Question 1

My brother has phimosis and can't pull his foreskin back. He only noticed this recently but doesn't have issues with erections or peeing. However, he's been experiencing premature ejaculation during masturbation. Is this because of phimosis? What are the treatment options, and can surgery be done at his age? His wedding is in August would recovery be possible by then? Need advice as soon as possible.

Accepted Answer

A detailed evaluation will help decide the best course of action.

Question 2

I'm worried about some stones in my kidneys. I've got a 6mm calculus in the upper pole calyx of my right kidney, and a 5mm one in the mid pole calyx of my left. Is that serious? I'm drinking about 6 liters of water a day. Is there anything else I can do or any medicine I should consider?

Accepted Answer

Kidney stones can be painful and uncomfortable. Given your situation:

_Stone Size and Location_

- 6mm calculus in the upper pole calyx of the right kidney
- 5mm calculus in the mid pole calyx of the left kidney

Both stones are relatively small, but their location in the calyces can cause discomfort and increase the risk of complications.

_Recommendations_

1. _Increase fluid intake_: You're already drinking 6 liters of water per day, which is excellent. Continue to stay hydrated to help flush out the stones.
2. _Dietary changes_: Reduce your intake of:
    - Oxalate-rich foods (spinach, beets, rhubarb)
    - Sodium
    - Animal protein
    - Calcium supplements (unless recommended by your doctor)
3. _Pain management_: Over-the-counter pain medications like acetaminophen (Tylenol) or ibuprofen (Advil) can help manage discomfort.
4. _Medical consultation_: Schedule an appointment with a urologist or nephrologist to discuss your condition and determine the best course of action.

_Medications_

Your doctor may prescribe medications to help manage your condition, such as:

1. _Alpha-blockers_: To help relax the muscles in your ureter and improve stone passage.
2. _Pain relievers_: To manage discomfort and pain.

_Surgical Intervention_

Depending on the size, location, and number of stones, your doctor may recommend surgical intervention, such as:

1. _Extracorporeal shock wave lithotripsy (ESWL)_: A non-invasive procedure that uses shock waves to break up the stones.
2. _Ureteroscopy_: A minimally invasive procedure that uses a small scope to remove the stones.
3. _Percutaneous nephrolithotomy (PCNL)_: A minimally invasive procedure that uses a small incision to remove larger stones.

Question 3

I've been having trouble maintaining a strong erection during sex, and it's really affecting my ability to perform properly when the moment comes. Could you offer some advice or suggestions on what might be causing this and how I can improve my situation?

Accepted Answer

A healthcare provider can help diagnose underlying causes and recommend treatments such as medications, lifestyle changes, or therapy.
Lifestyle changes: Focus on a healthy diet, regular exercise, reducing alcoholsmoking, and getting enough sleep.
Stress management: Practice relaxation techniques like meditation or deep breathing, and consider therapy if anxiety or depression is involved.
Pelvic exercises: Try Kegel exercises to strengthen pelvic floor muscles and improve erections.
Open communication with your partner: Discussing concerns with your partner can reduce anxiety and improve intimacy.
If symptoms persist, seek professional help to find the right treatment. Erectile dysfunction is common and treatable with the right approach.

More Urology Health Queries

I'm worried about some stones in my kidneys. I've got a 6mm calculus in the upper pole calyx of my right kidney, and a 5mm one in the mid pole calyx of my left. Is that serious? I'm drinking about 6 liters of water a day. Is there anything else I can do or any medicine I should consider?

I've been having trouble maintaining a strong erection during sex, and it's really affecting my ability to perform properly when the moment comes. Could you offer some advice or suggestions on what might be causing this and how I can improve my situation?

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