Recently Answered Questions
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Why is my penis hard even in a flaccid state?
Query: Hello doctor, My penis is not soft in a flaccid state. It is always a little hard even when in a flaccid state. It is also a little painful when squeezed and after sexual activity. The color of my semen is always mild yellow. When I urinate, it takes four or five minutes to empty the bladder. It com... Read Full »
Answer: Hello, Welcome to icliniq.com. Your describing symptoms are suggestive of an infection (epididymo-orchitis). Please state the exact duration of these symptoms. Get a urine routine and microscopy test by giving your urine sample. A repeat ultrasound scrotum (testicles) would also be advised. These ... Read Full »
What could be the reason for retrograde ejaculation and male incontinence?
Query: Hello doctor, I am pretty sure that I have retrograde ejaculation because when I ejaculate it does not come out at the same moment of ejaculation, but it does come out seconds later and when I urinate there is some sperm. I also have male Incontinence and bedwetting problem since I was young and I a... Read Full »
Answer: Hello, Welcome to icliniq.com. I think that there is an obstruction in your prostate gland. Prostate gland store semen. That is why he wants to do this procedure. TURP stands for transurethral resection of the prostate. You must go for it. If you have further questions, do follow-up. Read Full »
Is surgery needed for mild benign prostatic hyperplasia?
Query: Hello doctor, I am a 58 year old male. Except for low blood pressure, I am in generally perfect health with mild benign prostatic hyperplasia (BPH) that has not been getting noticeably worse lately but, has been present for years. While my stream is certainly not like when I was younger, I have no d... Read Full »
Answer: Hello,Welcome to icliniq.com.I have gone through your history. If possible, send me a graph of your bladder pressure study and flow. If the bladder pressure is high, then it is better to get operated for the prostate enlargement. A high power or pressure in the detrusor suggests a bladder outflow ob... Read Full »
I suffer from premature ejaculation. Please suggest.
Query: Hi doctor, I am a 28 year old unmarried male, who is suffering from premature ejaculation and erectile dysfunction. I do not get a hard erection during masturbation. And I ejaculate in less than 50 seconds. I once tried having sex, but I ejaculated during the foreplay itself, so I did not penetrat... Read Full »
Answer: Hi, Welcome to icliniq.com. Premature ejaculation is very common and is usually not associated with any disease, but it may be due to anxiety. Sometimes, there may be a problem with the prostate gland and thyroid hormone. Most often it is a chronic problem and you have to take medicines. Also, the... Read Full »
I am suffering from pain during ejaculation. Please help.
Query: Hello doctor, I am a 27 years old, and I have been suffering from pain during ejaculation. After ejaculation, I feel severe burning during urination at the tip of the penis, from the past six years. From the past year, at the time of ejaculation, the semen does not come out with force, and it remain... Read Full »
Answer: Hello, Welcome to icliniq.com. Post-ejaculatory burning in a young male, which is not relieved by antibiotics, may not be of an infective origin. Do not take any injections in the prostate, as that may worsen the scenario. I suggest you try taking the following. Consult your specialist doctor, discu... Read Full »
Can PAP test alone be valid for screening prostatitis?
Query: Hi doctor, I asked my doctor to do PSA test. The PSA came back normal at 1.0 ng/mL. However, he also did prostatic acid phosphatase test which was high at 4.5 ng/mL. My question is whether prostatic acid phosphatase test is valid for screening or not? Should I need to do these tests again? I had pro... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query. Prostatic acid phosphatase (PAP) has been replaced by PSA (prostate-specific antigen test). It is better in the detection of prostate cancer compared to PAP. The elevation of PAP levels alone is not a cause for concern. I hope your treating... Read Full »
I have recurrent prostate infection. Will it turn into cancer in future?
Query: Hi doctor, I am a 34-year-old male with recurring prostate infections with inflammation which is really painful with kidney stones happening all the time. I am 6 feet and about 215 pounds. I am currently on Trileptal, Ranitidine, and Omeprazole and I have been on them for a long time like 10 years ... Read Full »
Answer: Hello, Welcome to icliniq.com. The condition you are having could be chronic prostatitis (usually bacterial or any obstructive pathology). Chronic symptoms suggest that you need complete urological evaluation with urine analysis, urine culture, ultrasound of prostate, etc, and treatment accordingly.... Read Full »
My PSA levels increased despite the prostatectomy. Why?
Query: Hello doctor, My PSA levels are increasing despite having had a prostatectomy two years ago. My PSA levels are doubling every six months. It is not yet at a serious level, but I think cancer has spread. Should I undergo castration to overcome this problem? Thank you. Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello,Welcome to icliniq.com.After surgery, PSA (prostate-specific antigen) levels above 0.1 ng per mL are considered high and need further evaluation with a PET (positron emission tomography) scan. If local reoccurrence occurs, radiation is the treatment option. If it is out of the prostate gland, ... Read Full »
Old male with IgA nephropathy, hypertension. Is total PSA rise?
Query: Hi doctor, I am a 62-year-old male and have had IgA (immunoglobulin A) nephropathy and hypertension for the past 11 years, which is being treated with Cardace 10 mg, Stamlo 5 mg, Lipitor 10 mg, and fish oil capsules. In addition, I have thyroid nodules (no medication). BP is around 130/80. I have h... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. I understand your concern. There is no relationship between Urimax and PSA (prostate-specific antigen) level. There are fluctuations in the PSA in this range which is normal, and any PSA above 1.4 should be repeated twice yearly. If we notice two consecutive rises in P... Read Full »
Can Septrin forte be taken for prostate infection?
Query: Hi doctor, I have Morganella morganii infection in the prostate. For the past 15 years, I have been getting blood in semen. I had a short course of antibiotics in the past and I also had a semen microbiological test. Please recommend some antibiotics. Read Full »
Answer: Hi, Welcome to icliniq.com. For the infection in the prostate a four to six weeks course of treatment is highly recommended. I suggest Cephalosporins and Aminoglycosides are the best for initial therapy, but ideally it should be guided by culture sensitivity reports. Consult your specialist doctor, ... Read Full »