Locations
Office
Birmingham, MI
Phone
Insurances accepted
Aetna
Blue cross blue shield
Cigna
Humana
Medicaid
United healthcare
MICHIGAN INSTITUTE OF UROLOGY
DEARBORN, MI
About
Bio
Advanced robotics surgical training
Urologic Oncology fellowship
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
Languages spoken
English
Doctor Q&A
469 Answers
145 Agrees
The number of answers this doctor has agreed with.
A 45-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
What is small: Micro penis is a real condition but very rare.
5.5k viewsReviewed >2 years ago
A member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Penis length: 5 inches is average.
5.6k viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Richard Sarleanswered
Urology 23 years experience
No: Tells you sperm # and quality; doesn't tell you reason for abnormality.
5.2k viewsAnswered >2 years ago
A 33-year-old female asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Diet !: You need 30 min plus of excessive 4-5 days per week and you need to cut your eating. No matter what anybody says weight is a calorie in calorie burne... Read More
5.3k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
5.2k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Radiation: Usually 30-40 total treatments.
5.2k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Yes: This is a common issue urologist deal with.
5.2k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Testes: Will get examined maybe an ultrasound of scotum.
5.2k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Stage 4: See a medical oncologist asap consider going to an academic medical center, may have a clinical trial for you.
5.2k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Missed periods: I imagine if you were severely ill you may miss a period.
5.2k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Testes cancer: Usually a mass in your testicle. If you feel a mass in your testes you should be checked by a doctor and they may order an ultrasound.
5.3k viewsReviewed >2 years ago
A 17-year-old male asked:
Dr. Richard Sarleanswered
Urology 23 years experience
No !: These procedures are expensive and don't work i advise a gainst them !
5.3k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Sperm : Sperm comes from the testes and travel through the prostate when a male ejaculatrs; after prostatectomy there is no ejaculation but the tested still f... Read More
3.3k viewsReviewed >2 years agoMerged
A 28-year-old male asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Nephrostomy: This is a tube placed directly into the kidney, through the flank...
5.4k viewsReviewed >2 years ago
A 19-year-old male asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Hematuria: Hematuria is blood in the urine. You need a complete urologic evaluation that can involved bladder testing, a kidney scan, and sometimes other urine ... Read More
5.4k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Toesion: Twisting of testicle blood supply. Very painful; go to er immediately if sudden testes pain could be torsion.
5.3k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Undecended: Usually in children/babies the testes does not come down all the way into scrotum. After a period of time if testes doesn't come down can be brought d... Read More
5.3k viewsReviewed >2 years ago
A female asked:
Dr. Richard Sarleanswered
Urology 23 years experience
No: Cancer is not a kidney infection.
5.2k viewsReviewed >2 years ago
A 55-year-old female asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Psa: This is called a psa recurrence and you need to discuss with utolohist.
5.2k viewsReviewed >2 years ago
A member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Peeing air: You can pass air after surgery if you had a Foley catheter in during your procedure. Sometimes air gets into the bladder when a catheter is inserted.
5.3k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Penis lesions: You need an exam to know next step; all lesions need to be seen by a doc.
5.3k viewsAnswered >2 years ago
A 46-year-old female asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Unlikely stone: If x-ray don't say stone it usually isn't. 7 mm is very small for u to feel it, pain is unlikely related to mass
5.2k viewsReviewed >2 years ago
A member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Ejaculate: Depending on how often you ejaculate, you will expell different volumes of fluid. The more you do it the less fluid will come out....My advice is to ... Read More
5.3k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Psa: I think health status is more important. If the 77 looks good and is very healthy i would consider a bx at a lower value. In an unhealthy 77 yo, i wou... Read More
5.2k viewsAnswered >2 years ago
A 63-year-old male asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Bladder bx: A week or two probably healed.
5.2k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Lupron (leuprolide): Usually for intermediate to advanced disease, but many other treatments in addition or after lupron (leuprolide).
5.2k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
5.2k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Kidney ca: Any non surgical options is not for cure;.
5.2k viewsAnswered >2 years ago
A 49-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Digital rectal exam: A urologist will usually do a prostate exam as part of a complete evaluation.
4.2k viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Ejaculate : The details regarding the ejaculate do not tell you much if anything about sperm quality.
