Locations
Office
Scottsdale, AZ
About
Bio
A Professor at Boston University, I specialize in neurogenic bladder problems, outlet obstruction, incontinence and erectile dysfunction.
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: Arizona, Tennessee
Languages spoken
English
Doctor Q&A
123 Answers
21 Agrees
The number of answers this doctor has agreed with.
A 34-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
This is: likely due to trauma to the tip of penis from sex
3.4k viewsReviewed >2 years ago
A 26-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
You: might have any of several kinds of infection. You should go to a doctor or clinic to get a urine culture performed so that you can be properly treated... Read More
3.6k viewsAnswered >2 years ago
A 28-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Talk to: your doctor about reducing dose of inderal or substituting another drug. You may also be a candidate for viagra (sildenafil) if you are not using nitr... Read More
3.4k viewsAnswered >2 years ago
A 60-year-old female asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Your question: Your mild pelvic and back pain may still be due to UTI since it is only day 2 of treatment. If you still do not feel well after 5 days contact your do... Read More
3.4k viewsAnswered >2 years ago
A 21-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Your question: Many times a testis which is atrophied is painful or hypersensitive. However, it can certainly become desensitized as well. So yes it is possible.
3.5k viewsAnswered >2 years ago
A 39-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Your query: Clomiphene may increase the follicle stimulating hormone that drives sperm production. Testosterone will reduce FSH production and reduce sperm produc... Read More
3.6k viewsReviewed >2 years ago
A 21-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Your question: That depends on why the procedure was done. If it was done for infertility you will need a follow up sperm count. If it was done for pain, then YOU w... Read More
3.3k viewsReviewed >2 years ago
A 21-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Your question: Not sure what you mean by pelvic area - testes? anus? lower abdomen?
Sperm is normally semi solid at first and then liquifies over several minutes. S... Read More
3.2k viewsReviewed >2 years ago
A 18-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
3.8k viewsReviewed >2 years ago
A 35-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Your question: It is not possible to enlarge a normal penis. Most of the surgical techniques involve exposing more of the penis from the body but not actually enlarg... Read More
3.2k viewsReviewed >2 years ago
A 18-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Your query: These symptoms can be normal esp early after a circumcision. Give it two weeks and if still present bring it up with your urologist.
3k viewsReviewed >2 years ago
A 27-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Erection problems: May be psychological or they may be physical, and sometimes both. Erection problems may indicate underlying problems such as diabetes or insufficient ... Read More
4.3k viewsReviewed >2 years ago
A 17-year-old female asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Pregnancy: Very very unlikely to lead to pregnancy. Sperm has to be deposited near the cervix deep inside the vagina so have a reasonable chance of causing a pre... Read More
4.3k viewsAnswered >2 years ago
A 28-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Yes,: that is the standard treatment regimen for gonorrhea or chlamydia. If not successfull, other antibiotic regimens are available.
3.9k viewsAnswered >2 years ago
A 21-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
You should: see a doctor to make sure it is not something serious like cancer
3.8k viewsReviewed >2 years ago
A 23-year-old female asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Your question: Most likely this is not related to the varicoele operation. However, if veins are painful it may represent a thrombosis of the vein and you should see... Read More
3.5k viewsReviewed >2 years ago
A 17-year-old female asked:

Dr. Mike Sirokyanswered
Specializes in Urology
You: were probably very dehydrated which causes the urine to become very concentrated. This may cause burning on urination. If blood is real and continues ... Read More
3.6k viewsReviewed >2 years ago
A 25-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
4.2k viewsReviewed >2 years ago
A male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Stent: A ureteral stent should be removed or exchanged every three to six months. There could be encrustation or breakage of the stent if it has been in for ... Read More
4.2k viewsReviewed >2 years ago
A 19-year-old female asked:

