Locations
Office
Elk Grove , CA
About
Bio
http://www.rasvas.com/about-dr-brian-golden Medical School: University of California, San Francisco (UCSF) Urology Residency: University of Colorado Fellowship in laparoscopic and robotic surgery at Urology San Antonio, emphasis on kidney and prostate cancer surgery Vasectomy Web Site Vasectomy Procedure Kidney Stone Removal (Laparoscopic, Insane Amount of Stones!)
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
143 Answers
23 Agrees
The number of answers this doctor has agreed with.
A 28-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Refractory Period: This is normal. The "refractory period" is the time between climax and obtaining another erection. This interval gradually increases with age and i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
OTC urinary analgesi: Phenazopyridine is a mild urinary tract numbing agent, available without a prescription. Sold as pyridium, azo, uristat (phenazopyridine) and others,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Scope inside ureter: Ureteroscopy is the use of a scope within the ureter, most often to treat stones or diagnose and/or biopsy tumors. These scopes can be rigid or flexi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 25-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
InterStim Adjustment: During the trial phase of interstim, some adjustments may be necessary. It is possible for the lead to move a little bit, which can alter the effecti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Brian Goldenanswered
Urology 23 years experience
See a doctor: The most likely cause of burning with urination is bladder infection.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Medication or circ: Phimosis can be treated with steroid and antifungal creams. If the contracted part of the foreskin does not soften up sufficiently, then circumcision... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 19-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Probably warts: Venereal warts, due to the ubiquitous hpv. See a doctor who can examine you, and advise about treatment and the importance of informing sexual contac... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 49-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Yes: Most antipsychotics have some impact on sexual function. This can manifest as decreased libido, problems obatining/maintaining erections, or anorgasm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Warning Sign: Severe pain can be an indicator of something serious. See a doctor or go to the emergency room.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 18-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
See a doctor now: Testicular cancer is the most common malignancy for 15 to 35yo males. It might turn out to be nothing, but you must get examined and have a scrotal u... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 39-year-old female asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Obstruction = Pain: Kidney stones that are within the kidney and not causing any obstruction to the flow of urine are generally not symptomatic. If a stone blocks the fl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 32-year-old female asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Refractory Period: This is normal. The "refractory period" is the time between climax and obtaining another erection. This interval gradually increases with age and i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 42-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
CT Not best study: Best imaging study for testicular injury is with ultrasound. Best first study in male fertility exam is semen analysis.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 40-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Urinary retention: Urinary retention is an emergency. If you can't pee, go to the E.R. If you can't urinate, the bladder will continue to fill and the discomfort will ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Depends on locale: There are too many variables at play in this situation and it's not an issue to guess at obviously, one can only contract HIV from someone with the v... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Not enough info: You describe a complex situation that requires complete review of the medical record. Questions that need to be answered include:
- cancer grade
... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
No, not at all: There is a wide range of normal libido, or sexual interest. As long as sexual activity does not interfere with other important aspects of your life, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Maybe: Several factors, mainly stone size and patient anatomy, determine if a stone can pass. Above ~5mm, the risk rises sharply that a stone gets stuck in ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 55-year-old female asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Blood in urine: Kidney stones can cause plenty of problems and can cause some blood in the urine. But bright red blood in the urine is a possible sign of something w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Hysterectomy: Hysterectomy. Without a uterus, menstrual bleeding is gone, as is a place to carry a pregnancy.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Vasectomy: Vasectomy costs around $1000. Most health insurance plans have some coverage for vasectomy, because it's cheaper than pregnancy and healthcare for ch... 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. Brian Goldenanswered
Urology 23 years experience
Too many Erections?: One way to prevent the random (possibly embarrassing) woody is to increase frequency of sexual activity. For a time after climax, known as the refrac... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 78-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Not ideal: Doxazosin and Flomax (tamsulosin) are in the same class of drug, known as Alpha blockers. They would not usually be prescribed together, because this... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Dehydrated: Large rise in heart rate upon standing is your heart attempting to compensate for the low blood pressure caused by the change in position. This is al... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 42-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Circ: Odds are he'll be just fine. There are plenty of sensory nerves in the penis. "loss" of sensation implies a change, but he won't have anything to co... 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. Brian Goldenanswered
Urology 23 years experience
Nephroureterectomy: A tumor in the ureter is almost always transitional cell cancer (tcc). Tcc varies from low-grade/indolent to high-grade/lethal. But nephroureterecto... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 35-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
No: Tightening of the scrotum during sexual activity (alone or otherwise) is normal physiology. The temperature does not make much difference, although t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Normal: There is a wide range of "normal" when it comes to libido and sexual activity. Usually, both gradually decline with age. Don't yell about your libid... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Not necessary: Testicles function to produce two important things: sperm and testosterone. But neither is necessary for life. Case in point: many men have a vasect... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Doc deced after ESWL: The decision to place a stent after eswl of a 1cm stone is best made after the stone fragmenting procedure. If the stone fragments well and there are... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 78-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Not ideal: Doxazosin and Flomax (tamsulosin) are in the same class of drug, known as Alpha blockers. They would not usually be prescribed together, because this... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 60-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Depends on Severity: Peyronie's disease (pd) is curvature of erection. If it prevents satisfactory intercourse, surgery is indicated. If there is also e.D., the best opti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 24-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
No: There is a wide range of normal libido, or sexual interest. As long as sexual activity does not interfere with other important aspects of your life, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Uncircumcised: "uncut" means "uncircumcised.".
