatitis, possibly with gram positive bacteria. The medications are reasonable but a gram positive infection may not be eradicated with the main antibiotic chosen which is...

Urology: Prostatitis, dull ache, prostate massage
dull ache, prostate massage, pelvic discomfort: Greg, let me clarify my response. The NAAT test done on specimens such as urine, urethral swab or rectal swab only will detect Chlamydia or GC at that local site. In other words, a negative test does not exclude these diseases elsewhere in the body (but...

Urology: Prostatitus and Fatigue, prostatitus, low thyroid
prostatitus, low thyroid, time adam: Adam: Fatigue is not a common symptom of prostatitis, but anything is possible. There are no specific treatments for fatigue other than rest and a checkup to make sure there aren t other problems like anemia or low thyroid. Talk to your physician...

Urology: pain during erection and bleeding after ejackulation, county medical society, state medical association
county medical society, state medical association, painful ejaculation: Timothy: Painful ejaculation suggests a prostate infection which can also cause the bleeding. You ll have to see a physician to have the diagnosis verified and to get treatment. Call your county medical society or state medical association to see what...

Urology: In pain when I get an erection, hydrogen peroxide, exact diagnosis
hydrogen peroxide, exact diagnosis, proper diagnosis: Johnny, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall...

Urology: penile Mondor's disease or urethritis? or both?, loss of erection, dorsal vein
loss of erection, dorsal vein, initial pain: John, there is no blood test available that allows one to check for prostatitis. The PSA can be elevated by prostatitis but the PSA level is not of much use in diagnosing prostatitis. I cannot comment on why your test results are not yet back. This...

Urology: prostatitious, left testicle pain, antiinflamatory
left testicle pain, antiinflamatory, inflamation: Stone: I won t be able to answer all your questions because there is no data on some of them. For example, how long it takes an infection to come from the mouth. Typically, any source of infection is likely to take 12-24 hours, but it s not impossible...

Urology: question, anatomy of the penis, peyronie s disease
anatomy of the penis, peyronie s disease, question question: Josh: You can t make the diagnosis yourself. Only a urologist can confirm the presence of a plaque that will ocnfirm the diagnosis. You don t need to have pain to have Peyronie s. It is considered abnormal for the penis to be anything but straight when...

Urology: Red bump on penis, incision and drainage, sebaceous cysts
incision and drainage, sebaceous cysts, bump on penis: Alex, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall try...

Urology: radiation exposure, unnecessary radiation exposure, lower abdominal discomfort
unnecessary radiation exposure, lower abdominal discomfort, careful physical examination: Mike: A standard testicular ultrasound is usually enough. They can extend the exam into the groin to check for hernias. The bottom line could be whether or not you are willing to go through a surgical exploration of the groin knowing that it might not...

Urology: Sex/Urinary Problem since several years, strong smelling urine, urinary problem
strong smelling urine, urinary problem, erection problems: Kanuj, first let me clarify some of your problems. I agree with your other urologists that the cystic lesion of your epididymis is of no concern. These are uniformly asymptomatic, quite incidental to your symptoms & therefore require no treatment. Normal...

Urology: Single Kidney, blood pressure hypertension, congenital absence
blood pressure hypertension, congenital absence, protein in the urine: Pooja, congenital absence of one kidney occurs in 1 out of every 750-1,000 births. Although this can be familial (passed on to your children), in most cases it is not and usually occurs as an isolated event. To be safe, your child should have an ultrasound...

Urology: I Suffer from Chronic Inflammed prostatitis, chronic prostatitis, lower abdomen
chronic prostatitis, lower abdomen, premature ejaculation: Floyd T., your questions really are 3. The first relates to chronic prostatitis, the second to your fertility potential and the third to premature ejaculation. I shall answer them in order: 1. Prostatitis is a disorder that I have commented on extensively...

Urology: Suffering from excluding urine., pediatric urologist, tertiary care
pediatric urologist, tertiary care, stomach: Amit: If three separate physician cannot find a problem or a solution to this situation then it s unlikely I ll be able to help much and I certainly can t suggest a treatment. However, I can recommend that you get a definitive opinion from a tertiary care...

Urology: Should I get a second opinion?, workout regime, mental health plan
workout regime, mental health plan, serum chemistry: Jonathan, I agree that you serum testosterone level is low for your age. This certainly is one of the causes for a low libido. There are many causes of a decreased libido or sex drive. It varies greatly from person to person and in some men, a low drive...

Urology: small bump on testicle, bump on testicle, vericocele
bump on testicle, vericocele, planned parenthood: Rich: Even if I knew if you had cancer or not, you would not hear about it on this forum as it would be quite inappropriate. I can tell you that a cancer of the testicle does not generally appear as you have described. There is no enough information to...

Urology: teticular and inguinal discomfort., canal region, inguinal region
canal region, inguinal region, inguinal canal: Adi: First, masturbation without ejaculation does not generally cause any problem and even here it may have nothing to do with it. As such, I cannot explain what you are experiencing. Swelling and pain in the testicles is usually due to fluid, hernias,...

Urology: thrombosed vein, lymph fluid, heat work
lymph fluid, heat work, question thanks: D: Antibiotics will do nothing to eliminate the fluid or swelling. They are prophylactic meaning they will help prevent any secondary infection. That s it. There essentially is no curative treatment if they don t heal by themselves over time other than...

Urology: Urge to Urinate, Burning Sensation, burning and warm sensation
burning and warm sensation: Nikoh: What you describe does not sound like an obvious infection since the urine is normal and we only have some strange sensations but not swelling or redness. The urgency can indicate an infection or just overactive bladder. You ll need to check with...

Urology: Urinary Problems, bladder function, casual conversation
bladder function, casual conversation, prostate gland: It doesn t sound like your symptoms are all that unusual and your body is undergoing many changes at 14 that can have some of these effects. Its very possible that much of these secretions could be from the prostate. If you are really worried, you can arrange...

Urology: Urinary problems, urinary problems, scrotum
urinary problems, scrotum, discharges: T: It is unlikely that discharges will continue indefinitely. However, some dribbling is not uncommon even after maturity. Treatment for post-void dribbling involves pressing your hand from the base of the scrotum towards the base of the penis to express...

Urology: Urine problem, water deprivation test, sexual disorder
water deprivation test, sexual disorder, nephrologist: Qaser: It sounds like you have premature ejaculation, a very common male sexual disorder. This can be best treated with Medication. Voiding every 2 hours is considered borderline abnormal, but it depends on the amounts. This can also occur from too...

Urology: urinary obstruction related to prostate cancer, deep vein thrombosis, psa value
deep vein thrombosis, psa value, marevan: Yousra: THis is a very complicated problem that cannot be cured by a quick review. He has active prostate cancer, urinary obstruction and active bleeding. He needs to see a good urologist or get a second opinion. Small amounts of radiation can be used...

Urology: urine retention, Voiding trouble in a 24 year old
Voiding trouble in a 24 year old: Joe: I couldn t begin to develop a diagnosis based solely on your description. Either the bladder is working correctly, the sphincter is not working properly or there is some obstruction to the flow. This will need to be determined before any treatment...

Urology: urology, urinary cytology, urine cytology
urinary cytology, urine cytology, gross hematuria: John, there are many possible causes for blood in the urine (hematuria). The origin of the bleeding can come from the upper (kidneys or ureters) or lower (bladder, prostate, urethra) urinary tract. Blood seen only under the microscope (microscopic hematuria)...

Urology: Varicocele and low scortum due to excess masterbation, varicocle, scrotum
varicocle, scrotum, personal physician: Alan: First, masturbation does not cause decreased blood flow, varicoceles, ED or anything else other than maybe some guilt! Scrotal movements are determined by cremasteric muscles that normally are moved according to temperature. The erection trouble...

Urology: varicocele operation, varicocelectomy, semen analysis
varicocelectomy, semen analysis, motility: Danielle, 70% of men who under varicocelectomy for an abnormal semen analysis, have improvement in the quality of their semen. As it take around 90 days for a whole new population of sperm to be formed, typically the first post operative semen check is made...

Urology: venous leakage, Do I have Venous Leak ED?
Do I have Venous Leak ED?: John: Not necessarily. Usually, venous leak causes an obligatory loss of rigidity regardless of stimulation so the likelihood is that you don t have venous leak to begin with. Even if you did, since there is no specific treatment, does it really matter...

Urology: Wet/pressure feeling in Urethra, flare ups, non specific urethritis
flare ups, non specific urethritis, gonnorrea: Ben, by far the most common cause of such a feeling in the tip of the penis is an inflammation of the prostate gland, so called prostatitis. There are several types of prostatitis one of the most common being bacterial. This is the only type that usually...

Urology: afer ejacuation it did not get erection again, burning sensation, ejacuation
burning sensation, ejacuation, hello doctor: Arain: It sounds like you have a problem with premature ejaculation. Treatment usually involves an examination to exclude infection and either behavioral therapy or medications. You ll need to talk to your physician or consult a urologist. The penis...

Urology: Benign Tumor on my baby, teratoma of the testicle
teratoma of the testicle: Trina: Shame on that doctor! He s supposed to explain exactly what was done and what to expect now. He should also provide a more adequate description of exactly the final pathology and future plans for followup. First, a bruised and discolored scrotum...

Urology: Bleeding Penis, tight foreskin, hydrogen peroxide
tight foreskin, hydrogen peroxide, long fingernails: Wildy, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall...

Urology: Bleeding after sex, Bleeding from penis after sex
Bleeding from penis after sex: Ken: Obviously, there is not supposed to be any penile injury or bleeding during or after sexual activity. This sounds like you ve injured the penile frenulum. A small procedure to free this up could eliminate this injury. You should consult a urologist...

Urology: Blood from Penis post mastrubation, blood in the semen, semans
blood in the semen, semans, odd days: Rajiv: The blood will continue to come out until it stops. There is no definitive time limit. If it continues more than 2-3 months, we recommend a urologist consultation. This does not happen in the majority of men, but its not uncommon either. You can...

Urology: Bloody Urethral Discharge, brownish discoloration, hard stool
brownish discoloration, hard stool, seminal fluid: Anonymous, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in one of the fragile veins of the prostate gland or an inflammation of the prostate (prostatitis). Bleeding may occur during sexual excitation, ejaculation,...

Urology: Burn during ejaculation and urinating, non gonococcal urethritis, milky fluid
non gonococcal urethritis, milky fluid, cystoscopy: Darryl: You already have a urologist but you might want to consider a second opinion. A change of the antibiotics might help. For example, you may not yet have tried Doxycycline which sometimes helps when other antibiotics don t. A diagnosis of prostatitis...

Urology: bcg vs. mytomycin-c for recurring, superficial, non-invasive bladder cancer; also, how long should Mytomycin-C be left in the bladder?, invasive bladder cancer, bacillus calmette guerin
invasive bladder cancer, bacillus calmette guerin, tb bacteria: Marvin, it is recommended that Mitomycin C be left in the bladder for at least 1 hour after instillation. Many prefer it to be left in for 2 hours. In addition to using prophylactic instillations immediately after surgery, a course is generally given thereafter....

Urology: blood in the urine, bladder cancer, waffa
bladder cancer, waffa, blood in the urine: Waffa Hai: Obviously I can t comment on the growth in the bladder. Only her physicians will know exactly what it looks like. I can tell you that blood in the urine from bladder cancer is a relatively common cancer. The nature of the growth, its extent...

Urology: blood in urine, st barnabas medical center, kimball medical center
st barnabas medical center, kimball medical center, barnabas medical center: Jeff, I cannot recommend holistic or any other type of treatment until the etiology of your bleeding is identified. Therefore, I strongly encourage to see a urologist. I am unfamiliar with your medical community but note that the Kimball Medical Center is...

Urology: Contact with Cell Phone, incident electromagnetic waves, varicocele surgery
incident electromagnetic waves, varicocele surgery, electromagnetic exposure: Jesse, there is absolutely no reason for concern from this incident. Electromagnetic waves have been possibly related to an increased risk for variety of cancers from long term exposure. Such a brief exposure to the testes as you experienced will not cause...

Urology: CPPS / Frequency / How to Treat, Prostatitis
Prostatitis: John: Most cases of prostatitis do not last very long, but there are some that require ongoing treatment. There is no such thing as a normal life cycle for prostatitis. The more difficult and complex cases will last longer. There is some evidence...

Urology: Cut on my penis, keloid formation, sweat glands
keloid formation, sweat glands, kelloid: Arthur, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall...

Urology: corona of the glans nerve damage, vitamin b 6, nerve injuries
vitamin b 6, nerve injuries, nerve damage: Greg: It is possible some damage may have been done. Usually, any lost sensation slowly recovers but it can take months. The darker color is not abnormal. There is no known curative therapy for nerve damage to the penis. However, it might help to take...

Urology: Dark staining urine, inverted penis, urology specialist
inverted penis, urology specialist, hypospadius: Peggy: There is not enough information given to make an conclusions. I m not sure what you mean by an inverted penis except that he might have a hypospadius. If so, this should be managed by a pediatric urology specialist. Wetting the bed at 11...

Urology: Doctor said there is nothing wrong with my urine, white blood cells, kidney stone
white blood cells, kidney stone, stomach pains: Jenny: As you probably know, testosterone is not indicated for use for muscle building in athletics as it is legally prohibited. The reason for this is the potential damage it does the liver, kidneys and other organs. Having said that, you are right that...

Urology: Dry Iritated skin now rash on Penis, psoriasis eczema, circumcison
psoriasis eczema, circumcison, contact dermatitis: Eric, it is difficult to make this type of diagnosis over the internet without the ability to do a physical examination. Common causes would be a yeast or fungal infection, contact dermatitis, or a primary dermatologic condition (such a psoriasis, eczema,...

Urology: discomfort and retraction, radical prostatectomy, lower abdominal muscles
radical prostatectomy, lower abdominal muscles, groin pain: Adam, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall try...

Urology: drops after urination, Post void dribbling
Post void dribbling: Humza: We don t suggest tests on this forum. Post void dribbling is caused by some urine staying in the passage. This can be expressed by pressing from the front of the scrotum forward towards the base of the penis. Your weakness and weight loss are...

Urology: ED, urogenital infections, errection
urogenital infections, errection, foul smell: Andrej: I do not agree with the quoted statement. If there is an infection, it should be treated. A foul odor certainly suggests an infection. The prostate gland does not become weak as it s not a muscle although it can become infected. You have...

Urology: ED, ED questions
ED questions: Sasha: I have no way to desribe to a layman the degree of blockage necessary to cause ED. Suffice it to say that the blockage has to be considerable. Depression has no effect on blood supply to the testes. There are only two cavernosal arteries which...

Urology: ED, causes of impotence, performance anxiety
causes of impotence, performance anxiety, emotional causes: Sumeet, what you are describing does not sound like ED. There is normally a variation in the degree of erection that a man gets depending on many factors besides ED. These might include degree of rest, days activities, problems on one s mind, alcohol intake,...

Urology: ED Issue, poor blood flow in penis, ED
poor blood flow in penis, ED: Bob: Trying to unclog or bypass the extremely tiny arteries inside the penis is no possible. Trying to do so would only damage things more. Various attempts at vascular support and bypass have only had limited success in selected cases where there is...

Urology: Endometriosis, jock itch, bladder infections
jock itch, bladder infections, intermittent pain: Kelly: Most of your questions, such as the nature of endometriosis, should be directed to OB-GYN. Put simply, endometriosis is a condition where cells of the uterus are growing elsewhere in the body. They respond to hormones and so can cause intermittent...

Urology: Enlarged Prostate, Incontinence and slow urination
Incontinence and slow urination: Deborah: At 25 it would be exceedingly unlikely for him to have either BPH or prostate cancer. Other problems such as neurogenic bladder, overactivity or prostatitis are far more likely. He should talk to his physician or consult a urologist for evaluation...

Urology: Epididymitis, testicular pain
testicular pain: Jeff: Its impossible to determine the nature of the testicular problem from the available information. A testicular ultrasound would be very helpful in making this clearer. You should seek a second urology opinion if things aren t getting better and no...

Urology: Erectile/testicular/varicocele dysfunction due to 2 decades of over masterbation, testicular varicocele, poor blood flow
testicular varicocele, poor blood flow, black organ: James: Many misconceptions here. How low the testicles hang depends on cremasteric muscle activity which usually is related to temperature. It does not typically change with masturbation nor does testicular activity or location affect erection function...

Urology: Excess Urine, Pain at lower abdomen and feel uncomforable, soaps and detergents, bladder diseases
soaps and detergents, bladder diseases, interstitial cystitis: Farhan, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall...

Urology: enlarged prostate, Treatment of BPH with natural products
Treatment of BPH with natural products: Rausell: We cannot recommend unproven and untested herbal products for prostate. Its unclear what lab test you are talking about. If the PSA level has gotten lower, then it may be doing you some good. If you have symptoms such as frequency or slow urinary...

Urology: enlarged prostrate, Do I need prostate surgery?
Do I need prostate surgery?: Ken: If you are on maximum medical therapy and still having significant urinary symptoms or other objective evidence of urinary or bladder difficulties, then a surgical procedure is necessary. Otherwise, your bladder will become damaged and you ll eventually...

