Locations
Office
Chelsea, MI
Phone
Practice website
Insurances accepted
CIGNA HMO
About
Bio
Trained at the University of Michigan under Edward McGuire, 16 years on staff at University of Michigan,private practice since 1986. Solo practioner
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Urology
Licenses
United States: Michigan
Doctor Q&A
168 Answers
235 Agrees
The number of answers this doctor has agreed with.
A 34-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Yes : Bothare common complications of long term diabetes esp if control has been poor.
5.5k viewsReviewed >2 years ago
A 36-year-old male asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Never: Never pass up the opportunity to urinate and void frequently.
5.1k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Yes: Most liquids can penetrate clothing so it's possible that viable sperm may be found.
5.3k viewsAnswered >2 years ago
A male asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Yes: Withdrawal is not a birth control method as the "precum" may have some sperm in it it's unlikely she will become pregnant but not impossible.
5.2k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Yes: Prostate cancer cells generally require testosterone for growth so orchiectomy or medications can remove testosterone from the male system and this ar... Read More
5.3k viewsReviewed >2 years ago
A 56-year-old female asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Not indicated: Botox will most likely not help ic are you on elmiron, (pentosan) prosed, or DMSO yet. Cystoscopy and hydrodistention may help think about a second op... Read More
5.2k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Yes: Anything that Metronidazole covers should be gone by now.
5.5k viewsReviewed >2 years agoMerged
A 45-year-old female asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Future: A 6mm stone is unlikely to pass on own, so many people opt for lithotripsy to break it up before you have a problem. Also a good idea to establish a r... Read More
3.6k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Only if red: If it's red and inflamed, yes
3.6k viewsReviewed >2 years ago
A 41-year-old male asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Need surgery?: 4 ER visits for a stone, my recommendation is tamulosin and fluids or ureteroscopic removal
3.6k viewsReviewed >2 years ago
A 32-year-old female asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
4.5k viewsAnswered >2 years ago
A 23-year-old male asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Hot: A hot bath helps many pelvic symptoms. 20 minutes twice a day is reasonable.
4.3k viewsReviewed >2 years ago
A 77-year-old male asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Probably: If your psa is nondetectable i would have no trouble treating low t with testosterone replacement therapy, but your ed probably has nothing to do with... Read More
5.2k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Mesh: Although the complications of mesh are not common, they can be devastating to the woman who has one. Talk to your doctor about his/her experience with... Read More
6k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
ED: There is no specific test to differentiate the root cause of ed. Clearly, stress, performance anxiety, underlying depression, etc can lead to erectile... Read More
6k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Masterbation: Masterbation should feel the same. Uterine contraction plays little if any role in the sensory experience of orgasm. Pelvic muscles contract during or... Read More
6k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Age: If one has a family history of prostate cancer, a psa blood test and rectal exam should start at 40, otherwise 50. All men should start having prostat... Read More
5.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Mets cancer: Unfortunately the 2 year survival of someone with metastatic prostate cancer is 40% and 5 year survival is 10%. Sorry.
5.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Yes: Surgery, medications or a pessary may be appropriate interventions. No 58 yo needs to put up with this see a urologist or urogynecologist for options.
5.9k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Maybe but rare: Possible but rare. If your symptoms persist, see md.
5.9k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
No: The main causes of incontinence in men is prostate enlargement and overactive bladder. Prostate cancer is a small percentage of incontinence in men. I... Read More
5.9k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Masterbation: Many urologists feel that ejaculation on a regular basis can reduce the incidence of prostatitis in those prone to such, but i believe there is no act... Read More
6k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
PE: Ssris like Prozac can help those with premature ejaculation. Viagra, (sildenafil) etc may also help.
6k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Cystometrogram: In the old days we gave a drug during some studies but now no injections are given.
6k viewsReviewed >2 years ago
A 66-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Surgery: What procedure do you need? If you have had multiple prostate procedures, you need a new urologist.
