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Q: Weak urinary stream...?
I am a 37-year-old male, 190 lbs. I have been to two urologists with different diagnosis. I have had trouble starting my urinary stream for as long as I can remember. The stream remains weak during urination and as a result I have a phobia about urinating with others nearby. There is never any pain or blood during urination. I also get up 1-2 times a night to urinate. There is no family history of prostate cancer in my family. I went to a doctor April 2008 because of increased strain while trying to urinate after I get up at night. I do go frequently during the day…especially after the first urination. The first doctor said that I suffer from BPH due to an enlarged prostate. He performed a cystoscopy…urodynamics and a prostate ultrasound. Nothing significant was found during the cystoscopy. The prostate ultrasound came back with 29 cc or grams…not sure which unit of measurement is correct there. The urinalysis findings led my first doctor to believe that I may have MS possibly resulting in detrusor sphincter dysynergia (DSD). MRI scans of my brain and spinal cord came back negative for MS. The MRI for the cervical spine did find a right posterolateral C5-6 disk herniation that mildly contacts and flattens the ventral cord extending to the proximal right C5-6 foramen. I was on flomax/avodart for 7 months with no change in urinary habits. His recommendation is for a procedure…TUMT/TUIP or TURP. I recently went to another doctor for a second opinion. The results (history/tests) from the first doctor were forwarded to the second doctor. After an oral examination, he did not feel that my prostate size was the issue. Since, I also have a history of large hemorrhoids/constipation/spastic colon and IBS; he thought there might be a correlation with that. I am an introvert and believe the source of most of my stress goes to my colon. He gave me a PSA test, which came back normal (0.5). Also, he performed a renal/bladder ultrasound. The results showed that I was not emptying completely…especially for someone of my age. After a cystoscopy with him (just last week), he said I have scar tissue in my urethra from a stricture. He thinks I may have suffered some injury as a child. He recommends that I undergo a Direct Visual Internal Urethrotomy (DVIU) to take care of the narrowing as a result of the stricture/scar tissue. He also wants to do an urodynamics test with me to see what he finds. He gave me a month’s sample of uroxatral, which did not help my stream any. I am set to undergo an endoscopy with my Gastro doctor this upcoming week. Blood results show that I am chronic microcytic anemic due to low MCV/MCH. My hemoglobin is fine. My doctors think I have a Mediterranean gene even though I am mostly northern European. My ferritin levels are also really low and I have begun taking an iron supplement (ferrous sulfate). I underwent a stapled hemorrhoidectomy last October and already have one autoimmune disease (limited scleroderma/CREST syndrome); so he wants to rule out Celiac disease, I suppose due to possible malabsorption. I no longer have a bleeding issue with my hemorrhoids due to the surgery. Also since any effort to bulk up my stool due to increased fiber and laxatives has failed. My biggest concern is the vast difference in opinion between both urologists in what my issue may be. Any suggestions? Are there questions I should be asking my doctors? Thanks, Tim

A: I can understand your concern with the different opinions of each doctor. I work in the medical field and I can tell you one thing for sure: doctors aren't always right. Their diagnoses are subject to as much human error as anyone else in any field they may work in. Maybe get a third opinion and see what your options are at that point. My gut reaction is leaning towards the second doctor being more correct than the first, though.

Q: my 38 year old husband (that cheated)has erectile dysfunction?
Is there any other men with this at such a young age. He did have an affair and I thought that was why he couldn't stay hard (while the affair was going on). I actually think he was having a mid-life crisis. He has been told he has the pre-stages of diabetes. He has gained about 25 pounds over the last couple years. He has high-blood pressure (which I also think came on by the stress of the affair-am I wrong). Also, he was just tested with a high PSA level. Sign of prostate cancer or enlarged prostate-going to a specialist Friday. Are these the reasons for his erectile dysfunction or could he still be cheating? He's not an insensitive cheater type man and I thought that even though, he was making the decision to cheat, he was guilt ridden by the whole thing and caused himself alot of problems physicall. He also gets hand tremors. All that started around the same time the affair started.

A: Am afraid that he has prostate cancer.Sorry. Chaos.