Urology: erection, possibly heating pad injury to penis
possibly heating pad injury to penis: RJ: It is quite unlikely that you caused any injury to the penis from the heating pads, but in medicine almost anything is possible. Since the exact cause and nature is unclear, it can t be easily predicted. I suggest you consult a urologist to determine...

Urology: Firm Flaccid Penis / ED / Weird symptoms, drops of blood, lot of water
drops of blood, lot of water, urethra: Tim: A normal PSA test does not necessarily rule out all prostate problems. Semen color is usually due to diet, medications and state of hydration. Its not useful to diagnose any disorders and its not usually treatable by itself. The reason for your...

Urology: Follow up / sensation, zero improvement, heat cold
zero improvement, heat cold, urologist: Peter, I reiterate that your problem will gradually improve. It would be rare to wake up one day and suddenly have normal sensation and function. Almost always, the improvement is gradual. As previously stated, all patients I have seen with this problem...

Urology: ED Issue, priapus, 20 men
Urology: ED Issue, priapus, 20 men, new blood

http://en.allexperts.com/q/Urology-Male-issues-989/2010/8/f/Erectile-testicular-varicocele-dysfunction.htm

Urology: Hydrocele/Variocele, month and a half, pills
Urology: Hydrocele/Variocele, month and a half, pills, mistake

Urology: Orgasmic Anejaculation- orgasm with no ejaculate, blood pressure medications, blood pressure medicine
Urology: Orgasmic Anejaculation- orgasm with no ejaculate, blood pressure medications, blood pressure medicine, labetalol

Urology: Possible nerve damage in penis.. Severe symptoms, suspensory ligament, many thanks
Urology: Possible nerve damage in penis.. Severe symptoms, suspensory ligament, many thanks, anxiety

Urology: Question about diverticulum, throat swabs, diverticula
Urology: Question about diverticulum, throat swabs, diverticula, 8 years

Urology: Varicocele and low testosterone, testicle size, atrophy
Urology: Varicocele and low testosterone, testicle size, atrophy, testicles

Urology: Granuled semen and pain in left testicle when touched., Pain in the testicle
Pain in the testicle: Stanley: We try not to recommend any particular medications because in many parts of the world, patients are able to obtain drugs without seeing physicians and it would not be wise to depend strictly on an Internet diagnosis. The discomfort in the testicle...

Urology: Hydrocele/Variocele, variocele, oatmeal bread
variocele, oatmeal bread, lime water: Brian: Optimal diets will not eliminate hydroceles or varicoceles. These are anatomical problems not affected by diet good or bad. Neither will walking with heavy pockets do this. Varicoceles come from a defect in the small valves of the left testicular...

Urology: help, Enlarged testicle
Enlarged testicle: Michael: There is probably a hydrocele in that testicle which may now be enlarging. You should consult a urologist to see about confirmation of the diagnosis and treatment. A testicular tumor is an unlikely possibility but even that is not life-threatening...

Urology: hematuria or not, Blood dripping from penis
Blood dripping from penis: Robert: Technically, your problem was gross hematuria. You had a complete and appropriate workup. The blood was oozing out of the penis not exclusively mixed in the semen; therefore its gross hematuria. We don t have a more specific diagnosis as blood...

Urology: impotence, elevated prolactin levels, excessive masturbation
elevated prolactin levels, excessive masturbation, hardening of the arteries: Leoneed, your lab tests are basically normal except for the mild elevation of the prolactin. In addition, the testosterone is in the low range of normal especially for your age. Prolactin is a hormone produced by the pituitary gland. A deficiency of this...

Urology: infertility, semen analysis, reading research
semen analysis, reading research, testicle: Zakir: THe fact that the testicles were not brought down in early childhood will reduce your fertility somewhat. (at least 25%) plus there is really only one testicle. The only way to know for sure what your chances are is to get a semen analysis. My...

Urology: irritated penis, Skin problem on the penis
Skin problem on the penis: John: The experts in skin problems involving the penis are the dermatologists. Find one with some experience in sexual problems. Urologists are focused on surgery of the GU tract and have relatively little training in skin disorders compared to the dermatologists...

Urology: Lacking sensation, Loss of sensation in the penis
Loss of sensation in the penis: Leo: I can t explain for sure why there is the sensation of cold in the penis but its probably from the decreased sensation you mentioned earlier. The most common reason for decreased sensation is some type of nerve injury (vitamin deficiency, liver disease,...

Urology: LONG TERM LEAKAGE, penile leakage/discharge
penile leakage/discharge: Jim: I cannot explain your disorder other than to remind you that semen is almost never released without additional effort. The discharge could indicate infection or excessive secretions from Cowper s gland, the prostate or the periurethral glands. If...

Urology: Low Testosterone?, Low Testosterone
Low Testosterone: Garret: The results cannot be interpreted as presented. All laboratories have normal ranges which are different from one lab to another. Because of this, all laboratories results in the US must have a reference or normal range. You didn t provide...

Urology: Lump on penis, sexual intercourse, female partners
sexual intercourse, female partners, cyst: Zhane: I can t really tell just from the picture, but it looks like a small cyst. You ll need to see a urologist at some point just to be absolutely sure. This can be removed if you want (maybe when you re a little older). You may not want any future...

Urology: How long can residual sperm live in the penis after ejaculation?, accidental pregnancy, fallopian tube
accidental pregnancy, fallopian tube, incriminate: Ronnie, almost all of the sperm are released in the semen with ejaculation. However, some remain in the urethra for a few hours (rarely more than 24 hours) but most are washed out with urination. In addition, the are normal constituents in the urine that...

Urology: low volume ejaculation, blood in the semen, brownish discoloration
blood in the semen, brownish discoloration, hard stool: Brian, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in one of the fragile veins of the prostate gland or an inflammation of the prostate (prostatitis). Bleeding may occur during sexual excitation, ejaculation,...

Urology: medication BPH, medication regimen, cardura
medication regimen, cardura, going to the bathroom: Edward: You should check with your physician or consult a urologist. There are many factors involved in medication selection and/or side effects. Nocturia twice a night is not too bad, but it indicates tha the current medication regimen may not be adequate...

Urology: off and on mild groin pain, groin pain, loose stools
groin pain, loose stools, lower back pain: Lee: Ultrasound is not considered a very reliable test for kidney stones. A CT scan would have been better. Referred pain is likely, but we can t rule out a stone either. A CT would do so. Its not true that the tiniest of stones cause constant...

Urology: Neurogenic Bladder post lithotripsy, kidney stones, lithotripsy and neurogenic bladder.
kidney stones, lithotripsy and neurogenic bladder.: Pattie: This is not a side effect of lithotripsy, but this could be a result of the anesthesia and stent effects. You need to consult a urologist about the bladder function problem and the sensory loss. More importantly, you should ask about a 24 hour...

Urology: Nocturnal erctions and anal swelling., nocturnal erections, petril
nocturnal erections, petril, sleep study: Jeff: I can t be a treating physician for you based solely on the information provided. There is no known connection between erection function and a swollen anus. They don t actually connect. If you re not sure which physician to see next, ask your family...

Urology: Nocturnal erections after Outpatient surgery, Prevention of nocturnal erections
Prevention of nocturnal erections: Alan: There is no easy way to prevent nocturnal erections. A penile injection of vasoactive drugs (diluted phenylephrine) can be used to reduce the erection. This will have to be prescribed by a urologist (regular physicians will not know what to use,...

Urology: Orgasmic Anejaculation- orgasm with no ejaculate, Male infertility problem
Male infertility problem: Kelly: From the limited information provided, I would have assumed retrograde ejaculation except for the negative findings by the urologist. Since TESE found adequate sperm, that or ICSI would seem to be the way to go. The reason for the failure is unclear...

Urology: Pain ejaculating, upper thigh pain, pain in the lower abdomen
upper thigh pain, pain in the lower abdomen, tadacip: Kevin: I can t recommend tadacip. This is an illegal (in the US) copy of tadalafil (Cialis). We have no information on production or possible impurities of this product so you take it at your own risk. Abdominal pain is not common with this type of...

Urology: Pain in groin area and lower back, pain in groin area, pain in groin
pain in groin area, pain in groin, groin pain: Rohit: Your questions refer to groin pain and Hernias which should be answered by my general surgery colleagues. Hernia bulges can easily disappear on their own. This happens all the time. The burning sensation could be a sign of prostatitis. ...

Urology: Partial erection - downward bend., diagnostic modality, partial erection
diagnostic modality, partial erection, maintaining erections: Dan: ALmost any kind of injury is possible such as bruising, contusion, hematoma, neuropathy, soft tissue injury, etc. There is no specific test for such injuries other than a careful physical examination. I really don t want to get into a detailed discussion...

Urology: Penile Discharge, gram bacteria, stomach cramps
gram bacteria, stomach cramps, gastrointeritis: Maria, sorry your son is having such problems. Let me first state that I do not believe the Amoeba infection and his discharge are related problems. Discharge from the urethra is a common symptom that is called urethritis . If thick and discolored (ie...

Urology: Penis Injury / Hard flaccid, routine urinalysis, loving girlfriend
routine urinalysis, loving girlfriend, drops of blood: Tim: It s very doubtful that you did any significant injury. A little rest is a good idea. I would wait one more week before trying anything. This should eventually heal up OK. If not, you might want to ask for a consultation with a urologist just to...

Urology: Penis Problem, plain soap, couple bumps
plain soap, couple bumps, soap and water: Trey: First, don t use any creams, lotions or medications on the penis that were not recommended by your physician or specifically made to be used on the genitals other than plain soap and water. Next, contact your physician. He ll need to check this...

Urology: Possible clogged lymph node vein, lymph node, bruise
lymph node, bruise, blood vessel: Jeff: You didn t ask a question, but I assume you want some advice. First, we don t make diagnoses on this forum; just answer general questions. You will need to see your family doctor or consult a urologist. Until then, try some hot sitz baths. Hot...

Urology: Possible nerve damage in penis.. Severe symptoms, spontaneous erections, anatomy and physiology
spontaneous erections, anatomy and physiology, nerve problem: Shiv, I have read the web sites regarding claims of increasing penile size with a variety of techniques but have had no personal clinical experience with them (ie penile extenders, massage, jelqing, andropenis, etc.). However, based on my years of practice...

Urology: Postrate Cancer Adenocaricine, Best treatment for prostate cancer
Best treatment for prostate cancer: Iqbal: I am assuming that the diagnosis is adenocarcinoma and you are referring to his Gleason score as being 4 while the PSA is 2.1. There is no single best treatment for prostate cancer and an extended discussion is beyond the scope of this forum....

Urology: Priapism, ED after priapism surgery
ED after priapism surgery: Daniel: First, no hytrin. The shunts will interfere with future erections. You can try Viagra/Levitra/Cialis, external vacuum devices, urethral suppositories (MUSE), or penile injections. If none of these work, then an implant is your only option. Talk...

Urology: Prostate, benign prostatic hypertrophy, natures bounty
benign prostatic hypertrophy, natures bounty, difficulty in urinating: Sean, side effects from saw palmetto are rare and mild. These are mainly dizziness or GI in nature. Back or coccyx pain has not been reported from taking this product. I think you have a misconception about the prostate gland. Although benign prostatic...

Urology: Prostate biopsy, Abnormal PSA
Abnormal PSA: Sam: The answer is maybe . Your PSA is now 4.6. The earllier Free PSA % was low which is a concern. In my practice, I typically try a 30 day course of antibiotics, then repeat the total and free % PSA levels. If it remains suspicious, then a biopsy...

Urology: Prostate Cancer, Elevated PSA and Prostate Cancer
Elevated PSA and Prostate Cancer: Mick: There are no specific answers to your questions. There is no specific elevation of PSA that means a prostate cancer has spread: it all depends on the previous levels and the absence of other problems like prostatitis. In general, prostate cancer...

Urology: Prostatitis, glans penis, urethrogram
glans penis, urethrogram, penile pain: Keith: Although psoriasis can appear on the penis, it rarely causes the type of pain you describe. Sending a photo will not help as I cannot make diagnoses or initiate treatment. The experts on skin lesions of the genitals are the dermatologists. Perhaps...

Urology: Can Prostatitis Lead to ED or lack of pre-cum?, testosterone levels, pre cum
testosterone levels, pre cum, arteriosclerosis: George: Yoiu now have some ED. The cause at this point is uncertain. Aging alone does not cause ED in the absence of other underlying problems such as diabetes or arteriosclerosis. Prostatitis can affect erections but usually not permanently. You should...

Urology: Prostatitis or STD, flank pain, unprotected oral sex
flank pain, unprotected oral sex, flow volume: John: Your physicians have diagnosed you with prostatitis. While an STD is not impossible, there does not seem to be sufficient evidence of an STD to warrant additional testing. Just ask the urologist about it when you see him next. He may reconsider....

Urology: Pubic hair, Pubic hair and male urinary tract infections
Pubic hair and male urinary tract infections: Dan: Pubic hair has little, if any, effect on male urinary tract infections. We do not recommend shaving of pubic hair by men. It is a rare practice in men in the US. We usually recommend a urology consultation for any man with a documented infection...

Urology: pain in prostate prior to bowl movement, nocturia
nocturia: Fred: Going to the bathroom to urinate at night 3 or more times is abnormal and might be a sign of prostate enlargement. A pain in the groin area is not usually a prostate problem but suggests a possible hernia. Some hernias can involve the bladder which...

Urology: penile arteries and ED, collateral flow, arteries
collateral flow, arteries, blood flow: Sasha: It takes a considerable blockage of the cavernosal arteries to cause ED, but there are other reasons such as medications and diabetes that can contribute. There is no good arterial collateral flow to the corpora (erection bodies) which is why they...

Urology: penile curvature, Penile Curvature
Penile Curvature: Bryan: Very few urologists have any extensive experience with peyronie s and even fewer will want to get involved in some other surgeon s bad outcomes. Two of the best that I know are Drs. Tom Lue at University of California San Francisco, and Larry...

Urology: penile fracture?, Penile fracture
Penile fracture: Jay: Your problem is almost certainly not a penile fracture. Fractures cause immediate, severe pain, swelling, bruising and pain with angulation of the penis. The nature of your problem cannot be determined from the limited information provided. We suggest...

Urology: penis dis - coloration, exact diagnosis, dermatolgist
exact diagnosis, dermatolgist, penis head: Randy, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall try...

Urology: perineum pain, Pain in perineum
Pain in perineum: Scott: A groin pull is not common in this area. A condition called levator ani syndrome is one possibility, but most of the time this is from an inflamed prostate. Try sitting in a hot tub for 5-10 minutes three times a day and contact your physician...

Urology: plaques,scar tissue,fibrosis`,duplex ultrasound, duplex ultrasound, corpora cavernosa
duplex ultrasound, corpora cavernosa, routine physical examination: David: 1) The plaques are often found on physical exam, but they can be below the level of the abdominal cavity or under the dorsal neurovascular bundle making detection more problematic. The decision on whether or not to do a duplex ultrasound if no plaque...

Urology: powdery substance in the urine, foamy urine, protein in the urine
foamy urine, protein in the urine, forceful stream: Adam, there are several causes for foamy urine. It is often due to a forceful stream and/or the passage of concentrated urine due to relative dehydration. Significant amounts of protein in the urine (proteinuria) can also produce foamy urine. There are...

Urology: prenium pain, Perineal Pain
Perineal Pain: Saravanan: You need to consult a urologist. You could have stones that would account for the recurrent infections. These can usually be detected by CT scans, ultrasound or plain x-rays (KUB). The current problem sounds like prostatitis which can also...

Urology: prostatitis, burning sensation while urinating, chronic prostatitis
burning sensation while urinating, chronic prostatitis, doxycyclene: Jeff: We don t give this detailed type of medical advice on this forum. We only try to answer some general questions. Specific medical advice should only come from your personal physician. Since you are getting conflicting advice, it might be wise to...

Urology: Question about diverticulum, pediatric urologist, renal ultrasound
pediatric urologist, renal ultrasound, frequent urination: Violet, I shall try to answer your questions but most of my experience is with adult urology. If my response requires further clarification, I suggest you send this to a pediatric urologist. Regardless of what your pediatrician says, I think it best to...

Urology: REG. Urine burning sensation, burning on urination
burning on urination: Rahul: Burning on urination is not normal. It usually indicates some level of inflammation or infection. If the urine tests are all normal, then infection is not likely but inflammation such as prostatitis is still possible. Talk to your physician about...

Urology: Recurring Leakage, involuntary leakage, urethral discharge
involuntary leakage, urethral discharge, crotch area: T. Hossain, involuntary leakage of fluid from the penis unrelated to urination is termed a urethral discharge. This can be due to a congested prostate gland or to an infection in the urethra. In order to determine the cause, it is necessary to see your family...

Urology: Ring-Like Bruise, partial erections, circumcised male
partial erections, circumcised male, sophomore year: Michael: Your problem is not likely to disappear with just a little more lubricant or short term discontinuation of masturbation. You could have some scarring or early Peyronie s disease (scarring or fibrosis of part of the erection body) which can progress...

Urology: Severe ED, ED
ED: Gildo: I m not sure I can offer any better information about what is happening. Part may be psychological. There may also be some unusual vascularity where positioning, such as standing, improves blood flow. Unfortunately, that doesn t help in treatment....