6.1k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Spina bifida: If you have no neurologic symptoms from spina bifida now, you are unlikely to have them in the future. Symptomatic spina bifida has very complex urolo... Read More
5.9k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Urine hot: You may have the sensation of hot urine if your estrogen levels are low. Atrophic vaginitis and urethritis will cause thinning of vaginal and urethral... Read More
6k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Circumcision: Within the jewish faith, circumcision is important part of becoming a man. The only option for religious reasons.
6k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Bladder pain: In general, discomfort early in am is not a problem. Many people either sleep thru or disregard bladder symptoms at night. As long as you have no pain... Read More
6k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
PE: A technique called the squeeze technique may help where the base of the penis is compressed immediately prior to ejaculation. Drugs such as Prozac (fl... Read More
6k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Cloudy urine: Cloudy urine may be caused by an infection, usually associated with frequency or burning. More commonly cloudy urine may be from elevated phosphate le... Read More
6k viewsAnswered >2 years ago
A 27-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Yes: The sacral nerves are necessary for bladder contraction. Overflow incontinence and sphincteric incontinence is possible with severe nerve dysfunction.
5.9k viewsReviewed >2 years ago
A 25-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
5.4k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Not unusual: As long as fluid is clear or white, should not be problem.
5.1k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Yes: Autopsy statistics say that 30% of 60 yo have cancer but the question is "is this significant" ? Many cancers may be insignificant depending on psa le... Read More
5.2k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
No: You may have prostatitis from the biopsy. Talk to your doctor.
5.1k viewsReviewed >2 years ago
A 35-year-old female asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Mets prostate cancer: The 2 year survival of the average person with bone mets is 40%. This may range from 6 months to 10years depending on the aggressiveness of the cancer... Read More
6k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Alcohol: Most people who crave and can not stop drinking alcohol require some type of outside help to stop. Talk to your doctor whether you need to go to an al... Read More
6k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Colored urine: Pyridium (phenazopyridine) turns your urine orange. The active ingredient acts as a local anesthetic on your bladder surface to reduce burning.
5.9k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Burning: This may be due to concentrated urine, scarring at tip from trauma, infection, or prostate infection. If it occurs every time you urinate, see your do... Read More
5.9k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
No: Sounds like you may have prolapse of your uterus or bladder see your doctor if this continues to bother you.
5.9k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Cancer: The most common cancers in men are prostate, lung, colon, and skin.Regular annual physicals can help to find these early.
5.9k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Very well: Ureteroscopy is a very safe and reliable means of removing a stone. Either flexible or rigid ureteroscopy with or without laser lithotripsy should be ... Read More
5.7k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Yes: May see bleeding up to 6 weeks after surgery.
5.5k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
See your dr: This maybe as simple as cervicitis, an inflammatory condition of cervix or something more significant like a polyp or tumor see your md for exam and p... Read More
5.5k viewsAnswered >2 years ago
A 52-year-old female asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Only if has Gout: If his stones are uric acid stones he could have gout. Otherwise unlikely connection.
5.5k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
5.7k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
ED: Priapism can lead to long term erectile dysfunction if not treated in a timely manner. Drugs such as trazadone can lead to this. Priapism from pd5 inh... Read More
5.7k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Antibiotic ointment: Antibiotic ointment may help but deep infection requires antibiotics. See your doctor.
5.7k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Howard Usitaloanswered
Urology 41 years experience
Yes: Vaginal delivery is most common cause of stress incontinence.
5.9k viewsReviewed >2 years ago
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
362
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Usitalo is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Usitalo is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! I always wondered and was kinda worried but this makes me feel better at least till I get to a dr. Thanks so much
HealthTap member
Thank you, your answer or tip was very helpful! But it is a defect anyway despite it is not harmful?
HealthTap member
Dr Howard Usitalo
Thank you for the information,I just learned something
once again thank you
Education & Training
Medical/Graduate school
University of Michigan Medical School, MI
Graduated 1981MD
Awards
Most Influential, Second Place, Ann Arbor, MI - Winter
2013
Thought Leader, Second Place, Ann Arbor, MI - Winter
2013
Top Urologist , First Place, Michigan - Winter
2013
Affiliations
Associates in Urology
Chelsea Community Hospital
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