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 34-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
See a urologist: Blood from the urethra is never normal and can indicate a serious condition. It could turn out to be nothing, but it should be evaluated by a special... Read More
3.1k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Failed procedure: Three months after vasectomy, there should be zero sperm in your ejaculate. If there were 1-2 sperm per high-powered field, it would be reasonable to... Read More
5.3k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Possibly - 3 ways: If scrotal trauma results in injury to the vas deferens or epididymis, scar tissue can obstruct sperm transport. If bilateral, then no swimmers get t... Read More
5.3k viewsAnswered >2 years ago
A 32-year-old male asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Gravity and osmosis: Distribution of excess fluid in nephrotic syndrome is throughout the body due to loss of blood proteins that hold water in the vascular system. Osmos... Read More
5.3k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Depends on "need": Is a foreskin necessary? Many have survived without one. If it causes problems, you might even be better off without one.
5.3k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Asympotmatic: Chlamydia can cause minimal or even zero symptoms for a long time. This is not always the case, though, as chlamydia is one of the causes of pid (pel... Read More
5.2k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
"Simple" Prostatect.: To stop BPH permanently, the entire prostate does not actually need to be removed. Removeal of just the inner portion of the prostate, known as the a... Read More
5.1k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Latent Syphilis: I agree with the prior answer. Syphilis also should be mentioned. Syphilis has a primary stage with genital skin ulceration, then follows a secondar... Read More
4.9k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Different Energy : Turp utilizes a curved, electrified wire to slice away pieces of the obstructing tissue. Laser surgery of the prostate, most commonly greenlight lase... Read More
5.3k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Quick Snip: Vasectomy is typically a 10-minute office procedure. Patients appreciate a less-invasive approach, so no-needle no-scalpel is popular. Open-ended va... Read More
5.3k viewsAnswered >2 years ago
A 35-year-old male asked:
Dr. Brian Goldenanswered
Urology 22 years experience
A nerve: The genitofemoral nerve is a single nerve, about the diameter of a piece of spaghetti. It splits into a genital branch and a femoral branch. In mal... Read More
4.9k viewsReviewed >2 years ago
A 61-year-old male asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Testosterone: As men age, testosterone (t) levels fall. If t falls below a certain level (often 300ng/dl), it may be worthwhile to replace it. Benefits include im... Read More
4.9k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Experience: If i understand your question, you are trying to find the right person perform your vasectomy. Most urologists perform vasectomies in their offices. ... Read More
5.1k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Culture Result?: It is generally best to follow the culture data. If treating a UTI empirically, try a less broad-spectrum drug first. Bactrim, (sulfamethoxazole and... Read More
5.3k viewsReviewed >2 years ago
A 20-year-old male asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Blood in urine: It is common to have blood in the urine after surgery on the urinary tract. Drink plenty of water to dilute the blood to prevent it from clotting. I... Read More
5.2k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
See Pedi Urologist: Bilat hydronephrosis can indicate several different problems. You should involve a pediatric urologist promptly. In the male fetus, this can indicat... Read More
5.2k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
No: Only trauma causes genital symptoms within hours. Try astroglide.
5.1k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Nope: Pregnancy happens when the male sex cell (sperm) swims it's way to the female sex cell (egg). This is independent of female of sexual response, altho... Read More
4.9k viewsReviewed >2 years ago
A 55-year-old female asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Several possibilitie: Allopurinol is given when high serum uric acid causes urinary stones. It has few side effects, but rarely causes a severe skin condition called stev... Read More
5.3k viewsAnswered >2 years ago
1 comment
A 24-year-old female asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Could be yeast infxn: When broad-spectrum antibiotics wipe out a lot of the normal bacteria, the usual balance between bacteria and yeast can be upset. This can allow the ... Read More
5.3k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Can be fixed: If it really bothers you, get it fixed. Excising the extra skin is the same as having a circumcision.
5.3k viewsAnswered >2 years ago
A 34-year-old female asked:
Dr. Brian Goldenanswered
Urology 22 years experience
They're Connected: The bladder is connected to the flank (kidney) via the ureter, so this is likely involved. There is more to your story, which might help figure this ... Read More
5.2k viewsAnswered >2 years ago
A 29-year-old female asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Pneumaturia: Gas in urine (pneumaturia) is commonly due to either a bladder infection with bacteria that make gas or a connection between intestine and urinary tra... Read More
4.9k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Depends on size : Kidney stones can be fragmented with shockwaves (focused sound waves) directed at the stone, broken up with a laser directed by a scope or crushed wit... Read More
5.1k viewsReviewed >2 years ago
A 49-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Implant = Prosthesis: The inflatable penile prosthesis (ipp) is an excellent solution for men with severe e.D. That does not respond to other measures. The implant surgery... Read More
5.1k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Imperfect: Very few things about people are perfect. The appearance of the female urethral opening (meatus) can vary pretty widely.