Urology: Slow Urine Flow, Slow stream, stricture
Slow stream, stricture: Rohit: I m not sure that another cystoscopy will be necessary. We already have a diagnosis. Additional strictures are one possibility from any instrumentation but this has to be balanced against having a correct diagnosis and assessment of the problem....

Urology: Sores on penis only during intercourse, sores on penis, allergy medicines
sores on penis, allergy medicines, hydrocortisone cream: Christie: The issue is almost certainly the acidity of the vagina which is irritating the penis. There may have been some viral exposure in the past making the area senstive to the relatively mild and normal vaginal acidity. Unfortunately, no good solutions....

Urology: Sperms in u analysis, retrograde ejaculation, sperms
retrograde ejaculation, sperms, urine analysis: Essa, you have no reason to be concerned over this. After a man ejaculates, it is common to see sperm in a urinalysis for at least 24-36 hours. Although most of the sperm come out with the semen, some remain inside of the urethra. In addition,some of the...

Urology: Strange blobs in semen, "Blobs" in semen
"Blobs" in semen: David: The blobs are normal but usually are not greenish. Its not likely that the blobs are actually blocking things. A hot sitz bath may help. Semen does not typically get stuck in the tube . IT may seem like it if there is any prostatitis or similar...

Urology: No sexual pleassure, curious thing, sexual feeling
curious thing, sexual feeling, glans: Ryan: Getting kicked in the groin might affect part of the penis, but not the opposite side. The nerves that control erections are different from the nerves that control sensation. When sensory losses occur, this is often due to underlying medical issues...

Urology: side effects of over masturbation......., lower back pain, thinning of hair
lower back pain, thinning of hair, deppression: Waseem: There are many, many reasons for ED, far too many to list here. The most common are diabetes, medications, surgery, radiation, high blood pressure, medication side effects, psychological issues, depression, etc. Only your physician can reliably...

Urology: sling procedure, Urinary incontinence
Urinary incontinence: Jan: Just ask the physician straight out how many of these he has done and what the results have been. Also ask about urodynamics and the likelihood of additional treatment for overactive bladder. Finally, ask about a trial of Kegel exercises and medication...

Urology: staghorn calculi, staghorn calculi, drainage tubes
staghorn calculi, drainage tubes, kidney function: Kip, there is no definitively correct answer to your question which is why your fiancee s urologist have discussed a variety of options with you. As physicians, sometimes we have to make choices of treatment, all of which have inherent dangers. If her left...

Urology: TESTICLE PAIN BUT I HAVE THE STONE PROBLEM, Burning with ejaculation
Burning with ejaculation: Neerub: The stones may need to be treated with ESWL or similar to help you get rid of them. Afterward, a 24 hour urine can be done to identify the correctable high risk factors that are causing your stones so you will make fewer in the future. Burning...

Urology: Tip of the penis, urinary cytology, urine cytology
urinary cytology, urine cytology, gross hematuria: Steve, there are many possible causes for blood in the urine (hematuria). The origin of the bleeding can come from the upper (kidneys or ureters) or lower (bladder, prostate, urethra) urinary tract. Blood seen only under the microscope (microscopic hematuria)...

Urology: Left testicle doesnt move., tunica vaginalis, exact diagnosis
tunica vaginalis, exact diagnosis, gubernaculum: Tec, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall try...

Urology: testicle position (post hernia surgery), scar tissue, position post
scar tissue, position post, symetry: Jay: This is probably from scar tissue after the surgery. No easy fix. A repeat surgery would be needed to free up the testicle. Unless the testicle is causing pain, I wouldn t recommend a surgery to fix it. If anyone asks, just tell them its a complication...

Urology: I tried jelqing or milking my penis... And now I can't get erections like before, Penile injury after jelking
Penile injury after jelking: Jovanny: In most cases, the penis slowly recovers but that is not a guarantee. And you ve learned an important lesson. In case you missed it, no more jelking. This forum is full of patients with penile injuries from these dangerous maneuvers. Talk to...

Urology: UA test, bacterial organism, screening appointment
bacterial organism, screening appointment, species of bacteria: Mayree: They did not diagnose a UTI because there were multiple species of bacteria (not just one) and you had no symptoms. Multiple species usually indicates an improperly collected or contaminated sample. If you had an infection, there would generally...

Urology: Urge to urinate at night, uncontrolled urination, clutching at straws
uncontrolled urination, clutching at straws, glucose test: Greg,you need to see a urologist in consultation. Based on your age, and nocturia that is associated with some urgency and sensation near the end of the penis the most common cause is prostatitis. I say this in spite of your doctors essentially normal findings....

Urology: Urinary Issues (26-yr-old), Urgency and ED
Urgency and ED: Brian: I can t explain the feeling of the urethra being full, but the sensation of having to go often should be treatable. First, get a second urology opinion. This may include a cystoscopy (look inside the bladder) and/or a CMG (bladder pressure test)....

Urology: Urine flow, urine tract infection, pus in urine
urine tract infection, pus in urine, bladder wall: Nuzhet: First, your infection needs to be taken care of. Once that is clear, a special bladder pressure test may need to be done. A trial of various bladder relaxing medications can be done. If none of them are adequate, special treatments such as Interstim...

Urology: Urology, internal sphincter, sphincter muscle
internal sphincter, sphincter muscle, urologist: Colleen: Normally, a man cannot easily urinate or void while the penis is erect. To do so, he would need to partially relax the internal sphincter muscle which normally tightens with erections. That is where the tearing probably came from. This is...

Urology: Urology, toilet paper roll, semen volume
toilet paper roll, semen volume, bladder neck: James, during sexual arousal the prostate gland & seminal vesicles manufacture fluid that account for the majority of the semen. The seminal vesicles are paired structures located behind the prostate gland that are also sensitive to sexual excitement. Sperm...

Urology: underside of penis tender, neurological problems, erect penis
neurological problems, erect penis, urologist: Billy: The symptoms you describe are a bit odd. If you ve seen a urologist without any help, there is probably little that I can add except perhaps to get a second opinion. Neurological problems, skin disorders, infection and injury are the most common...

Urology: urethral tear, blood rushes, cystoscopy
blood rushes, cystoscopy, prostate gland: John, in spite of the fact that your urologist told you that your prostate was normal and that the bleeding was coming from a urethral tear, I think this is very unlikely. This type of bleeding usually comes from the prostate gland. It is generally due to...

Urology: urinary urgency, Urinary frequency.
Urinary frequency.: Aidee: Prostatitis is possible but so is overactive bladder. While not usually thought to be dangerous, it can be difficult to cure. For now, try some hot sitz baths and avoid hot spicy foods and caffeine. Make an appointment with your physician or consult...

Urology: urine burning sensation in penis, pus cells, phleboliths
pus cells, phleboliths, lower abdomen: Rahul, the most common cause of your symptoms is an inflammation of the prostate gland, so called prostatitis. This is a disorder that I have commented on extensively on this web site. In case you have not read it before, to follow is a macro I have written...

Urology: urology, Pneumaturia, air in the urine
Pneumaturia, air in the urine: Huuphuoc: I can t verify the cause of the fistula, but since a parasite was involved that is one possibilty. We don t see many intestinal parasites here in the USA so we have very limited experience with them. IN the USA, the main cause of these fistula...

Urology: uti, female urethra, white blood cells
female urethra, white blood cells, definitive diagnosis: Dominique, the most common cause of your symptoms is a urinary tract infection. Urinary tract infections (UTIs) in females are very common compared to men. This is due to the relatively short length of the female urethra. This results in the bladder being...

Urology: Varicocele and low testosterone, testicular atrophy, testosterone production
testicular atrophy, testosterone production, varicoceles: Wikipedia is not the last word on medical advice. It is true that a varicocele CAN cause some testicular atrophy, but this is rare and would only affect the testicle on the side involved. Such atrophy would be unilateral and not affect overall testosterone...

Urology: Varicocele or other pain?, penis shaft, jelking
penis shaft, jelking, definitive examination: John: First, I strongly advise you to stop doing the jelking exercises. This forum is absolutely full of men who ve done them and caused some type of long lasting damage to their penises. Varicoceles do not typically hurt or cause penile pain which I...

Urology: Will veins from Jelqing go away?, Enlarged veins in the penis
Enlarged veins in the penis: John: Varicose veins are something else. Larger veins do not necessarily mean better circulation and in fact may indicate a problem with venous drainage such as varicose veins which are abnormal. By the way, we do not recommend Jelking due to the numerous...

Urology: WBC's in urine after antibiotics, but not before, female urethra, left flank
female urethra, left flank, initial dr: Pat, the most common cause of urinary frequency and burning in a woman is cystitis. Most often this is due to a bacterial urinary tract infection (UTI). Typically there are many WBC and bacteria noted in the urine so your initial normal urinalysis suggests...

Urology: Worries, Erection Dysfunction
Erection Dysfunction: John: There is no reason to be worred about the penile arteries. If the arteries are bad, then chances are your blood pressure would be up and this wasn t mentioned in your note. Your ED is intermittent or variable which indicates a psychogenic or anxiety...

Urology: Not sure, penile lesion
penile lesion: Rita: We only give general advice on this forum. We just can t diagnose over the Internet. Remember that this forum is not intended to be a substitute for a physician s examination. I can only recommend that you consult a urologist for a proper examination...

Urology: 10 year old, swollen lymphnodes, pediatric nephrologist
swollen lymphnodes, pediatric nephrologist, pediatric urologist: Lynn: Persistent blood in the urine in a 10 year old probably suggests some type of kidney inflammatory process such as glomerulonephritis, especially if the CT scans are normal. You can have him seen by a pediatric nephrologist or a pediatric urologist...

Urology: 2 lumps near my frenulum, burning sensation, doctor didn
burning sensation, doctor didn, treatment decisions: Tye: The erection bodies are the part of the penis that actually becomes rigid during erections. They are two, paired cylinders that take up most of the room in the penis. They end just below the head of the penis, roughly where your lumps are. I believe...

Urology: Abdominal Ache during Orgasm/Ejaculation, abdominal pain on ejaculation
abdominal pain on ejaculation: Chris: The most likely causes would be prostatitis and possibly a hernia. If these are ruled out, then it s very unlikely that the pain is due to anything serious, but this can only be determined by your physician. Until you can see him, try sitting in...

Urology: abdominal catherizing myself, bladder augmentation, atonic bladder
bladder augmentation, atonic bladder, bladder spasms: Kent: Again, your answer still is not sufficiently detailed for a good answer. You indicate you had a bladder augmentation. This usually causes a very atonic bladder that does not empty on its own. Obviously, the bladder should not leak urine. An...

Urology: Bleeding from urethra of penis, blood in the semen, inflammation of the prostate
blood in the semen, inflammation of the prostate, brownish discoloration: Lauren, this type of bleeding usually comes from the prostate gland. It is generally due to a tear in one of the fragile veins of the prostate gland or an inflammation of the prostate (prostatitis). This per se is NOT a symptom of a STD. Bleeding may occur...

Urology: Blood in sperm, blood in sperm, blood in the semen
blood in sperm, blood in the semen, brownish discoloration: Keith, this is a condition that I have often commented about on this web site. To follow is a macro I have written on hematospermia (blood in the semen) followed by some personal comment regarding your specific situation. The source of bleeding with...

Urology: Blood in my ureatha, blood from urethra
blood from urethra: Frank: You ll need to see a urologist. Most of the time, we check the urine for infection and do a cystoscopy (look into the bladder through the penis, with a telescope called a cystoscope.) While this sounds a little uncomfortable, it usually doesn...

Urology: Blood in my urine, prostate removal, radiation therapy
prostate removal, radiation therapy, urine stream: Dennis: Blood in the urine at the end of urination suggests that it s coming from the bladder or prostate. In your case, since the prostate is removed, it s not from the prostate. Unfortunately, the bleeding does not prove anything so most likely a...

Urology: Blood in urine, will it heal on own ?, Blood in the urine
Blood in the urine: Will: The immediate bleeding will probably stop, but this is likely to occur again. Also, we don t know with absolute certainty that its the prostate. Suppose there is a stone, a tumor or a bladder cancer causing the bleeding? You should go see your...

Urology: Burning/discomfort during Urination, prostatitis, urologist
prostatitis, urologist, doxycycline: Don: Prostatitis is the most common cause once immediate infections have been ruled out. Try avoiding caffeine, smoking and alcohol. Also, try sitting in a hot tub twice a day. This may help until you can see the urologist. A nerve type problem can...

Urology: Burning and urethra pain for years, Persistent burning
Persistent burning: Dan: Prostatitis can do this as well as various types of neuropathy (nerve disorders). For prostatitis, a 1-2 week course of amoxacillin would be inadequate: wrong antibiotic and not long enough. I suggest you talk to your primary physician or consult...

Urology: big veins on penis, Large veins in penis
Large veins in penis: Andrew: The larger veins do not necessarily correspond to better circulation. There are always more veins than necessary in the penis. The critical issue is the status of the arterial flow and that cannot be determined by physical appearance or examination....

Urology: bilirubin in urine, bilirubin in urine, bilirubin levels
bilirubin in urine, bilirubin levels, urinary sediment: Danielle: A urinalysis consists of a chemical strip dipstick test and a microscopic examination of the urinary sediment. Bilirubin and protein are not visible on the microscopic examination. The problems of protein and bilirubin should be discussed with...

Urology: bladder, Running to the bathroom, urgency
Running to the bathroom, urgency, overactive bladder: Heather: An infection can do this as well as excessive caffeine and hot, spicy foods. If that doesn t help, then you are most likely looking at an overactive bladder, just like on TV. There are a number of medications used to treat this condition. Talk...

Urology: blood came from my bf's penis, brownish discoloration, excessive alcohol
brownish discoloration, excessive alcohol, hard stool: Vivan, what you are describing is NOT a sign of prostate cancer or kidney disease. It indicates an inflammation of the lower urinary tract. The source can be in the bladder, prostate or urinary canal (urethra). The most common cause would be an inflammation...

Urology: bulge in groin, Bulge in groin
Bulge in groin: Mike: With direct examinations and a urologist examination, I m suprized a clearer diagnosis wasn t obtained. A testicular ultrasound can usually clarify whether or not a lump is from the testicle. With that being normal, the bulge is most likely a hernia....

Urology: Chunky semen discharge, Abnormal semen color and thickness
Abnormal semen color and thickness: Daniel: This is not considered a treatable problem. A true discharge will be expressed with or without ejaculation. This would most likely indicate an infection. Variable color in the semen is normal as is the gelatinous material which is usually just...

Urology: Concerns, doppler ultrasound, curvature of the penis
doppler ultrasound, curvature of the penis, loss of erection: Robert, I don t know if you have read the macro I have written on penile fractures but it will now follow: Penile fractures are usually very obvious & quite dramatic. They generally occur when while having vigorous intercourse, on thrusting inward, the...

Urology: CRT Screens/Masturbation/Cancers?, worst case scenario, world health organization
worst case scenario, world health organization, non ionizing radiation: Anyonymous, again, I do not believe you have any cause for concern. Electromagnetic fields from CRTs produce both ionizing and non-ionizing radiation, both in small amounts. Although there are no conclusive studies linking this energy to cancer, it is reasonable...

Urology: Cystoscopy and PVP Surgery, tiny specks, frequent urination
tiny specks, frequent urination, cystoscopy: Dave: The answer is : no, it is not normal to have urinary frequency after cystoscopy. There could be an infection or just irritation from the procedure. I m not a big fan of PVP surgery because of the increased inflammation it frequently produces compared...

Urology: I cant feel anything during intercourse, Decreased sexual pleasure
Decreased sexual pleasure: John: You aren t doomed , but you may have a problem. Start with either your primary family physician or consult a urologist for a checkup. THere is no magic pill to instantly provide improved enjoyment of sexual activity or orgasm. As such, it may...

Urology: causes of impotency, Causes of ED
Causes of ED: Impotency or ED can be caused by pelvic or spine trauma, diabetes, arteriosclerosis, high blood pressure, heart problems, pelvic surgery, radiation and a wide variety of other disorders and diseases including medication side effects. Diabetes and high blood...

Urology: the causes, blood from the penis and fertility
blood from the penis and fertility: Raymond: Bleeding from the penis indicates a problem. The nature of that problem isn t clear but its possible it could interfere with creating a pregnancy. More importantly, we need to know if its something significant or not. Most of the time, its nothing...

Urology: clear ejaculate, inflamation of the prostate, pre ejaculate
inflamation of the prostate, pre ejaculate, seminal vesicles: Alan, I do not believe anything serious is going on and see no reason to get an earlier appointment with your urologist unless your symptoms become worse. Most likely your symptoms are of prostatic origin. Generally, the appearance of the semen is an unreliable...

Urology: Damp burning scrotum with waxy tact, bacterial prostatitis, exact diagnosis
bacterial prostatitis, exact diagnosis, frequent urination: Ian, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall try...

Urology: Difficulty Urinating -- Lorazepam?, Difficulty urinating and Lorazepam
Difficulty urinating and Lorazepam: Jason: It is quite unlikely that anxiety is causing your urinary problems. Lorazepam can help with some types of urinary difficulties, but it is not clear if you have that particular problem or not. I suggest you consult a urologist to determine the nature...

Urology: Discomfort in right testicle, near epididymis, base of penis. ED viagra not holding onto erection, ED
ED: Charles: A scrotal ultrasound is inexpensive and would give us more of a definitive answer to what is in the testicle. I am unaware of any conceivable way that a spermatocele could negatively influence penile blood flow. Pressure at the base of the penis...