4.8k viewsReviewed >2 years ago
A 66-year-old male asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Spread: While this is a very common question i know of no cases where this has occurred.
4.3k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Calcium: Just like you can get calcium deposits in blood vessels the same thing can happen in prostate...Not a big issue but sometimes seen in prostatitis pts.
4.2k viewsReviewed >2 years ago
A 39-year-old female asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Kidney blockage: Bladder cancer can grow to block your kidneys; this can be a very serious issue so you need to get checked out; an u/s to check your kidneys is cheape... Read More
4.3k viewsReviewed >2 years ago
A 27-year-old female asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Infertility: If you have unprotected intercourse for one year and are not pregnant both man and women can be evaluated by doc for infertility. Sperm testing tells ... Read More
4.6k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Dribble: Urine leaking.
4.9k viewsReviewed >2 years ago
A 17-year-old male asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Torsion: Follow the advise of your surgeon. Take at least a week or two off.
4.6k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Prostate cancer: The main way to diagnose prostate cancer is with a biopsy of the prostate. Most men have a biopsy due to an abnormal PSA; the higher your PSA the high... Read More
3.3k viewsReviewed >2 years ago
A 27-year-old male asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Nothing: Semen can change; in the absence of other symptoms you are ok.
5.3k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Richard Sarleanswered
Urology 23 years experience
5.3k viewsReviewed >2 years ago
A 26-year-old male asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Prostatitis: Can be found by urine culture, prostate exam, and symptoms..Often treated with long course of antibiotics like cipro (ciprofloxacin).
5.3k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Infx: Sometimes it doesn't, depends on bacteria.
5.2k viewsAnswered >2 years ago
A 48-year-old female asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Renal cyst: Need to know bozniak classification of your cyst; 1 is simple 2-5 are complex, 3-5 are higher cancer risk and need removal. Grade 2 need regular monit... Read More
5.2k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Uti: Within 24 hours if bacterium was the correct drug.
4.8k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Blood in urine: I don't think blood in urine is a labor sign.
4.9k viewsAnswered >2 years ago
A member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
PSA: Gleason is used to describe how aggressive the cancer is not how a pt is doing. Your dad's psa is the key...If it is going up on hormone treatment he... Read More
4.6k viewsAnswered >2 years ago
A 33-year-old male asked:
Dr. Richard Sarleanswered
Urology 23 years experience
87%: Need to know stage, grade, type of cancer and get a second opinion.
5.3k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Bladder ca: Stop smoking and follow your urologist advice for bladder checks every 3 months.
5.2k viewsReviewed >2 years ago
A 23-year-old male asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Cialis: Cialis and viagra (sildenafil) do not effect hormone levels, they are drugs that improve blood flow. Simple fixes include: don't smoke, lose weight, ... Read More
4.8k viewsReviewed >2 years ago
A 59-year-old male asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Retrograde ejaculati: Most of the drugs for prostate like Flomax (tamsulosin) are Alpha blockers and will cause ejaculate to go into bladder; other drugs like Proscar can h... Read More
4.9k viewsReviewed >2 years ago
A 56-year-old male asked:
Dr. Richard Sarleanswered
Urology 23 years experience
Scrotal swelling: You need to be checked by a doctor as there are many conditions that can cause the scrotum to swell, from a tumor in the testes to fluid in the scrota... Read More
4.6k viewsAnswered >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.
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Recommendations
564
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Sarle is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Sarle is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! My 70 years old neighbor is having a lot of pain, nausea, etc. with a 4mm kidney stone. Thank you for your personal input to this forum! G. Click, Stillwater, Oklahoma
HealthTap member
Thanks for your quick reply! Had my son 10 weeks earlier than expected when he stopped moving. That was october 19th. Been tested and don't have a UTI.
HealthTap member
My fiancee having irregular periods & this time she got 1 week early than the last month. Also she got periods 3 days after of sex.
Education & Training
Medical/Graduate school
University of Vermont College of Medicine, VT
Graduated 1999MD
Residency
HENRY FORD HOSPITAL
Residency
HENRY FORD HOSPITAL
Awards
2007 Detroit top doc
Top Doctor, First Place, Dearborn, MI - Winter
2013
Most Influential, First Place, Dearborn, MI - Winter
2013
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
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