Dr. Mike Sirokyanswered
Specializes in Urology
4.1k viewsReviewed >2 years ago
A 26-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Ed: can result from performance anxiety. See you urologist for further helpt
3.9k viewsAnswered >2 years ago
A 45-year-old member asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Usually: the doctor will use medications that open or shrink the prostate to see if that produces satisfactory results. If not other options exist including su... Read More
3.5k viewsReviewed >2 years ago
A male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Your question: You should ask your doctor to order a scrotal ultrasound to see what the lump is.
3.7k viewsReviewed >2 years ago
A 66-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Stones: That are small and non obstructing may not need treatment at all. If treatment is required, it can usually be done with an instrument called a uretero... Read More
4.3k viewsReviewed >2 years ago
A 19-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Testosterone: Is what makes males display male behaviour and aggression is one of those behaviours. Of course aggression is in the eye of the beholder. If a male is... Read More
4.3k viewsReviewed >2 years ago
A 16-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Excess skin: If you have not been circumcised, this may be a solution to your problem. See your doctor who can refer you to the appropriate specialist.
4.3k viewsReviewed >2 years ago
A 58-year-old female asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Quinolones: Yes, there are many different quinolones including nalidixic acid, Ofloxacin and temafloxacin to mention just a few. See your doctor for advice.
4.3k viewsReviewed >2 years ago
A 35-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Disc problem: Nerve pain or tingling may indicate pressure on the nerve or nerves from a ruptured lumbar disc. You may need an MRI of your spine and should consult ... Read More
4.3k viewsReviewed >2 years ago
A 16-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
If it is on the: underside of the penis that is probably normal.
3.8k viewsAnswered >2 years ago
A 49-year-old member asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Up to: two times a night is considered normal.
3.8k viewsAnswered >2 years ago
A 21-year-old female asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Herpes: Herpes is a virus that can affect the genitals, anus, mouth or other mucosal areas. Acyclovir is an antiviral agent that shortens the time of infectio... Read More
4.2k viewsReviewed >2 years ago
A 16-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
If: surgery were necessary, that is what you will have suggested. Are you more scared of doctors than you are of serious illness?
3.8k viewsAnswered >2 years ago
A 32-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Good question: Smegma is produced under the foreskin. A properly performed circumcision should eliminate most smegma production.
3.8k viewsAnswered >2 years ago
A 23-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Your penis: is above average in size and there is no need to increase its size.
3.8k viewsAnswered >2 years ago
A 45-year-old member asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Your question: Slight burning at the tip that only lasts a few seconds and not throughout urination is probably nothing to be concerned about.
3.5k viewsReviewed >2 years ago
A 26-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Answer: When you obtain an erection you use up the nitric oxide required to produce it. Less frequent erections result in replenishment of nitric oxide and st... Read More
3.7k viewsAnswered >2 years ago
A 23-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
You need: to tighten your sphincter muscles at the end of urinating to get the last few drops out. If that doesn't do it, you may need to put pressure at the ba... Read More
3.8k viewsAnswered >2 years ago
A 25-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Steroids will not: work on herpetic lesions. You must get anti-viral drugs from your doctor
3.9k viewsReviewed >2 years ago
A 19-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Cold: will constrict blood vessels if there is any inflammation.
3.8k viewsAnswered >2 years ago
A 56-year-old female asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Well: he can guess pretty well but not anywhere close to 100%. Need tissue examined by pathology to be sure.
3.9k viewsReviewed >2 years ago
A 20-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Aspartate: has been shown to increase free testosterone levels although there is no evidence of any effect on sex drive in normal males, either positive or negat... Read More
4k viewsAnswered >2 years ago
A 26-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Very good: that you discovered the lump on your testicle and scheduled a doctor appointment. You don't need to do anything else at this time. Your doctor should... Read More
3.9k viewsReviewed >2 years ago
A 19-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Scars: Can be tender for many months. What you describe is normal.
4.3k viewsReviewed >2 years ago
A 17-year-old female asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Ultrasound: A full bladder does not matter. Sometimes they want the bladder full so they can use it for better visualization of pelvic structures.
4.3k viewsAnswered >2 years ago
A 25-year-old female asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Herpes virus: Infection depends on the number of virus particles and the exposure time. Exposure does not necessarily lead to infection.
4.3k viewsAnswered >2 years ago
A 44-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Biodal: You mean vitamin d? Should have no relation to erectile dysfunction.
4.1k viewsReviewed >2 years ago
A 17-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Urine test: can suggest presence of stones if there is blood detected but the only reliable test is xray which you will have to get through your doctor.
3.5k viewsReviewed >2 years ago
A 42-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Bilirubin: If the test is now normal, probably nothing to worry about, especially if your blood work for liver function tests was normal. By the way, sarcoid can... Read More
4.2k viewsAnswered >2 years ago
A 19-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Lesions: Lumps or lesions on the penis or scrotum can be venereal disease, ingrown hair, sebaceous cyst or many other conditions. They can only be properly dia... Read More
4.1k viewsAnswered >2 years ago
A 26-year-old male asked:

Dr. Mike Sirokyanswered
Specializes in Urology
Cancer: does not cause erectile dysfunction but treatment of cancer with certain drugs can. So can anxiety about the cancer.
3.9k 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.
5
Recommendations
133
Thank you notes
Jul 21, 2014
I am delighted that Dr. Siroky has joined Healthtap & have personal knowledge of his expertise. He is a world renowned expert in the field of neuro-urology, who has already a number of fine contributi...Read More
HealthTap member
Mar 30, 2015
Dr. Siroky is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Siroky is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Doc rx Cipro instead and to not take others despite being good! Thanks
HealthTap member
Thank you, your answer was very helpful! Thanks! I've been worried. I rinsed my hands off first though
HealthTap member
Thanks for your quick reply! Thx...guess i will have fun nxt week
Education & Training
Medical/Graduate school
Boston University School of Medicine, MA
MD
Residency
Harvard Deaconness Surgical program
Residency
Boston Medical Center
Awards
Grayson Carrol Award
Top Urologist , First Place, Arizona - Summer
2014
Top Urologist , First Place, Arizona - Fall
2014
Affiliations
American Urological Association
International Continence Society
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