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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
Doctor Q&A
50 Answers
21 Agrees
The number of answers this doctor has agreed with.
A 36-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Sometimes: Semen is produced in the prostate and is expelled when you ejaculate. Prostate infection causes inflammation and pain can occur in the prostate, penis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Normal: I assume you are referring to the scrotal skin only, not the testicles. If the testicles have become firm see a doc. Otherwise completely normal.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. James Kuananswered
Urology 24 years experience
Usually age 40: As long as you are healthy, screening with prostate exam is generally started at age 40. This is especially important if your father or a brother has... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Not too bad: Prostate biopsy involves a ultrasound of the prostate through the rectal wall, which allows a urologist to measure the prostate, place local, examine ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 71-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Be patient: Blood in semen rarely a sign of anything worse than infection. Prostate infection is common and may take several weeks of antibiotics to resolve or e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. James Kuananswered
Urology 24 years experience
Not a problem: This is likely not a problem. Maybe a nuissance, but nothing to worry about, assuming you are healthy otherwise and enjoy normal sexual and urinary f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 23-year-old male asked:
Dr. James Kuananswered
Urology 24 years experience
Probably: Lots of men who experience new onset ed or younger men with ed may have low grade prostate infections. This can interfere with urinary and sexual fun... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Things to consider: Men with orgasm / ejaculation disorders may benefit from counselling with a sex therapist. Have your pcp evaluate your current medications, some of w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
No: Though you will be aware of the scar from the time you take the bandages off. The penis will look different and unfamiliar. It may not look like the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
In most cases, no: In general for most screening, urine testing and bloodtests are all that is required. In certain circumstances further testing may be required.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Depends: While some stis are considered curable and can be cleared with a short course of treatment, others may be take more time. Some infections, such hiv, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Contact MD: High fevers 1-3 days following biopsy may need urgent attention, with concern for blood infection. You can get sick very fast, so better be safe and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
See your PCP: The desire to have children for many women and men is huge, and for many indescribable. When you are faced with infertility, immense disappointment, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Complex / expensive: The simple answer is no. That is intercourse will not be how he father's a child. Assisted reproduction will be required, where sperm are extracted ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 35-year-old member asked:
How can i make my sperm inactive for a year, because my wife wants a baby and i'm not ready for one?
Dr. James Kuananswered
Urology 24 years experience
You can't: Options: abstinence, rhythm method, condoms, birth control pill, iud. Best advice is to spend some time discussing this with your wife to determine w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
For the most part: In general, a herpes outbreak is characterized by a cluster of small vesicles (pimples), reddened, usually painful. If you are unsure see someone to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 20-year-old male asked:
Dr. James Kuananswered
Urology 24 years experience
Physical exam: Epididymitis is usually diagnosed based on your history and the physical examination, revealing tenderness and maybe swelling of the epididymis. Some... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A female asked:
Dr. James Kuananswered
Urology 24 years experience
Revisit MD: Microscopic blood can be a chronic finding, without consequence. What has changed is the blood is now visible. Would be worth your time to be re-eva... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Discuss with surgeon: Recovery of urine control after prostate removal depends on many factors. The age of the patient, degree of urinary symptoms before surgery and exper... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Depends on questions: But likely a urologist, if your primary doctor can not help.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Depends: There are different sub-types of prostatitis and for each the treatment varies. Also important to rule out other causes for your symptoms. Speak to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Can be tough: Most men with prostatitis, chronic or acute, can be treated. Talk to your md or seek a second opinion if you have had little improvement. Careful ev... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
See urologist: Depends on the cause. Penile pain can be caused by infections, urethral scar, stones, peyronie's disease, trauma, so the treatment varies.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
If you're concerned: If the underlying bacteria is chlamydia or gonorrhea it could be sexually transmitted. Safer sexual practices using condoms is always the best option ... 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. James Kuananswered
Urology 24 years experience
Yes: Eswl is an established treatment for kidney stones. Whether it is the most appropriate way to break up the stone depends on the size and location of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 20-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Many things: Many things can lead to achiness, even pain. Of course injury is one cause. Men can develop low grade infections in the testicle, epididymis causing... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 38-year-old male asked:
Dr. James Kuananswered
Urology 24 years experience
Longshot, but...: Maybe. I treated one patient, during my residency, who had stones composed of crystallized Guaifenesin (a cough suppressant). There are scattered ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Usually infection: There are different sub-types of prostatitis. Infection is most common and causes inflammation, but symptoms can be present with or without infx or i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 22-year-old male asked:
Dr. James Kuananswered
Urology 24 years experience
