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Office
About
Bio
1983 graduate of Stanford University (B.S)
1987 Graduate Univ of AZ College of Medicine (M.D.)
1993 graduate Urologic residency Univ of California, Davis.
Private practice Phoenix, AZ approaching 20 years.
Interest in Prostate diseases, Vasectomy, Kidney stone management.
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
Languages spoken
English
Doctor Q&A
40 Answers
1 Agree
The number of answers this doctor has agreed with.
A 23-year-old female asked:
Dr. James Fishmananswered
36 years experience
UTI?: Having your urine checked for a UTI is the first objective. If a UTI is present then antibiotics can be prescribed. There doesn't have to be significa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. James Fishmananswered
36 years experience
TUR: Transurethral resection is the surgical/urologic method to remove tissue from the lower urinary tract (usually prostate or bladder) using specialized ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A member asked:
Dr. James Fishmananswered
36 years experience
UTI?: Some pain (dysuria) can be experienced after removal of a Foley catheter. But if pain persists more than 2 days after removal of the catheter, i would... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A member asked:
Dr. James Fishmananswered
36 years experience
Not kidney related: Kidney pain, especially stone related, radiates to the sides/back, and down towards the groin. It does not radiate to the midline sternum area (and it... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. James Fishmananswered
36 years experience
Pathology eval: A biopsy means to acquire representative tissue for pathologic evaluation. In the case of testicular tissue, a biopsy would be useful for male-factor ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 59-year-old male asked:
Dr. James Fishmananswered
36 years experience
Medical evaluation: Your primary care doctor or urologist can be a resource to determine underlying causes for the erectile dysfunction, and the optimal treatment. A basi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. James Fishmananswered
36 years experience
Spermatic cord twist: Testicular torsion is actually the abrupt twisting of the spermatic cord attached to the testicle. Blood flow to the effected testicle is disrupted du... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 31-year-old male asked:
Dr. James Fishmananswered
36 years experience
Balanoposthitis: Balanoposthitis is the inflammatory condition you have described. It can be caused by untreated fungal/monilial infections. Topical anti-fungal creams... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A member asked:
Dr. James Fishmananswered
36 years experience
Unlikely: Severe bacterial utis are commonly associated with dysuria (burning). You need to be seen by a urologist to further investigate the bleeding source fr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. James Fishmananswered
36 years experience
Need to be examined: A urology exam should be able to quickly diagnose the reason for the "lump". Is there any pain? Does the lump move or is it fixed to the skin? Does t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 31-year-old male asked:
Dr. James Fishmananswered
36 years experience
Highly improbable: While there are reported to be non-sexual routes for hpv transmission, the overwhelming majority of hpv transmissions are via sexual contact. Advice t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. James Fishmananswered
36 years experience
Velocity vs time: Urinary flow rates can be measured in a urologist's office using urodynamic equipment. The flow rate will measure the velocity of the urine versus tim... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 19-year-old male asked:
Dr. James Fishmananswered
36 years experience
Need more info: 19 year old males are uncommonly afflicted with prostate problems. So you may have other urinary tract issues that you perceive as "prostate" in origi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. James Fishmananswered
36 years experience
Seek out an exam: Candida might be an issue if the penis is uncircumcised and the foreskin is repeatedly infected. I am concerned why a 28 year old male has experience... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 48-year-old female asked:
Dr. James Fishmananswered
36 years experience
Stents can cause bld: Your urologist probably mentioned that ureteral stents can routinely cause gross hematuria (i.e. Blood in the urine). Patients are advised to drink fl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. James Fishmananswered
36 years experience
UTI?: See your physician to have a urinalysis and/or urine culture to evaluate for a urinary tract infection.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 51-year-old male asked:
Dr. James Fishmananswered
36 years experience
No...the SSRIs help: No otc products are helpful for premature ejaculation. Urologist have had good success using the ssri class of medications (i.e. Paxil, (paroxetine) z... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 22-year-old male asked:
Dr. James Fishmananswered
36 years experience
Yes: Amoxicillin can effectively treat utis. If there are problems with recurrent utis it would be important to check the antibiotic sensitivities of the c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A member asked:
Dr. James Fishmananswered
36 years experience
Needs an exam: A medical visit to either the dermatologist or urologist would allow a thorough exam of the involved genital skin to arrive at a diagnosis/treatment. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 46-year-old female asked:
Dr. James Fishmananswered
36 years experience
Renal imaging needed: Have you had images taken of your kidneys? Pain in the kidney area can be caused by kidney stones which are fairly straightforward to diagnose. Otherw... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A member asked:
