Q. Do I need my PSA checked?
A: There is much controversy surrounding the PSA blood test. Certainly it should be done if you have a family history of prostate cancer or if you are in the Black population, which has been shown to have a higher risk for prostate cancer. Other patients should consult with their Urologist to determine the need.
Q. What are my best options if I have Prostate Cancer?
A: Each patient should be evaluated on an individual basis. The best treatment for one person may not be the same for another person. Observation, surgery, radiation, HIFU, and Cryotherapy are all possible choices for localized prostate cancer.
Q. I am having trouble achieving erections. What can I do?
A: Options include oral medications, vacuum devices, intraurethral suppository, injections and surgery. The choice is between you, your partner and your physician.
Q. I have blood in my urine. What should I do?
A: Patients who are told that blood was detected in their Urinalysis or saw the blood themselves need to be evaluated by a Urologist.
Q. I have a history of kidney stones. How can I avoid forming more stones?
A: Good treatment regardless of the kind of stones that you form is to drink a lot of fluids. Drinking a lot of fluids will reduce the risk of crystals in the urine binding together to form a stone. Further evaluation to determine the etiology to your problem would be helpful.
Q. My wife and I are having trouble achieving a pregnancy. She is being seen by a doctor. Do I need to be checked as well?
A: Yes. Up to 1/3 of the problems in achieving a pregnancy can be male related. Even if it is determined that your wife has a problem, you may also have an underlying abnormality that should be treated.
Q. I am prone to urinary tract infections whenever I have sexual relations. Showering, voiding before and after does not help. What can I do?
A: Many women are prone to urinary tract infections. For those women with recurrent infections treatment focuses on inhibiting bacteria from colonizing the bladder.
Q. I leak urine whenever I do any activity or if I sneeze or cough. It inhibits me from enjoying myself. Is there a solution?
A: There are many treatment options including behavioral therapy, exercise, biofeedback, medication and minimally invasive surgery. Your best option is based on the severity of the problem, findings on physical examination, overall lifestyle and desire to resolve the condition.
Q. I noticed a lump in one of my testicles on self-examination. Do I have cancer?
A: Not all irregular findings mean you have cancer though all abnormal findings should be evaluated by a physician.
Q. I get up at night several times to urinate and I go often during the day. I do not get any sleep and it interrupts my activities during the day. What should I do?
A: Urinary frequency, urgency, and getting up at night can be due to urologic and non-urologic problems. Patients who are uncomfortable with their voiding pattern should be evaluated to identify and correct the source of the problem.