About Experts Sitemap - Group 54 - Page 16 2015-08-25

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...

Urology: infertility due to bilateral varicocele, varicoceles and infertility
varicoceles and infertility: Josh: It is certainly possible that the varicoceles have affected your fertility. Since they are relatively easy to fix surgically or with interventional radiology, we often recommmend a repair as this often significantly improves the semen quality...

Urology: Injury to a flaccid penis, flaccid penis, tender feeling
flaccid penis, tender feeling, soccer ball: James: I don t see how you could easily injure the penis by kicking at something, however very strange things do sometimes happen in medicine. If you are having a problem, talk to your physician to see if its anything serious and for advice on treatment...

Urology: irritated , swollen, scar penis, male genitalia, skin lesions on
male genitalia, skin lesions on, dermatologists: Juan: I can t tell you exactly what it is, but I can tell you who to see. The experts on unusual or persistent skin lesions on the male genitalia are the dermatologists. Not all of them are comfortable with sexual areas so try to find one who is...

Urology: kidndey problems, kidney stones
kidney stones: Jennifer: I presume the double J stent was replaced at some point because they can become calcified and covered with stone material. The physician who did the original surgery is REQUIRED to see you after the surgery and for any emergency procedures...

Urology: kidney prob., kidney function tests, blood clotting factors
kidney function tests, blood clotting factors, normal prothrombin time: Manish: First, we do not evaluate blood, urine or semen tests on this forum. If we did, there wouldn t be room for anything else. Second, the tests mentioned do not include any specific kidney function tests. They are general tests for blood clotting...

Urology: Kidney stone prevention, kidney stones
kidney stones: Duan: There is not enough information to make any conclusions. Struvite stones require an alkaline pH and an infection. The relatively high concentration of calcium phosphate suggests a metabolic problem such as Renal Tubular Acidosis or similar. ...

Urology: kidney stones, kidney stones
kidney stones: Joyce: Highly unlikely to pass 8 mm stones, but its not impossible. However, just because the pain is gone doesn t mean the stones have passed. In most cases, after 24 hours, the pain goes away whether the stone passes or not. In most cases, we follow...

Urology: kidney stones, intermittent kidney stone pain
intermittent kidney stone pain: Joyce: Intermittent pain is characteristic of kidney stones. Its possible for a stone to rock back and forth; in one position there is free flow and no pain, but when its in the obstructing position the pain returns. The bottom line is that she is having...

Urology: kidney stones, kidney stones handbook, female urologist
kidney stones handbook, female urologist, female gender: Joyce: I don t understand why you can t get the referral, but that s between you and your primary care physician. My advice is go see the male urologist since a referral isn t needed. Make sure you bring a copy of your medical records and the x-rays...

Urology: kidney stones, kidney stone prevention, radiation dosage
kidney stone prevention, radiation dosage, urine chemistry: Joyce: The stone doesn t much care if you are moving around or not. Additional activity may increase the chances that the stone may move but we don t restrict activity in patients with stones again because their progress is not reliably predictable...

Urology: Large capsular lesion in left kidney, renal mass
renal mass: Ritesh: A 6 cm mass may be a litte too big for a radiofrequency or cryoablation but it may be worth looking at. A partial nephrectomy is a difficult operation to perform and not all lesions can be removed easily by this surgery. It depends on the exact...

Urology: looking for a cure for ED, chronic bacterial prostatitis, semen volume
chronic bacterial prostatitis, semen volume, split stream: Michael: Sudden onset of ED is usually psychological but you ve indicated an injury which may or may not be an underlying cause. Black stuff in the semen might just be some tiny blood clots since there is no other obvious material in the body that would...

Urology: nerves, penispump, nerve damage
penispump, nerve damage, vacuum pump: Joel: If you are having pain after using the external vacuum pump, you may not be using it correctly or perhaps you should not be using it at all and should switch to an alternate treatment. There is no cure for nerve damage. If severe, it can be permanent...

Urology: nerves, external vacuum device, functional pain
external vacuum device, functional pain, personal physicians: Joel: In medicine, anything is possible. Having a pain in the penis or the central pelvic area is conceivable from an external vacuum device, but it is quite unlikely for this to cause pain in the leg. Some other source is more likely. Remember, I didn...

Urology: nerves, functional pain, nerves
functional pain, nerves, pain management: Joel: There is no documented degree or length about how much the nerves can stretch and still recover. A psychological or functional pain is best dealt with by either pain management or psychotherapy; but it remains to be seen if that is actually your...

Urology: Neuropathy, HIV and penile neuropathy
HIV and penile neuropathy: Brian: Penile neuropathy is a significant loss of nerve function in the penis, usually loss of sensation. If your not real sure about it, then it isn t a neuropathy. This is most typical of spinal cord injuries and tumors, diabetes and similar major problems....

Urology: non-bacterial prostatitis / CPPS, prostatitis
prostatitis: John: There is no answer to your question about tight muscles as there are proponents on both sides. If you can find a therapist to help, fine. There are several newer alpha blockers that should be quite tolerable such as uroxatral and rapaflo. You...

Urology: Numbness and difficulty peeing, nerve diseases, liver trouble
nerve diseases, liver trouble, nerve problems: Martin: Diminished penis sensation is often due to injury, diabetes and sometimes liver trouble. Various types of neuropathy or nerve diseases can also do this. If both the urologist and neurologist couldn t help, then you are really stuck. I can only...

Urology: pain in perineum, perineum area, lower back pain
perineum area, lower back pain, ejaculatory duct: Mike: This could be an ejaculatory duct cyst, but is more likely to be prostatitis. Try sitting in a hot tub for 10 minutes twice a day and about 1/2 hour before sex. See if this helps (it almost always does). Then check with your physician about possible...

Urology: pain after urination, mild pain, pain in the uterus
mild pain, pain in the uterus, distension: Tonia: There should definitely not be any pain in the area of the incision on urinating. It could just be from distension, but it may be useful to check and make sure there is no infection or fistula from your surgery. Contact your surgeon with this information...

Urology: painful lump on the penile shaft, lump in penis
lump in penis: Rupen: Obviously I can t make an accurate or reliable diagnosis based only on your description. A small cyst is the most likely cause of lumps in the penis. These do not typically go away on their own. If this persists, talk to your physician or consult...

Urology: Penile glans becomes small/soft on supine position, supine position, vascular problem
supine position, vascular problem, glans: Mahmood: None of the medications you mentioned are intended to do what you want and as I mentioned previously it is normal for the glans to remain relatively soft during an erection. If everything else is working OK I would not recommend any treatment....

Urology: penile injury, poor erections after injury
poor erections after injury: Vijay: You may have an injury. This injury may heal or it may not heal quickly. There is little that can be done to change the healing pattern, but it may be possible to use something like Viagra to help out. You should consult a urologist to help...

Urology: Penile pain after sex, hiv testing, burning sensation
hiv testing, burning sensation, hiv test: Jose: Good idea to have the HIV test, but HIV does not cause urethral or urinary burning. That would be something different called an STD or sexually transmitted disease. Pain on urination suggests a urinary infection and a urinalysis should be rechecked....

Urology: Penile shaft Burning /tingling, inflammation of the prostate, nerve problem
inflammation of the prostate, nerve problem, vdrl: Paul: The two most likely causes are prostatitis and neuropathy. Prostatitis is an inflammation of the prostate which can cause a variety of problems including penile discorfort. Neuropathy means a nerve problem of some sort. The fact that alcohol have...

Urology: Penis, flaccid penis, exact nature
flaccid penis, exact nature, corkscrew: charles: It certainly is possible that you did some damage, but that is unlikely. Healing would depend on the exact nature and severity of whatever damage may have been done which is impossible to predict from your description. Most likely you did no...

Urology: Penis Clot of skin, benign cyst, venereal wart
benign cyst, venereal wart, sebaceous cyst: James: I can t diagnose the lesion based only on your description and the foto, but it does not have the usual appearance of a venereal wart. A benign cyst such as a sebaceous cyst is the most likely cause. If so, a small surgery can remove it. Talk...

Urology: penis nerve damage, nerve damage, urologist
nerve damage, urologist, rigidity: Nit: Masturbation does not cause any harm, but doing a jelking exercise can injure tissues and nerves so we don t recommend it. Your problem is a reduced erection rigidity. It isn t clear what this is due to; therefore it is not possible to predict when...

Urology: penis surgery, penis reduction surgery
penis reduction surgery: Martin: I am not aware of any penis reduction surgery as part of the standard armamentareum of surgical procedures. The problem is that any alteration of the erection bodies inside the penis will likely interfere with sexual performance. I would suggest...

Urology: PFD, heating pad, pelvic floor
heating pad, pelvic floor, hot tub: Naushad: I am not aware of any heat producing massager. I usually ask my patients to sit in a hot tub, really hot, for 10 minutes 2-3 times a day. It does the same thing. But a heating pad won t allow the heat to penetrate which is why the bath is better...

Urology: poor blood flow?, poor blood flow, mid shaft
poor blood flow, mid shaft, gerth: Mark: The narrowing suggests scarring in the mid shaft such as from an injury or Peyronie s. Shrivelling up in the flaccid state is within the normal parameters. Lower pressure during urination might suggest a prostate issue or a stricture. You should...

Urology: possible retrograde ejaculation?, sexual side effects, left kidney
sexual side effects, left kidney, kidney stone: Joe: When you have the sensation of an orgasm and ejaculation but nothing comes out, it usually means that the semen is going inside or retrograde ejaculation. This can be a side effect of several medications including Flomax which is often used in kidney...

Urology: No Pre Cum, female lubrication, question thanks
female lubrication, question thanks, herbal medicine: Michael: It is not common to see a sudden change in the volume, but the normal range is from nothing noticeable to quite large amounts. We do not usually consider a change in the volume of pre-cum to be anything pathological, but check with your own physician...

Urology: pre mature ejaculation physical problems, erction, corpus spongiosum
erction, corpus spongiosum, pre ejaculation: Jake: There is no such thing as a physical cause for premature ejaculation. This is always due to some type of control problem, anxiety, etc. If you believe you are an exception and there is an associated problem with curvature, have a checkup with a...

Urology: Prostate gland, second thoughts about prostate surgery
second thoughts about prostate surgery: Dorothy: Trust your instincts. A second opinion would be a good idea in a high risk patient where some of the clinical signs are contradictory. It is certainly possible to have a good stream and still need surgery. Tamsulosin is of limited benefit after...

Urology: Prostate problems 9emptying the bladder), not emptying the bladder completely
not emptying the bladder completely: Joe: If the bladder is not completely emptying on the scan, that still doesn t tell us why. Is there weakness in the bladder muscle so its not pushing hard enough? Is there some type of blockage in the way that is interfering such as scar tissue or prostate...

Urology: prostate sensation, prostatic pain
prostatic pain: Dan: Your sensations may or may not be in the prostate. A biopsy would not necessarily be the best test for an isolated sensation. Neuropathic discomforts are treated in a variety of ways including pain medications, NSAIDs, anti-inflammatories, hot sitz...

Urology: prostatitis, prostatitis
prostatitis: Matt: There are no hard and fast answers to these questions meaning it will be different for everyone. You really should stop smoking as the nicotine will irritate the prostate. Try sitting in a hot tub twice a day for 10 minutes on those days when...

Urology: prostatitis, prostatitis
prostatitis: Matt: Since you ve had prostatitis once, you are obviously likely to get it again. Avoiding caffeine and hot spicy foods is a good start. Many people are also sensitive to other foods, but almost everyone finds caffeine to be irritating. Try sitting...

Urology: Prostatitis / UTI, hello doctor, prostate infection
hello doctor, prostate infection, urine sample: Ahmed: There are 4 types of prostatitis: acute bacterial, chronic bacterial, abacterial and pelvic pain syndrome. A post ejaculatory urine sample might help with the bacterial, but not the others. You should check with a urologist to determine what your...