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 39-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Not much : Numbing for a vasectomy can be accomplished with a needle or a spray device (no-needle anesthesia). Either way, the discomfort is usually very mild a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 49-year-old female asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Only Time Will Tell: Usually, lymph nodes are not removed at the time of partial nephrectomy, unless suspicious on pre-op imaging. Post-op imaging surveillance will be ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Depends: Many people make innumerable tiny crystals that continually pass out in the urine. If they stick together, the conglomerate becomes a kidney or urete... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Peroneal nerve: Isolated foot drop after surgery is likely due to pressure on the lateral aspect of the leg just below the knee during surgery. As seen in the pictur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Quite Variable: Several factors, primarily stone size and patient anatomy, determine how long a stone will take to pass. Larger stones generally take longer to get t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 52-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Lower dose or switch: Delay or prevention of ejaculation is a side effect of all drugs in this class (ssris). Discuss these possible options with the prescriber of your me... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Hematuria: Blood in the urine (hematuria) has several common causes. The main reason for concern is that this is how bladder cancer is usually found. But more ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Normal physiology: In literary terms, after climax, comes the denouement (resolution). Human hormonal physiology works the same way. The aftermath of excitement is re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Probably: Propecia is low-dose finasteride, so is not likely to cause much alteration in libido or erectile function. So if you were able to have sex before st... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Colonization: Some people have bacteria in their urine that does not cause symptoms, but is difficult to eradicate. In this case, one can differentiate between a r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Two types of failure: "immediate failure" describes the patient that never gets to zero sperm in the semen analysis (azoospermia). This is simply surgeon error, meaning th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 18-year-old male asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Varicocele: Varicoceles occur on the left due to higher pressure in the left testicular vein (lgv in pic), transmitted via the left renal vein (lrv in pic). The ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Maybe: With a history of cancer, any bump or lump is scary. But most little adrenal nodules are not cancer. At the very least, it should be followed closel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Yes: Hpv is everywhere and most people have at least one strain of it. It is pretty easily transmitted from either gender to any sexual partner.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Life Is Uncertain: Can {fill in the blank} go wrong? Yes, of course. All procedures have a risk of complications. Just like there is a risk of having a car accident w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Brian Goldenanswered
Urology 23 years experience
Two Studies: Vcug (voiding cystourethrogram) is a study in which the bladder is filled with contrast and then voiding is observed under realtime xray (fluoroscopy)... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k 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.
3
Recommendations
250
Thank you notes
Mar 29, 2015
Great doctor. Consistently gives thoughtful, insightful and expert advice.
HealthTap member
Mar 30, 2015
Dr. Golden is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Golden is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Thanks, doc! The new treatment method sounds good. For me, surgery is not an option. How can I find out when it's approved?
HealthTap member
Thanks for your quick reply! I appreciate it. I have since voided! I am modifying diet and crossing fingers. Private insurance starts May 1. :)
HealthTap member
This made me feel good. Thanks! "i've got big balls" you guys must have been having fits of laughter. Thanks for the insight Doctor.
Education & Training
Medical/Graduate school
University of California - San Francisco
Graduated 2000MD
Residency
University of Colorado Health Science Center
Awards
Patients' Choice Award, patientschoice.org
Patients' Choice Award, patientschoice.org
Patients' Choice Award, patientschoice.org
Affiliations
American Urological Association
American Urological Association, Western Section
Endourological Society
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