Dr. Jaschar Shakuri-rad, D.O.

Do not change your routine and go to the office with a moderately full bladder. You want to make sure that they get an accurate reading that mimics your daily PVR volume. No need to do anything special. After a TURP, they should be able to discontinue your flomax and finasteride.

Impotence does not mean lack of options. Visit
https://www.radroboticsurgery.com/post/erectile-dysfunction-and-treatment-options
for more information.

Dr Shakuri Rad

It is best to wait 1 week after a vasectomy before attempting ejaculation. This will reduce risk of pain and bleeding complications.

The most common cause of yellow/orange urine is a person's diet and vitamin intake.

Certain medications as well as dietary factors can contribute to various odors of the urine. However, in a man in his late 60s, BPH is a common problem. This may reduce the flow of urine and decrease the bladder's ability to fully empty. Over-the-counter cold medications, especially those that contain pseudoephedrine or phenylephrine, can lead to partial or total urinary retention, especially in men with pre-existing BPH and bladder outlet obstruction. Urinary retention (partial or complete) can lead to stale urine in the bladder and increase the risk of urinary tract infections (UTI). Strong odor in this setting could be due to an infection and should be evaluated by a physician (preferably a urologist). You can find more information about BPH at https://www.radroboticsurgery.com/bph and https://www.radroboticsurgery.com/bladderhealth

A UTI is not contracted through intercourse. However, sexually transmitted infections may be passed from one partner to another.

The most common cause of painful ejaculation is an infection in the prostate gland, also known as prostatitis. There are also other rare disorders such as prostatic duct cysts and prostate cancer, but these are much more rare, especially in a male in his 30s. If you are experiencing these symptoms, you should visit your family physician or a urologist who can better evaluate you and place you on appropriate therapy.

Painful ejaculation could be a sign of prostatitis or other prostatic disease. You should see a urologist for further evaluation.

This could be psoriasis but should be examined by a licensed dermatologist. You can start by visiting your primary care doctor who would make the referral if indicated. A serious medical condition cannot be ruled out by just looking at the picture.

Fertility rates with a solitary testicle are similar to those who have both tested. If after one year of unprotected intercourse, you have not achieved pregnancy, then a visit to a fertility specialist or andrologist is warranted.

Yes! And MRI will provide your physician with all the information they need to determine whether or not you have an abscess or another prostate-related pathology.

Difficulty urinating in a male age >50 is most commonly related to an enlarged prostate. A urologist can evaluate your symptoms and provide you with the best solution. For more information regarding BPH, visit:
https://www.radroboticsurgery.com/post/do-you-want-to-stop-your-bph-meds

Obstructive uropathy is another name for Benign Prostatic Hyperplasia, or BPH.

It is a condition in which the prostate enlarges as men get older. Over 70% of men in their 60s have BPH symptoms so it is very common. While BPH is a benign condition and unrelated to prostate cancer, it can greatly affect a man's quality of life. The prostate is a male reproductive gland, about the size of a walnut, that produces fluid for semen. The prostate surrounds the urethra, which is the tube that carries urine from the bladder out of the body. As the prostate enlarges, it presses on and blocks the urethra, causing bothersome urinary symptoms such as:

Frequent need to urinate both day and night.
Weak or slow urinary stream
A sense that you cannot completely empty your bladder.
Difficulty or delay in starting urination
Urgent feeling of needing to urinate
A urinary stream that stops and starts

If you suffer from the above symptoms, you are not alone. BPH is one of the leading reasons for men to visit a urologist.

There are many options to treat BPH and your urologist can review those with you. For more information visit: https://www.radroboticsurgery.com/post/do-you-want-to-stop-your-bph-meds

Infertility affects about 15% of couple in the United States. Half of the cases are due to a female factor, 25% due to a male factor, and the rest due to a combination of male and female factors .

Of those men affected, 10-20% are found to have azoospermia. Azoospermia is the absence of sperm in the ejaculate. Azoospermia is grouped into three categories: pretesticular, intratesticular, and post testicular. This means that some cases are due to a problem in the testicles and others are due to factors outside of the testicles such as blockage of the tubes that carry sperm or hormonal imbalances.

Pretesticular azoospermia is due to a defect in the hormones that send signal the testicles to make sperm.

Intratesticular azoospermia refers to a problem in which the testicles are unable to respond to the hormone levels in your body.

Post testicular azoospermia refers to a mechanical problem where the sperm that is made in the testicles is unable to travel through the tubing to get to where it needs.

Depending on which diagnosis a man has, there may be various different options available to help a couple achieve pregnancy. It is advisable to seek out a urologist with special training or interest in infertility.

Epididymal cysts or spermatoceles are benign growths that can sometimes increase in size and cause pain. If they are painless and otherwise not bothersome to the patient, then treatment is often not necessary. Although spontaneous resolution is possible, often, they tend to increase in size. Evaluation by a pediatric urologist in this case would be beneficial.

Benign Prostatic Hyperplasia, or BPH, is a condition in which the prostate enlarges as men get older. Over 70% of men in their 60s have BPH symptoms so it is very common. While BPH is a benign condition and unrelated to prostate cancer, it can greatly affect a man's quality of life. The prostate is a male reproductive gland, about the size of a walnut, that produces fluid for semen. The prostate surrounds the urethra, which is the tube that carries urine from the bladder out of the body. As the prostate enlarges, it presses on and blocks the urethra, causing bothersome urinary symptoms such as:

-Frequent need to urinate both day and night.
-Weak or slow urinary stream
-A sense that you cannot completely empty your bladder.
-Difficulty or delay in starting urination
-Urgent feeling of needing to urinate
-A urinary stream that stops and starts

If you suffer from the above symptoms, you are not alone. BPH is one of the leading reasons for men to visit a urologist.

Peyronie's disease affects about 9% of men in the United States. It is a disorder of scar tissue formation near or around the tubes (corpora cavernosa) that allow a man to have an erection. Some factors contributing to peyronie's disease are advanced age, diabetes, erectile dysfunction, dupuytren's disease, prostate surgery, disorders of testosterone, trauma to the penis, and congenital penile curvature (CPC).

If the curvature has always been present, then congenital penile curvature is the most likely diagnosis, although this would have to be evaluated by a urologist in the office. Regardless of cause, treatment is only indicated if there is bothersome dysfunction such as difficulty with intercourse or pain. A thorough evaluation by an experienced urologist often leads to appropriate treatment options, if necessary.

Often, patients can have prostatitis without any signs of an infection in the urine or blood. It is often a clinical diagnosis and can be made by interviewing the patient and performing a physical exam. The PSA test can sometimes be helpful as well.

Dr. J.S. Rad

It is not atypical to feel the heat source during these procedure. This can also be done under anesthesia, but if the spot is small enough, you can spare yourself the risks of anesthesia by having it done in the office.

The most common causes for burning with urination in otherwise healthy young adults is a urinary tract infection or STD. A urinalysis and culture often can help in the diagnosis.