Urology: Prostatitus, pain in right testicle, muscle problem
pain in right testicle, muscle problem, anti biotics: Alan: Scans are of no help when trying to diagnose a muscle issue. Typically, general surgery or orthopedics deal with muscle issues. A lump in the lower stomach that comes and goes sounds like a hernia and should be checked by a general surgeon...

Urology: Recurrent Penis Burning Mystery, penile pain
penile pain: Sara: Penile shaft pain can be due to trauma, peyronie s, scarring, prostatitis, damage to the penile suspensory ligament, etc. It may not be easy to find a cause. The most common cause is prostatitis. A short (less than 30 day) course of antibiotics...

Urology: Right distal Ureterolithiasis with hyroureteronephrosis, hydronephrosis, kidney stone
hydronephrosis, kidney stone: Ashok: You probably have a stone stuck in the ureter. The ultrasound is not sensitive or accurate enough to determine the size or location of the stone. For that you ll need an x-ray and/or CT scan. You should consult a urologist. I also recommend an...

Urology: scrotal webbing/penis tacking, scar tissue, loose skin
scar tissue, loose skin, playing sports: Ed: I seriously doubt you developed an actual scrotal web. We typically only do a surgical tacking procedure on the scrotum for twisting problems and not for what you ve described. However, there are always exceptions and you could be one. You should...

Urology: Scrotum Pain, penile fracture, emergency appointment
penile fracture, emergency appointment, extreme discomfort: Aaron: You should contact the urologist office and indicate this is an emergency. You could have a penile fracture which would need emergency surgery. If you can t get an emergency appointment, go back to the ER and insist they call a urologist for an...

Urology: sediment in urine, indwelling catheter, radical prostatectomy
indwelling catheter, radical prostatectomy, burning sensations: Richard: I cannot determine the nature of the sediment from your description, but it doesn t sound like uric acid. Uric acid tends to form yellowish stones, not the orange colored gel material you ve described. Talk to your physicians and urologist and...

Urology: severe oligospermia, very low sperm count
very low sperm count: Ramesh: There may be. It depends on the cause of your problem. If you have a varicocele, it can be corrected surgicall and this often helps. Various other treatments are available if the problem is hormonal or infectious. And there are a variety of...

Urology: was shot and damage my prostate, pelvis bone, uvula
pelvis bone, uvula, x rays: Edward: I don t have enough details of your injuries to know exactly what may have been damaged. The uvula, by the way, is in the back of the throat and nowhere near the prostate. I will not comment on the possible culpability of your physicians. All...

Urology: one sided ache, groin area, dull ache
groin area, dull ache, peyrones: Steve: I can t determine the nature of your problem from only your brief description. Peyronie s is one possibility but so is infection, scarring or prostatitis. I can only suggest you talk to your primary care physician or consult a urologist. Discomfort...

Urology: How soon can I have a orgasm after urethral sling surgery?, sling, orgasm
sling, orgasm, intercourse: Kim: That is a question that should be directed to your surgeon who has the responsibility for your recovery. In my own patients, when I am asked that question, I usually respond by asking them to refrain from any type of unusual activity for at least...

Urology: symptoms, yellow semen, pain in the groin
yellow semen, pain in the groin, groin strain: OP: A diagnosis is not possible based solely on a laundry list of symptoms. However, premature ejaculation is already a separate and unique diagnosis not related to the other problems. Yellow semen is within normal parameters. Color changes are due...

Urology: testes problem, bladder muscle, muscle problems
bladder muscle, muscle problems, urine production: Malik: There is not enough information to answer your question. The testicles enlarge due to hydroceles, hernias and infections. Urinary frequency could be due to prostate enlargement, increased urine production such as in diabetics, infection or bladder...

Urology: Testicle torsion - aftermath, testicle torsion, mild scoliosis
testicle torsion, mild scoliosis, ultrasound examinations: Goran: I will try to answer your questions. While it may be theoretically possible that the events rare linked, there is no known association. Additional problems or pain in the affected testicle would probably mean its removal as there is no way...

Urology: testicle twisting, twisting of the testicle
twisting of the testicle: Brian: By definition, torsion is not painless. The fact that you can twist it so freely suggests you may be susceptible. Having the testicle partially twisted with no pain or swelling is not likely to cause any significant or lasting harm. I suggest you...

Urology: Testicles, mental health professional, nerve injuries
mental health professional, nerve injuries, sexual libido: John: First you will need a good neurological evaluation to determine if in fact there is a definitive nerve deficit and exactly where. Beating the penis should not cause a loss of sensation in the scrotum and even if it did this would not affect sexual...

Urology: Testicular Pain, chronic testicular pain
chronic testicular pain: Evan: We don t or very rarely give any specific recommendations for physicians. In general, the more complex problems are handled best in university medical centers. one technique in dealing with chronic testicular pain is to try a spermatic cord block....

Urology: urethral bleeding, blood from urethra
blood from urethra: David: Most of the time its nothing, but there are infections like prostatitis and urethritis that can do this. A cystoscopic evaluation of the passage is probably a good idea. Extremely rarely we find small polyps or tumors inside the urethra but most...

Urology: urinary problems, latex condom, doxycicline
latex condom, doxycicline, humid climate: Manny: There is no single diagnosis that will account for all of your symptoms. A yeast or candida infection seems reasonable and would also account for the red scrotum. Prostatitis is another possibility but certainly 3 urologists would have found it...

Urology: urination, recurrent UTI in a man
recurrent UTI in a man: George: First, you have a complicated infection and you should be under the care of a urology specialist. It sounds like you may have been treated just by your primary physician. I suspect you either have a stone or prostatitis and will need longer treatment...

Urology: urine pressure, hot sitz bath, sexual desires
hot sitz bath, sexual desires, pyridium: Anthony: First, make sure that you are taking the medications as prescribed. You can try avoidance of caffeine and hot spicy food. Sometimes a hot sitz bath 2-3 times a day can help. You can also call the urology office and let them know your discomfort...

Urology: use of foley catheter - added info, foley catheters, condom catheters
foley catheters, condom catheters, foley catheter: WIlliam: You didn t ask a question, but my response is the same. Foley catheters often have significant problems and in your case you have yet to recieve a complete evaluation or a confirmed diagnosis. Get this done first, then see if a catheter offers...

Urology: use of foley catheter - considerations, bladder control problems, foley catheter
bladder control problems, foley catheter, bladder spasms: William: First, your condition is not yet properly evaluated. You haven t had a cystoscopy or a urodynamics evaluation so the exact nature of your problem is unclear. Your GP may be well meaning but he lacks the training, equipment or experience to help...

Urology: water drinking on empty stomach, kidney work, empty stomach
kidney work, empty stomach, diabetes insipidus: Nithish: There is little harm in drinking some extra water, but I m not sure I understand the amount. Are you talking about a single 8 or 10 oz of water or 8-10 separate tumblers of water. Drinking the larger number of glasses would put a strain on the...

Urology: WEAK EJACULATION & PAIN IN PENESE, weak ejaculations
weak ejaculations: Ram: Strong ejaculations such as your wife described are usually found only in fictional novels and not usually in real life. However, if the ejaculations are particularly weak, there may be a treatable cause. The most common is medication side effects....

Urology: Weak stream, high frequency/urge, burning sensation when urinating, flank pain
burning sensation when urinating, flank pain, split stream: Sean: Intermittent flank pain in your age group is most likely a stone. The voiding problem could be prostatic inflammation such as prostatitis or a stricture (scarring). I would suggest you consult a urologist and have this looked into properly for a...

Urology: wee pains, bladder spasm, kidney stone
bladder spasm, kidney stone, prostatitis: David: Its not that simple. You could have a kidney stone, bladder spasm, urinary tract infection, prostatitis or some other problem. Sudden onset of suprapubic pain suggests any of these and I can t tell which you have. You should see a physician and...

Urology: white ejacuation in urine, white material in urine
white material in urine: Nitesh: It is impossible to accurately or reliably identify the white ejaculation in the urine. It is unlikely to actually be semen or sperm, but it could represent prostatic secretions, mucus or an infection. To find out, a urinalysis and a checkup...

Urology: Whitish discharge during latrine from penis, prostatic secretions, whitish discharge
prostatic secretions, whitish discharge, latrine: Manoj: The discharge could indicate an infection such as prostatitis or urethritis. It could also just be prostatic secretions. The pain you notice suggests a prostatic inflammation. You will need to talk to your primary physician or consult a urologist...

Urology: whitish discharge frm urine, prostatic secretions, whitish discharge
prostatic secretions, whitish discharge, medicine for constipation: Ankit: Any OTC laxative will help with the constipation. There is no established timetable to predict exactly how long the medication will be needed. Typically, we treat actue infections for 10-14 days and chronic ones for at least 4-6 weeks and sometimes...

Urology: yellow semen, yellow semen, kidney stones
yellow semen, kidney stones: Gregory: A plain x-ray called a KUB would help identify if the stone is easily seen by x-ray. If it is, then an ESWL or kidney stone blasting machine can be used to destroy the stone before it causes any damage. Its possible that the stone may be contributing...

Urology: anterograde ejaculation, internal sphincter, turp procedure
internal sphincter, turp procedure, ejaculation: Alejandro: It is not possible to restore antegrade ejaculation after a TURP procedure. Your surgeon should have explained this to you prior to surgery. The internal sphincter must be removed with the prostate in order to do the surgery and there is no...

Urology: Bent penis, penile curvature
penile curvature: Aditya: Youo could have Peyronie s disease which typically causes curvature of the penis. Talk to your family physician and ask him about consulting a urologist for this. We only recommend surgery to correct it if the curvature is too severe to allow...

Urology: bladder and anus pain, burning sensation when peeing, flexible cystoscopy
burning sensation when peeing, flexible cystoscopy, empty bladder: John: A prostate infection or disorder can cause both anal discomfort and bladder issues. While this is usually discoverable from a simple rectal exam, sometimes a more involved examination is needed. It sounds like your anxiety related to medical tests...

Urology: Bleeding after Ejaculating, lower back pain, kidney stones
lower back pain, kidney stones, sexual enjoyment: Leonardo: Blood with ejaculation is usually self limited and benign. It tends to go away by itself without an issue. Your back pain may or may not indicate stones. Blood in the urine after sex is potentially a bit more serious and needs to be evaluated...

Urology: blood from penis, polyp, urologist
polyp, urologist, second time: Jonathan: You will need to see a urologist and get checked out. Most of the time, we don t find anything really bad, but it needs a thorough check. You asked what it could be. It could be anything from an infection to a stone or some kind or polyp...

Urology: burning.. fore and aft, testicle pain, jock itch
testicle pain, jock itch, paranoid mode: John: Your symptoms suggest a urethral inflammation either from direct infection, urethritis, or prostatitis. This can also affect the testicle. Your physician will need to check to see exactly what may be happening. Or you can consult a urologist...

Urology: Burning in my penis, burning in the penis
burning in the penis: Frank: A modern cystoscopy with a flexible scope should not be a horror story. Prostatitis is one common cause of burning in the penis, but so are strictures and other problems which the cystoscopy can identify. You can always get a second urology opinion...

Urology: cavernous nerve, doctor steven, uncommon event
doctor steven, uncommon event, nerves: Joel: It is remotely possible that a penile pump may have stretched or damaged a nerve, but it would be considered an uncommon event. The fact that there is some pinching in the anus does not mean the cavernosal nerves are better. You may want to check...

Urology: Circumcision-meatus tearing, sensation of orgasm, urine stream
sensation of orgasm, urine stream, emotional factors: Mukesh: In medicine, almost anything is possible, but in a normal circumcision the meatus is not touched. Even if it were, it would be highly unlikely to cause a problem at this late date. On the other hand, I can t explain your problem. Decreased sensation...

Urology: Colourless sperm, semen color
semen color: Thirm: It sounds like your semen is within normal parameters. IT is highly unlikely that this represents infertility which can only be determined by a formal semen analysis. You can talk about this at your next physical exam with your regular physician...

Urology: i do not have any Cowpers`s fluid(pre cum ), no pre cum
no pre cum: Marcos: There is no specific treatment to either increase or decrease precum. It generally doesn t make a difference in the sensation. Despite your description, it is possible that the arousal was greater at the time you noted it. You can check this out...