Urology: Dissatisfactory status after varicocelectomy, Continuing pain after varicocele surgery
Continuing pain after varicocele surgery: Chris: First, varicoceles are only infrequently the cause of testicular discomfort. The fact that your discomfort continued after the varicocele surgery suggests that something else may have been the source of the pain. There is no scientific rationale...

Urology: Dull Testicular Pain, symptoms of stds, bladder infections
symptoms of stds, bladder infections, pain discomfort: Mike, by far the most common cause of your symptoms is an inflammation of the prostate gland, so called prostatitis. This is a disorder that I have commented on extensively on this web site. In case you have not read it before, to follow is a macro I...

Urology: From deep in the jungle, Recurrent hydrocele
Recurrent hydrocele: Seb: Sclerotherapy is an acceptable alternative in some countries as it is cheaper and easier to perform. However, overall satisfaction is lower and there is no consistency about the type of sclerosing agent to use or its concentration. The gold standard...

Urology: dorsel nerve and artery, pinched artery, pinched nerve
pinched artery, pinched nerve, nerve pain: Joe: There is no point in speculating. When you see the urologist you ll get some type of answer. But nerve and artery swelling such as you suggest is very unlikely. Nerves and arteries just don t act as you suggest. They don t swell like soft tissue...

Urology: ED and chronic constipation, ED and constipation
ED and constipation: James: There are no documented cases of constipation causing significant ED. Theoretically, what you propose might be possible, but constipation bad enough to do lasting damage would be exceedingly rare. Even if it happened, there would be no specific...

Urology: ED - venous leakage, Venous leak
Venous leak: Dev: The cause is not known except that some people develop an inability to restrict or limit the outflow of blood from the penis during erections. There is no remedy, other than the standard treatments for ED. For some people, the external vacuum...

Urology: Ejaculate, Low semen volume
Low semen volume: Dwayne: In my experience, the VA does a great job most of the time for most patients. You might be able to check in with a VA that has a larger urology department although this may mean some substantial travelling. You might also consider getting an...

Urology: Ejaculation, sperm analysis, lh fsh
sperm analysis, lh fsh, prolactin: Shehbaz: I am not familiar with Oleanz since it is not available in the US. However, it is categorized as an SSRI drug, typically used for depression and psychosis. Side effects of this class of drug typically include delay of ejaculation. Ask your physician...

Urology: Flomax vs Avodart, Alternatives to Flomax
Alternatives to Flomax: Robert: The answer is, it depends. If an alpha blocker like Flomax worked better, then another alpha blocker medication such as Rapidflo or Uroxatral is likely to do as well and hopefully without the sinus effects. Lower cost alternatives such as terazosin...

Urology: 2 lumps near my frenulum, bumps on my penis, chlamydia
Urology: 2 lumps near my frenulum, bumps on my penis, chlamydia

Urology: clear ejaculate
Urology: clear ejaculate

Urology: ED - venous leakage, loss of sensation, caverject
Urology: ED - venous leakage, loss of sensation, caverject, constriction

Urology: Flomax vs Avodart, sinus problems, flomax
Urology: Flomax vs Avodart, sinus problems, flomax, sinus trouble

Urology: kidney pain and tsticular problems, kidney pains, durban south africa
Urology: kidney pain and tsticular problems, kidney pains, durban south africa, excessive sweating

Urology: foley cath specimens for culture, urine specimen, foley cath
urine specimen, foley cath, urinalysis: Luann: The best practice is to obtain a culture when the catheter is inserted. There is very little point in doing it later UNLESS the patient develops signs and symptoms of an infection. In general, we only get cultures when there is evidence of infection...

Urology: follow up question/penis pain/ED/possible nerve damage, Possible nerve damage to penis
Possible nerve damage to penis: Vishnu: I can t determine for you if nerve damage was done or not. It is possible for nerves in the penis to heal, but this is a long process and is not guaranteed. You should definitely followup with your physician since your condition has changed since...

Urology: Gritty urine in a canine, vet specialist, ph acidity
vet specialist, ph acidity, spayed female: Rose, you are correct, I have no special expertise in veterinary medicine. However, the gritty stuff passing in your dog s urine is gravel and indicates the presence of this or larger stones in the urinary tract. Urinary stones (especially bladder stones)...

Urology: Hemmorage from ESWL, Kidney pain, kidney stones
Kidney pain, kidney stones: Your pain may or may not be due to any current problems with the kidneys. A CT can show the anatomy, but not the flow inside the kidney. THis requires contrast such as an IVP. A renal ultrasound can also be used. If the kidney checks out OK, then another...

Urology: Hydrocele in Guatemala, tunica vaginalis, lower abdomen
tunica vaginalis, lower abdomen, hydrocele: Sebastian, surrounding the testicle is a thin layer of tissue folded upon itself with a potential (but empty) space between these leaves. This membrane is called the tunica vaginalis. The cells of the inner lining of this membrane have the potential to secrete...

Urology: Hydrocele in Guatemala Part 2, hydroceles, hydrocele
hydroceles, hydrocele, optimal location: Sebastian: First, these are all good questions that you should have asked your physician. Waiting some time for additional healing is not unreasonable, but I m not sure 10 weeks is necessary. But this is really up to the surgeon. Not much risk, though....

Urology: hematuria and gout, Gout
Gout: Mary: Uric acid crystals that are too small to show up on CT scans are not very likely to be the source of bleeding. When the bleeding is associated with urinary burning and frequency, the most likely cause is an infection followed by a lower ureteral...

Urology: horrified by long time taken after taking manforce by husband, manforce, generic version
manforce, generic version, sexual activity: Pare: Manforce is a generic version of Viagra. There is no simple over the counter pill that will counteract Viagra. However, it is less effective if taken with food. If your husband is forcing sexual activity on you without your consent, this becomes...

Urology: hydrocele, tunica vaginalis, spermatocele
tunica vaginalis, spermatocele, hydroceles: Lisa, I do not believe there is any relationship between you husband s jaw surgery and the finding of a spermatocele and hydrocele. Spermatoceles are small (usually less than 1 cm.) cyst that are filled with fluid and a few sperm. They are located near...

Urology: IBS and Bladder, interstitial cystitis, cystitis
interstitial cystitis, cystitis, bladder: Jill: Well, in medicine almost anything is possible, but IBS and Interstitial Cystitis are similar and can occur together. Interstitial cystitis is a condition where the bladder is extremely irritable and extra sensitive to irritants in food like caffeine...

Urology: Inability to orgasm after long bike ride, genital numbness, wind and the rain
genital numbness, wind and the rain, liver transplant: Bill, the area that you sit on is called the perineum, the site between the wind and the rain . Deep to these tissues is the prostate gland and the nerves that control both erection and sensation to the genital area. It is a common phenomenon for certain...

Urology: injury during masturbation, seminal vesicles, exact diagnosis
seminal vesicles, exact diagnosis, urinary canal: Keith, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall try...

Urology: Kidney Stones, Kidney stones
Kidney stones: Katrina: Stones are never guaranteed to pass. Most small stones will do so. The bladder problems are probably from a stone that is now located near the bladder. You should see the urologist who will check and recommend treatment. You should call 530-889-1727...

Urology: kidney pain and tsticular problems, inguinal hernias, groin area
inguinal hernias, groin area, kidney pain: Ramon, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall try...

Urology: kidney stones, Kidney stones
Kidney stones: Sarah: Blood tests alone are insufficient. They only rule out certain metabolic problems like hyperparathyroidism. To truly understand urinary stone formation, its necessary to do the 24 hour urine testing. General recommendations without such testing...

Urology: Large Stone Fragments after ESWL, Large kidney stones
Large kidney stones: Can a large fragment be overlooked? Of course. Even with modern equipment, it becomes a question of radiation exposure and cost. So just because we can do CT scans to know exactly the type and size of any fragments, it is rarely done because of radiation...

Urology: Leukocytes, soaps and detergents, bladder diseases
soaps and detergents, bladder diseases, overactive bladder syndrome: Jill, there are many causes for urinary frequency. The common ones include urinary tract infections, excessive fluid consumption (especially coffee, tea and beer which produce an additive diuretic effect), prostate conditions in men (ie benign or cancerous...

Urology: Luekocytes, Leukocytes in the urine
Leukocytes in the urine: Jill: Leukocytes are White Blood Cells and often indicate an infection whe found in the urine in high numbers. Your symptoms also suggested an infection, but this can sometimes be caused by a nearby yeast infection. At worst, you are looking at a mild...

Urology: Lump in Scrotum, lump in scrotum, spermatocele
lump in scrotum, spermatocele, definitive diagnosis: Kevin: From your history, a cancer seems unlikely but still an exploration is not unreasonable. A spermatocele is not going to disappear without surgery. If you ve read of cases where the lump disappeared, it was not a spermatocele in the first place. ...

Urology: Lyrica and loss of feeling in penis, sexual side effects, lyrica
sexual side effects, lyrica, annoying symptoms: David, Lyrica can cause decreased libido, delay of or prevention of ejaculation, & inability to get an erection. It can cause decreased sensation in various body parts but I can find no specific reference to loss of penile sensation. Fortunately, all of...

Urology: lump my my groin, lump in the groin, hurnia
lump in the groin, hurnia, sexual encounter: Adam: The best person to provide a diagnosis is your regular physician who knows you already rather than the physician seeing you for the first time on an emergency basis. For questions about a possible hernia, the experts are the general surgeons...

Urology: over masturbation effects.....
Waseem: There is no such thing as over-masturbation. Your problems include a weak erection and premature ejaculation. These can be dealt with by a urologist. Your other problems, such as the pain in the buttocks, buttock size, weakness in the knees, hand...

Urology: mid-kidney stone and UTIs, Kidney Stones and Infections
Kidney Stones and Infections: Sylvia: When a kidney stone is infected, it usually is with a single bacteria. If your infections have been from different bacteria, most likely the stone is not the cause of most of them. Still, a stone that is 5.5 mm in size is large enough to create...

Urology: mild hydronephrosis
A stone in the right kidney is not going to cause blockage to the left sided system. If no stone is seen, we then look for scarring, outside masses pressing on the ureter, kinks and inflammation such as from a stone that recently passed. All of these can...

Urology: milky color of urine, White color of urine
White color of urine: Elays: Color does not always suggest a problem, but this could be an infection such as urethritis. The fact that the initial urine is cloudy suggests that this is coming from inside the penis or the urethra. Semen leakage is exceedingly rare. The body...

Urology: morphology of sprem, Poor sperm morphology
Poor sperm morphology: John: Defects in sperm morphology is called teratospermia and are more commonly found now that we tend to use the more strict or rigid criteria in semen analyses. It is often found with low sperm counts and problems with sperm motility. Varicoceles and...

Urology: mystery disease, mystery disease, cocaine use
mystery disease, cocaine use, kidney function: Jeremy: A complicated disease process can be very challenging to diagnose. Swelling in the penis and genitals could be allergic, inflammatory, dependent fluid edema or an infection. Severe pain on urination with pain in the prostate could be acute or...

Urology: Nighttime incontinence, botox injections, overactive bladder
botox injections, overactive bladder, urology department: Diane: No, I don t think a longer 3 week trial will show different results if the physician felt he had good lead placement. No, I haven t seen many problem from the battery pack for the Interstim. 150cc residual would not preclude the Botox in...

Urology: "nodule" like bump on penis/follow-up, penis shaft, correct diagnosis
penis shaft, correct diagnosis, visible color: Al: We are not allowed to make diagnoses on this website; just answer general questions. A cancer would be extremely unlikely. I am unaware of any links to similar patients but you can search the web for similar cases. Just realize that this is no...

Urology: other catheter options??, Alternatives to Foley catheter
Alternatives to Foley catheter: Susan: Like I stated previously, there is not enough information upon which to base a treatment recommendation. A re-evaluation of his lower urinary tract may help identify the source of the problem. A bladder pressure test, called a CMG, can also be...

Urology: PDE5 inhibitors,penile duplex ultrasound, Use of Viagra to cure ED permanently
Use of Viagra to cure ED permanently: Christian: It is unclear if chronic use of PDE5 inhibitors will permanently help men with poor arterial function. We know this helps in men right after radical prostate surgery, but it isn t known if it also helps men with other types of ED problems. ...

Urology: Penile numbness, decreased penile sensation and ESWL
decreased penile sensation and ESWL: Vera: There is no obvious connection between ESWL and penile sensation problems. However, if the patient received an anesthetic, then there is the unlikely possibility that it could be related in some way to that anesthetic, as unlikely as that may be....

Urology: Penile Retraction, retracted penis
retracted penis: Kim: The penis does not usually retract, but the skin covering the penis can become more prominent. There is usually no single solution and most of the time we just leave it alone. To be more certain about this particular situation, he should consult...

Urology: Penis pain, ginkgo biloba leaf, avena sativa
ginkgo biloba leaf, avena sativa, schizandra chinensis: Drew, by far the most common cause of your symptoms is an inflammation of the prostate gland, so called prostatitis. I do not believe your complaints are related to any of the supplements you are taking. These products are rarely if ever needed, especially...

Urology: Peyronie's Question, Peyronie's
Peyronie's: Tim: Sex could make it worse, but its not going to make that much difference. Besides, asking a 28 year old to abandon sex is not possible. New treatments are always possible but loss of penile length is common in the more severe cases. I am not aware...

Urology: Post PVP Surgery, greenlight pvp, semen volume
greenlight pvp, semen volume, bladder neck: Tom, it takes about 6-12 weeks for the inflammation induced in the prostate by the laser surgery to resolve. Your symptoms are coming from the prostate gland and will gradually improve as healing continues. Perineal discomfort and urinary symptoms are typically...

Urology: Problem related to Kidney....., elevated creatinine, knee joint pain
elevated creatinine, knee joint pain, renal ultrasound: Waseem: The elevated creatinine indicates a significant degree of kidney failure. The high uric acid may or may not be related to this. He needs to see an internist or nephrologist. Usually the next step is to check for blockage with a renal ultrasound....

Urology: Prostate, Is this prostatitis?
Is this prostatitis?: Ryan: I can t tell from the available information if you have prostatitis or not. Prostatitis, infection, overactive bladder, interstitial cystitis and prostate enlargement can all do this. You ve been on medication for less than 3 weeks so a response...

Urology: Prostate
Ryan, judging by your response to a longer course of Cipro, it sounds like you had (? still have) prostatitis. Other than your intermittently slow stream, your other symptoms are really non-specific and could be due to many conditions. Your stream problem...

Urology: Prostatis, conventional radiation therapy, external beam radiation
conventional radiation therapy, external beam radiation, intensity modulated radiation therapy: James, that is not true. Surgical removal of the prostate gland for cancer (radical prostatectomy) is only one of several treatments available for prostate cancer. Modern surgical techniques include the revolutionary nerve sparing procedure . These are...

Urology: pain when ejaculating, Pain with ejaculation, prostatitis
Pain with ejaculation, prostatitis: Albert: Prostatitis is the most likely cause of your discomfort. One week of Cipro is insufficient to tell if this will help or not. Give it another 3-4 weeks. Meanwhile, try sitting in a hot tub at least once a day AND stop drinking any caffeine...

Urology: painful ejaculation, sperm in urine, 3.9 PSA, prostate biopsy, lower abdomen
prostate biopsy, lower abdomen, sexual excitement: Roberto, I do not believe you symptoms are related to a flare up of fish poisoning. By far the most common cause of your symptoms is an inflammation of the prostate gland, so called prostatitis. This is a disorder that I have commented on extensively on...

Urology: penile bleeding, gross hematuria, microscopic hematuria
gross hematuria, microscopic hematuria, bladder neck: Laverne, there are many possible causes for blood in the urine (hematuria). The origin of the bleeding can come from the upper (kidneys or ureters) or lower (bladder, prostate, urethra) urinary tract. Blood seen only under the microscope (microscopic hematuria)...

Urology: penile discharge, prostatic secretions, orgasm without ejaculation
prostatic secretions, orgasm without ejaculation, pelvic discomfort: N: We do not recommend the start and stop method you described for a variety of reasons. The nature of your current leaking fluids is unclear; it could be an infection or just prostatic secretions. Since this is associated with discomfort, you should...

Urology: penile injury, decreased erections after jelking
decreased erections after jelking: Abid: There is no simple way to rejuvenate the penis. We usually start with Cialis or Viagra but this takes time and there is no guarantee that it will eventually return to the previous level of functioning. If you are not getting any significant help...

Urology: penile injury, penis head, ballsack
penis head, ballsack, foreskin: Shayne: A vacuum pump should help. If the scrotal skin is involved, then you are not using the right size cylinder or insert. It should be just big enough to hold the fully erect penis. The tension rings will then maintain the erection and substitute...

Urology: penile pain/over masturbation, dorsal vein, exact diagnosis
dorsal vein, exact diagnosis, pelvic region: Vishnu, it may be that you have Mondor s disease. This is a self limiting condition that is treated symptomatically. A number of therapies have been tried such as anti-inflammatory agents and steroids but none is universally successful and the condition...

Urology: penis pain, Pain in head of the penis
Pain in head of the penis: Josh: Most of the time, when there is pain at the head of the penis, the underlying problem is actually an inflammation of the prostate. You ll need to see your physician for confirmation. Meanwhile, avoid caffeine and hot spicy foods, try sitting in...

