Dr. Howard Usitalo

Urology
Chelsea, MI
42 years experience male

Locations

Office

Chelsea, MI

Address

515 S. Main Street, Chelsea, MI
Directions

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

Specialties
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 66-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
Surgery: What procedure do you need? If you have had multiple prostate procedures, you need a new urologist.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
Yes: The sacral nerves are necessary for bladder contraction. Overflow incontinence and sphincteric incontinence is possible with severe nerve dysfunction.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
Circumcision: Within the jewish faith, circumcision is important part of becoming a man. The only option for religious reasons.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
No: You may have prostatitis from the biopsy. Talk to your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
Not unusual: As long as fluid is clear or white, should not be problem.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
Cancer: The most common cancers in men are prostate, lung, colon, and skin.Regular annual physicals can help to find these early.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
Lemonade: Lemonade helps to keep calcium from forming crystals 2 glasses per day is a good start.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Howard Usitalo
Urology 42 years experience
Yes: Anything that Metronidazole covers should be gone by now.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old female asked:
Dr. Howard Usitalo
Urology 42 years experience
Only if has Gout: If his stones are uric acid stones he could have gout. Otherwise unlikely connection.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
Yes : Bothare common complications of long term diabetes esp if control has been poor.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
Cystometrogram: In the old days we gave a drug during some studies but now no injections are given.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
No: Stress incontinence (sui) may be also associated with frequency and urgency, but is not a direct cause. Your symptoms may be overactive bladder, atrop... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
Maybe,sort of: Most women who have large volume "ejaculation" actually have urinary incontinence with orgasm but some women do produce enough vaginal lubrication to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
Mets cancer: Unfortunately the 2 year survival of someone with metastatic prostate cancer is 40% and 5 year survival is 10%. Sorry.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
Maybe but rare: Possible but rare. If your symptoms persist, see md.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
PE: Ssris like Prozac can help those with premature ejaculation. Viagra, (sildenafil) etc may also help.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Howard Usitalo
Urology 42 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.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
Yes: May see bleeding up to 6 weeks after surgery.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Howard Usitalo
Urology 42 years experience
UTI: Simple answer is probably bladder infection, less commonly interstitial cystitis, vulvodynia, urethritis get checked out push fluids cranberry is old ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
Yes: Vaginal delivery is most common cause of stress incontinence.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
No: Sounds like you may have prolapse of your uterus or bladder see your doctor if this continues to bother you.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
Yes: Trauma to these delicate tissues can lead to swelling. Lube it up!
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
Antibiotic ointment: Antibiotic ointment may help but deep infection requires antibiotics. See your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Howard Usitalo
Urology 42 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.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Howard Usitalo
Urology 42 years experience
Yes: Most liquids can penetrate clothing so it's possible that viable sperm may be found.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 77-year-old male asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Howard Usitalo
Urology 42 years experience
Never: Never pass up the opportunity to urinate and void frequently.
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old female asked:
Dr. Howard Usitalo
Urology 42 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
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Howard Usitalo
Urology 42 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.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old male asked:
Dr. Howard Usitalo
Urology 42 years experience
Need surgery?: 4 ER visits for a stone, my recommendation is tamulosin and fluids or ureteroscopic removal
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Howard Usitalo
Urology 42 years experience
Only if red: If it's red and inflamed, yes
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
365
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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