Urology: DISCHARGE OF BRIGHT BLOOD FROM PENIS, blood from penis
blood from penis: david: blood from the penis is never normal. You re on blood thinners so that makes bleeding more likely. You ve asked what could be wrong and its a long list including prostate problems, infections, stones and tumors. You ll need to check with a urologist...

Urology: Dull pain inside base of penis- difficulty getting erection, suspensory ligament, definitive diagnosis
suspensory ligament, definitive diagnosis, accurate diagnosis: Andrew: Any injury in or near the penis can theoretically cause erection difficulties even if the actual erection process is not damaged. A decrease in libido can be due to the injury and poor performance, depression or low testosterone level as the three...

Urology: ED progression, Cure for ED
Cure for ED: Cures for ED are quite rare. If the problem is bad anatomy, poor blood flow, hormone problems, nerve disorders, etc., these are not typically cured by any common means. Once you have significant ED it is likely to be long-term except for those where psychological...

Urology: ED & TMS problem, prone position, tongkat ali
prone position, tongkat ali, tadalafil: Nanda: I am not aware of any evidence of masturbation prone or otherwise causing ED although your smoking can be a factor. We do not use Tongkat ali here in the US. The tadalafil can be helpful so go ahead and use it as prescribed. There is not alot...

Urology: Almost no ejaculate, low ejaculate volume
low ejaculate volume: Barry: In most cases like this, the semen is just going backwards into the bladder instead of coming out. This can be reversed to some degree by use of medication to tighten the internal sphincter, but this can also cause voiding difficulties especially...

Urology: Epididymectomy as solution to chronic epididymitis, chronic epididymal pain
chronic epididymal pain: Robert: I can t give you any statistics on this because none are published. My own numbers suggest that about 3/4 of patients notice a substantial benefit, the rest don t. Your situation is complicated by the fact that you may have a prostate issue and...

Urology: erectile dysfunction, Erectile dysfunction
Erectile dysfunction: Joe: It sounds like this could be a psychological issue related to stress, anxiety or just nerves. Other causes such as diabetes have probably already been checked. The penile doppler suggests pretty good flow but it isn t clear if this is with a prostaglandin...

Urology: Erection "points" left, Peyronie's
Peyronie's: Bill: Its not normal for the penis to consistently point in any direction. Any deviation could be scarring, Peyronie s disease or similar problem. The fact that you can straighten it out with your finger does not necessarily mean anything except that...

Urology: Erection problems, fever chills, erection problems
fever chills, erection problems, erection problem: Thomas: Sounds like you had an infection. You didn t specifically ask a question but I presume you re worried about your erection problem. It will probably return to normal after the infection is totally gone. If not, tell your physician as there may...

Urology: Erection After Surgery, kidney stones and ED
kidney stones and ED: Kyle: While almost anything is medicine is possible, there is no obvious way kidney stone surgery would affect erection function. You should talk to your urologist about the erection trouble. Also, talk to him about kidney stone prevention testing which...

Urology: Erection woes, penile shaft, prostate infection
penile shaft, prostate infection, clear discharge: Jerome: Loss of the erection soon after ejaculation is not uncommon. Your other symptoms with negative urine samples suggest a prostate infection. You should consult a urologist. Meanwhile, try avoiding caffeine, hot spicy foods and alcohol. Also, try...

Urology: erectile dysfunction, papaverine injection, history of trauma
Urology: erectile dysfunction, papaverine injection, history of trauma, state rt

Urology: Loss of sensitivity in penis and no bulbocavernosus reflex
Urology: Loss of sensitivity in penis and no bulbocavernosus reflex

Urology: pain!! non obstructing renal calculus, left kidney, stint placement
Urology: pain!! non obstructing renal calculus, left kidney, stint placement, ureter

Urology: my penile doppler results, quick response, testosterone
Urology: my penile doppler results, quick response, testosterone

Urology: Retrograde ejaculation, pleasure, vyvanse
Urology: Retrograde ejaculation, pleasure, vyvanse

Urology: Scrotal swelling with Erection
Urology: Scrotal swelling with Erection

Urology: follow up on question re epididymectomy, prostatitis symptoms, burning sensation
prostatitis symptoms, burning sensation, straight answer: Robert: Sorry, but the final conclusion must be between your urological surgeon and yourself. There are potentially serious pros and cons to consider. In general, if you ve tried every other alternative therapy and it still continues to bother you, then...

Urology: Hello, masturbation causes, hello doctor
masturbation causes, hello doctor, wet dreams: Jackson: Your college student friend doesn t know what he s talking about. It is absolutely untrue that masturbation causes pimples, blisters or any other disorder. Semen typically dries in about 15-30 minutes. Stickiness will take several more hours....

Urology: Hematuria after Exercise, gross hematuria, bladder tumors
gross hematuria, bladder tumors, general anesthetic: Matthew: A cystoscopy is a good idea to check for bladder tumors and prostate disorders. It usually does not require a general anesthetic as its more uncomfortable for 5-10 minutes rather than painful. In runners there is a condition where the kidneys...

Urology: Interstitial cystitis or bladder pain syndrome (commonly abbreviated to "IC/BPS", interstitial cystitis, small bladder
interstitial cystitis, small bladder, bladder pain: Joel: In medicine, almost anything is possible and IC is probably an overlooked diagnosis especially in men. The hallmark of IC diagnosis is a very small bladder capacity along with a failure to find other diagnoses and bladder pain. It is often affected...

Urology: Loss of sensitivity in penis and no bulbocavernosus reflex, bulbocavernosus reflex, sexual stimulant
bulbocavernosus reflex, sexual stimulant, nerve damage: Bob: I cannot tell if you have actual nerve damage or not. You will need to consult a urologist and/or a neurologist. There is no specific therapy for nerve damage in the penis and loss of libido or sexual interest is another type of problem that needs...

Urology: low sperm count after epididymitis, low sperm count
low sperm count: Louise: I don t agree that it is likely to get better but 100 days isn t really long enough to tell. I would give it another 3 months, then recheck. At least two separate semen analyses are recommended. If the count remains low, you should try to consult...

Urology: about medication., passed a kidney stone. What to do now?
passed a kidney stone. What to do now?: Jampa: Among other things, you didn t mention the name of the medication. In general, you should take your medication completely as prescribed by your physician. Since you ve passed the stone, ask your physician if its necessary to continue the medication...

Urology: Mucus In Urine, mucus in urine, retrograde ejaculation
mucus in urine, retrograde ejaculation, urine specimen: Michael: Its possible that the cause of the retrograde ejaculation could have something to do with your problem. The lab can probably tell the difference between semen and mucus, but it usually isn t worth asking them as it doesn t affect treatment. Its...

Urology: NON std discharge, urethral swab, septa
urethral swab, septa, urinalysis: There is always a chance for a false negative based on handling of the specimen or other problems. Yeast, chlamydia and ureaplasma organisms, among others, would not show up on a standard urinalysis or may have been washed out early in voiding and therefore...

Urology: pain!! non obstructing renal calculus, pain in leg and large kidney stone
pain in leg and large kidney stone: Evan: The location of your pain suggests that it has nothing to do with the kidneys. However, a 1.6 cm stone is quite large and will need treatment by a urologist. Order a copy of The Kidney Stones Handbook by sending an email to gsavitz@earthlink.net...

Urology: Pain in penis; constriction during erection, loss of erection, groin area
loss of erection, groin area, alfuzosin: Anshul: Without an examination its not possible to come up with an accurate or reliable diagnosis. Possible problems include prostatitis and Peyronie s which might explain the constriction bands you ve noted, but without an accurate diagnosis its useless...

Urology: Pain and sex after cystoscopy, burning on urination after cystoscopy
burning on urination after cystoscopy: Tiki: It is impossible to accurately predict how long it will take until the symptoms subside, but it sounds like its already getting better. You can contact your urologist who can prescribe something that will reduce some of the irritation. Usually,...

Urology: my penile doppler results, ED
ED: Aman: We don t interpret test results here. If we did, that would be all we would be doing. Besides, your physician is being paid to interpret this for you while we basically get nothing. However, I can say that your arterial flow looks good. I can...

Urology: Penile injury, penis injury
penis injury: Vann: You should consult with a urologist to be sure. This can be provided through the VA. It sounds like you have some level of injury but most likely just bruising. If so, this will slowly heal. But you really should have it checked by a specialist...

Urology: My penis, small penis
small penis: Ramish: My answer is the same. There is no way to safely enlarge the penis and your size is within the normal limits. While it might be smaller than some, it is not a sufficient reason to prevent a marriage or interfere with your future sexual relationships...

Urology: Penis Curviture, penis curvature
penis curvature: Chris: Curvature in the penis is usually caused by some level of scarring or fibrosis. There is no easy way to stretch although there have been some preliminary studies suggesting that a penile stretching device, when used properly under physician supervision,...

Urology: penis problems strange symptoms, planned parenthood, scar tissue
planned parenthood, scar tissue, penis problems: Peter: The skin issue and the penile discomfort seem separate to me as there is no obvious single problem that will explain all the symptoms. A stricture (scar tissue), urethral infection and/or prostatitis might explain some of your problems. I suggest...

Urology: penis shaft edema, inflammatory edema, net view
inflammatory edema, net view, dear doctor: Bijan: Sorry, but we specifically don t make diagnoses on this forum. Penile edema after long sexual activity without any other underlying problem is probably just inflammatory edema, but it can also be from other causes so contact your physician if it...

Urology: penis swelling, penis foreskin, general information questions
penis foreskin, general information questions, sebaceous cysts: Ddraa: You must understand that I am specifically prohibited from making diagnoses on this forum. It is intended for general information questions only. Only your physician can make a diagnosis. However, I suspect you could have penile adhesions with...

Urology: pinching, low testosterone level, erection difficulty
low testosterone level, erection difficulty, testical pain: It is very unlikely that the pump caused any erection difficulty but in medicine anything is possible. I suspect you have other issues such as a low testosterone level, depression or similar issues that might explain your symptoms. Check with your physician...

Urology: post prostate biopsy issues, intermittent self catheterization, prostate biopsy
intermittent self catheterization, prostate biopsy, diahrea: Steve: Blood in the urine is expected after a prostate biopsy, even a few weeks later. Cipro is fine if there is an infection which is possible but uncertain. I believe you mean cystoscopy as a possible next step. I would still try the 2 flomax at some...

Urology: premature ejaculation, ssri drugs, drugs and sex
ssri drugs, drugs and sex, bad habit: Faizi: Your issues are mainly due to guilt over what you ve assumed is an abnormal activity. As mentioned earlier, your frequency is excessive but that is not known to cause any permanent physical harm. Your other issues will have to be discussed with...

Urology: priapism, priapism and cialis
priapism and cialis: Jeff: There is no evidence that you presented that suggests the cialis has hurt you or caused any problems. However, you also didn t indicate why cialis was needed in the first place. You are always better off if you can void using the medication entirely....

Urology: Problem passing urine / numb penis, orgasmic sensation, tertiary care facility
orgasmic sensation, tertiary care facility, muscle tension: Frank: There is no simple, easy, single diagnosis that would cover both decreased sensation in the glans and a weak urinary stream. I would suggest you consult a urologist at a university or other tertiary care facility where they typically see more complicated...

Urology: problems with erection - low testostorone, testosterone levels, dear doctor
testosterone levels, dear doctor, urologist: TF: Your testosterone levels appear to be normal. No clear reason for your ED is apparent from your description. You will need to check for diabetes also. Assuming that is normal, then a trial of alternative medication, possibly MUSE or intracavernosal...

Urology: Prostate cancer, prostate cancer and watchful waiting
prostate cancer and watchful waiting: Bill: I agree with your physician. It would be quite unjustified to believe that a cancer would just go away on its own without treatment. Far more reasonable to assume that it is relatively small and was not encountered on the latest biopsy. You can...

