Dr. Joshua Stein

Urology

New Britain, CT

20 years experience male

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About

Specialties
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

36 Answers

3 Agrees

A 26-year-old male asked:

Bodybuilder. had left pelvic and testicular pain (and atrophy) after one year of invisible diagnosis. just prescribed doxycycline 100mg. need i worry?

Dr. Joshua Steinanswered

Urology 20 years experience

Atrophy: This question is difficult to answer with the info provided. As you are a bodybuilder, I am wondering if you have ever taken any steroids or testoster... Read More

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A 29-year-old male asked:

Why ejaculation pressure is too low? i am 28 year old single male. i started masturbation at age of 28. will this affect my up-coming marriage life?

Dr. Joshua Steinanswered

Urology 20 years experience

Ejaculate strength : Daily ejaculation may decrease the volume and strength of your ejaculate. For best results, abstain from masturbation for 2-5 days to allow your semen... Read More

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Dr. Donald Collins agrees1 doctor agrees

A 26-year-old male asked:

My problem is that i spermout quickly and sperm is not retained inside the body of my wife. please tell me the solution for that?

Dr. Joshua Steinanswered

Urology 20 years experience

Premature ejac: You have asked two different questions. You describe premature ejaculation - treatments may include certain SSRI's (antidepressants), drugs to treat e... Read More

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A 53-year-old female asked:

Abdominal ct says normal adrenals. wrong! have bilateral micronodular hyperplasia. also says no renal tumors, doppler us say bilateral amls or rcc. ??

Dr. Joshua Steinanswered

Urology 20 years experience

Renal masses: CT scan with and without IV contrast is the preferred test to evaluate renal masses. It is more sensitive and specific than US. With regards to the ad... Read More

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A 47-year-old female asked:

Kidney stones i have had the pain of one the other day now it is dull but i feel like i have to pee and don't have to but i end up leaking ? stone ?

Dr. Joshua Steinanswered

Urology 20 years experience

Stone passage: When a stone enters the last inch of the ureter, it can irritate the bladder and cause urinary symptoms. Drink plenty of fluids. Call a urologist if t... Read More

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4.1k viewsAnswered >2 years ago

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A 39-year-old male asked:

I had a vasectomy and developed epididymitis. my doc recommended 5 aleve (naproxen) a day for 1 week. it helped but it still hurts. what else can i do?

Dr. Joshua Steinanswered

Urology 20 years experience

Testicular pain: Intermittent testicular pain occurs after approximately 5% of vasectomies. It is typically intermittent and flare-ups can be treated with NSAIDs (such... Read More

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A 38-year-old member asked:

Can you tell me how are kidney stones a deviation from homeostasis?

Dr. Joshua Steinanswered

Urology 20 years experience

Kidney stones: Kidney stones form due to supersaturation of minerals, stasis (lack of flow) of urine or infection. Think of it like pouring salt into a glass of wate... Read More

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A 25-year-old female asked:

Can workout sit ups or jump-rope exercises aggravate kidney stones?

Dr. Joshua Steinanswered

Urology 20 years experience

Stone position: Exercise will not "aggravate" kidney stones. However, if you have a stone in the lower pole (bottom) of the kidney, then the activity could change the... Read More

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A 19-year-old male asked:

Im 20,how to increase sex drive?everyday sex with my gf cause my health?

Dr. Joshua Steinanswered

Urology 20 years experience

Low sex drive: If your sex drive is low, you should have your testosterone levels tested. Without having the blood work done, it is difficult to make any general rec... Read More

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4.1k viewsAnswered >2 years ago

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A 19-year-old male asked:

I think i popped a vein on my penis when i was masturbating when i was about 11 im now 18 and i have a small black looking bruise. can i getridof this?

Dr. Joshua Steinanswered

Urology 20 years experience

Penile lesions: Depending on the size and location if the lesion, it is possible that it could be removed, either in the office or operating room. You should contact ... Read More

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A 37-year-old male asked:

Can any docs tell me what are some symptoms of penile lichen sclerosis been to a few derms all have differ options had biopsy still in pain5 years now?

Dr. Joshua Steinanswered

Urology 20 years experience

Lichen sclerosis: Lichen sclerosis can cause scarring and whitish patches on the penile skin, especially around the meatus, or opening of the urethra. In some cases thi... Read More

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A 19-year-old male asked:

Some years back i got a bump on one of the veins on my penis. recently my veins on my penis got reddish purplish and itchy. should i see a doctor??

