Frequently asked questions

My doctor told me I have blood in my urine. What does this mean?

Known as hematuria, there are many possible causes. These range from minor to significant. The usual workup includes imaging of the kidneys and direct visualization of the bladder by cystoscopy. Other tests are performed as needed.

My bladder leaks when I cough or sneeze and I have trouble making it to the bathroom without wetting myself. What can be done to help?

Incontinence, the loss of urine, can be diagnosed as to the probable cause. Stress incontinence, the type described in the question, can be cured by exercises, medications, and surgery, depending on the underlying cause and severity.

I am interested in having a vasectomy. What can I expect?

After an initial visit to describe the procedure, the vasectomy is performed in my office under local anesthesia. It usually takes about 12-15 minutes, and patients may drive themselves home afterwards.

I have a poor urinary stream and am up all night urinating small amounts. What does this mean?

In men, this frequently is caused by an enlarged prostate, but there may be other conditions which contribute to the problem. Once the cause is determined, behavioral modification, medication, and surgery is available.

Can kidney stones be prevented?

An emphatic yes! There are four parts to the stone workup protocol, including stone analysis (if available), blood tests, dietary history, and 24 hour urine collection. The risk of recurrence can be drastically reduced, especially if this is not the first stone.

Why does smoking cause bladder cancer?

Tobacco smoke contains over 2000 chemicals, none of which are good for you. Once absorbed into the blood stream from the lungs, the chemicals are filtered in the kidneys, and concentrated along with the rest of the urine, and are stored in the bladder for hours at a time.

What should I do if I find a lump in my testicle?

Most testicle lumps or nodules are of no major consequence, representing fluid collections, old inflammation, congenital remnants. However, a trained physician may be necessary to rule out testicle cancer, which should be diagnosed and treated urgently, since they may grow and spread rapidly.

When is circumcision needed?

For children with no pain or infection, the decision is up to a parent’s discretion. For adults, the surgery is usually needed if the foreskin can not be easily retracted or if there is recurrent infection in the space beneath it.

What are the treatment options for enlarged prostates?

The first order of business is to determine whether an enlarged prostate is the cause of the urinary symptoms. A variety of medications can be used, which can shrink the prostate or relax the muscles in and around it. If these are not feasible (not effective, too expensive, side effects, etc.) there are several procedures used to shrink the gland. Some of these are performed in the office with oral sedation.