Urology: Prostate problem - test results, free psa test, lateral pole
free psa test, lateral pole, cyst in the kidney: Greg: Again, these questions are more properly addressed to your personal physician. After all, he s paid to answer them. 1) A plain cyst in the kidney is typically benign. With no other information, I can t say for sure what your cyst s characteristics...

Urology: another prostatitis question, allopurinol for prostatitis
allopurinol for prostatitis: Brian: Allopurinol was studied to see if it would be helpful in prostatitis and was found not to be very effective; however, there are cases like yours where it may very well be that uric acid crystals might be a factor. The prostate is normally quite...

Urology: Question on Varicosity, groin region, broken femur
groin region, broken femur, acl reconstruction: Jason: The varicosities that are significant enough to cause some actual harm to the testicle are totaly different from the presumed ones you might or might not have. I personally don t think there is any evidence for spermatic cord varicosities. Rather,...

Urology: Retrograde ejaculation, retrograde ejaculation, urine flow
retrograde ejaculation, urine flow, vyvanse: Jared: I am not at all sure if you have retrograde ejaculation or not, but it certainly sounds like you have a problem with vyvanse medication. If you feel you haven t completely emptied the bladder after voiding, that is not retrograde ejaculation. If...

Urology: Scrotal swelling with Erection, penis shaft, burning sensation
penis shaft, burning sensation, soft mass: Riggs: In my 30 years of urology practice I have not heard of a similar problem to the one you describe. A hernia or sliding hernia was my first thought but it doesn t fit all the facts you ve presented. Erection rigidity should have no appreciable effect...

Urology: Semen, wet dreams, maddie
wet dreams, maddie, masturbates: Maddie: Your boyfriend is being a little obsessive. Transfer of semen is theoretically possible but it presents no particular risk since the material dries out quickly and is then harmless. Nevertheless, it is a body fluid and therefore is technically...

Urology: sensitive head of penis, anesthetic cream, sensation
anesthetic cream, sensation, nerve: Chris: How people perceive different levels of stimulation can vary. It sounds like you may be more sensitive than average to this stimulation. There is no way to safely make the head of the penis less sensitive, but you can use an anesthetic cream or...

Urology: Side Effect of a medication, ejaculation problems due to medication
ejaculation problems due to medication: Ahmed: Delayed ejaculation is a common side effect of SSRI meds like Zoloft. Typically, these side effects disappear after stopping the offending medication. The problem is that if the patient is taking these meds for depression, the need for them is...

Urology: slight lower right discomfort, lisinopril hctz, right abdomen
lisinopril hctz, right abdomen, groin area: MJ: First, they do a more thorough history. When did it start, what is the nature of the pain, what makes it better/worse, how is voiding affected, etc. Then a physical examination. After this, a working differential diagnosis is made. This means it...

Urology: stent, kidney stones
kidney stones: Maria: You can use tampons with the stent in, but you may be more comfortable temporarily using pads. The stone should be chemically analyzed to help with prevention advice so take it to your physician. You should also ask about 24 hour urine testing...

Urology: Stone in kidney for several years, adrenal gland tumor, adrenal glands
adrenal gland tumor, adrenal glands, kidney stone: A recheck to see if the stone is still present is reasonable. Typically, this is done with either a CT scan, renal ultrasound or a KUB plain x-ray or some combination of these. Not really a good idea to ignore a potentially very painful problem. The amount...

Urology: Testicular lump., testicular shrinkage, epididimytis
testicular shrinkage, epididimytis, testicular lump: Andrew: Epdidymitis typically heals with some degree of shrinkage. The lump is probably just scar tissue from the infection. Its location would also go along with an epididymal source. I woud also recommend that you have your supplements checked by your...

Urology: testicular swelling?, scrotal abscess and testicular swelling
scrotal abscess and testicular swelling: It is certainly possible to have a scrotal abscess without a fever. This is most commonly found when a testicular infection is treated late or with an antibiotic to which the bacteria are relatively resistant. The question about continuing or stopping his...

Urology: testosterone, testoviron depot, testicle size
testoviron depot, testicle size, sperm test: Raja: Your symptoms strongly suggested a testosterone deficit. The testosterone shot will help beard growth and should help enlarge the penis but testicle size usually doesn t change. You should consult an endocrinologist to sort out a little more the...

Urology: thigh/groin tightness, thigh and groin problems
thigh and groin problems: Pat: Lifting weights is not wise if you have prostatitis as it can get aggravated by that activity. Cipro is a good antibiotic that we often use as a treatment for prostatitis as well as hot sitz baths and avoidance of caffeine. As far as your current...

Urology: trup surgery, kegel exercises, sperm count
kegel exercises, sperm count, urologist: Thomas: Given your prior surgery, there would normally be little or no semen during ejaculation. There is no good treatment for any urine that might be leaking. We can try Kegel exercises, but when the anatomy has been altered by surgery there really...

Urology: Urethral burning, pain relief medication, urinary urgency
pain relief medication, urinary urgency, foul smelling urine: Simon: You have a complicated problem not responding to standard treatment. You ve already seen numerous physicians and several urologists to its unlikely I will be able to come up with anything they didn t already consider. In view of the above, my...

Urology: Urethral swab, urethral swab, clear discharge
urethral swab, clear discharge, q tip: Jackson: There is always the possibility, however remote, of some damage but this would be quite unusual and rare. The typical urethral swab is like a long, skinny Q tip with a very small cotton bulb at the end. It usually only needs to be inserted about...

Urology: Urethritis testing and diagnosis, urethral swabs, glass tests
urethral swabs, glass tests, zpack: Joe: The testing you had is generally considered sufficient, but a retest may be needed since you have continuing symptoms. Prostatitis or a new infection would be the most likely causes. It may or may not be related to your sexual encounter but it seems...

Urology: Urethritis testing, urine culture, clear discharge
urine culture, clear discharge, urinary flow: Ryan: A urine culture may or may not show a urethral infection. If the urethra has been cleaned out by the urinary flow, the urine culture may be negative. That s why we do urethral swabs directly. Using the first part of the urine sample is better...

Urology: Urethritis, thrush and urine tests, causes of urethritis, otc medications
causes of urethritis, otc medications, bacteria growth: Sean: There are non-STD forms of urethritis. They are less common than the sexually transmitted variety. Urethritis is both a clinical and a laboratory diagnosis. Most urine samples cannot test for urethritis; only an initial stream urine or a urethral...

Urology: Urinary tract infection, white blood cells, sitz baths
white blood cells, sitz baths, symptoms of urinary tract infection: Mahmoud: there is no specific test for prostadynia. Prostadynia is a condition where no specific inflammatory white blood cells, pus cells or bacteria can be demonstrated but which has the clinical characteristics of an inflammatory process involving...

Urology: weak erection, frequent sexual activity, anxiety problem
frequent sexual activity, anxiety problem, erection difficulties: Galaxy: Remember that the purpose of this forum is to answer general questions, not to diagnose or actually treat. However, I can point out a few things. First, very frequent sexual activity can diminish function to some degree. The fact that it works...

Urology: Wife, wife is unable to urinate and needs a catheter
wife is unable to urinate and needs a catheter: Jerome: Bladder infections are not uncommon after having catheters for extended periods. Your wife has urinary retention. The reason for this is unclear but it is almost certainly not from something wrong with the indwelling catheter . It s impossible...

Urology: Bladder Cancer, bladder cancer, bladder wall
bladder cancer, bladder wall, cancer question: The cause of your bleeding could be a polyp, infection, fissure, tumor, stone, trauma or prostatitis. Or we may not be able to find a specific cause. Thickening in the wall of the bladder can indicate just that the bladder wasn t full at the time of the...

Urology: Bladder Infections after intercourse, scar tissue removal, intermittent catheters
scar tissue removal, intermittent catheters, bladder muscle: Peter: It is possible for an antibiotic to still be effective the next morning after taking it in the evening, but it depends on the antibiotic. Levaquin, for example, is a 24 hour pill so one pill covers the whole next day. Bactrim, Macrobid and Cipro...

Urology: Bladder mass, bladder mass, acoustic neuroma
bladder mass, acoustic neuroma, stomach area: Becky: Clearly, a mass just outside the bladder is a concern. If your physicians who have actually examined you and looked at your x-rays can t determine what it is, I certainly can t add to it from here. So far, the workup is appropriate and a surgical...

Urology: Blleding during foreplay and during eyaculation, hematospermia, blood in the semen
hematospermia, blood in the semen: Manuel: A cystscopy and a transrectal ultrasound might also be considered. You have hematospermia which is usually quite benign. Proscar can sometimes help, but the main thing we look for is abnormal bleeding or coagulation. A simple blood test of a...

Urology: Blood in Urine, blood in the urine, hematuria
blood in the urine, hematuria: Darin: Bleeding can be due to low grade bruising of the kidneys during extended exercise. I am concerned that a cystoscopy (look into the bladder with a scope) has not been scheduled as this is necessary to make sure there isn t something nasty in the...

Urology: Blood In Urine, Blood in the urine
Blood in the urine: James: It would be extremely unlikely for anything serious to be found in the urinary tract in a 17 year old. However, a prostate infection such as prostatitis can do this and is relatively common. I m surprised the urologist didn t do more of an examination...

Urology: blood during erection, seminal vesicle, seminal vesicles
seminal vesicle, seminal vesicles, inflammation of the prostate: Alex: A stone can certainly cause the bleeding, but if you ve had a procedure by a urologist who was unable to find anything wrong, then I am not going to be able to answer your question about where the blood is coming from or what to do about it. Inflammation...

Urology: Constantly peeing, female urethra, bladder infection
female urethra, bladder infection, urinary tract infections: Hilary, there are many causes for urinary frequency. By far the most likely cause in your case is a bladder infection (cystitis). Urinary tract infections (UTIs) in women are very common compared to men. This is due to the relatively short length of...

Urology: concerned, seminal vesicles, semen volume
seminal vesicles, semen volume, urinary canal: Clinton, before answering your question, let me give you some understanding of how semen is produced. 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: culture, incubation period of chlamydia, rapid hiv test
incubation period of chlamydia, rapid hiv test, infectious disease specialist: Raj, there is no one test that determine all the various types of STDs. Let me preface my remarks by informing you that I saw relatively few
 STDs in my practice & have no special 
expertise in this area.  That being said, I will try to be helpful...

Urology: curvature, Penis curvature
Penis curvature: Russ: It s unllikely tob e a urethral problem, but Peyronie s is by far the most common cause of curvature whether they can feel a curvature or not. The plaque could be in an area that is not easily felt. A penile ultrasound might be helpful in determining...

Urology: DRE, methicillin resistant staph aureus, resistant staph aureus
methicillin resistant staph aureus, resistant staph aureus, digital rectal examination: Lisa, I appreciate your concern but you were given misinformation. The only DRE that I know of in medicine is an acronym for Digital Rectal Examination. I likewise searched the internet & could find no other relevant meaning. I believe your patient s son...

Urology: discharg from penis, pus cells, cefotaxime sodium
pus cells, cefotaxime sodium, exact diagnosis: Ahmad: E. coli is not a sexually transmitted bacteria. Your exact diagnosis is unclear from the available info, but it sounds like a urethritis and possibly a UTI. I can t say how long it will take for the discharge to stop because your treatment has...

Urology: ED, ED
ED: RM: By the time the erections are affected, the arteries are already clogged and medication to improve general circulation has limited effect. Viagra and similar treatments work by increasing circulation in the penis which then creates the erection. Use...

Urology: ED, ED
ED: Terry: There are a long list of causes such as medications, arteriosclerosis, neuropathy, hypogonadism, psychogenic factors, etc. At 36 your are not necessarily too young to have some compromised blood flow. In most of these cases, a trial of Viagra or...

Urology: Edema pain after stent removal, edema, ureter
edema, ureter, urologist: Nikki: After a stent is removed, there is nothing to block the swelling in the ureter where the lesion or stone may have been. If the swelling or edema is enough to block the passage, you will have pain. This typically will only last 1-2 days but it depends...