Dr. Joshua Steinanswered

Urology 20 years experience

Penis lesions: It sounds as thought you may have developed thrombophlebitis, a condition where a blood clot forms in a vein and can become infected. You can try warm... Read More

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4.1k viewsAnswered >2 years ago

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A 30-year-old female asked:

Can my husband rip the muscles in his penis by over using a penis pump?

Dr. Joshua Steinanswered

Urology 20 years experience

Penis pump: Bruising or swelling is not uncommon with use if a vacuum erection device. However, it would be extremely unlikely to injure any muscles or other peni... Read More

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A 54-year-old male asked:

Take lisinopril 5mg daily for bp doctor also prescribed cialis 10 mg when is best time to take before sex?

Dr. Joshua Steinanswered

Urology 20 years experience

Cialis timing: Cialis should be taken at least 1 hour prior to intercourse. It does not specifically need to be taken on an empty stomach because it is a 36 hour do... Read More

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A 18-year-old female asked:

My boyfriend is 21 his spurm cells are clear liquid ? it looks like water is the normal ?

Dr. Joshua Steinanswered

Urology 20 years experience

Semen quality: The appearance of semen is typically thick and milky-white, but then turns clear and runny after 5-10 min. However, there is normal variation to this.... Read More

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A 37-year-old female asked:

Severe pain in abdomen after passing urine.upper abdomen. no burning when passing urine.er said its uti but no pain in lower abs.pain worse when layin?

Dr. Joshua Steinanswered

Urology 20 years experience

Abdominal pain: Some younger men have a tight opening of the bladder (called the bladder neck) which causes difficulty or pain while passing urine. Other possibilitie... Read More

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A 26-year-old male asked:

Semen should be thin or thick please clarify . my semen is very much thick?

Dr. Joshua Steinanswered

Urology 20 years experience

Semen consistency : After ejaculation, the semen is typically thick and milky-white. After approximately 10 min, it should become thin, clear and runny.

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A 70-year-old male asked:

Had orchiectomy in dec 2012. psa rose from 1 to 10 in last 4 months. now on calutide. anything else to be taken? if calutide failed, what to do next?

Dr. Joshua Steinanswered

Urology 20 years experience

Advanced CaP: It sounds like you have developed metastatic, castrate resistant prostate cancer (where depriving the cancer of testosterone is no longer effective). ... Read More

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A 36-year-old male asked:

Blood pressure 106/62. is that good i take benicar (olmesartan) 20 mg?

Dr. Joshua Steinanswered

Urology 20 years experience

BP: That is a very good blood pressure for a 36 year old male.

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A 64-year-old male asked:

Had pelvic abscesses after rp & urethral leakage. developed a stricture in my ureter and have abdominal pain. adhesions? take norco (hydrocodone and acetaminophen) 10/325 every 4 hr. could i reduce the pain & damage w/ spasm med?

Dr. Joshua Steinanswered

Urology 20 years experience

RP complications: You have presented a difficult case of complications following RP. Your pain could be related to a number of different factors - post surgical, infect... Read More

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A 28-year-old female asked:

I have test positive for bilirubin, blood &protein in urine many times over last month had upper abdo &renal scans which all appears ok. any ideas?

Dr. Joshua Steinanswered

Urology 20 years experience

Proteinuria: As a young female with hematuria and proteinuria with no signs of kidney stones, I would see a nephrologist to be evaluated for medical renal disease,... Read More

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A 60-year-old female asked:

On macrobid 100mg bid x 30 days for chronic cystitis cystica. just completed nystatin cream x 10 days. into my 12th day now if macrobid. can i stop and restart next week as family wedding soon.?

Dr. Joshua Steinanswered

Urology 20 years experience

Cystitis: If you no longer have any symptoms of UTI (burning, blood in urine, frequency) then it is ok to stop the macrobid. However, if you stop it too soon, t... Read More

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A 53-year-old female asked:

Would deflux material which is injected under the l ureter where it enters the bladder show up on a ct urogram as a possible ureteral malignancy?

Dr. Joshua Steinanswered

Urology 20 years experience

Deflux: Yes, Deflux could produce a mass of material in the ureter which could mimic a ureteral tumor on CT scan.