Q: My 38 year old husband (that cheated)has erectile dysfunction?
Is there any other men with this at such a young age. He did have an affair and I thought that was why he couldn't stay hard (while the affair was going on). I actually think he was having a mid-life crisis. He has been told he has the pre-stages of diabetes. He has gained about 25 pounds over the last couple years. He has high-blood pressure (which I also think came on by the stress of the affair-am I wrong). Also, he was just tested with a high PSA level. Sign of prostate cancer or enlarged prostate-going to a specialist Friday. Are these the reasons for his erectile dysfunction or could he still be cheating? He's not an insensitive cheater type man and I thought that even though, he was making the decision to cheat, he was guilt ridden by the whole thing and caused himself alot of problems physicall. He also gets hand tremors. All that started around the same time the affair started.

A: Well of what I understand all the things you said could be giving him ED High-blood pressure, stress,diabetes,and weight gain,high PSA level.And prostate cancer or enlarged prostate.But his affair has nothing to do with his ED.I guess he thought it was you that made it hard to perform like a man.But it was all the things going on with his body.But that is real young to have all that going on with his body,and then go out and cheat thinking it was you that made it hard to perform.

Q: My 38 year old husband (that cheated) has erectile dysfunction?
Is there any other men with this at such a young age. He did have an affair and I thought that was why he couldn't stay hard (while the affair was going on). I actually think he was having a mid-life crisis. He has been told he has the pre-stages of diabetes. He has gained about 25 pounds over the last couple years. He has high-blood pressure (which I also think came on by the stress of the affair-am I wrong). Also, he was just tested with a high PSA level. Sign of prostate cancer or enlarged prostate-going to a specialist Friday. Are these the reasons for his erectile dysfunction or could he still be cheating? He's not an insensitive cheater type man and I thought that even though, he was making the decision to cheat, he was guilt ridden by the whole thing and caused himself alot of problems physicall. He also gets hand tremors. All that started around the same time the affair started.

A: First, I have to say, you sound like a nut when it comes to your theory these health problems are the result of the affair. They're probably not. With that said, any one of these health problems could cause E.D., let alone combinations. You need to seek some counseling. You felt quite compelled to mention the affair six or seven times in one Yahoo! question. We got the message loud and clear, but I don't think the affair has anything to do with the situation.

Q: my 38 year old husband (that cheated) has erectile dysfuntion?
Is there any other men with this at such a young age. He did have an affair and I thought that was why he couldn't stay hard (while the affair was going on). I actually think he was having a mid-life crisis. He has been told he has the pre-stages of diabetes. He has gained about 25 pounds over the last couple years. He has high-blood pressure (which I also think came on by the stress of the affair-am I wrong). Also, he was just tested with a high PSA level. Sign of prostate cancer or enlarged prostate-going to a specialist Friday. Are these the reasons for his erectile dysfunction or could he still be cheating? He's not an insensitive cheater type man and I thought that even though, he was making the decision to cheat, he was guilt ridden by the whole thing and caused himself alot of problems physicall. He also gets hand tremors. All that started around the same time the affair started.

A: I have no clue which battles you've picked although his "manly health" seems to be more important to you than his affair. Well, consider calling his "mistress" and maybe she can share some useful information with you.

Q: Cystoscopy:-Need some help?
I am 31 yrs male and I had blood in my urine 0-2 RBC. No WBC. I did following tests by an urologist:- 1. DRE Result:-Your prostate looks good, smooth 2. PSA:- Result:-0.61 3. CT IVP Result:-Doctor told me your CT IVP came back normal I was more scared for prostate cancer..bladder cancer. I went to another urologist and he tol me you have done all the test except Cystoscopy. So, he did Cystoscopy and said he did not see anything wrong. Before the test i told doc i was more worried about prostate cancer but forgot to tell i was worried about bladder cancer too. (During the Cystoscopy test at one point he told me you need to hold your breath and that will open a space for him to insert the tube more inside.). So, not sure if during Cystoscopy he looked into my bladder or not? Could you please let me know if seeing baldder in Cystoscopy test is common or i need to say doc to look into my bladder before the test?

A: Your doctor has gone to school for 12 years to learn how to diagnose people they know what tests to do. A cystoscopy is to look at the urinary system including the bladder. You’re only 31 with a PSA less than 1 with no symptoms of prostate cancer - why is this a concern?