5.2k viewsAnswered >2 years ago
A 20-year-old male asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Gynecomastia: Gynecomastia is male breast enlargement. If a man is obese, the best way to reduce breast size is to lose weight. If normal bmi, consider seeing an ... Read More
5.2k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
A doctor: Family practice or internal medicine (primary care) physicians can diagnose this condition. Urologists can as well.
5.2k viewsReviewed >2 years ago
A 20-year-old male asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Only you can say: The thing that determines if penile curvature is sufficient to warrant medical intervention is whether or not it interferes with sex. If you can have... Read More
5.2k viewsReviewed >2 years ago
A 34-year-old male asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Unlikely: Unfortunately, penile pain is a symptom for which we rarely find the cause. Cystoscopy can only evaluate the urethra and bladder, so most of the peni... Read More
5.1k viewsAnswered >2 years ago
A 39-year-old male asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Retro Ejaculation: Retrograde ejaculation is a common side effect of tamsulosin and other Alpha blockers. It is an indication that the medicine works well for you. If ... Read More
5.2k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Probably: I tell my adult patients to avoid sexual activity for 6 weeks after circumcision. But if the incision looks well-healed and all swelling has resolved... Read More
4.9k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Refractory Period: This is normal. The "refractory period" is the time between climax and being ready to have at it again. This interval gradually increases with age ... Read More
5.2k viewsReviewed >2 years ago
A 46-year-old female asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Use Laser: Some types of stones do not fracture well with shockwave lithotripsy. If the stone needs to be treated then either ureteroscopy (scope from bladder u... Read More
5.2k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Clitoris?: As seen in the pic, above the vaginal opening (introitus) is much small urethral opening or meatus. A short distance above that is the clitoris. In ... Read More
5.2k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
See a doctor now: The description is not clear, so this is a guess as to what you mean... If during sex you bent your erection, heard a crack or pop sound, lost your e... Read More
5.3k viewsReviewed >2 years ago
A 25-year-old male asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Takes Time: Varicocele repair is performed by blocking (tying or clipping) the ven(s) that lead from the abdomen (retroperitoneum) into the scrotum. Initially th... Read More
5.3k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
See your doctor: Blood in the urine (hematuria) is never normal. It can be caused by a number of things, both benign and malignant. Benign causes of hematuria include... Read More
5.3k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Yes, but insurance?: You always have choices. The only issue is that some health insurance companies require a referral for specialty care. If this is your situation, th... Read More
5.2k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Reproductive Protein: Psa is a normal protein produced in the prostate. Biologically it functions as a protease, which means it cuts another protein into smaller pieces. ... Read More
5.3k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
How long do you want: One hard part of treating cancer is that progression from local tumor to metastasis is unpredictable. Nobody knows when that will happen and no imag... Read More
5.3k viewsAnswered >2 years ago
A 29-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Vasectomy quick: Time to perform a vasectomy depends on anatomy and the doctor's experience. A vasectomy in a thin patient with a normal scrotum is easier than the pr... Read More
5.3k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
2 kidney specialists: Urologists are the surgical doctors for structural kidney issues including kidney tumors/cancer, kidney cancer, kidney/ureteral stones, and urinary tr... Read More
5.3k viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Refractory Period: The time it takes after climax to be able to have another erection increases gradually over time. Called the "refractory period, " this interval grad... Read More
5.3k viewsAnswered >2 years ago
A 48-year-old female asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Probably not: Those are are reasonable studies to determine if your mass needs to removed surgically. If you have questions, ask the doctor why he ordered those st... Read More
5.3k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Not directly: Most antibiotics do not alter the ua, except by killing bacteria. They can, however, alter the urine culture result. A few drugs can directly alter ... Read More
5.3k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Alternatives.... but: Permanent alternatives to vasectomy include female sterilization by tubal ligation or essure. Other non-permanent means of contraception are also alt... Read More
5.3k viewsAnswered >2 years ago
A 20-year-old male asked:
Dr. Brian Goldenanswered
Urology 22 years experience
None: If steroid creams and foreskin stretching does not resolve the problem, circumcision is the only alternative.
5.3k viewsReviewed >2 years ago
A 76-year-old male asked:
Dr. Brian Goldenanswered
Urology 22 years experience
Yes, but don't!: There is a prostatic stent known as urolume, which can be placed inside a highly occlusive prostate for benign or malignant bladder outlet obstruction... Read More
5.3k viewsAnswered >2 years ago
A 29-year-old male asked:
Dr. Brian Goldenanswered
Urology 22 years experience
No direct connection: Caffeine does not cause a change in the prostate itself. However, caffeine and other drugs that partially mimic Epinephrine (esp "speed" and cold med... Read More
5.3k viewsReviewed >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.
3
Recommendations
247
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
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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