Urology: prostatitis, prostatitis
prostatitis: Tanya: Antibiotics are the mainstay of therapy, but their type and duration may be a factor. In tougher cases, it may be better to slowly taper off the antibiotic or to stay on it longer. Antibiotic selection is also important as many antibiotics do not...

Urology: Recurrent UTI's in canine, recurrent uti, phenazopyridine
recurrent uti, phenazopyridine, bright orange: Rose, this drug is used in humans to relieve discomfort & burning with urination. It does not treat the infection, merely relieving those specific symptoms. It does nothing for gravel. It also makes the urine bright orange in color and this dye may well...

Urology: is their any reation between stone and Testies pain, Testicle pain and stones
Testicle pain and stones: Vicky: Pain radiating to the testes can indicate a stone. Or it can be a testicle problem. Enlargement of the testicle is not going to be from a stone but would rather suggest either a hernia or an infection. I m not sure what lady finger vegetable...

Urology: retained urination, social security disability, county medical society
social security disability, county medical society, insurance assistance: Neil: You ll need to see a physician at some point. This sounds like prostate enlargement but may be complicated by your spinal issues. If you don t have insurance, you can look at a medical school clinic or a public facility. Check with your local county...

Urology: Semen production after prostate infection, No semen
No semen: Walt: Most likely the semen is going backwards into the bladder. Typically, this is not dangerous and we only treat it when there is a strong interest in fathering a child which I presume is not an issue here. It can also be a side effect of some medications...

Urology: Stitches Ripped in Penis, stitches pulled out of wound
stitches pulled out of wound: Phil: Well, the weekend is over and you can contact your physician. Usually, this long after a surgery, we don t try to restitch the wound: just keep it dry and covered with a band-aid but see what your particular physician will recommend. It usually...

Urology: semen, Yellow semen color
Yellow semen color: Robert: Change in semen color rarely, if ever, indicates a significant problem. It relates to the state of hydration, frequency of ejacluation, possible blood traces, medications, etc. If there is no other problem, then most likely nothing is wrong. Still,...

Urology: sevre right testicular pain, Persistent testicle pain
Persistent testicle pain: Stephen: It is not possible for me to provide a reliable diagnosis. Persistent or significant pain from a testicle where all testing and even an exploration is negative is a problem not infrequently seen by urologists. In cases like yours, an exploration...

Urology: sperm, prostatic secretions, excessive masturbation
prostatic secretions, excessive masturbation, immature sperm: Billy: No, it is not normal to drip sperm in the morning. Most likely the discharge isn t sperm or semen. It could just be periurethral or prostatic secretions but it could also indicate an infection. Its best to have it checked. Ejaculating too...

Urology: split urine stream, split stream, urinary canal
split stream, urinary canal, urinary bladder: Robert, splitting of the urinary stream is very common. It occurs when there exists an area of relative narrowing of the urinary canal (urethra). This may occur anywhere in the urethra from the neck of the bladder to the opening of the urethra at the end...

Urology: Testicular atrophy, testicular atrophy.
testicular atrophy.: Scott: You may have small testes from mumps, but these do not cause premature ejaculation. There is no credible evidence that saw palmetto helps with testicular atrophy. If your testosterone levels are good and sperm count is normal, then you re quite...

Urology: Testicular tissue density loss, tissue density, low density
tissue density, low density, testicular tissue: Steven, I assume you has the ultrasound performed and interpreted by a radiologist as they are the real experts in this field. Diffuse low tissue density generally is due to inflammation from any cause (such as an infection). (I realize your epididymitis...

Urology: Tight urethral opening, urologist, suzette
urologist, suzette, bladder: Suzette: From your name, I m assuming you re female. A tight urethral opening is possible but uncommon in ladies. This can be from infection and scarring. You might want to have this checked by your Gyn physician or consult a urologist where a measurement...

Urology: terminal hematuria, inflammation of the prostate, blood in the urine
inflammation of the prostate, blood in the urine, hematuria: Sushil: Blood at the end of urination often originates from the prostate. The fact that there is also some burning would suggest prostatitis or inflammation of the prostate. You should talk to your physician or consult a urologist. Blood in the urine...

Urology: testicle, testicle, urologist
testicle, urologist, 10 years: Joe: No, that is not normal. The testicle should not enlarge after removal of the opposite testicle. It could be due to a hydrocele, infection or hernia. There is also the remote possibility that another cancer could be developing. Please consult a...

Urology: one of the testicle is reduced in size almost diminishin, One testicle shrinks, the other enlarges.
One testicle shrinks, the other enlarges.: Som: Most likely, one testicle has had the blood supply compromised by injury or infection. This causes testicular atrophy or shrinking. Unfortunately, there is really nothing that can be done about this. If it s painful, the testicle can be removed...

Urology: what is troubling my penis?, pus cells, penis head
pus cells, penis head, anti biotics: Jon: I d rather not give you a laundry list of possible infections you could have gotten. The culture done by your physician should identify the problem. Gonorrhea would be one possibility as could NSU or non-specific urethritis. Contact your physician...

Urology: twitching penis, distal urethra, muscle twitch
distal urethra, muscle twitch, eye twitch: Ray, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall try...

Urology: Uncontrölled urine, Urine leaks after voiding
Urine leaks after voiding: Mukthar: The amounts described seem small which suggests that you re dealing with post-void dribbling. Urine passage during a bowel movement is not uncommon. Post-void dribbling can be minimized by pressing from the base of the scrotum forwards to the...

Urology: Urination
John: A flow test would be helpful to see if there really is a reduction in the flow or if this is just a feeling . Trying to treat a sensation when all the physical results and tests are normal is very difficult. Seek out a urologist at a tertiary...

Urology: Urine (Color & Foamy), bladder cancer, urine color
bladder cancer, urine color, hemangioma: Urine color is not a reliable predictor of infection as it relates alot to concentration, medications and diet. Air in the urine suggests a possible fistula or abnormal connection to the colon which can cause infections and other problems. I can t tell...

Urology: Urology, Complicated urology case, failed surgery
Complicated urology case, failed surgery: Wendy: I can t get a clear idea of exactly what his problem is. To give reliable advice, I d need to see the x-rays and know the exact nature of the surgery, etc. In a complicated case like this, you may be best off taking him to a tertiary university...

Urology: urethral strictures, urethral stricture
urethral stricture: Trenton: It is unlikely that the graft would have a negative effect on erection function, but any surgery to the penis has that risk. Try to find a urologist with significant experience doing urethroplasties. The leading expert in the US would be Dr....

Urology: urine smells like cat-pee, amino acid cystine, excessive excretion
amino acid cystine, excessive excretion, white blood cells: April, there are many causes for odors in the urine. Odor is more prominent on awakening because the urine concentrates during sleep. Normally, the urine has a slightly ammoniacal aroma. By far the most common cause of a somewhat foul smell in the urine...

Urology: utereral stent, Should I call the Doctor?
Should I call the Doctor?: Lynne: Yes, of course you should call your physician. An infection is the most likely cause of your increased discomfort. While a stent may not be totally pleasant, it usually is quite tolerable as long as there is not infection. Also, ask him about...

Urology: varicoceletomy, pubic region, recovery time
pubic region, recovery time, exact nature: Scott: These are specific questions you should ask your surgeon as the answers will vary from one physician to the next. In general, recovery time will be between 1-2 weeks depending on the exact nature of the incision. Taking a very thorough shower before...

Urology: can vericocele surgery be the reason my sons right knee is numb and tingly?, stomach virus, nurologist
stomach virus, nurologist, burning sensation: Tonya: Almost anything is possible in medicine, but there would be no obvious link between varicocele surgery and a knee problem like the one you described. A nerve issue seems likely given your description of the problem. I would also try to see the neurologist...

Urology: Weakening erections with a total testosterone of 233ng/dl., Low testosterone
Low testosterone: David: Low or borderline testosterone levels are relatively common. We don t check them routinely unless there is some reason such as decreased libido or ED. If you have symptoms that could be from low testosterone, you might want to ask about a trial...

Urology: 19 and having ED problems for nearly 2 years., ED
ED: Jack: Obviously I can t give you a diagnosis or treatment over the internet. An erection lasting over 4 hours may cause damage which could be contributing. A course of something like Viagra might be helpful. You should consult a urologist to help determine...

Urology: 4 year old boy bleeding from tip of penis, epson salts, renal ultrasound
epson salts, renal ultrasound, bladder neck: Maranda, let me first state that I have no special expertise in pediatric urology. Blood at the initiation of or at the end of urination generally arises from either the prostate gland or area of the bladder neck. Urinary stones, infections, congenital anomalies...

Urology: Bleeding from the penis, exact diagnosis, brownish discoloration
exact diagnosis, brownish discoloration, inter course: Eugene, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall...

Urology: BPH, auto antibodies, bladder muscle
auto antibodies, bladder muscle, non specific urethritis: Byron, there is no specific time frame for recurrence of symptoms of a UTI or prostatitis. These conditions may cure spontaneously without treatment. More often, the inflammation persists but the person, although asymptomatic, can expect this to flare up...

Urology: BPH, difficulty urinating, moderate improvement
difficulty urinating, moderate improvement, medical entity: Bryon: I can t say what caused the burning or if it was related to the antihistamine. There is no known medical entity similar to your allergic urethra so there is no specific treatment. That doesn t mean this couldn t be related as anything in medicine...

Urology: blood coming out with ejaculation, blood in the ejaculate, very painful
blood in the ejaculate, very painful: I can t tell you what s wrong. Usually blood in the semen is quite painless, self limiting and goes away by itself. This case is unusual. I suspect he may have had a small stone which caused the pain. Either way, he should contact his family physician...

Urology: blood ejaculation, blood in the semen, hematospermia
blood in the semen, hematospermia: Alex: You have hematospermia. Some blood was leaked into the seminal vesicles and mixed with the semen. This is alot like a nosebleed. It can be a little scary, but its usually harmless. If the blood persists more than a month or two, you may want to...

Urology: Chantix / Levitra interaction, ED treatment and Chantix
ED treatment and Chantix: Jim: The first thing to do is stop mixing the Levitra and the Cialis. You could easily end up with a problem such as priapism that could permanently damage your future erectile ability. While there are no clinical reports of an interaction, if it s confirmed...

Urology: Child with blood in urine, pediatric urologist, pediatric tumors
pediatric urologist, pediatric tumors, bladder neck: Tami, let me first state that I have no special expertise in pediatric urology. I assume the presence of blood has been documented with a urine specimen. If not, this should be done as it may give some clues as to the cause such as a urinary tract infection...

Urology: catheter, water leaks, persistent difficulty
water leaks, persistent difficulty, catheter: Leslie, I assume what you are referring to is filling a patient s bladder with fluid (and possibly medication) via a catheter using a syringe. Generally, one then pinches the catheter closed distal to where the syringe is attached to prevent the fluid from...

Urology: cipro and the prostrate, increased PSA in an 89 year old man
increased PSA in an 89 year old man: Jean: A course of Cipro is not unreasonable given the increase in his PSA leve. At 89, I wouldn t be checking PSA levels anymore. A repeat Free and Total PSA test after 4 weeks of cCpro will tell us if the increased PSA levels were from infection (inflammation)...

Urology: cryotherapy scar on corona, penis head, nerve damage
penis head, nerve damage, dear doctor: Nerve injuries heal very slowly if at all. It may take a year or longer. Other complications could involve infections, decreased sensation and scarring. I am not familiar with bio-oil and can t comment on that. Ask your dermatologist. Laser surgery...

Urology: Damage due to acute Priapism, external vacuum device, irwin goldstein
external vacuum device, irwin goldstein, penile injections: Howard: You are welcome to come, however there are experts in the US and possibly in your own region with substantially more experience and expertise in this particular area. Some famous experts would be Irwin Goldstein in San Diego, Tom Lue in San Francisco...

Urology: did i damage my vagina?, sexual sensations, urine stream
sexual sensations, urine stream, urinary symptoms: Jane: I think you should check with another OB-GYN. This sounds like a problem that is best handled by them. I can t explain your back pain or urinary symptoms. I suspect that if you get your constipation treated, the other problems will diminish or...

Urology: discharge while defacating, Discharge while defacating
Discharge while defacating: Robert: The fluid is just normal prostatic secretions which are expressed from pressure in the rectum due to the bowel movement. This is not pathological and does not result in urinary retention or other problems. A stool softener might help. Consult...

Urology: ED, Why do I have ED? How do I find an ED physician?
Why do I have ED? How do I find an ED physician?: Jim: I can t tell you either, but spending alot of money to find out you have a nerve or a vascular problem is not going to improve things much as the treatments are the same as you are using now. That is why we typically do not perform alot of testing...

Urology: Ejaculate, semen volume, bladder neck
semen volume, bladder neck, urinary canal: Jordan, the most common cause of your symptom is an inflammation of the prostate gland, so called prostatitis. This is a disorder that I have commented on extensively on this web site. In case you have not read it before, to follow is a macro I have written...

Urology: Epididymitis, swollen testicle, lymphatic drainage
swollen testicle, lymphatic drainage, epididymis: Sam: An infected epididymis is hot, painful, red and sore. The response to the antibiotics is usually that the swelling stops getting worse, the redness goes away and the pain starts to diminish. If it continues to get worse, then the antibiotics are...

Urology: Erectile Dysfunction 26 y/o, ED in 26 year old
ED in 26 year old: Sean: Technically, you have erection difficulties but probably not ED since you can still function. A checkup for diabetes, blood flow and testosterone levels is probably in order. We don t diagnose on this general information forum, so you ll have to...

Urology: Erectile dysfunction and absent facial hair, testosterone level, testicular failure
testosterone level, testicular failure, primary hypogonadism: In this case, the number appears normal, but you still need a free testosterone level to know for sure. The LH is still a little high but the FSH is normal. Since the LH is high, primary failure is not completely ruled out. This should be reviewed with...

Urology: Erection ?, stomach pain, x ray
stomach pain, x ray, urologist: Dan: I m not sure I totally understand your question whe you refer to the left testicular..goes down below the line under my testiculars and my rectal . I would imagine the urologist would ask to have you clarify just what you mean by this and will do...

Urology: Erection, sexual erection, sexual function
sexual erection, sexual function, radical cystectomy: David: A radical cystectomy can certainly affect sexual function. It depends on exactly what surgery was done and if they removed the prostate as well as the bladder (a radical cystectomy suggests that they did). If so, sexual function is usually affected....

Urology: ed, mild laxative, squatting position
mild laxative, squatting position, stool softener: Sumeet, there is no cause for concern about ED. Not cleaning yourself soon after ejaculation will not cause ED or any health problem. Pressing down too hard to have a bowel movement could possibly predispose you to develop a hernia or hemorrhoids. Neither...

Urology: enlarged testicule, Hydrocele surgery
Hydrocele surgery: James: The typical surgery does include an anesthetic and the patient is asleep. The surgery involves removing the fluid and a portion of the sac it accummulated in. This prevents a recurrence. The testicle is not removed. Be absolutely sure you understand...

Urology: erectile dysfunction, ejaculation without orgasm, male anorgasmia
ejaculation without orgasm, male anorgasmia, anesthetic ejaculation: Mick: Your question seems to be that you have ejaculation without orgasm. If that is correct, the name for this problem is anorgasmia or anesthetic ejaculation. It is also called ejaculatory anhedonia. Whatever you call it, it is relatively uncommon....

Urology: erection issue, ED and prostatitis
ED and prostatitis: Greg: It is entirely possible to have a chronic bacterial prostatitis and have this affect erections. If the Bactrim is no longer working, a switch to the Levaquin would be reasonable. Your response to antibiotics would strongly suggest a connection between...

Urology: erection/nerve damage questions, nerve damage, varicose veins
nerve damage, varicose veins, bloodflow: John: Abstaining from masturbation or at least excessive masturbation may give the penis a chance to heal but nothing is certain. We are not in a position here on this forum to tell you what tests your physicians need to or should order. They wouldn t...

Urology: Feels like somthing is stuck, stone fragments, exact diagnosis
stone fragments, exact diagnosis, history examination: Mike, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall try...

Urology: 4 year old boy bleeding from tip of penis, circumcision
Urology: 4 year old boy bleeding from tip of penis, circumcision

Urology: cryotherapy scar on corona, sexual desires, nerve damage
Urology: cryotherapy scar on corona, sexual desires, nerve damage, ejeculation

Urology: impotence/no libido, decent treatment, pelvic bone
Urology: impotence/no libido, decent treatment, pelvic bone, ontop

Urology: Mystery condition...urethritis/prostatitis?, pelvic floor muscles, myofascial pain syndrome
Urology: Mystery condition...urethritis/prostatitis?, pelvic floor muscles, myofascial pain syndrome, chronic pelvic pain

Urology: Permanent Finasteride Side Effects, pathological condition, pubmed
Urology: Permanent Finasteride Side Effects, pathological condition, pubmed

Urology: Possible cyst, general anesthetic, neat job
Urology: Possible cyst, general anesthetic, neat job, local doctor

Urology: Strange post ejaculation pain. Prostate?
Urology: Strange post ejaculation pain. Prostate?