Urology: Epididymectomy, testicular pain
testicular pain: Orlando: Have a urologist check it out. A scrotal examination and ultrasound together with a rectal examination might help indicate the problem. If nothing is found, then consideration has to be given to an exploration and possibly removal. Consider getting...

Urology: Erectile help, ED
ED: Robert: You probably should see a different urologist. A trial of Viagra or Levitra should still be done and your testosterone level should be checked by a blood test. If these fail, then we urethral suppositories, penile injection therapy and external...

Urology: External skin burns on penis, soap residue, urinary canal
soap residue, urinary canal, skin burns: Rhayne, this is a very common complaint. Many types of soaps have chemicals in them that can irritate the genitalia. In addition, if your son is a bath person (as opposed to showers), the soap residue in the bath water can reflux into his urethral meatus...

Urology: e coli, coli bacteria, urinary tract infections
coli bacteria, urinary tract infections, culture report: Aji: E. coli is a normal bacteria of the bowel. It s supposed to be there. When it enters the urinary system, usually from migration from the rectum, it can cause urinary tract infections. Most such infections are caused by E. coli but there are other...

Urology: erectile dysfunction and pain, heavy drinker, sharp to the point
heavy drinker, sharp to the point, hard liquor: Danny: I certainly can t guarantee that your previous level of functioning will return or that you will recover from your current erection trouble. Your alcohol intake was considerable and for quite some time which damages the nerves that control erections...

Urology: Foreskin, pediatric urologist, urologists
pediatric urologist, urologists, pediatrician: Olga: You can start with a pediatrician or go directly to a urologist. Many urologists will not see children so find one who does. Also, in major hospitals, you may find a urologist who specializes in children, a pediatric urologist. Such a specialist...

Urology: Frequent urge to urinate, interstitial cystitis, overactive bladder
interstitial cystitis, overactive bladder, types of antibiotics: Heloise: I would suggest that maybe you should consult a urologist before undergoing a procedure that requires anesthesia. You could have IC, but its far more likely that you have simple overactive bladder. Since you asked, yes interstitial cystitis...

Urology: Frequent urination, soaps and detergents, bladder diseases
soaps and detergents, bladder diseases, overactive bladder syndrome: Sakina, there are many causes for urinary frequency. The common ones include urinary tract infections (UTI), excessive fluid consumption (especially coffee, tea and beer which produce an additive diuretic effect), diabetes, urinary stones, a variety of kidney...

Urology: DRE
Urology: DRE

Urology: Horrible pain after orgasm post kidney stones
Urology: Horrible pain after orgasm post kidney stones

Urology: Oil in Urine, culture and sensitivity test, groin area
Urology: Oil in Urine, culture and sensitivity test, groin area, culture and sensitivity

Urology: Penis Bumps Concern (Picture Included), ur results, awnser
Urology: Penis Bumps Concern (Picture Included), ur results, awnser

Urology: Prostatitis?, janet travell, abdominal muscles
Urology: Prostatitis?, janet travell, abdominal muscles, muscle tension

Urology: Scrotal Support, scrotal area, scrotal support
Urology: Scrotal Support, scrotal area, scrotal support, sexual intercourse

Urology: Urethral Stricture/Urethroplasty, urethral strictures, stricture
Urology: Urethral Stricture/Urethroplasty, urethral strictures, stricture, initial treatment

Urology: A few different issues, prednisone 10mg, tramadol 50mg
prednisone 10mg, tramadol 50mg, urinary stream: Chris, 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: Gonorrhea, gonorrhea
gonorrhea: Gonorrhea is obtained exclusively from sexual contact with an infected person. Testing can be done on a Gram stain of the discharge from the penis which is quick but not that reliable. The standard has been to do a culture but this takes 48-72 hours. More...

Urology: gonor, gonorrehea, infectious disease specialist
gonorrehea, infectious disease specialist, std clinic: Jinith: It is possible to be positive for gonorrhea and chlamydia and never show any symptoms. It may or may not ever be a serious health problem for the person involved. Anal sex can also transmit Gonorrhea, chlamydia would be less likely. I suggest...

Urology: Hardened vein on underside of penis, definitive answer, foreskin
definitive answer, foreskin, scrotum: Jason: I can t really make a diagnosis from just your description and the picture. Besides, I m only supposed to answer general questions on this forum and not make diagnoses. This may or may not be a vein. It could be a thrombosed vein or something...

Urology: Horrible pain after orgasm post kidney stones, kidney stones
kidney stones: ES: The small caliber of the ureters would not likely cause any problems with masturbation, especially when normal sexual relations are OK. I simply cannot explain your symptoms. As such, I can only suggest you consult a gynecologist or urogynecologist...

Urology: hello doctor, wbc in urine, gram negative bacteria
wbc in urine, gram negative bacteria, pus cells: Amit, white blood cells (also referred to as WBCs or pus cells) in the urine generally indicate an inflammation somewhere in the urinary tract. The source can be anywhere from the kidneys to the bladder, prostate, and urethra. The presence of WBCs in the...

Urology: my husband is having a problem, prostatic secretions, bm
prostatic secretions, bm, third time: Samantha: He could have a discharge such as from an infection or if its related to a BM it could just be prostatic secretions. Unless its consistent or unrelated to his BM we don t get terribly excited about it. He should ask his regular physician about...

Urology: hydrocele after operation, hydrocele, testicle
hydrocele, testicle, sexual activity: Munif: Your surgeon should have told you what to expect. The testicle often swells alot after a surgery. It typically takes at least a month or more for the swelling to slowly subside and the testicle to appear more normal. Sexual activity can usually...

Urology: Info. about meds., terazosin vs tamsulosin
terazosin vs tamsulosin: Mary: It s safe, but terazosin needs to be titrated (start on very low dose then slowly increase) and has more side effects such as orthostatic hypotension (drop in blood pressure when you get up out of bed - makes men dizzy). Terazosin is alot cheaper...

Urology: Insterstitial Cystitis with Enlarge Prostate, bladder base, bladder neck
bladder base, bladder neck, chronic pelvic pain: Ron: Impossible to determine cause of your urinary blockage from the available information, but prostate would be far more common. Bladder tissue around the bladder neck and just inside the immediate bladder neck entrance is sometimes removed. This...

Urology: "Jammed" penis during intercourse, injury to penis during intercourse, jammed penis
injury to penis during intercourse, jammed penis: Ian: We will always suggest that you consult a physician after any significant injury. In this case, it sounds like you may have bruised or injured the penis, possibly the erection bodies or cavernosa. While a major injury like a fracture or rupture sounds...

Urology: Jelqing and Penis Pumps, Jelking and penis pumps
Jelking and penis pumps: Matt: This forum is FULL of men with permanent and long lasting injuries from jelking. Aside from the fact that it doesn t work (penile length is determined by anatomy and genetics) there is the definite potential for an injury. Unfortunately, your only...

Urology: Kidneys, left kidney, scar tissue
left kidney, scar tissue, outer rim: Natacha: Sure. You know what a scar is. It s just fibrous or scar tissue, usually from an old injury or infection. On this test, they noticed some scarring in the cortex (outer rim) of the kidney. Its interesting but has no clinical significance. Still,...

Urology: Lump on Penis, lump on penis
lump on penis: Anthony: Obviously, I can t tell you what the problem lump is. Also, it is obviously not normal to have lumps under the skin of the penis. Having had it this long, it is unlikely to be anything serious, but to know for sure you ll have to see a physician...

Urology: Lump on my penis, sebaceous cyst, self confidence
sebaceous cyst, self confidence, tiny hole: Mike: You probably have a sebaceous cyst. This is not particularly dangerous but can be bothersome. The only definitive way to treat it is with a small surgery. Yes, there would be some additional scarring but I think its probably better at this point...

Urology: loss of Sensation in Glans, Head of penis is numb
Head of penis is numb: Leighton: Damaged nerves do not typically regenerate in humans, but may heal if not too badly damaged and given enough time. We usually give it a year or two. The difference in length and the change in the appearance might indicate some difference in...

Urology: Medication, hot sitz bath, prosta q
hot sitz bath, prosta q, otc products: D: Prostatitis is often a difficult problem to treat. In addition to antibiotics, we like to have patients try an anti-inflammatory like Aleve or ibuprofen regularly, sit in a hot sitz bath at least twice daily, avoid caffeine-smoking-alcohol-hot spicy...

Urology: Numbness in Penis, penis sensation is diminished.
penis sensation is diminished.: F.G.: I can t say what the cause of the numbness is. A prostate infection like prostatitis is one possibility but unlikely without other symptoms. High testosterone levels won t do this. With no history of surgery, injury or pelvic radiation, the most...

Urology: nerve, anatomy book, ilioinguinal nerve
anatomy book, ilioinguinal nerve, sexual feelings: Other nerves that go to the penis have roles to play in erection function such as the cavernosal nerves and the so called Nerves of Walsh that run just outside the prostate. But these other nerves are not sensory. The ilioinguinal nerve has some limited...

Urology: Oil in Urine, dead skin cells, pin worm
dead skin cells, pin worm, stress and anxiety: Tina: I suspect you are picking up some material when urinating possibly from the vagina or elsewhere. Start by talking to your general physician or gynecologist. A catheterized specimen would also help. No oil would normally appear in the urine...

Urology: Old Man and the Sink, porcelain basin, cleanup efforts
porcelain basin, cleanup efforts, water pills: As usual Ken, you report an interesting perspective. The sink and/or shower have always offered an alternative depository for urine to men with urgency and have eloquently expounded the advantages of the sink. The toilet, however, has benefits of its own....

Urology: Pain in lower left abdomen, pain in lower left abdomen, prostatitis
pain in lower left abdomen, prostatitis, ejaculating: Joe: You should consult a urologist to look into this. Even when the vas (sperm tubes) are tied or closed off, they do not typically cause this type of pain. Prostatitis is one possibility that needs to be checked. Unilateral pain caused by ejaculation...

Urology: Pain in right groin area, pain in right groin area, hot sitz bath
pain in right groin area, hot sitz bath, delaying ejaculation: V: There are no specific diets or foods that we can recommend without a clearer diagnosis. You will need to see a physician to determine the cause of this problem. One possibility is prostatitis. If this is found, then diet can play a role as hot spicy...

Urology: PDE5, blood work, erections
blood work, erections, blood test: Richard: There is no such blood test to confirm if the PDE-5 is working. Either the Cialis is helping your erections or it isn t. If not, you may need to go to the larger dosage (5 mg) or try one of the shorter acting meds like Levitra or Viagra...

Urology: Penile Discharge, burning when urinating, uti infection
burning when urinating, uti infection, burning sensation: Bob: It is not clear from your description if this is truly an STD or just a standard UTI infection. If truly an STD, then some sexual contact must have been done by someone at some time. If just an ordinary UTI, then no sexual contact would be necessary....

Urology: Penis Bumps Concern (Picture Included), incision and drainage, sebaceous cysts
incision and drainage, sebaceous cysts, exact diagnosis: Trent, 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 extender injury, maintaining erection, maintaining erection, anatomy and physiology
maintaining erection, anatomy and physiology, sensory nerve: Joshua, your urologist is correct. Your symptoms are typical of sensory nerve injury (not motor). Your lack of morning erection recently is of no concern. All will return to normal over time. I have read the web sites regarding claims of increasing penile...

Urology: Penis Twisted., curvature of the penis, corpora cavernosa
curvature of the penis, corpora cavernosa, tunica albuginea: James, as I understand the clarification of your history, you had the injury 1 year ago but the loss of penile length and the erection problem just started 2 weeks ago. There really are no conditions that I can think of other than scarring from either injury...

Urology: Penis Twisted To Far, penis injury
penis injury: Jeff: You may have suffered an injury to the penis. Unfortunately, we don t have any good treatments for these types of injuries except to wait. In some cases, regular Viagra or Cialis can be used to improve blood flow and promote healing. Some scar...

Urology: Peyronie's Disease, Peyronie's disease, penis curvature
Peyronie's disease, penis curvature: Courtney: If the lump is getting smaller, that s good news. Hopefully this will continue. There is usually a curvature as well and I would expect this would be improving also. Currently recommended treatments for Peyronie s include trental, carnitine...

