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Urology

Expert answers from Urology physicians on health concerns and treatment options

Questions & Answers

564 articles

Q

What is the baking soda trick for men with ED?

The baking soda trick for men with ED involves mixing 1/2–1 teaspoon of sodium bicarbonate into 8 ounces of water and drinking it daily for up to a week, aiming to slightly raise blood pH so penile smooth muscle relaxes and blood flow improves. There’s no clinical proof it helps ED, and it can pose risks (high sodium load, metabolic alkalosis, blood-pressure increases, drug interactions), so talk with a clinician—especially if you have heart, kidney, or BP issues. There are several factors to consider, including safe use, red flags, and proven options like PDE5 medications and lifestyle changes; see the complete details below.

Q

Why are there bubbles in my urine?

There are several factors to consider—foamy or bubbly urine is often harmless (fast stream, dehydration, cleaning products), but persistent foam can signal protein in the urine from kidney disease, or be caused by a UTI, diabetes, liver disease, or pregnancy-related issues. Red flags like swelling, high blood pressure, dark or bloody urine, fever, flank pain, or shortness of breath mean you should seek medical care. See the complete guidance below for details on causes, testing, and the right next steps.

Q

Why is there pus in my urine? What does it mean?

Pus in urine (pyuria) means there’s inflammation or infection in the urinary tract—most often a UTI, but it can also be a kidney infection, STI (chlamydia/gonorrhea), kidney stones, catheter-related infection, prostatitis, or noninfectious bladder inflammation. Diagnosis usually needs a urinalysis and urine culture (sometimes imaging), and treatment depends on the cause. There are several factors to consider and important red flags (high fever, severe flank/back pain, signs of sepsis) that require urgent care—see below for full details on causes, tests, treatments, prevention, and next steps.

Q

Can lower abdominal pain and testicle pain be related to a hernia?

Lower abdominal and testicle pain can be signs of an inguinal hernia, where tissue pushes through a weak spot in the abdominal muscles. See below to understand more.

Q

Can prostate cancer progress with no symptoms at all?

Yes, prostate cancer can progress without showing any symptoms, especially in its early stages or when it spreads to other parts of the body. See below to understand more.

Q

Can right-sided testicle pain be caused by sitting too long or tight clothing?

Right-sided testicle pain can sometimes be linked to sitting for long periods or wearing tight clothing, but it is important to consider other causes as well. See below to understand more.

Q

Can stage 4 prostate cancer ever go into remission?

Stage 4 prostate cancer can sometimes go into remission, although this is rare and depends on various factors like the type of cancer and treatment response. See below to understand more.

Q

Can stress or anxiety cause right testicle discomfort?

Stress or anxiety is not directly linked to right testicle discomfort, but chronic pain can sometimes be related to conditions like pelvic floor issues. See below to understand more.

Q

Does prostate cancer cause back or pelvic pain?

Prostate cancer can cause back or pelvic pain, especially if it spreads to the bones or affects the nerves in the spine. See below to understand more.

Q

Does right testicle pain always mean there’s swelling or can it hurt without any visible change?

Right testicle pain does not always mean there is swelling; it can hurt without any visible changes. See below to understand more.

Q

Does the prognosis change if stage 4 prostate cancer is responsive to hormone therapy?

If stage 4 prostate cancer responds well to hormone therapy, the prognosis can improve, as early PSA response is a good sign. See below to understand more.

Q

How do I tell if right testicle pain is coming from an infection or something more serious like torsion?

Right testicle pain can be due to an infection or a more serious condition like torsion. Medical imaging, like sonography, can help in diagnosing the cause of the pain. See below to understand more.

Q

How fast does stage 4 prostate cancer usually progress without treatment?

Without treatment, stage 4 prostate cancer can progress quickly, often leading to a decrease in survival time. See below to understand more.

Q

Is it normal for right testicle pain to come and go throughout the day?

Intermittent right testicle pain might be linked to conditions like chronic pelvic pain or uncommon issues like polyorchidism. See below to understand more.

Q

Is it safe to exercise if I’m having right testicle and lower belly pain?

If you have pain in your right testicle and lower belly, it's important to talk to a doctor before exercising to make sure it's safe. See below to understand more.

Q

What are the first signs of prostate cancer most men overlook?

The first signs of prostate cancer that many men overlook include frequent urination, especially at night, and difficulty starting or stopping urination. See below to understand more.

Q

What could cause pain in the right testicle and lower abdomen at the same time?

Pain in the right testicle and lower abdomen can sometimes be due to appendicitis, which can present with scrotal pain. See below to understand more.

Q

What determines whether someone with stage 4 prostate cancer has a good or bad prognosis?

The prognosis for someone with stage 4 prostate cancer depends on factors like the extent of cancer spread, response to treatment, and overall health. See below to understand more.

Q

At what age should I start getting tested for prostate cancer?

Men should consider starting prostate cancer screening at age 50, but it can vary based on health and risk factors. See below to understand more.

Q

Can someone live comfortably with stage 4 prostate cancer, even if it’s not curable?

Living comfortably with stage 4 prostate cancer is possible with treatments that focus on improving quality of life, though it is not curable. See below to understand more.

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