Urology: spermatic chord nerve block, nerve block, denervation
Urology: spermatic chord nerve block, nerve block, denervation, neurosurgeon

Urology: Geriatric Stance, little basket, urinals
little basket, urinals, closeness: Ken, nice to hear again from the great observer . Either (or both) of your deductions most likely explains his closeness to the urinal. The third possibility is that he is so richly endowed (and yet humble) that he doesn t want to make those around him...

Urology: glans problem, Glans won't come out
Glans won't come out: Aman: I m not sure I understand your dilemma. You say that the glans will not come out easily . Come out from where? I suspect you have a phimosis or tightening of the foreskin. If so, then you may need a circumcision to open the scarred foreskin....

Urology: Hi, non specific urethritis, chlymadia
non specific urethritis, chlymadia, sexual intercourse: Tim, you need to see a urologist in consultation. It is unlikely that you have anything serious but it is best not to have sexual intercourse until this problem is sorted out. The negative test for gonorrhea and chlamydia are reassuring are but they are...

Urology: hematuria, urinary retention, urinary hesitancy, abdominal ct scan
urinary hesitancy, abdominal ct scan, urinary retention: Liz: You need to see a urologist. A cystoscopic examination of the bladder is needed to make sure there is no source of blood from the bladder. The urologist can also address the voiding issue and the urinary hesitancy. This is usually from an infection...

Urology: hydrocele, hydrocelectomy, happy new year
hydrocelectomy, happy new year, excision: Graham, this is best answered by your surgeon who is familiar with the technique he used and the amount of inflammation & bleeding encountered at surgery. Personally, I do not think it would be wise to travel 6 days after a hydrocelectomy. I generally suggest...

Urology: hydrocele surgery, urology residency program, university teaching center
urology residency program, university teaching center, surgical scar: Mark: Without knowing more of the details of the surgery, it will be hard for me to answer your questions. I m not sure what the cardboard is other than significant inflammation. If there was some type of infection or inflammation on the abnormal side,...

Urology: Injury, pituitary tumors, dangerous condition
pituitary tumors, dangerous condition, infertility: Dragan: You have it backwards. Infertility is not by itself a dangerous condition and it can be caused by a wide variety of problems, some of which can be significant such as pituitary tumors which happen to be quite rare. If you ve had an injury, then...

Urology: Interstim Removal, complication rate, inert material
complication rate, inert material, noticeable change: Dawn, I have no personal experience with the Interstim implant. However, I did call the manufacturer (Medtronics) & spoke to their technology department. They informed me that that a temporary wire is generally removed totally but if you had a permanent...

Urology: impotence/no libido, pc muscles, testosterone levels
pc muscles, testosterone levels, freshman year: Newton, yours is a common yet potentially complicated problem. Although you have already been to several doctors , if you have not yet done so, you need to be evaluated by a urologist with special expertise in sexual dysfunction. This is a disorder...

Urology: jelqing injury, Jelking injury
Jelking injury: Gary: There is not enough information to make even a guess as to what injury may have happened. It could be almost anything. The fact that there is nothing visible on the outside suggests some damage to the inside of the erection bodies and that s about...

Urology: Kidney Reflux (VUR), voiding cystogram, vesicoureteral reflux
voiding cystogram, vesicoureteral reflux, kidney reflux: Lewis, vesicoureteral reflux (VUR) can be hereditary. If a child has VCU, their siblings have about a 33% chance of having the same condition. However, after a diligent search of the literature, I am unable to document the percentage of parents who might...

Urology: Loss in Testicle Size, testicle size, specific solution
testicle size, specific solution, hormone production: Ofvat: There is no specific solution for the complexities for the man s sexual health relating to a loss of testicle size. If there is an individual problem such as ED, that is dealt with in the usual fashion. Sperm production may or may not be affected....

Urology: loss of sensation due to circumcision?, liver failure, loss of sensation
liver failure, loss of sensation, alcholism: Jan: I sincerely doubt there was any problem with the circumcision and even if there was it is unlikely to cause these problems. However, since he claims that the penis has decreased sensation, he should be checked by a urologist and/or neurologist to...

Urology: Mystery condition...urethritis/prostatitis?, prostate exam, definitive test
prostate exam, definitive test, feel 100: A digital prostate exam make prostatitis less likely, but not impossible. The most definitive test for prostatitis is a microscopic examination of the EPS or expressed prostatitis secretions. Still, the treatment would probably be much the same as I suggested...

Urology: magnetic devices, magnetic nerve stimulation, pubmed
magnetic nerve stimulation, pubmed, ncbi: Francesco: Currently, there are no hospitals or centers in the US currently using either magnetic or nerve stimulation devices for the treatment of ED. It s considered investigational. Much of the research on this has been done overseas, especially in...

Urology: medication treatment, Premature ejaculation
Premature ejaculation: Madhan: Sorry, but we don t do test interpretation on this forum. That would be practicing medicine and we are only supposed to do general questions. If you were told things were normal, I don t see any reason to disagree. You have premature ejaculation....

Urology: nerve, ilioinguinal nerve, penile shaft
ilioinguinal nerve, penile shaft, sexual feelings: Abdulhamit: This will be my final word on this issue. The ilioinguinal nerve only covers part of the base of the penis. Its primary service is not generally considered to be sexual since it doesn t cover the more sensitive parts of the penile shaft or...

Urology: nerve, variable level, hearing test
variable level, hearing test, biothesiometer: The biothesiometer only checks basic vibrational sensation in the penis. It does not check an individual nerve; just the total functionality. As has been mentioned here before, the ilioinguinal nerve only service the lower part of the shaft of the penis...

Urology: nocturnal erections, nocturnal erections, long periods of time
nocturnal erections, long periods of time, prolonged erections: James: It is highly doubtful that your nocturnal erections duration is putting you at any risk. They do go down and they are not apparently causing any harm. The danger is when there is a pharmacologically enhanced erection lasting more than 4 hours....

Urology: OAB and Varicocele, bladder pain, overactive bladder
bladder pain, overactive bladder, interstitial cystitis: Diagnosis of IC is difficult because there is no specific diagnostic test. Essentially, it is suspected when you have unresponsive OAB without any other known cause. The current theory about cause has to do with inadequate mucus lining of the bladder....

Urology: Operation for testicular torsion, Possible chronic torsion of testicle
Possible chronic torsion of testicle: Neevan: You situation sounds a little confusing. IF there is a torsion, we ALWAYS suture the opposite side to make sure the other testicle does not develop a similar twisting. Torsion is almost always an acute event, not chronic as you ve described. ...

Urology: Pain in abdomen, conservative upbringing, pain in abdomen
conservative upbringing, pain in abdomen, lower abdomen: Parth: We generally do not give credence to the theory that lack of ejaculation can cause pain such as you describe, but you re making a good case for that. There is no specific cure other than the obvious. I can only suggest that you get a checkup with...

Urology: Pain on glans tip, prolonged erection, proper diagnosis
prolonged erection, proper diagnosis, self satisfaction: Michael: Obviously something is wrong and you need to seek medical help for it. I suspect prostatitis which can cause discomfort in the glans. Other types of infection are also possible. You need to contact your physician for a proper diagnosis and treatment...

Urology: Pain in Testicles, body temperature, medical attention
body temperature, medical attention, muscles: Pain is never natural. I can t guarantee to you that there is nothing to be concerned about. I m just guessing as to what the source of your pain was. Check with your regular physician at your next checkup. If the pain returns, definitely seek medical...

Urology: Painful micturition with bleeding through penis, urology specialist, oral fluids
urology specialist, oral fluids, genit: Raja: I don t know what a USG is. I suggest you contact your physician and ask him how urgent the test is. While a prostate problem is possibly, the bladder is also involved. I d rather not get into possible complications of disorders you may or may...

Urology: Painful testicular lump, mild constipation, testicular lump
mild constipation, testicular lump, exact diagnosis: Andrew, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall...

Urology: PE, premature ejaculation, bulbous urethra
premature ejaculation, bulbous urethra, pain after ejaculation: Samir: Ask him about treatment for your problems and if there are any sex therapists in your part of the world. Treatment would most likely be along the lines I suggested earlier. The body does not typically mix semen with urine so I don t believe it...

Urology: Penile Fracture, scar tissue, pain killers
scar tissue, pain killers, penile fracture: Brett: It is not common to have any kinks, curvatures or depressions after a fracture penis repair unless there are complications or pre-existing problems. Erection function usually recovers completely. For details about your particular case you ll need...

Urology: Penile fracture recovery, fracture repair, penile fracture
fracture repair, penile fracture, scar tissue: Brett: It s too soon to tell what the scar tissue will be like, but I suspect you will continue to retain some part of the dimple. We usually try to use continuous rather than interrupted sutures so they will be less prominent under the skin. Usually,...

Urology: Permanent Finasteride Side Effects, ED from stopping Finasteride
ED from stopping Finasteride: Roderick: There is no scientific evidence that stopping finasteride will cause the types of problems you ve described. I don t care how many people claim to have the same problem on some unofficial website: I m required to use only certified and verified...

Urology: Physical trauma & lack of sexual desire, routine blood tests, mild head trauma
routine blood tests, mild head trauma, lack of sexual desire: LKO, your fiance s problems could be related to the accident. Some of his issues may be physical and some mental. There are many possible causes for erectile dysfunction (ED). The most common diseases associated with this disorder are vascular conditions...

Urology: Possible cyst, sebaceous cyst, tailbone
sebaceous cyst, tailbone, cephalexin: Rok: I doubt that what you ve described is an epididymal cyst. Even if it were, an antibiotic is not going to help. It is also very foolish to take an antibiotic for any problem it wasn t specifically intended to treat. Here, this could be an infection...

Urology: Possible Penile Injury, 20 months after jelking injury
20 months after jelking injury: Steven: The answer is yes, I think there is a good chance you ve done some lasting damage to the penis. The strange sensation could be a nerve injury which would be much more likely than a urethral injury. Further substantial healing is unlikely after...

Urology: Post prostectomy kegel, prostectomy, kegel exercises
prostectomy, kegel exercises, urine leakage: George: I can t tell you if you re doing it right or not. After 2 years, you hopefully have found out how to do it correctly. It sounds about right but I can t guarantee that. Talk to your physician again about this. Maybe ask about physical therapy...

Urology: Post Varicocelectomy Concern, nurse line, lower abdomen
nurse line, lower abdomen, persistent presence: I can t tell you why the veins are hard. Either they are thrombosed (filled with blood clots) which can make them hard but then they wouldn t drain. If the artery were damaged, the testicle would have severe pain and shrink in size. Typically, veins...

Urology: Prostatitis, burning sensation after ejaculation, tamsulosin hydrochloride
burning sensation after ejaculation, tamsulosin hydrochloride, retrograde ejaculation: Surath: Tamsuolosin is known to have the side effect of lack of ejaculation or retrograde ejaculation. Your physician should have told you. Things will go back to normal once the medication stops. Prostatitis can be difficult to cure, but it can be...

Urology: Prostatitis symptoms, turp procedure, prostratitis
turp procedure, prostratitis, prostatitis symptoms: We don t recommend a complete prostate removal except for cancer because of the side effects. I suggest you consult a urologist and have this checked. My first instinct would be to suggest a cystoscopy to look into the passage and see if there is regrowth...

Urology: pain/lump at base of penis, lump at base of penis, arteries and veins
lump at base of penis, arteries and veins, lymphatic vessel: Vic, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall try...

Urology: not painful epidydimitis, Swelling in testicle from infection
Swelling in testicle from infection: Jack: Testicular swelling after an infection will tend to last much longer than in other parts of the body. So it is possible to have the swelling remain after the antibiotics have finished. In fact, this is common. The swelling will probably take...

Urology: painful erection, painful erection, corpora cavernosa
painful erection, corpora cavernosa, exact diagnosis: Allen, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. Therefore, I strongly...

Urology: penis go, how to enlarge the penis
how to enlarge the penis: Hami: You can have this checked by your physician, but there is no treatment to safely or reliably enlarge or lengthen the penis. This forum is full of men with permanent problems caused by various exercises and treatments intending to do this. Sorry...

Urology: penis, incision and drainage, sebaceous cysts
incision and drainage, sebaceous cysts, exact diagnosis: Tim, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall try...

Urology: penis damage, Another jelking injury. What treatment can be done now?
Another jelking injury. What treatment can be done now?: Dave: There is no specific treatment. Various things have been tried with varying degrees of success such as Trental, penile traction and verapamil injections. You ll need to see a urologist to see if any of these are appropriate for you. What you ve...

Urology: penis problems, nerve problem, orgasism
nerve problem, orgasism, severe headaches: David: I m not sure I completely understand your situation, but I can tell that there is a possible neuropathy (nerve problem). This sometimes indicates diabetes and similar illnesses which can affect many areas including the penis. Trouble voiding could...

Urology: penise skin color change, skin color change, psoriasis eczema
skin color change, psoriasis eczema, contact dermatitis: S, I have looked at the pictures your sent but it is difficult to make this type of diagnosis over the internet without the ability to do a more complete history & physical examination. Common causes would be a bacterial, yeast or fungal infection, contact...

Urology: plz clarify, testis, testicles
testis, testicles, physical activity: Madhu: The purpose of the supporter is to keep the testicles closer to the body for protection and to avoid injury. Lack of a supporter does not cause a hydrocele. We generally recommend a supporter before any long period of strenous physical activity...

Urology: post TURP bleeding, blood in the urine, prostate surgery
blood in the urine, prostate surgery, urologist: John: Bleeding at 12 days after prostate surgery is not unusual. This can go on for several more weeks and even months before it finally resolves. Talk to your urologist when he returns from Mexico. He may recommend some Finasteride to help with the...

Urology: premature ejacualtion, Premature ejaculation
Premature ejaculation: Anwar: Premature ejaculation is a problem of control and anxiety. Treatment usually consists of sex therapy by a certified therapist or use of one of the SSRI types of medications. Talk to your physician about the most appropriate treatment for you...

Urology: prostate cancer, prostate cancer: What to do?
prostate cancer: What to do?: John: An extensive discussion of the pros and cons of treatment options for prostate cancer is beyond the scope of what we can deal with on this forum. At this point you have good disease with a relatively low PSA and localization to only one area of...

Urology: prostate problem?, frequent need to urinate, overactive bladder
frequent need to urinate, overactive bladder, ecography: Berry: A feeling of incomplete emptying and urgency suggests either prostatitis or overactive bladder. I don t see where doing an echo of the prostate would be helpful although we frequently do echoes of the bladder to check for emptying. A digital inspection...

Urology: Question regarding nerve damage to penis, nerve growth, nerve damage
nerve growth, nerve damage, tingling sensation: Mike, you are quite correct in your interpretation of my response. In my experience, all my cases have reverted to normal provided the individual discontinues jelquing or similar traumatic practices. In most instances, healing has occurred within 1 year....

Urology: Retrograde Ejaculation after accident, retrograde ejaculation
retrograde ejaculation: Sam: It is unlikely to be the result of a hip injury since that would not usually involve nerves to the prostate or penis. Therefore, your problem of retrograde ejaculation after a hip injury would be considered rare. Your urologist was correct in that...

Urology: Scar Irritation after Skin Bridge Surgery, skin bridge, exact diagnosis
skin bridge, exact diagnosis, scar tissue: Brad, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to take a more complete history and do a physical examination. However, I shall try...

Urology: Sperm comes after urine, acne pimples, semen volume
acne pimples, semen volume, bladder neck: John Aqal, the fluid that you notice at the end of urination is most likely prostatic fluid. Although this symptom more commonly occurs in men who ejaculate infrequently, too frequent ejaculation can also irritate and inflame the prostate gland. During...

Urology: Stone in Upper Fundibulum, Can I wait on a 7 mm kidney stone?
Can I wait on a 7 mm kidney stone?: Ofvat: I don t agree with leaving such a large stone in a relatively dangerous place in the kidney. Here, we would place a protective Double J stent and then do lithotripsy (ESLW) where a large machine is used to break up the stone from outside. Kidney...

Urology: Strange post ejaculation pain. Prostate?, digital rectal examination, psa level
digital rectal examination, psa level, history of prostate cancer: Ryan, the most common cause of your symptoms is an inflammation of the prostate gland, so called prostatitis. It is not unusual for the urinalysis and digital rectal examination to be normal with this disorder. Furthermore, prostatitis often causes a temporary...

Urology: Strange post ejaculation pain. Prostate?, psa level, history of prostate cancer
psa level, history of prostate cancer, pain during urination: Rhyn: Not everyone believes there really is such a thing as levator ani syndrome. In your case, with a presumptive pre-existing diagnosis of prostatitis, it seems unreasonable to add another diagnosis like levator ani syndrome. Try some hot sitz baths...

Urology: Swallon vein, sexual intercourse, veins
sexual intercourse, veins, prominence: Jack, veins such as yours are normal. There is great individual variation in the size and prominence of these veins but they are of no concern. Masturbation or sexual intercourse makes these veins no more susceptible to injury than veins that are less prominent....

Urology: self catheterizing, bladder spasm, stress incontinence
bladder spasm, stress incontinence, urogynecologist: Rebecca: No, the feeling of the bladder clamping (a bladder spasm perhaps) is not normal. This may be suppressible by a medication or your could have a cytsocele where the urine is hiding. Talk to your physician or consult a urogynecologist or urologist...