Dr. James Fishmananswered
36 years experience
Yes.: The only absolute contraindication for viagra (sildenafil) use is simultaneous use of oral nitrates (e.g. Nitroglycerin) which can cause fatal drop in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 36-year-old female asked:
Dr. James Fishmananswered
36 years experience
Flow vs volume: The volume of the distended bladder can influence the force of urination. Your perception of a "slow" stream at night may just reflect a low voided vo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 30-year-old female asked:
Dr. James Fishmananswered
36 years experience
UTI?: First thing is to have your urine tested for an UTI (i.e. Urinary tract infection). Depending on that result different therapies can be explored, whet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 18-year-old male asked:
Dr. James Fishmananswered
36 years experience
No: There is insufficient scatter radiation from the ct to affect the testicular function.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. James Fishmananswered
36 years experience
Needs to be examined: This sounds like a congenital problem. Needs to be examined to determine if a previous circumsion has created scar tissus that needs removal. The urol... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. James Fishmananswered
36 years experience
Venous blood drain: Male patients will vary in the appearance of the veins on the penis. Some may have very pronounced veins that run the length of the top or side of the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. James Fishmananswered
36 years experience
Could he have hernia: First thing is to make sure there is not a hernia or other anatomic problem referring pain towards the penis area. Second is whether pain occurs at re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 68-year-old male asked:
Dr. James Fishmananswered
36 years experience
Yes w/ docs approval: Presumably your physician has placed you on both medications to improve your lower urinary tract symptoms. Are you interested in stopping the medicat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. James Fishmananswered
36 years experience
30ml/hr: Minimal urine output of 30ml/hr is noted in healthy adult population. That would translate into less than 800 ml of urine output in a day....Most peop... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A member asked:
Dr. James Fishmananswered
36 years experience
Circumcision: Please seek attention with a urologist. The doctor can determine whether circumcision is necessary to treat the condition you describe (i.e. Phimosis)... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 76-year-old male asked:
Dr. James Fishmananswered
36 years experience
Alkaline urine + UTI: Phosphate crystals are usually formed (precipitated) in alkaline urine. Urine infected with ammonia-producing organisms will also lead to complex ston... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A member asked:
Dr. James Fishmananswered
36 years experience
More details: Is that question or a statement? If burning is occuring, are you referring to urethral burning, or some other anatomic area? Burning (or dysuria) is ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. James Fishmananswered
36 years experience
Prostate surgery: "prostate removal" implies a surgical intervention to remove prostate tissue. The entire removal of the prostate is a "radical prostatectomy", whereas... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 19-year-old male asked:
Dr. James Fishmananswered
36 years experience
Different condom?: There are condom manufacturers who market a more fitted condom for "smaller" penises. I would suggest you querry the internet, acquire a sample or two... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. James Fishmananswered
36 years experience
UTI...need to check : Uti (i.e. Urinary tract infection) is highly probable and can be easily checked for by your primary physician. Urinalysis +/- culture makes the diagno... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. James Fishmananswered
36 years experience
Urine drainage tool: Foley catheters are usually manufactured from latex rubber. They are used to drain urine from either male or female bladders. The catheter will often ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 60-year-old male asked:
Dr. James Fishmananswered
36 years experience
Meatitis or UTI: First thing is to have your urine tested for any bacterial uti, especially after having a recent catheter. You can also have inflammation at the penil... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 26-year-old male asked:
Dr. James Fishmananswered
36 years experience
Pain: Larger hydroceles can be more cosmetically unsightly and cause pain/discomfort due to the size.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 21-year-old male asked:
Dr. James Fishmananswered
36 years experience
Needs an exam: This "red bump" needs to be seen by a qualified physician to make a decision about diagnosis and treatment. Redness suggests an inflammatory type of p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 21-year-old male asked:
Dr. James Fishmananswered
36 years experience
No active effort...: You cannot directly influence the composition of the semen. Abstinence from ejaculation may build up the seminal fluid volume, but the "thickness" and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k 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
140
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Fishman is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Fishman is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! We saw the urologist yesterday and hegave us vesicare for bladder spasms. We got a new catheteralso
HealthTap member
Thank you, your answer or tip was very helpful! I ended up finding out the UTI triggered interstitial cystitis. Thanks
HealthTap member
Thank you, your answer was very helpful! Thank you for your answers
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