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 37-year-old male asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Need reevaluation: You need a repeat urodynamic evaluation to show the exact cause it could be stress incontinence but also could be neurogenic bladder dysfunction very ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 46-year-old male asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Yes: Some of the bacteria causing sinusitis may not be sensitive to Cipro (ciprofloxacin) Levaquin would have been better choice.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 36-year-old male asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Drink: Drink at least 2-3 liters of fluid per day. Consider lemonade to reduce chance of calcium stones.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 32-year-old female asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Drink: Plenty of fluids, three quarts of anything daily but water preferable. Some patients are encouraged to drink lemonade if they have calcium stones.
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsAnswered >2 years ago
A 21-year-old female asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Intravaginal voiding: This is where so urine goes into vagina while emptying and when you stand leaks out. Try leaning forward, touching ankles for ten seconds, before gett... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 48-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Maybe: I guess theoretically it could but many factors come into play( length of time since deposit of sperm, thickness of pad, direction of sperm placement ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 23-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Who told you that: The only way to know the size of your prostate is thru a transrectal ultrasound which i think is unlikely you had that done at age 25 if you are havin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 37-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Fluids: This is where the wive's tail of cranberry juice came from. If you drink enough fluids, you can wash it away.
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
ED: Men may lose some ability to have an erection at any age, but the younger man most likely will have some other medical issue leading to it. Diabetes, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 36-year-old male asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Ignore: Never pass up the opportunity to urinate and void frequently!
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 19-year-old female asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Unlikely, but...: Have a pelvic exam and transvaginal ultrasound to alleviate your fears.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 31-year-old female asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
No: Probably a chemical dermatitis, try some Hydrocortisone cream.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 30-year-old male asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Post Vas Syndrome: Inflammation in epididymus after vasectomy usually goes away with time nsaids (eg. Ibuprofen, etc) are very helpful. This may occur years after vasect... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 37-year-old male asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
An option: If you have been on Alpha blockers like flomax, (tamsulosin) and 5 Alpha reductase inhibitors like finasteride, and still got a uti, surgery most like... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 22-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Viral disease: This could be molluscum contagiosum a viral illness that can be sexually transmitted see your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 46-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
ED: Intracavernosal pharmacotherapy is used to aid in getting an erection after failure with pd5s(viagra, etc) a small dose of a drug is injected directly... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 41-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Air in urine: Pneumaturia is air passage in the urine. This is common after catheterization or cystoscopy. This can also be caused by severe bladder infections or ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 35-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Yes: One should try to empty their bladder every 2-3 hours to avoid bladder emptying problems in the future. Chronic overdistention may lead to inability t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 32-year-old male asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Trauma: Generally this is caused by some type of trauma; manual stimulation prior to intercourse without lubrication can lead to this. If the vaginal ph is no... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 18-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Penis size: There is no medically proven treatment for increasing penis size. Obesity may make one's penis appear smaller. A 26# weight loss can increase penis le... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 69-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Libido: There is absolutely no side effect of Proscar (finasteride) that can permanently damage libido. Actually on a theoretical basis, libido should improve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 16-year-old female asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Unlikely: Very unlikely you will get pregnant breathe!
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 37-year-old male asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Ignore: Never pass up the opportunity to urinate and void frequently.
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsReviewed >2 years ago
A 32-year-old female asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Unlikely: If your partner did not have active lesions at time of activity it's unlikely herpes can be spread
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsReviewed >2 years ago
A 21-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
No: Prostate cancer cannot be caused by either low or high testosterone levels. Low testosterone can suppress prostate cancer cells and high testosterone,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 19-year-old male asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Hydroceles: A Hydroceles is a collection of fluid surrounding the testicle and is the most common cause of scrotal enlargement. Caused by trauma or infection/infl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsReviewed >2 years ago
A 36-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
BPH: Being the urologist i would personally you start with us, but your primary care may be a alternative. Make sure a rectal exam, urinalysis, and psa are... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 47-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Not always: Other causes can be lack of estrogen called atrophic vaginitis or bacterial vaginosis. See your gyn for an accurate diagnosis as over treating "yeast"... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Penis: Veins are rather large on the shaft of the penis and is normal.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 45-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Panacea: Something that can cure everything. Example: antibiotics are not the panacea of the common cold.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 36-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Prostate: There is a urine test called pca3 that can be helpful in diagnosing prostate cancer but the only definitive way is prostate biopsy.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 36-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
No: No know risk that masterbation causes increased risk of cancer.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 35-year-old member asked:
What will happen if i take a viagra (sildenafil) just to know how it feels, without any sexual need?

Dr. Howard Usitaloanswered
Urology 42 years experience
Recreational Viagra (sildenafil): Although not recommended to be taken without a doctor's approval, these drugs are very safe except when taken with nitrates such as Nitroglycerin or a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Peyronie's dx: Bent penis is caused by peyronie's disease, a scarring of the corporal bodies or the inner shaft of the penis. A hard plaque or knot may be felt at th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 45-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Penis: Post coital bleeding may be significant, but if occurs only once, probably secondary to trauma. Use lots of lubrication. Unlikely it's too wide.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 33-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Side effects: Many antidepressants esp the ssris will retard ejaculation over time this may become less of a problem. There are many ssris to choose from so talk to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 30-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
NO: Ddavp (desmopressin) or vasopressin is a drug that mimics antidiuretic hormone, a chemical that rises during sleep to concentrate urine at night. It i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 33-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Probably: Corticosteroids with chronic use can thin the skin but using 5-7 days should not be an issue.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 42-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Vasectomy: I do these in my office with no sedation, local anesthetic only, and even the biggest wimp goes home in 10 minutes.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 32-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
NO: I tell all my patients "never pass up the opportunity and void frequently" you are headed for significant bladder problems if you don't empty more fre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 31-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
NO: One may feel like it's smaller while the swelling is resolving but otherwise you gots what you gots.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 29-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Testicle lump: The testicle has several structures that can "fool" us in thinking they are abnormal lumps, but unless one does not regularly exam their testicles, on... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Vasectomy reversal: Reversal is a very safe procedure. Short term complications include bleeding, infection, testicular pain, rarely damage to testis. Microtechnique is i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 43-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Alot: Minimum $15-20k. Look into a patient assistance fund at your hospital.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 43-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Aleve (naproxen): Generally a nonsteroidal antiinflammatory such as Aleve (naproxen) will work. One needs to know if diagnosis is correct. If no improvement in 3-5 days... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years agoMerged
A 25-year-old male asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
May take time: Bladder function is generally last to improve after spinal intervention.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 30-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Yes: Although Cialis might be better as you need to take less frequently.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 37-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Sex: Prostate cancer radiation may scar the anal sphicter and also make the surface lining of the rectum more friable or fragile. Take it slow ad use plent... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 31-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Phimosis: A cream used for eczema called Elidel (pimecrolimus) may help but an in office procedure called dorsal slit can open the foreskin enough to allow one ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsAnswered >2 years ago
A 19-year-old member asked:

Dr. Howard Usitaloanswered
Urology 42 years experience
Penile growth: The best way is to enter into a loving relationship with a partner who cares about you and is able to have an open and honest relationship with you. M... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
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
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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