Urology: semen assessment, male infertility, answer check
male infertility, answer check, insemination: Danielle: We don t typically give odds, especially after only a single semen sample. The cound and density is OK, but the progression and motility is still down. To me, these are sufficient to justify a try at insemination of washed sperm prior to trying...

Urology: sexual performance, lipid hypothesis, increasing testosterone
lipid hypothesis, increasing testosterone, lowering cholesterol: Nestor: Taking extra cholesterol is stupid and dangerous. Not only will it not increase testosterone production, it could cause other problems like buildup of plaque in the arteries or gall stones (which are also made of cholesterol). If it could actually...

Urology: slight tear meatus, tear in meatus that isn't healing
tear in meatus that isn't healing: Richard: I suspect that if it is not healing, it has either healed part way, is continually being irritated or is infected. Check with a urologist for further evaluation and treatment of this. In some cases, we just use a condom or an antibiotic gel...

Urology: slightly painful, tingling erection...dent?, injury to the penis
injury to the penis: Joe: It sounds like you have a traumatic injury to the penis that is now mostly healed with a dent. There isn t going to be much we can do at this pint since its already healed. You ll probably have to live with it this way. This could be the start of...

Urology: spermatic chord nerve block, genitofemoral nerve, testicle pain
genitofemoral nerve, testicle pain, nerve block: George: Urologists don t typically do spermatoc cord blocks although we probably could. I would consider what the pain specialist has suggested, but if that fails a urological exploration might be needed. This could mean removal of the testicle, though...

Urology: sphincters, external sphincter, internal sphincter
external sphincter, internal sphincter, prostate surgery: Irv: The internal sphincter is part of the prostate. If you ve had prostate surgery, this sphincter is probably gone. The external sphincter is mostly involuntary with a voluntary component. It s the reason you re leaking. Try some Kegel exercises to...

Urology: swelling, infected hair follicle, brown recluse spider
infected hair follicle, brown recluse spider, warm bath water: Alisha, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give specific recommendations over the internet because of the inability to take a more complete history and do a physical examination. However,...

Urology: swelling/gristle like tissue growth on left of penis on region of remnant foreskin, edema fluid, sexual lubricant
edema fluid, sexual lubricant, exact diagnosis: Anders4334, as you might imagine, for this type of problem it is not possible for me to make an exact diagnosis or give recommendations over the internet because of the inability to do a physical examination. However, I shall try to help you. Judging...

Urology: swollen vein in penis sometimes, spots on the penis, westfal
spots on the penis, westfal, hello doctor: Westfal: I can t be sure from only your description, but this sounds like a venous aneurysm or weakness caused by the trauma. While its not particularly dangerous, its also not reparable and at this late date its not going to heal by itself. Consult a...

Urology: Testicle infection, testicle infection, seminal vesicles
testicle infection, seminal vesicles, urinary canal: Sam, epididymitis is a common malady and the overwhelming majority are cured by the routine treatment your doctor prescribed. Most physicians tell their patients that if the infection does not respond to therapy or if it gets worse, to contact their office...

Urology: Testicles, testicle, secretion
testicle, secretion, stomach: Justin: You may or may not have done some injury to the testicle. Even if you did, it should not affect ejaculation which sounds like it may now be retrograde. You should contact your physician to look into this if it doesn t straighten out by itself...

Urology: Testicular Pain, enlarged testicle, sharp drain
enlarged testicle, sharp drain, dull ache: James: If you are still having pain now that the hydrocele is repaired, then the pain is likely to be from something else. A repeat ultrasound might be helpful. Talk to your surgeon about any other abnormalities that might have been found at the time...

Urology: testicle infection, testicle infection, pus formation
testicle infection, pus formation, repetitive questions: Sam: Scrotal abscesses are relatively rare and very uncommon after adequate antibiotic therapy. A visit prior to 30 is not necessary unless there is clinical evidence of failure of therapy. Persistent swelling in the scrotum after antibiotics is very...

Urology: left testicol discomfort, Abdominal and testicle pain.
Abdominal and testicle pain.: Leo: From the limited information presented, it s impossible to identify the nature of the problem. An infection or a hernia are the most likely causes of left lower abdominal pain that might also involve the testicle. You need to contact your physician...

Urology: testicular blood supply, arterial blood supply, testosterone supplement
arterial blood supply, testosterone supplement, testosterone levels: Ofvat: If the doppler showed good blood flow, then the testicle should be able to produce sperm and testosterone. We do not have any specific treatment to increase the size of a testicle. A semen analysis and a blood testosterone level would definitively...

Urology: testicular pain / infertility, low white blood cell, scrotal ultrasound
low white blood cell, scrotal ultrasound, blood cell count: Brett: Varicoceles infrequently cause pain. They can reduce sperm counts but are not generally thought to be able to reduce the sperm count to zero. This usually happens after surgery such as a vasectomy, some types of infections or perhaps there is a...

Urology: testicular questions, renal parenchyma, muscle spasm
renal parenchyma, muscle spasm, meaty portion: Aaron, your kidney is made essentially of 2 portions: the parenchyma and the pelvo-calyceal system. The renal parenchyma is the outer meaty portion of the kidney which is constructed mainly of millions of tiny tubules that filter waste products from the blood...

Urology: Urethral Tear?, blood in ejaculate
blood in ejaculate: Scott: I very much doubt that your problem is a urethral tear . You have some hematuria and hematospermia. I would suggest that you consult a urologist for a checkup to make sure its nothing serious. I prefer not to give you a long laundry list of possible...

Urology: Urine discharge often, fear anxiety, bladder problem
fear anxiety, bladder problem, overactive bladder: Salman: Sorry, but I don t buy it. Lots of people have various levels of stress, fear and anxiety. They don t typically have a significant case of urinary frequency or discharge. Start by doing a voiding diary where you write down the times and amounts...

Urology: Urology, Testicle is 3 times larger than the other
Testicle is 3 times larger than the other: Jagan: There should not be that much difference in size between the two testicles. This could be from a hydrocele, spermatocele, hernia, infection or tumor. You should contact your physician to find out what the underlying problem is and the best treatment...

Urology: Urology / Kidney Stone, flank pain, litholink
flank pain, litholink, kidney stone: The test from Labcorp that I used to recommend is no longer available, so go ahead and get the test from Litholink. Calcium related stones don t generally break up by themselves, so if your urologist recommends and ESWL or other treatment for a sizeable stones...

Urology: UTI, nerve block, bacterial resistance
nerve block, bacterial resistance, unasyn: Patrick: That s why we do cultures. Not every bacteria that used to be sensitive in the past to certain antibiotics has remained so. I do not think the culture is a mistake. Yes, a second UTI can come up again. There is no absolute guarantee that...

Urology: UTIs, pus cells bacteria, fever of unknown origin
pus cells bacteria, fever of unknown origin, routine urinalysis: Lynn, I have no special expertise regarding the guidelines that nursing homes must abide by related to the performance of periodic routine urinalyses. I suspect the policies and laws regarding this varies greatly in different areas of the country. I will...

Urology: urethral scarring and meatus sensitivity, split stream, scar tissue
split stream, scar tissue, stricture: JS: The sensitivity could be an infection or just residual inflammation from the original dilation. The split stream is from the scarring and my not totally recover. Its not clear what the mucus is from, but an infection would be more likely to do this....

Urology: urinary urgency, interstitial cystitis, bladder stones
interstitial cystitis, bladder stones, extreme urgency: Karen: It would be almost impossible to have bladder stones that would not show up on cystoscopy. Your symptoms suggest interstitial cystitis, but some other problems need to be checked like CIS and some atypical infections. I suggest you consult...

Urology: uses of sex toys, it can prevent disease?, having sexual intercourse, shed some light
having sexual intercourse, shed some light, sexual pleasure: Joeben Citu, sex toys are generally used to provide or enhance sexual pleasure. They can be used solely for the purpose of masturbation or as an adjunct to foreplay and sexual intercourse with a partner. They generally consist of objects that are inserted...

Urology: Vanishing Erection, semi erections, marijuana usage
semi erections, marijuana usage, morning erection: Your husband needs another urologist. Premature ejaculation is a problem of control. This can be managed either with medication (SSRI type meds) or with treatment by a certified sex therapist. A trial of Viagra or similar medication might also help...

Urology: Varicocele/epidydymitis, testicular atrophy, defective valve
testicular atrophy, defective valve, prostate examination: Max, from a general health standpoint, exercise is excellent. However, it will not have any effect on reducing the size of, or causing a varicocle to improve or disappear. Varicoceles (as mentioned in my initial note to you) are due to a defective valve...

Urology: Viagra, enlarged prostate gland, cholersterol
enlarged prostate gland, cholersterol, drop in blood pressure: Mahoosh Mohamed, Viagra can cause the blood pressure (BP) to decrease mildly. The main concern, therefore, is mainly taking other medications with Viagra that might cause the BP to drop to dangerous levels. The most common medication absolutely contraindicated...

Urology: vasectomy badly performed, vasectomy, incision
vasectomy, incision, stitches: Vic: It is extremely uncommon to have to revise a vasectomy in the way you ve described. I ve been in practice for almost 30 years and have never had to do this. Hopefully its been repaired at this point and will heal up without further incident...

Urology: vein like lump, sperm quality, scrotum
sperm quality, scrotum, having children: David: The urologist is correct. A varicocele can sometimes cause infertility, but most of the time its harmless. Manipulation of the testicle can cause the feelings you described. The veins in the testicles are not easily damaged. I ve never heard...

Urology: Weak erection and bareable pain at penis base, signs of a yeast infection, vegas nv usa
signs of a yeast infection, vegas nv usa, zpac: Ankit Shah, when one becomes sexually aroused, the prostate fills up with fluid and when you ejaculate, the prostate contracts, propelling its liquid into the  urethra. Here it mixes with other substances (sperm, seminal vesicle  fluids, etc)...

Urology: Weak urine stream was diagnosed as over-developed muscle????, internal sphincter, cystoscope
internal sphincter, cystoscope, urine stream: Alexander: Yes, you can safely take tamsolosin for as long as you need to. There are some possible side effects relating to ejaculation which may be bothersome. If you encounter these, an alternate medication can be used. The risk of incontinence from...

Urology: 40 and Really Concerned, any danger from handling clothes that may have semen?
any danger from handling clothes that may have semen?: Terry: Semen is a biological fluid that contains protein. It is possible to spread various infections by direct contact with an infected bodily fluid of any kind, but it would be exceedingly unlikely to transmit any kind of illness, disease or allergy....

Urology: Alternative antidepressant, fluoxetine prozac, bmi 21
fluoxetine prozac, bmi 21, sexual side effects: Chris: It is extremely unlikely that a varicocele surgery would cause ED. However, depression is a likely cause of ED. Prozac may be fine for your depression, but it will probably interfere with ejaculation and ED to some degree. Most anti-depressants...

Urology: big to little penis, little penis, hep c
little penis, hep c, surgery trauma: Paula: Unfortunately, there is not enough information to determine the cause of problem. However, his other problems including the ED, heart disease and substance abuse are all contributing to his continuing sexual problem. In general, the causes...

Urology: bleeding during urination, inflammatory condition, urinating
inflammatory condition, urinating, urologist: Kaustubh: Your masturbation almost certainly has nothing to do with this problem. You could have prostatitis, an inflammatory condition of the prostate. This needs to be confirmed by your physician or you can consult a urologist. There is no simple remedy...

Urology: Bleeding from Penis, bleeding with a negative workup
bleeding with a negative workup: Dennis: You ve had a complete workup and nothing was found. Since the evaluation was negative, its not possible for me to determine the etiology or ultimate diagnosis. The urologist is the appropriate specialist to see about this and you ve done that....

Urology: blood in urine, blood transfer, kidney stones
blood transfer, kidney stones, blood in urine: Debbie: There is always the risk of an infection, but since you are trying for a pregnancy there is little additional risk. Your husband has seen a urologist and is getting treatment which is fine. Optimally, he should be off of all medications, even...

Urology: chronic prostatitis and kidney infection, hepatitis a b c, chronic prostatitis
hepatitis a b c, chronic prostatitis, tertiary care center: Mark: You ve already seen a number of specialists including urologists so it is unlikely I can come up with a definitive and correct diagnosis from here. I can only suggest you consult with a urologist at a University medical tertiary care center where...

Urology: Clear penis discharge, penis discharge, clear discharge
penis discharge, clear discharge, last test: John: Just because the chlamydia was treated doesn t mean the inflammation is also gone. Check again with your physician if the discharge doesn t go away in the next few weeks. This could just be pre cum. It does not meet the criteria for a UTI...

Urology: Concerned at 17, soiled underwear, nocturnal emissions
soiled underwear, nocturnal emissions, sam sam: Sam: I believe you are referring to nocturnal emissions which are normal. Semen can be transferred but it will not cause any harm or sickness. Semen will dry in a matter of a few minutes depending on the surface. The sperm die quickly when exposed and...

Urology: Damaged Penis?, urologist, anatomy
urologist, anatomy, exercises: Ben: Most likely you did no real damage at the time of the exercises. But to diagnose a problem where there is a change in the anatomy, a direct examination will be needed. You ll need to see a physician or consult a urologist to see what is happening...

Urology: Dark red blood in urine after ureteroscopy, bleeding after kidney stone surgery, kidney stones
bleeding after kidney stone surgery, kidney stones: Ham: It is quite common to have bleeding after ureteroscopic surgery. The stent helps with drainage and helps avoid even worse pain. In general, they are removed at about 5-7 days after the surgery. Your pain sounds like a spasm. We often give antispasm...

Urology: Diagnosing Low T symptoms, low testosterone
low testosterone: Arnold: Have the look at the bioavailable testosterone and not just the total which is borderline . If you have the symptoms, ask your endo to consider a 3-6 month trial of a testosterone supplement. Or get an opinion from a urologist if the endo doesn...

Urology: Discomfort during erection, suspensory ligament, ct scan of the abdomen
suspensory ligament, ct scan of the abdomen, vacuum devices: Ricardo: You may or may not have injured the penile suspensory ligament. This usually heals, but if not there isn t much we typically can do. Erectile function can be improved with vacuum devices or Viagra type treatments and you would probably benefit...

Urology: ED and penile desensitization, sex with my girlfriend, clock position
sex with my girlfriend, clock position, o clock: Gregory: We do not have tests that map the nerves in the penis. There are tests such as biothesiometry and bulbocavernosus reflex latency time measurements that can be done to look for nerve problems in the penis, but these are rarely done except for...

Urology: ED / prostitus, prostitus, self massage
prostitus, self massage, personal physicians: Dave: The Feliciano method is based on getting a culture and using that as the basis for the antibiotics, which is not unreasonable. However, it goes on from there to include prostatic massages which is not the accepted treatment in the US. Theoretically,...

Urology: no errection, erection difficulties, errect
erection difficulties, errect, erection problems: Talis: I can t determine the underlying problem from your description and I can t explain the shivering you ve noticed. Likewise, there are no home remedies for these problems. A good checkup may help determine if there are any underlying health issues...

Urology: penis sweling caused by pump, lymph fluid, pumper
Urology: penis sweling caused by pump, lymph fluid, pumper, doughnut

Urology: Prostate problems and masturbation, frequent masturbation, few days
Urology: Prostate problems and masturbation, frequent masturbation, few days

Urology: Sudden Penis Shrinkage, restricting blood flow, pelvic floor
Urology: Sudden Penis Shrinkage, restricting blood flow, pelvic floor, pelvis

Urology: Genital Warts, genital warts
genital warts: Darius: Genital warts are caused by a skin virus, HPV. With unprotected sex, the virus can be passed from one partner to another so we recommend having both partners treated. The virus is not genereally present in the blood stream, but antibodies can...

Urology: Hydrocele Incision, wound infection after hydrocele surgery
wound infection after hydrocele surgery: Dan: I can t tell if this is a wound infection or not, but if you tell the doctor s gatekeeper that the stitches are not out and the wound has opened up and you believe you have a wound infection, I think you ll get to the physician. Also, ask specfically...

Urology: hydrocele returning after surgery, kidney infections, kidney infection
kidney infections, kidney infection, kidney stone: Christine: Check on the credentials of the new doctors. If they are board certified and trained in good institutions, then they are probably fine. As for an infection, its impossible to say from here what kind of treatment might be needed. In some...

Urology: Inflammation, testicular pain
testicular pain: Mohammad: I ve answered this already. The inflammation is probably not permanent, but the chronic changes in the epdidymis such as scarring may be. An inflammed epididymis is extremely unlikely to cause any cancer. A cord block may be a reasonable...

Urology: johnson worrys, nodule on penis
nodule on penis: Ross: I can t identify the problem from only your description. No physician should deliberately make a patient feel so uncomfortable during an examination. I would suggest that you consult a urologist. These specialists evaluate and treat penile problems...

Urology: Kidney stone, kidney stones, kidney stones handbook
kidney stones, kidney stones handbook: Robert: A stone that is 7.6 mm is unlikely to pass by itself. You should definitely consult a urologist for specific advice about treatment options and about considering a 24 hour urine test for stone prevention in the future. I also recommend ordering...

Urology: kidney stone evaluation, intracellular bacteria, research medical center
intracellular bacteria, research medical center, kidney stone: SUsie: Vitamin D is not directly related to immunity and I can t explain the change in UTI s from a Vitamin D issue. Also, increased Vitamin D will increase calcium absorption and hence urinary excretion so make sure you don t take too much. The most...