Q: What this is mean? Please help me to understand?
I am a 31 years male. Doc found blood in my urine in dipstick test. But in microscopic UA there was no blood. This is what doc did 1. Asked me to go to rest room and pee. Added some jelly like substance on my belly and did some ULTRA SOUND like test and told me that "you have nicely empty your bladder" 2, Did a DRE and told me "your prostate looks good" 3. Then took blood for Kidney and PSA test. Within 20 mins lab gave me Kidney test result and it was normal. They said it will take some time to get PSA result ( may be days) 4. Also, doc ordered CT scan with contrast for abdomen and pelvis. I will do this next week. Could you please explain me what above 4 tests and their result mean? I was reading prostrate cancer and i saw DRE and PSA are the test. But did not understand purpose CT scan test.

A: Ultrasound looked at bladder emptying, which was fine. Blood tests suggest your prostate is normal (along with exam/DRE) and kidney function is normal CT is likely to rule out kidney stones (common source of blood in urine). Having a dipstick show "blood" but then none evident on micro exam can mean there is hemoglobin spilling in your urine for sa variety of reasons or could mean lab error or just a transient episode of blood in urine that resolved between dipstick and micro. Would suggest if nothing shows up on CT, that the micro and dipstick be repeated and if still not in sync, get referral to a primary doc to work this up further. Blessings

Q: Prostatitis or cancer?
Please help to calm me down. It started late last year with frequent urinations with no other symptoms, my PSA was 2.7 and I was sent to Urologist for further testing. The Urologist did the DRE and told me that my prostate is soft and no nodule detected even though the right side of the prostate is slightly larger. He suspected there is some sort of inflamation that cause a slightly elevated PSA and gave me one month Septra & 2 weeks of Ibuprofen 600mg, After 2-3 weeks, my frequencies were completely back to normal. A month later, the urination started again with some discomforts in the pelvic area after having more frequent sex with my wife. I had PSA checked again before came back to see the Specialist. The PSA was 3.5 and prostate was felt again but unchanged, no nodule and soft. Cirpo given but not much change. The discomfort symptom still come and go, it usually come back a day after sex and last about a week. I'm afraid to do biopsy and cancer is diagnosed. Please help me. Thx.

A: Benign inflammation and other conditions such as BPH (benign prostatic hyperplasia) can cause an elevated PSA. Elevated PSA levels don't always mean cancer. PSA can be increased if a man has ejaculated within two days of the test. Some physicians consider 4.0 and above to be an elevated PSA. You will need to follow the advice of your specialist in this situation. If he/she recommends a TURP procedure http://users.isp.com/keoni/turp/Whatis.html, you may want to agree for your peace of mind. This question may be a little too technical for Yahoo Answers, as most of us aren't medical professionals. I have some knowledge of TURPs and prostate hyperplastia and prostate cancer, as my father died of prostate cancer.

Q: Did you know that 1 in 55 women get ovarian cancer(from age 22 on up EVEN AFTER HAVING THEIR OVARIES REMOVED)?
A NOTE FROM AN RN: I found that the CA-125 test is an ovarian screening test equivalent to a man's PSA test prostate screen (which my husband's doctor automatically gives him in his physical each year and insurance pays for it). I called the general practitioner's office about having the test done. The nurse had never heard of it. She told me that she doubted that insurance would pay for it. So I called -BIGNAME- Insurance Co, and got the same response. Never heard of it - it won't be covered. I explained that it was the same as the PSA test they had paid for my husband for years. After conferring with whomever they confer with, she told me that the CA-125 would be covered. It is $75 in a GP's office and $125 at the GYN's. This is a screening test that should be required just like a PAP smear (a PAP smear cannot detect problems with your ovaries). And insist that your insurance company pay for it. (ironheart.net/pleaseread.html for more and then post your reply here).

A: Sad but true,thousands of women some in there 20's are being fooled into a hysterectomy by their doctors!After being told they tested positive for the cancer gene,the doctor reccomends a complete hysterectomy,only after the surgery and heartbreak are they then told that the cancer can still come back,and that even after being mutilated under the knife and loosing their precious womanly parts,that it is not a cure all!!! sick and sad both!