Urology: Peyronie vs. Injections & Arginine by mouth, Peyronie's Disease
Peyronie's Disease: Paul: The typical Verapamil injection protocol involves a series of injections (20-30) at a time into the lesion of the penis roughly every 2 weeks for 3 months. Success rates have been reported as high as 70%. Arginine seems to help but again it doesn...

Urology: Problem urinating with SP Tube, uroxatrol, unfounded fear
uroxatrol, unfounded fear, multi vitamins: John: It sounds like you have a complicated problem. I can t offhand think of any good reason why you shouldn t be able to void better. Anything significant will probably have to wait until the wound is healed. You might want ot consider a urology second...

Urology: Prostate biopsy treatment options, prostate biopsy, urine retention
prostate biopsy, urine retention, ceftriaxone: The DaVinci is just a tool. It s like saying I want a scalpel. No, we NEVER do a radical prostatectomy without a diagnosis of cancer. The complications and side effects are too great and we have other, safer surgeries for benign disease. You can t go directly...

Urology: Prostate Tests, transrectal ultrasound, ultasound
transrectal ultrasound, ultasound, prostate biopsies: Michael: The PCA3 test is possibly useful in a small number of cases where the PSA readings are inconsistent or borderline. It is not useful in the vast majority of routine cases. Transrectal ultasound has been shown to be of very little value as a screening...

Urology: Prostatitis?, right abdomen pain, left testicle pain
right abdomen pain, left testicle pain, pain in left abdomen: Mark: My comment did not exclude other potential problems. Constipation and diarrhea are not typical for prostatitis and are probably due to something else. Your abdominal pain could be due to anything and the testicular discomfort may or may not be due...

Urology: Prostatitis Symptom, Prostatitis
Prostatitis: Derek: What you describe in the head of the penis is not considered a common, expected or typical sign of prostatitis. The chapped skin is a symptom of dryness and responds well to a mild cream application twice a day. Pain following ejaculation is a...

Urology: Prostatitis/urethritis, public health clinic, bicycle seats
public health clinic, bicycle seats, local public health: Jim: It is unlikely that you have Reiter s syndrome or now correctly called reactive arthritis . You arthritic symptoms did not appear after the urethral infection and appear from your description to be osteoartritis which is not typical of reactive arthritis....

Urology: Prostatitus treatment, ultrasound doppler, varicole
ultrasound doppler, varicole, pus cells: Mark: A calcification causing some partial obstruction might possibly cause some of your problems. A treatment based on regular ejaculation is a little odd but may not be unreasonable and I hate to argue with a treatment that is working. I can t comment...

Urology: penile adhesions in a 5yr old, pediatric urologist, young mother
pediatric urologist, young mother, adhesions: Tammy: I m a little doubtful that a penile adhesion at age 5 will fix itself . You should take him to see a pediatric urologist if one is nearby. If not, then a regular urologist will do. If its severe, I usually recommend it be fixed now rather than...

Urology: penis extender, trental, penis extender
trental, penis extender, permanent damage: There is some evidence that the Fastsize device can be useful in helping with curvature, but this is still preliminary and it is not standard practice at this time. Also, it can cause some harm and permanent damage to the tissues, nerves, etc. if not used...

Urology: penis skin, graft hair, skin graft
graft hair, skin graft, sexual sensation: Erick: The urologist is correct. Shaving the skin should not have any effect on erection capability. Since this is a skin problem, you might consult a dermatologist. Your urologist can prescribe treatment for the erection trouble if its severe enough...

Urology: pennis, low testosterone levels, brain problem
low testosterone levels, brain problem, mental depression: Umer: Viagra is only going to work on the erection and is not likely by itself to fix the ejaculation issues. Still, it may be worth a try. Side effects from Viagra include headache, indigestion, nasal stuffiness, facial flushing and some temporary changes...

Urology: pennis, penis enlargement pills
penis enlargement pills: Umer: I checked out the site you requested. There is absolutely no scientific justification or evidence that this product or any of its ingredients will improve sexual function or enlarge the penis. It s basically a bunch of herbs and vegetable extracts....

Urology: possible kidney stone?, gall bladder attack, liver function tests
gall bladder attack, liver function tests, bile reflux: Lisa, I suspect that you had an episode of hemorrhagic cystits that resolved after your treatment with Macrobid. A fairly large calcification would show up on an ultrasound of the kidneys. Very small stones may be missed on US but not a large one. As...

Urology: precum drops and maintain of erection.., excessive secretion, premature ejacualtion
excessive secretion, premature ejacualtion, mental thoughts: There is no specific remedy for excessive secretion of precum, but there have been a few reports of the successful use of 5ARI type meds and it may be worth a try (dutasteride and finasteride). The amount of precum should have no bearing on the ability...

Urology: problems urinating. stretched bladder?, excruciating pain, mid section
excruciating pain, mid section, catheter: Michael: You may have some retention, but the urine doesn t go back into my system . I can t determine the nature of your problem, but you absolutely positively need to see a urologist. This is beyond the experience of a general physician. You...

Urology: prone masterbation, question sir, m life
question sir, m life, prone position: Rahul: It shouldn t matter how you prefer to do masturbation. When the time comes for intercourse, it will necessarily feel differently. Most of the time, there is no problem. I wouldn t worry about it, but talk to your physician if you re concerned...

Urology: prostatitis in 27 yr old, bladder scan, urgent care center
bladder scan, urgent care center, prostatitis: Barbara: Prostatitis does not usually involve a varicocele. The nature and degree of his prostatitis are unclear so I can t comment on how long it may take to resolve. In many cases, it takes quite some time. Meanwhile, try avoiding caffeine, alcohol...

Urology: prostrate, prostatic secretions, prostatic massage
prostatic secretions, prostatic massage, cloudy urine: Pradeep: I can t say why it feels pleasant to you. I guess it s just what happens to feel nice to one person may not to another. Cloudy urine may be normal or may indicate an infection or a mixture with semen/prostatic secretions. It may be a good...

Urology: pus in urine, pus cells, pus in urine
pus cells, pus in urine, gonorrhea: Abhay: The presence of WBC s in the urine is suggestive of an infection, probably a urethritis. Gonorrhea may be a common cause of this, but the mere presence of the pus cells doesn t prove that it s specifically Gonorrhea. This will take a culture which...

Urology: Recent Testicular pain and change in shape, scrotal ultrasound, weird shape
scrotal ultrasound, weird shape, testicular pain: Kevin: I can t determine the nature of the problem based only on your description. My best advice is to consult a urologist and get a definitive answer. A scrotal ultrasound may help clarify what is going on in the left testicle. A varicocele is one...

Urology: Relaxing pelvic muscles, pc muscles, method of masturbation
pc muscles, method of masturbation, pelvic muscles: I can t say if your pelvic floor dysfunction is contributing, but it probably is. Still, anhedonia is not generally related to pelvic floor issues but to psychological, emotional and stress related ones. Ejaculatory dysfunction is less likely to be caused...

Urology: i have a red bump on my penis, skin lesions, girl friend
skin lesions, girl friend, dermatologist: Dave: Sorry, but I can t really guess at a diagnosis. You ll need to talk to your physician or consult a dermatologist. Dermatologists are the real experts on skin lesions. Urologists are surgeons and we concentrate in those types of problems...

Urology: Scrotal Support, scrotal support
scrotal support: Dr. Quinn: I doubt there are very many scrotums that are so heavy and/or large that they would benefit from this device. Having said that, it could be a Godsend for those who happen to have such a problem such as those with cellulitis, severe dependent...

Urology: SOCIAL EMBARRASSING DUE TO PENIS, sexual intercourse, personal day
sexual intercourse, personal day, sexual education: You ve seen three specialists and essentially all have suggested circumcision. A partial circumcision is rarely done as it just leaves potential problems for later. A full circumcision removes all of the foreskin and this is what seems most appropriate for...

Urology: sensation, nerve control, pudendal nerve
nerve control, pudendal nerve, nerves: Abdulhamit: The main nerves to the penis that provide sensation is the dorsal penile nerve which is a branch of the pudendal nerve. But nerve control and sensation in the penis is complicated. Its not as simple as in the hand or leg where a single nerve...

Urology: sex is painful, penis head, urologist
penis head, urologist, medical problem: Morgan: What you describe is a bit odd. For the short term, try a condom and see if that helps. You may want to check with your primary physician or consult a urologist but I am not aware of any particular disorder, disease or medical problem that causes...

Urology: sexual exhuastion erectile dysfuntion penile shrinkage, horny goat weed, penile shrinkage
horny goat weed, penile shrinkage, defense mechanisms: Kyle, there is little doubt in my mind that you will have a full recovery. 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...

Urology: What are there skin coloured taste bud tiny sized bumps on the actual penis head, pearly papules, fordyce spots
pearly papules, fordyce spots, penis bumps: Peter: We can t make diagnoses based on your limited description or that they look like something else. I suspect that you are addressing some of the normal follicles and/r Fordyce spots that are normal on the penis. Have your regular physician check...

Urology: stones, kidney stones
kidney stones: JC: The vast majority of stones are passed, but those that get stuck can cause tremendous pain and if they get infected they can be very dangerous. Kidney stone prevention testing is available b (24 hour urine tests) but infrequently used due to the...

Urology: suspensory ligament or other injury, laxity, ligament
laxity, ligament, urologist: Meg: We don t usually surgically repair these injuries so it doesn t need to be seen that urgently. If there is a little laxity in the angle, this is not usually considered serious enough to warrant a surgery and there are potential complications to any...

Urology: T/C, wilms tumour, testicular lumps
wilms tumour, testicular lumps, medical jargon: Moses, in evaluating lumps inside the scrotum, it is important to differentiate those that are extra-testicular, (originating from the contents of the scrotum but not actually from the testicle) from those that are originating from the testicle per se.  The...

Urology: Teen very concerned about possible penile fracture (previous question on suspensory ligament tear), penile fracture, loss of erection
penile fracture, loss of erection, degree of curvature: Meg: There is no such literature as there is only some early, preliminary studies on the use of the extender for peyronie s which is a different condition that causes curvature. There is currently no evidence that the use of an extender would help in this...

Urology: Testicular Atrophy, torsion of the testicle, testicular atrophy
torsion of the testicle, testicular atrophy, homeopathic physicians: Ofvat, one can be born with (congenital) a small testicle(s). True acquired shrinkage (atrophy) of the testicle can result from a varicocele, if the testicle is severely traumatized, acutely infected or has sudden loss of blood supply. In addition, bilateral...

Urology: Testicular Cramping, lower abdominal muscles, strenuous physical activity
lower abdominal muscles, strenuous physical activity, groin area: John, contraction of the genital skin is common in a variety of conditions including exercise, cold, anxiety, etc. It is a normal phenomenon and not a problem with blood flow. Cramping or aching in the groin and/or testicles is also a frequent complaint....

Urology: Testicular cancer, testicular nodule
testicular nodule: Moses: It would be unlikely to be a Wilms, but we cannot completely rule out some other testicular tumor from only your brief description. An ultrasound would be very helpful. Often, a cyst can feel like a nodule and the ultrasound can easily determine...

Urology: Testicular Pain, testicular pain, muscle strain
testicular pain, muscle strain, open surgery: Steve: You should definitely get a second opinion. It would be highly unusual for a testicle to hurt only with straining so my guess is that there is a hernia. General surgeons are the experts on hernia, urologists are the experts on testicles. You should...

Urology: one testicle, atrophic testicle
atrophic testicle: Ofvat: The only reason to urgently removed an atrophic testicle is pain. There are no special precautions to take. Either it hurts you or it doesn t. There are no extensive list of possible symptoms. A yearly checkup with your family physician or a...

Urology: left testicle different, scrotum, testicle
scrotum, testicle, urologist: Mark: I can t tell from your description if this fits within the normal parameters. Some differences between the testicles are considered normal, but this suggests a possibly abnormal fixation. This should be seen by a physician such as a urologist to...

