General Urology

Antibiotics before prostate biopsy questioned

New findings raise questions about the practice of prescribing antibiotics to men prior to prostate biopsy if they have newly elevated PSA levels and a normal digital rectal examination.

Benign prostatic hyperplasia may cause stenosis of the urethra

Recognizing symptoms of an enlarged prostate

The prostate gland has two important functions: To produce ejaculatory fluid and to act as a barrier to retrograde UTIs. Prostate enlargement, or benign prostatic hyperplasia (BPH), can produce a constellation of unpleasant symptoms that result when the enlarged gland forces the bladder to work harder to expel urine. The prostatic obstruction is both…

Pelvic floor disorders strike one in four women

Just under one quarter of women in the United States have at least one of the three primary pelvic floor disorders—urinary incontinence, fecal incontinence, and pelvic organ prolapse…

Workup for microscopic hematuria

I’m seeing a lot of patients (mostly male) who have had microscopic hematuria on several urine specimens. After getting negative results on lab work I’ve submitted, referral to a urologist usually results in CT urogram and cystoscopy. When those also prove to be negative, I get a letter saying the hematuria is “likely benign” and…

Incontinence during sleep

A 53-year-old white woman reports that during the past year she has had three episodes of urinary incontinence during rapid-eye-movement (REM) sleep. She reports that she wakes up and can recall dreams (she does not have night terrors). A neurologic exam, MRI, and electroencephalogram (EEG) were normal. A urologist found normal urodynamics. She has no…

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