May be normal: Discolored (yellowish), thick and clumpy semen can be a sign of underlying prostate infection. It can also occur if there has been blood in the semen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 26-year-old male asked:
Dr. James Kuananswered
Urology 24 years experience
See a urologist: Occasionally, men may have inconsistent performance, but 90% of erectile dysfunction (on an ongoing basis) is related to a physical problem. In young... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Have it checked out: This is not a normal finding. It is unlikely anything serious, but it should be checked out.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
No: No known blood tests for prostatitis, though it is one cause of an elevated psa (bloodtest). Prostatitis is usually a clinical diagnosis, meaning the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 25-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Very helpful: Adding Avodart (dutasteride) or Proscar to therapy for BPH can further reduce a man's risk of developing an infection, urinary retention / needing a c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 22-year-old member asked:
A 25-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Not as a rule: Though the types of bacteria that cause utis in women and prostatitis in men are similar, this is generally not possible. However, some men will deve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Get checked out: Best to talk to an md. If the skin is irritated or there is a rash, could be a sign of fungal infection or sti. If pain feels deeper, inside urethra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Yes: Most general urologists are familiar with evaluating and treating premature ejaculation, and can point you in the right direction if other expertise r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Rare: This is a rare complication <1%. Can be sudden and painful occuring in the first few days. You get +++swelling. Many urologists will suggest surgic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 19-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
See a urologist: Initial testing for blood in the urine that is visible should include:
-urine culture (infx) and cytology (cancer cells)
-ct scan of the abdomen and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 29-year-old male asked:
Dr. James Kuananswered
Urology 24 years experience
In some cases, yes: Most men have no problems related to a varicocele, and the testicles are normal. However they can be associated with pain, poor sperm count or atroph... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Prostate exam plus: A prostate massage is performed in the same way a prostate exam is performed. It is a finger exam, into the rectum. After examining the surface of t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Not exactly: The actual size of the penis will not change if you jog, but if you have some weight to lose and the amount of fat around the base of the penis lessen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 53-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Unlikely: The most common neurologic side effects of viagra (sildenafil) are headache and dizziness. Initial studies in non-epileptic men did not report seizur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 20-year-old male asked:
Dr. James Kuananswered
Urology 24 years experience
See MD: Possible that you could have a prostate infection. See your pcp.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Infertility MD: Males with CF may be infertile and reproducing may require ivf techniques. Genetic counselling is recommended prior to having children to evaluate th... 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. James Kuananswered
Urology 24 years experience
No: Unless the skin is painful or tears with erections or stimulation, i would suggest doing nothing.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 22-year-old male asked:
Dr. James Kuananswered
Urology 24 years experience
Likely fine: Sweating is expected here and simple things can reduce the irritation. Wearing briefs that breath (cotton) will help draw the moisture. If there is ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
?prostate infection: Semen is produced in the prostate and is expelled when you ejaculate. Prostate infection causes inflammation and pain can occur in the prostate, peni... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 20-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Amines: That fishy odor comes from chemicals that contain amines. Smegma, dead skin cells, bacteria and fungus in a moist environment can contribute to amine... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. James Kuananswered
Urology 24 years experience
Not likely: Not likely related to prostatitis or epididymitis. Can't really comment on 'other infections', other than to say that skin infections like infected h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >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.
12
Recommendations
146
Thank you notes
Dr. Luba Foltz
Dec 2, 2012
I have shared many patients with Dr. Kuan -- he is thorough, knowledgeable, kind and always available -- a rare find! His patients really love him, and respect his advice.
Dr. Stephen Eulau
Dec 2, 2012
I have worked closely with Dr. Kuan on numerous patients. I have not found a more thoughtful or compassionate Urologist. Excellent clinical judgement.
Dr. Howard West
Dec 2, 2012
I endorse this doctor. He's very good with patients, responsive, and a great colleague on our shared patients.
HealthTap member
This saved my life. Thank you. Thank u. I need some methods of treatment at home, drugs , dosage and procedures. I will wait for u respond
HealthTap member
thank you so much for your help and advice with this matter doctor, it is really appreciated..
HealthTap member
Thank you, your answer was very helpful! Share thanks in your own words...
Education & Training
Medical/Graduate school
University of Western Ontario Faculty of Medicine
Graduated 2004MD
Medical/Graduate school
University of Saskatchewan College of Medicine
Graduated 1999MD
Medical/Graduate school
University of Saskatchewan
Graduated 1998MD
Medical/Graduate school
University of Saskatchewan College of Medicine, SK
Graduated 1999MD
Residency
London Health Sciences Centre
Awards
AUA/Gyrus ACMI Prize Essay Contest, Clinical Research Category, American Urological Association
Urology Residents' Reaseach Day, 2nd Prize, University of Western Ontario
Top Urologist , First Place, Washington - Summer
2013
Affiliations
American Urological Association
Ontario Medical Association
Royal College of Physicians and Surgeons of Canada
Publications
Erectile dysfunction (originial manuscript)
Intraperitoneal bladder rupture after abdominal liposuction
Post-Prostatectomy Urethral Strictures (textbook chapter)
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