Urology: thrombosis (clot) of a penile lymphatic vessel., lump and penile curvature. Is this Peyronie;'s?
lump and penile curvature. Is this Peyronie;'s?: Noel: This doesn t sound like a clot, but it could be a blocked lymphatic channel or just a sebaceous cyst. It could also be an early Peyronie s plaque (scar tissue) that forms and causes some curvature. You should consult a urologist for a definitive...

Urology: Less time during intercourse, premature ejaculation
premature ejaculation: KS: We are not allowed to prescribe any medication on this forum, especially since in many parts of the world patients can obtain medications without a physician s prescription. The typical type of medication used for your problem, premature ejaculation,...

Urology: Undescended Testicles, undescended testicle and infertility
undescended testicle and infertility: Neo: There is an excellent chance that there are sperm in the testis, but there could be blockages and/or sperm antibodies causing the abnormalities. Male infertility is very common after undescended testicles. Assisted reproduction such as ICSI may be...

Urology: Undescended testicle surgery scar, lower abdominal muscles, anti inflammatory drugs
lower abdominal muscles, anti inflammatory drugs, strenuous physical activity: Larry, 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: Urethra Burning, personal lubricant, typical type
personal lubricant, typical type, urethra: Derek: Water soluble lubricant, the most typical type used, cannot penetrate the skin or enter the urethra. Even if it did, it would not cause any harm. We sometimes inject lubricant into the urethra for various reasons and have never seen a problem from...

Urology: Urethral Stricture/Urethroplasty, bayonet type, urethral stricture
bayonet type, urethral stricture, internal urethrotomy: Ryan, from your description, the procedure you had 3 years ago was most likely an internal urethrotomy . The treatment of the majority of strictures is simple and effective. The initial treatment is typically simple dilation (stretching) of the strictures...

Urology: Urinary retention, aspirin regimen, male urethra
aspirin regimen, male urethra, bladder muscle: Ollie, the effects of anesthesia on his bladder can only last a few days so this is not a factor in his present problem. There are many conditions that may cause a male to have difficulty emptying the bladder.  Ones ability to urinate depends on 2 opposing...

Urology: Urinary Urgency/Frequency, soaps and detergents, bladder diseases
soaps and detergents, bladder diseases, interstitial cystitis: Emm, 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: Urology, time duration, sperm count
time duration, sperm count, personal physician: Ram: There is no data on the safe duration, but people don t generally put their cell phones next to their testicles. I still think the risk is minimal. He would be better off getting a personal physician that he could use for other issues. The urologist...

Urology: Urology, meatal stenosis, initial appearance
meatal stenosis, initial appearance, cosmetic results: Andrew: The final outcome depends on the exact nature of the problem. In most cases, cosmetic results are quite good but the goal is to have a good functional result first! Initial appearance after surgery is usually not great (we usually leave a very...

Urology: UTI, group b streptococcus, urine infections
group b streptococcus, urine infections, goldstien: Sarah: I m assuming that GBS means Group B Streptococcus. This organism is a common bacteria on the skin and therefore is easily involved in urine infections. It certainly doesn t mean you ve always had it and it could just be a contaminant, especially...

Urology: UTI, bacterial prostatitis, lower abdomen
bacterial prostatitis, lower abdomen, wind and the rain: Ahmed, you related as your only symptom, frequency of urination & were found to have a UTI with Klebsiella. I assume that a diagnosis of prostatitis was made by your doctor. Ideally, as your problems are recurrent and/or persistent, you should be evaluated...

Urology: UTI, prostatitis
prostatitis: Ali: Multiple recurrrences means that you are getting the same problem multiple times. It keeps coming back, in part, because your original therapy period was probably too short. Short term antibiotics on every recurrence is usually not the best way to...

Urology: UTI, female urethra, morphine drip
female urethra, morphine drip, kidney pain: Cheri, urinary tract infections (UTIs) in women are very common compared to men. This is due to the relatively short length of the female urethra. This results in the bladder being nearer the external environment. The most likely sources of bacteria are...

Urology: UTI / Prostatitis, frequent urination, prostatis
frequent urination, prostatis, urinary problem: Ali: I am not your treating physician so I would not prescribe a medication for you even if I could. General treatments for prostatitis include hot sitz baths, avoidance of caffeine/hot spicy food and no smoking. In some cases, regular use of an NSAID...

Urology: UTIs, female urethra, urinary tract infections
female urethra, urinary tract infections, entry path: Joyce, it is unlikely that your infections are related specifically to your weight problem. Urinary tract infections (UTIs) in women are very common compared to men. This is due to the relatively short length of the female urethra. This results in the bladder...

Urology: urge to urinate, tingling while urinating and burning sensation after urination, tiny traces, burning sensation
tiny traces, burning sensation, tingling sensation: Jesse, your symptoms are due either to urethral trauma from frequent, agressive sex or an infection of the urinary tract. Typically, the infection will be in the bladder and pus cells and bacteria are seen in the urine. However, if the infection is just...

Urology: urine odor, Urine odor
Urine odor: Mrs. Johnson: Odor alone is a very unreliable indicator of a urinary problem. There could be an infection, but most likely the odor just represents some of the medications, foods or supplements that we are exposed to in daily life. An infection may be...

Urology: urine test, drug and alcohol, tiny bits
drug and alcohol, tiny bits, cotton wool: Camille: Sorry, but I can t diagnose from just your description of what the floating bits looked like. I would need the formal analysis report. A pregnancy would be unlikely. Ask your physician to have a urine sample tested to see what this might be....

Urology: Varicocele Embolization After Failed Microsurgery, embolization after varicocele surgery
embolization after varicocele surgery: A radiological embolization for varicocele is an excellent way to treat persistent veins after a surgical approach may have failed. 3 weeks after surgery is a little early, but you can always schedule the appointment and find out about it. The coils used...

Urology: Voiding Cystogram/ Voiding Cystourethragram, voiding cystogram, spider veins
voiding cystogram, spider veins, cystography: Jesse, I can answer some of your questions. However, the amount of radiation exposure from the various studies you mentioned are outside of my field of expertise. This part of your question should be discussed with either a radiologist or radiation physiologist....

Urology: Voiding Cystography/ Voiding Cystourethrogram, radiation exposure from VCUG
radiation exposure from VCUG: Jesse: Voiding cystography is a general term for any voiding x-ray. Voiding cystourethrogram is the specific test typically done when there is duplication of the ureters or some similar problem suggesting reflux (urine goes up to the kidneys during voiding)....

Urology: varicole question, varicocele surgery, testosterone gel
varicocele surgery, testosterone gel, testicular artery: Scott: In general, varicocele surgery should not affect testosterone levels. Even if something went wrong and the testicular artery was compromised, the opposite testicle should still make normal teestosterone. Flushing can happen when hormone levels...

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: vericocele and treatment, vericocele, pain in the testes
vericocele, pain in the testes, mild pain: Mahesh: First, we don t have a diagnosis. Pain in the testes as you describe suggests prostatitis. You may or may not have a varicocele but this does not usually make the scrotum hot. At this point, we are not talking about a surgery but we need a diagnosis...

Urology: my 10 month son, kidneys fand bladder failing in 10 month old
kidneys fand bladder failing in 10 month old: Lesley: You need to take your son to see a pediatric urologist. His kidney function is declining and there has not been any adequate testing of the bladder. He could have a congenital anomaly like posterior urethral valves or just an abnormal bladder...

Urology: Advice please., sexual health clinic, white cells
sexual health clinic, white cells, clear discharge: It seems unlikely that it could be an STD given all the antibiotics you ve taken but that is not a guarantee. Cipro is not the optimal treatment for Mycoplasma or ureaplasma. This could be urethritis or prostatitis. It is not normal to have preseminal fluid...

Urology: abstinence after surgery, nocturnal erections, spontaneous erections
nocturnal erections, spontaneous erections, scar tissue: Eric: First, we generally don t do venous leak surgery anymore as it rarely holds up for more than 1-2 years at most. Sexual activity is not recommended because of the need for additional healing. Scar tissue will not be mature for several more weeks...

Urology: Bacterial infection and urologist, chronic prostatitis
chronic prostatitis: Red: Levofloxacin is an excellent antibiotic for bacterial prostatitis. However, you probably now have chronic bacterial prostatitis which will require longer treatment. The fact that symptoms resolved does not necessarily mean that all of the infection...

Urology: Blood in Urine, lower back pain, ct urogram, pelvic ultrasound
ct urogram, pelvic ultrasound, abdominal ultrasound: Laura: You have not yet had a complete evaluation for your pain and hematuria. A CT urogram (CT of the abdomen and pelvis with and without IV contrast) is considered the best imaging technique for this type of problem. You may also need a cystoscopy to...

Urology: Brownish foamy urine - cause for concern?, kidney specialist, coconut water
kidney specialist, coconut water, foamy urine: Corey: A workout should not cause such a color change in the urine. The first thing you need is a formal urinalysis. See exactly what is wrong and then you can decide on a urologist (kidney specialist: surgery) or a nephrologist (kidney specialist: internist)....

Urology: Bumps on Penis head. How do I cure it to be smooth and shiny again?, bumps on the head of the penis
bumps on the head of the penis: Rishi: This does not appear to be any disease or disorder. Some of this may be the normal Fordyce spots and there could be some dry skin. It s very difficult to tell from just a picture. Since you ve had this since puberty, its unlikely to be a new disease...

Urology: Burn when pee, persistent burning on urination, dysuria
persistent burning on urination, dysuria: Gerald: You could have a yeast infection or prostatitis. My advice is to consult a urologist. Meanwhile, try Prelief, an OTC tablet that helps make the urine less irritating. You can find it in most drugstores. And try to avoid anything with alot of...

Urology: bleeding after masterbation, blood in the semen, hematospermia
blood in the semen, hematospermia: Gebre: Blood in the semen, called hematospermia, is a relatively common occurrence. It is rarely dangerous and usually goes away by itself. Typically, we check for prostatitis and make sure that the coagulation system is working normally. You should check...

Urology: boyfriend lacks of feeling/sensation in penis, decreased sensation in the penis
decreased sensation in the penis: Rhiannon: Decreased sensation in the penis is usually due to prolonged alcoholism, liver disease, diabetes, various nerve diseases or psychological factors. I can t identify the cause in your boyfriend, but it sounds like a chronic problem. A checkup...

Urology: burning while urination since 1 year, burning on urination for 1 year
burning on urination for 1 year: Saurabh: YOur symptoms suggest prostatitis but you ve been resistant to the standard antibiotics. You may have a variation that doesn t respond to antibiotics. In such cases, alternative treatments include sitting in a hot sitz bath twice a day, avoidance...

Urology: burning in urine since 1year and seeking for help, persistent burning on urination
persistent burning on urination: Krishna: With all of the tests being normal, and several urologists disagreeing on the diagnosis, I am unable to offer much help except to consider dietary adjustments to avoid any irritating foods or drinks and to consider getting another opinion from...

Urology: CKD and Urology, kidney disease and UTI's
kidney disease and UTI's: Liz: You ve asked alot of questions. Your UTI s and kidney disease are not related except that you are more prone to infections with CKD due to reduced immune response. Nephrologists don t handle UTI s which are primarily bladder problems. These are...

Urology: Will calcification in semen tubes clear itself?, calcium deposits, answer mark
calcium deposits, answer mark, fragile area: Mark: I am not familiar with any successful treatment. Calcification of the vas is often due to chronic illness or infection, diabetes, TB, parasites and trauma with diabetes being by far the most common cause. I am not aware of any cases where it has...

Urology: change in sexual and penis behaviour, dear doctor, exact cause
dear doctor, exact cause, prostatitis: John: Some increase in latency time is normal as we get older, but the degree of your problem is a little severe. Decreased libido suggests lower testosterone and/or depression. This would also explain the difficulty with erections. Prostatitis might...