Urology: loss of hardness, loss of penis rigidity
loss of penis rigidity: Ben: No, there aren t any herbs, minerals or vitamins that will help with erection rigidity. If you are having a loss, then you should talk to your physician or consult a urologist. We typically will check a testosterone level among other things. You...

Urology: Low ejaculation Volumn, low semen volume
low semen volume: Johnny: We don t usually get all that excited about a low semen volume. It is not considered a potential danger sign for any pathology or disease except possibly for infertility, which is why your urologist focused on possible fertility issues. This problem...

Urology: low sperm count, Low sperm motility
Low sperm motility: Madhus: Its impossible to interpret just the isolated number. Is the 30 million a total count or per ml? Only 5% motility suggests a problem. While only 1 sperm is needed, when the motility is this low, too few sperm will reach the area near the egg...

Urology: Low Testosterone, low testosterone
low testosterone: Scott: Well, in medicine almost anything is possible but a varicocele surgery even if done badly is not going to cause low testosterone. Your hot flashes are almost certainly due to the low testosterone. Hypogonadotrophic hypogonadism is relatively...

Urology: Too Much Masterbation, genital worts, excessive degree
genital worts, excessive degree, pin point: David: There is no harm from masturbation, however it is conceivable that a truly excessive degree of manual irritation to the skin of the penis could possibly cause some skin issues. I cannot explain the mark on the penis you ve described. For a diagnosis,...

Urology: MILD:TESTICULAR VARICES(4-months)., testicular varices
testicular varices: Mudasir: You didn t indicate if you ve had a testicular ultrasound. This is the best way to determine the nature and size of any problems with the testicles. In general, if testicular varices or a varicocele is causing discomfort or any other ongoing...

Urology: neurologist,urologist, femoral nerve, nerve block
femoral nerve, nerve block, tertiary center: Abdulhamit: I m not going to get into a debate between your specialists. If you are having pain in the penis, then it is most likely either due to a problem in the penis, prostate or nerves. You ll have to settle these differences between your physicians...

Urology: Penis Cracking, knucles, downward force
knucles, downward force, gelman: Norman: I suspect the cause is the same as cracking your knucles but I can t be sure. Since it happens when you strain the ligaments of the penis, this would suggest a similar mechanism. It also raises an issue about possible damage to those ligaments...

Urology: penis shrinkage, frequent complications, radiation therapy
frequent complications, radiation therapy, curative treatments: Arthur: Yes, radiation therapy can shrink some of the ligaments holding the penis and make it appear smaller. Unfortunately, there isn t much that can be done about it. IF it helps, alternative curative treatments for prostate cancer usually have worse...

Urology: penis sweling caused by pump, penile edema, swelling
penile edema, swelling: Andrew: It is not appropriate for me on this forum to diagnose or treat such a problem: you need to notify your primary physician, consult a urologist or go to an ER. However, in general, penile edema or swelling from prolonged use of a vacuum erection...

Urology: Pink colored Ejaculate at time of climax, blood in the semen
blood in the semen: Mark: If you ve read the other postings on this issue, then you realize that I can t put your mind at ease . That isn t my job. Blood mixed with the semen is a relatively common occurence, is usually benign and self limited, but still needs to be checked...

Urology: Popping?Peyronies?, penile curvature
penile curvature: Jack: There is no good evidence that the popping is causing any harm, but you do have a problem with the Peyronie s. There are some medications that are thought might be helpful and your curvature is bad enough that you might want to consider verapamil...

Urology: Potential danger with achieving dry orgasms, psychogenic ED
psychogenic ED: Joe: The best way to check for hypothyroidism is with a blood test. Same for low testosterone levels. Psychological treatment is recommended but is not the only treatment for psychogenic ED. However, it remains the only curable remedy. Viagra, MUSE,...

Urology: Prostate problems and masturbation, testicle discomfort, prostate problems
testicle discomfort, prostate problems, perineum: Mike: Masturbation does not cause prostate problems or anything else. The pain is most likely from prostatitis which would account for both the testicle discomfort and perineal pain. You should talk to your physician or consult a urologist for confirmation...

Urology: Prostatic Hyperplasia with Urinary Obstruction, benign prostatic hyperplasia, psa levels
benign prostatic hyperplasia, psa levels, urinary obstruction: Maribel: The PSA levels are high because the prostate is enlarged. When the prostate enlarges, the passage inside becomes clogged which is clinically apparent as urinary outlet obstruction. He should be under the care of a urologist for these problems....

Urology: prostatitis, prostatitis
prostatitis: Teresa: The fact that his problem is getting worse suggests that Cipro is not the optimal drug for him and that he may need some other treatment such as an alpha blocker like FLomax, tamsulosin or similar. Call his physician and let them know he s not...

Urology: prostrate, can eggs cause prostate cancer?
can eggs cause prostate cancer?: Pradeep: That s not baloney! A study by the Harvard School of Public Health found an 81% increase in lethal prostate cancer risk by those who ate 3 eggs a week or more. However, previous studies on this subject were contradictory so there is perhaps some...

Urology: prostrate cancer, prostate cancer
prostate cancer: Stan: Prostate cancer is generally very slow growing so there is some time to speak to several specialists such as radiation oncology (radiation therapy) as well as medical oncology (medical cancer specialists). I can t interpret a mid to high level cancer...

Urology: PSA Testing over 75, psa levels, prostate cancer
psa levels, prostate cancer, age group: MK: In this case, I agree with the USPSTF recommendations not to continue with PSA screenings after age 75 if they are normal up to that point. IN this case, the PSA has been rising so it may be reasonable to continue. The issue is that any cancer discovered...

Urology: Re: Penile bleeding, urethral polyps, strictures
urethral polyps, strictures, urologist: Tasha: It is obviously not normal to have any bleeding from the penis. Possible causes include infection, strictures, urethral polyps, blood thinning meds, etc. In most cases, no specific cause can be determined. He should check this out with a urologist...

Urology: what is the right cock ring?, cock ring, high blood pressure
cock ring, high blood pressure, cold feeling: Thomas: Your problem is not high blood pressure. While not dangerous, it could indicate the ring is too tight. See if you can find a ring that is slightly larger or one that has a small relief area for the urethra. Such rings are made by Timm medical....

Urology: right testis problem, Hit with ball in bladder and scrotum
Hit with ball in bladder and scrotum: Ramakrishna: While the injury may not need any immediate treatment, we don t really know the extent of the damage. A testicular ultrasound is a good way to make that assessment. You should contact your physician or consult a urologist to make sure...

Urology: Secretions, prostatic secretions, morning erections
prostatic secretions, morning erections, premature ejaculation: Akeem: The fluid is either precum or prostatic secretions; especially after a bowel movement. Premature ejaculation is a problem of anxiety. It is treatable with either sex therapy or medicatons. You ll need to talk to your family or personal physician...

Urology: shrunken penis, penis shrinkage
penis shrinkage: Poly: I answered the first time, too. I cannot explain the shrinking in penis size. This usually requires either surgery, radiation or some kind of injury. A trial of Viagra or similar medication might be helpful. There is no effective way of increasing...

Urology: skin bridge, skin bridge, legal decision
skin bridge, legal decision, legal permission: Colton: Unfortunately, at 14 you are still a minor and cannot make a legal decision about medical treatment. You will have to tell your mom to get legal permission for any surgical procedure. To make it easier, you can consider talking to your physician...

Urology: Slight post-urination dribble, post void dribbling
post void dribbling: Kaloshi: No real problem; you just have some post void dribble as many men do. The best remedy is to press your hand in front of the scrotum and then press forwards to the base of the penis. This will express a few drops of urine and will help empty the...

Urology: softer morning erections and no erection at all later on, morning erections, nocturnal erections
morning erections, nocturnal erections, spontaneous erections: Saurev: Your age, lack of medical problems and relatively short duration of the problem suggest an emotional or anxiety related issue. I doubt there is a venous leak but its not possible to be sure at this point. You certainly do not have a penile fracture...

Urology: Stinging pain in urethra near the tip of the penis during urination, xylocaine jelly, definitive advice
xylocaine jelly, definitive advice, pain during urination: Mark, The advantage of getting medical advice on the internet is that it is free and convenient. However, since you can not be seen and examined by any doctor via the internet, the information provided is limited. In general, if you have a small tear towards...

Urology: Strange sensation on my penis, strange sensation, chas
strange sensation, chas, ploy: Chas: A vibrational sensation in the head of the penis where everything looks OK is most likely a neuropathy; a nerve issue. This can sometimes be due to medications or an underlying problem like diabetes or some other nerve issue. Talk to your physician...

Urology: Sudden Penis Shrinkage, pelvic floor muscles, inguinal canal
pelvic floor muscles, inguinal canal, penis shrinkage: John: Now that the testosterone levels are normal, you may want to try the Viagra type medications again: they may work better. There is no treatment for a shrunken penis nor can I explain what has happened. Usually, the only causes for such shrinkage...

Urology: Transparent fluid comes after urine, prostatic secretions, jelquing
prostatic secretions, jelquing, transparent fluid: Allen: You can t damage the dorsal nerves by excessive masturbation although various so called penis exercises can do this. If you had damage the nerve, this would affect sensation and not cause any fluid discharge. Most likely the fluid is either similar...

Urology: Urethra stricture, urethra stricture, urethral strictures
urethra stricture, urethral strictures, long term solution: Ravi: There are no medicines specifically for urethral strictures. I personally prefer the DVIU and periodic patient self dilations. The urethroplasty is difficult surgery with a relatively high complication rate. It would be best done by a specialist...

Urology: Urinary bladder, urinary bladder, scar tissue
urinary bladder, scar tissue, treatment of diabetes: Abhi: A prevoid urine usually indicates the amount of urine voided before some type of other test. Without more details of how this was obtained and the underlying problems being looked at, its not possible to interpret this number. Hydronephrosis means...

Urology: urine problem, post void dribbling
post void dribbling: Qaisar: Small amounts of post void dribbling are not unusual. Treatment is usually just to manually empty the urethra by placing your hand in front of the scrotum and them moving it forward towards the base of the penis. This will expel about a 1/2 teaspoon...

Urology: Varicocele or worse? - feeling of a detached epididymis, epididymis vas deferens, skin bridge
epididymis vas deferens, skin bridge, hernia specialist: Jeremy: You have a varicocele confirmed by ultrasound. It is highly doubtful that the epididymis is actually hanging by a thread . An examination by a urologist and/or a repeat ultrasound would help check on this. I can t comment on the left sided muscle...

Urology: Vein/Dorsal Nerve, penis shaft, loss of sensation
penis shaft, loss of sensation, accurate diagnosis: Mike: Its impossible to accurately diagnose the problem only from your brief description. I suspect there might be an issue with the dorsal superficial vein. An infection or blood clots is possible. I can only suggest you talk to your physician or consult...

Urology: Wet Dreams at 45?, wet dreams, sphincter muscle
wet dreams, sphincter muscle, health magazine: Jack: Your wet dreams are not that unusual. Afterwards, your internal sphincter muscle will remain tight for awhile which is why you are having trouble urinating afterwards. I don t know where you read the nonsense about semen. It is not going...

Urology: Wet dreams, why is semen sticky?
why is semen sticky?: Peter: Wet dreams occur to help empty the seminal vesicles and prostate periodically. Semen is made up of sperm, of course, but the majority is water, mucus, fructose and protein. The reason it is sticky is the mucus and protein. The function is to create...

Urology: Xylocaine jelly to alleviate pain during urination, pain during urination, xylocaine jelly
pain during urination, xylocaine jelly, laceration: Mark: I would not recommend xylocaine jelly. It dries out fairly quickly and can get things infected, although a short term use might be considered. I m afraid you will find that it is more trouble that it is worth and that the stinging may not be helped...

Urology: 1st nephrologist appointment, blood in the urine
blood in the urine: Ally: I honestly can t tell you what a nephrologist would do as I am a urologist. We both deal with kidneys but the nephrologists are internists while the urologists are surgeons. We typically do not rush to a biopsy. First, we need some kidney x-rays....

Urology: benadryl, benadryl, prostate enlargement
benadryl, prostate enlargement, enlarged prostate: Howard: WE do not normally recommend benadryl with prostate enlargement because of a mild anticholingergic effect of the benadryl. Also, why take 50 mg three times a week instead of 25 mg every night? If there has been no trouble urinating, most likely...

Urology: blood leaking from penis, kidney stone, lower back pain
kidney stone, lower back pain, definitive diagnosis: Damon: You have blood from the penis associated with lower back pain. A urinary tract infection, kidney stone or prostatitis would be the most likely causes. You will need to consult a urologist to sort this out for you and give you a definitive diagnosis...

Urology: blood from penis, blood from penis
blood from penis: Jonathan: You have blood in the semen and blood from the urethra. The cause of this is unclear at this point. Most of the time, its nothing serious but an infection, tear or stone is possible. You should check with your physician or consult a urologist...

Urology: blood in unrine, blood in the urine, prostate cancer
blood in the urine, prostate cancer: Bob: You state that he had his bladder and kidney checked out, but you didn t indicate how this was done. Normally, we do some type of kidney imaging such as a CT scan, plus a cystoscopy to examine the bladder and prostate. His PSA seems to indicate that...

Urology: broken penis, damage to the penis from bending
damage to the penis from bending: Gow: I am not able to give you a prognosis when we don t have a diagnosis. Just because you heard a pop sound does not necessarily mean anything. A decrease in sensation does suggest an injury of some type. In general, injuries to the penis slowly heal...

Urology: burning sensation during urinating and ejaculating, burning on urination and ejaculation
burning on urination and ejaculation: You probably have prostatitis which is why the standard treatment is not quite enough. The cultures may all be negative if the germs are persisting in the prostate. A longer use of antibiotics might help. Meanwhile, try sitting in a hot sitz bath daily and...

Urology: Burning sensation in Urethra, burning sensation, problem increases
burning sensation, problem increases, nitrofurantoin: Tanveer: There are few things more difficult to do in URology than to treat a sensation when the physical examination and lab tests are normal. My suspicion is that you could have some prostatitis in which case nitrofurantoin would not be my first choice...

Urology: childhood surgeries...?, dr edwards, pediatric urology
dr edwards, pediatric urology, medical researcher: Roy: I am a urologist with 30 years experience. I m also the Chief of Urology at Creighton University Medical Center in Omaha Nebraska. You could try talking to one of the Chairman at a university medical center closer to you and see if they can assign...

Urology: Cord Like Lump on Penis, lump on penis, definite diagnosis
lump on penis, definite diagnosis, advice words: Pete: I can reassure you about the lesion because I honestly can t determine if its something dangerous or not. You will have to see someone; I suggest consulting a urologist because this way you only see one doctor who is best able to give you a definitive...

Urology: Cramping pain on delayed urination., cramps after voiding
cramps after voiding: Sandra: The cramping pain could easily be just that; a cramp. It sounds like a mild anticholinergic such as an Oxytrol patch might help. The patch is good for 3-4 days, has few side effects and may help. There are several pills that do much the same...

Urology: Cranberry Juice?, urinary urgency, kidney stone
urinary urgency, kidney stone, urinary infections: Kal: Cranberry juice does seem to have some benefit in trreating infections, but it is not known to be a treatment for urinary urgency and it contains a moderate amount of oxalate so we don t recommend it for kidney stone formers. If it seems to be working...

Urology: doubt regarding discharge, prostatic secretions, ritual purity
prostatic secretions, ritual purity, nocturnal emission: Ali: Prostatic secretions are not abnormal and they can easily be mistaken for infectiouis and other discharges. Your sensation could be anything. This is not a diagnosis; just a possibility. If you feel something might be abnormal, I advise you to check...

Urology: ED, cock ring, rubberband
cock ring, rubberband, rigidity: Ben: Loss of an erection after orgasm is normal, even if it seems quicker than previously. If the erection cannot be maintained long enough to achieve an orgasm and ejaculation, then treatment of the problem with Viagra or similar agents is reasonable....

Urology: epididymitis, epididymis, vasectomy
epididymis, vasectomy, testicle: Ed: No, they can remove just the epididymis if that is causing a problem. If the epididymis is just getting larger but is not otherwise causing any pain or discomfort, it may not be necessary to do anything. My advice is to get another urology opinion...

Urology: Penile glans becomes small/soft on supine position, embolization, glans
Urology: Penile glans becomes small/soft on supine position, embolization, glans

Urology: How soon can I have a orgasm after urethral sling surgery?, contractions, contraction
Urology: How soon can I have a orgasm after urethral sling surgery?, contractions, contraction, stitches

Urology: water drinking on empty stomach, tumbler
Urology: water drinking on empty stomach, tumbler

Urology: Frequent urination/Spasms after UTI, bladder frequency
bladder frequency: Jessie: I can t say for sure what the problem is. It could be an unusual infection like yeast or chlamydia; it could be bladder overactivity or some other problem entirely like interstitial cystitis. You should consult a urologist. Meanwhile, try to...

Urology: Hello, Have not urinated in 3 days
Have not urinated in 3 days: John: After 3 days? That s quite a long time not to urinate. The actual limit is based on bladder volume and not any arbitrary time. We tend to get a littel concerned when patients don t urinate after 8 hours. Either you are not making urine (kidney...