Urology: compare/contrast BPH with epididymitis, epididymis, urinary symptoms
epididymis, urinary symptoms, prostate enlargement: Pat: There is absolutely nothing similar between BPH and epididymitis. Epididymitis is an infection of the epididymis which is attached to the testicle. This causes significant pain in the area and marked swelling. BPH or prostate enlargement may cause...

Urology: cure for wetdream, nocturnal emissions
nocturnal emissions: Joh: Nocturnal emissions are normal and natural. At 18 you are likely to have this relatively often. Masturbation slightly more often may help. There is no standard medication to prevent nocturnal emissions. The NF cure product is from holistic and...

Urology: Doxycycline and Cipro don't work for me when it comes to prostattitis, prostatitis
prostatitis: George: The three medications that have been most effective for prostatitis include Cipro, doxycycline and bactrim as well as medications similar to these. Other treatments for prostatitis include hot sitz baths, avoidance of hot spicy food and eliminating...

Urology: discolored semen, pus discharge, gonorhea
pus discharge, gonorhea, prostate infection: Mike: Its impossible to make a diagnosis based on a verbal description of an unusual semen color. An infection is possible so we have to take a green coloration seriously. Talk to your family physician about getting tested for Gonorrhea just to be safe...

Urology: dull testicle pain, testicular pain
testicular pain: Jim: Ideas? Sure. Consult a urologist. In many cases, we don t find anything significant, but there could be an injury, spermatocele, prostatitis or hernia. So talk to your family physician or consult a urologist for a specific answer to your personal...

Urology: ED & PGE1, erection time, scar tissue
erection time, scar tissue, clock position: Dave: There is no specific antidote for PGE1, but you can inject a vasoactive medication like phenylephrine (similar to nasal decongestant spray) to offset the PGE1 effect. This will require a second injection and mixing the medication which can be tricky....

Urology: Epididymitis, chronic epididymitis
chronic epididymitis: Sharon: I suggest you consider taking him to a pediatric urologist. As you noted, it is unlikely that more amoxacillin is going to work after a larger dose has failed. Chronic epididymitis can be difficult to treat. We often start with a urinalysis and...

Urology: Constant passing of gas from the anus, prostatitis
prostatitis: Doxycycline is a standard antibiotic for prostatitis. There is no evidence that Vitamin C or Vitamin B-6 will help. Other treatments include hot sitz baths and avoidance of caffeine and hot spicy foods. NSAIDs such as ibuprofen can also help as can alpha...

Urology: Erectile Problem, perogative, psychological issues
perogative, psychological issues, urologist: Abhishek: THe fact that your problem is intermittent suggests that its related to psychological issues, stress, fatigue or anxiety. Talk to your regular physician about dealing with these problems or consider a consultation with a urologist. We don t...

Urology: Erection Problems, blood pressure meds, hello doctor
blood pressure meds, hello doctor, erection problems: Raza: Your problem is relatively new and might be anxiety related. Your blood pressure meds could be contributing but you ve been on them for years. A quick check for other causes such as infections, low hormone levels and diabetes can easily by done...

Urology: Errection problem after varecocele surgery., ED after varicocele surgery
ED after varicocele surgery: Rajkumar: Standard varicocele surgery should not have any significant effect on erections or cause penile pain. They can sometimes come back. A different approach such as from interventional radiology may be a better way of dealing with the new varicoceles....

Urology: elevated psa, high PSA without cancer
high PSA without cancer: Al: There is no absolute answer to your question. My own view is that if you ve already had 2 biopsies and the PSA hasn t changed substantially ( 25%), then it is very unlikely anything new will be discovered. You might want to get another opinion before...

Urology: enlargement of right testis, large testicle
large testicle: Raviteja: As stated earlier, the exact nature of your problem cannot be determined from the available information. For a definitive diagnosis, you ll need to see a urolgoist possibly at a tertiary care university medical center. If you are smart, you...

Urology: epididymal cyst, epididymal cysts, tongkat ali
epididymal cysts, tongkat ali, testosterone supplements: Glynn: If the cysts aren t bothering you, then no surgery needs to be done at this time. Semen is not produced in the testicles; just the sperm. Semen is produced in the seminal vesicles located under the bladder and behind the prostate. Fixing the epididymal...

Urology: epididymitis and arousal, epididymitis and lowered sexual interest
epididymitis and lowered sexual interest: Francesco: Epididymitis does not normally affect testosterone levels, but it could cause or be connected to a prostate infection such as bacterial prostatitis which can cause erection problems. Once the epididymitis is resolved, a testosterone level...

Urology: Follow-up, antibiotic resistant bacteria, chronic bacterial prostatitis treatment
antibiotic resistant bacteria, chronic bacterial prostatitis treatment, lipid solubility: Red: You are over-reading the material. Amoxacillin is not the best choice for most prostatitis patients for the reasons you mention, but it is more specific for the gram positive bacteria. Erythromycin is another choice to consider. As far as creating...

Urology: Frenuloplasty, scarred frenulum
scarred frenulum: Andrew: We don t typically just fix the frenulum without also doing a circumcision, but it s certainly possible to do. The frenulum has a small artery and vein which is why it is a special concern as any injury to this area can cause considerable bleeding....

Urology: Bumps on Penis head. How do I cure it to be smooth and shiny again?, weird thing, texture
Urology: Bumps on Penis head. How do I cure it to be smooth and shiny again?, weird thing, texture, answering the question

Urology: hyperprolactinoma, prolactin level, testosterone levels
Urology: hyperprolactinoma, prolactin level, testosterone levels, testosterone

Urology: Incontinence, diapers
Urology: Incontinence, diapers

Urology: Irritation/slight pain on left side of penis near base, exact same thing, diagnosis
Urology: Irritation/slight pain on left side of penis near base, exact same thing, diagnosis

Urology: Penile tissue damage, vascular injury
Urology: Penile tissue damage, vascular injury

Urology: Unexplained erectile dysfunction early in life, heart pain, morning wood
Urology: Unexplained erectile dysfunction early in life, heart pain, morning wood, registered nurse

Urology: feeling of discharge of pre cum, pain while urinating, pre seminal fluid
pain while urinating, pre seminal fluid, whitish fluid: Kevin: THe nature of this fluid isn t necessarily clear. It could just be pre ejaculate fluid or there could be an infection. Usually, the amount of pre ejaculate fluid has nothing to do with the amount of semen being stored. Its produced by different...

Urology: how can i fix this, testicle pain, definitive diagnosis
testicle pain, definitive diagnosis, blood clot: Brandon: Sorry, but I can t identify an orange piece that you ve described in the semen. An old piece of blood clot is the closest that I can come up with. Your discomfort in the penis and testicle coudl be prostatitis. Now, make an appointment with...

Urology: hard mass at base penis head, michelin man, straight male
michelin man, straight male, definitive answer: John: Understand that this is a general information forum. We don t diagnose or treat. I can t determine the exact nature of the problem from your description, but the most likely causes would be infection, inflammation or some type of cyst. I suggest...

Urology: my husband, testicular pain and testicular calcifications
testicular pain and testicular calcifications: Samantha: Testicular calcifications are very common. If they are floating in the fluid around the testicle, they are pretty much harmless. If there are tiny calcifications inside the testis, they can be associated with testicular cancer. However, testicular...

Urology: hyperprolactinoma, high prolactin
high prolactin: We do not normally check prolactin except in men who have low testosterone levels. If your testosterone levels are normal, then the prolactin levels while slightly elevated above normal, are not likely to cause any harm. You have mild hyperprolatinemia....

Urology: Incontinence, bladder sphincter, external sphincter
bladder sphincter, external sphincter, internal sphincter: Ricky: You are correct that a botox injection can paralyze the urinary sphincter for a prolonged but temporary period of time, usually around 9 months. It is expensive and not formally approved for this indication however there is a good chance it would...

Urology: Infertility, reproductive endocrinologist, normal sperm counts
reproductive endocrinologist, normal sperm counts, sending signals: Robert: I agree that the low FSH is a little puzzling. It might be possible to check testosterone and inhibin levels. A reproductive endocrinologist would be the expert to talk to. Theoretically, supplemental FSH should restore normal sperm counts...

Urology: Irritation/slight pain on left side of penis near base, pain on left side, doctor john
pain on left side, doctor john, pain discomfort: John: You should see a physician and not just because that s what we always say on this forum. It could be an indication of prostatitis or some other underlying condition that requires treatment. Meanwhile, try reducing caffeine and sit in a hot tub. The...

Urology: little squishy bump on my penis shaft, bulge in penis
bulge in penis: Jim: I can t really tell what it is from only your description. As long as the erections are working, it doesn t sound like anything serious. A weakness in the wall of the erection body seems the most likely explanation. If so, there is no treatment....

Urology: lost of feeling, control sensation, vitamin b 6
control sensation, vitamin b 6, nerve problems: Billy: You may have damaged some of the nerves that control sensation in the penis. I strongly urge you not to use the extender any more and to consult a urologist to see what else can be done. At a minimum, try some Vitamin B-6 which is general helpful...

Urology: lower back pain and flank issues, flank pain, anti inflammatory drugs
flank pain, anti inflammatory drugs, urinalysis tests: Richard: Obviously, I am not going to be able to give you a definitive diagnosis when your regular physicians are having trouble. A CT scan can definitively determine whether or not this is from a stone. Some of your symptoms suggest prostatitis so a...

Urology: mild hydronephrosis, Kidney Stones
Kidney Stones: Shailesh: Mild hydronephrosis is a finding; not a disease. If its associated with a problem like a stone, we treat the stone. If not, we leave it alone. Talk to your physicians about your particular situation. To stop kidney stone formation, its important...

Urology: mucus in urine and urine retention, mucus in urine, clear mucus
mucus in urine, clear mucus, bladder scan: Johnny: A few clear mucus threads are not considered abnormal. Scar tissue doesn t heal. Its the result of healing. It can occur after a dilation. One treatment is to have the patient self dilate every week with a small catheter to keep the area open....

Urology: Narrow stream, narrowed urine stream
narrowed urine stream: Gavin: Your imagination is running away with you. There is no evidence of a narrowed urethra and there is certainly no indication that a surgery is necessary at this point. Start by having the urine and stream checked by a urologist. If there is a decreased...

Urology: Nerve damage question, excessive alcohol consumption, injury occured
excessive alcohol consumption, injury occured, excessive masturbation: John: Excessive masturbation is not a clinical disorder and does not cause numbness or other problems such as you ve described. Alcohol, however, can do this. The nature of your injury is not clear. It is not appropriate for the patient to tell the...

Urology: Numb bladder, kidney stone prevention, chemical test results
kidney stone prevention, chemical test results, kidney stones handbook: Priscilla: Obviously the 24 hour urine collection doesn t prevent stones, but the chemical test results from the study will allow your physician to determine if your urinary chemistries are normal, optimal or abnormal. Once known, corrective measures in...

Urology: nuclear renal scans, radioactive isotope, geiger counter
radioactive isotope, geiger counter, nuclear scans: Ron: Nuclear scans are images produced by a type of imaging Geiger counter. A radioactive isotope that seeks out certain organs or systems are injected and the image is taken on a timed basis after the injection of the isotope. These images are in...

Urology: Overstretched bladder, urinary retention
urinary retention: Neville: You need a CMG or bladder pressure test to determine if there is sufficient bladder muscle tone to allow for normal voiding or if it s too late and too much damage has been done. At 4.3 liters, chances are that the bladder has been decompensated...

Urology: oral sex., topical anesthetic cream, sexual transmitted diseases
topical anesthetic cream, sexual transmitted diseases, boxer briefs: Aaron: THere is no specific test to determine if the testicles are shrinking although we can do an ultrasound to look at the actual size and check on blood flow. You have premature ejaculation. This is a common male sexual disorder. Talk to your physician...

Urology: Pain in left abdomen and red urine after sex, blood in the urine
blood in the urine: Rajesh: Prostatitis can do this, but anytime we have blood in the urine we like to have it checked. This usually means some type of X-ray for the kidneys (IVP), special urine tests (cytology) and a look into the bladder with a telescope (cystoscopy). If...