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A 19-year-old male asked:

7 days after orchiopexy i masturbated(was uninformed)and the testicle which was twisted hurts now and is slightly swallen,pain not severe, what to do?

Dr. Joshua Steinanswered

Urology 20 years experience

Testis pain: I would recommend ibuprofen. It is probably just inflammation from the ejaculation, but in the worse case scenario the testicle could have become twis... Read More

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A 17-year-old male asked:

Can the removal of one testicle (due to a tortion) cause discomfort for the other? after examination doctor said the one left has no problem.

Dr. Joshua Steinanswered

Urology 20 years experience

Torsion: Typically if one testis is detorsed, or removed for torsion, the other testis is stitched into place so that it cannot twist in the future. If that wa... Read More

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A 16-year-old male asked:

Hello!i am 16 years boy and i want to increase my testosterone level.can i use clomid (clomiphene)?is it safe?after i use, my testosterone increase permanently?

Dr. Joshua Steinanswered

Urology 20 years experience

Clomid (clomiphene): At age 16, I would strongly discourage you from using Clomid (clomiphene), (clomiphene) or any testosterone supplementation. Clomid (clomiphene) has n... Read More

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A 18-year-old male asked:

How long would 1 shot of depo-provera testosterone at 500 mg be in my system and how long until natural levels balanced out.? just 1 shot age 17

Dr. Joshua Steinanswered

Urology 20 years experience

T shot: That depends on your height, weight and endocrine function. In general, we recommend 200-300mg every 2-3 weeks. So, I would expect that 500mg may last... Read More

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A 69-year-old male asked:

I'm male on testosterone therapy and my estrogen is double what it should be?

Dr. Joshua Steinanswered

Urology 20 years experience

Male estrogen: Testosterone may be converted to estrogen by an enzyme called aromatase, which is produced in adipose (fat cells). This can be treated - I suggest tha... Read More

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A 29-year-old female asked:

I have flank pain along with nausea and stomach pain and pressure near my bladder. urine culture came back clear, i don't have a gallbladder.

Dr. Joshua Steinanswered

Urology 20 years experience

Kidney stones : You may be passing a kidney stone. Drink plenty of fluids. You should see a urologist if your symptoms do not resolve in a few weeks, or if you develo... Read More

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A 18-year-old female asked:

I have a small cut below where i urinate and it burns whenever i sit, stand, and sometimes lay down, it's bleeding right now. what should i do !??

Dr. Joshua Steinanswered

Urology 20 years experience

Bleeding urethra: If the bleeding is minimal, I would apply Bacitracin ointment so that the cut does not become infected. It should heal on its own. If the bleeding is ... Read More

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A 17-year-old female asked:

Hi i was wondering could i be pregnant if there was saliva on the penis about 3 minutes before the ejeculating happend?

Dr. Joshua Steinanswered

Urology 20 years experience

Birth control: Saliva will not prevent conception. So, regardless of the saliva, if his penis was in your vagina when he ejaculated and there was no barrier (ie. con... Read More

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A 50-year-old female asked:

I'd rather give birth than pass another kidney stone. are my kidneys at risk with the stress of chronic attacks and passing stones?14 in 10 months.

Dr. Joshua Steinanswered

Urology 20 years experience

Kidney injury: Fortunately, a kidney needs to be completely obstructed for a prolonged time (ie. 1 month) before any permanent damage occurs. However, frequent stone... Read More

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A 29-year-old female asked:

When does testicles start to descend on a baby boy?

Dr. Joshua Steinanswered

Urology 20 years experience

Testicle development: If the testes are not in the scrotum at the time of birth, they should descend by 1 year of age. If they have not done so, consult a pediatric urologi... Read More

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A 45-year-old male asked:

Can tolterodine tartrate and tamsulosin hydrochloride inn work in synergy? my gp prescribed them. i have ckd and chronic prostatitise.

Dr. Joshua Steinanswered

Urology 20 years experience

BPH Tx : There are several papers which have outlined the safety and effectiveness of combining a medicine like tolteridine (Detrol) with a med like tamsulosin... Read More

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A 27-year-old male asked:

When a varicocele vein is embolized, can the same vein below the embolization coil continue to try to pass blood back to the heart? can this cause the vein to remain engorged and for how long?

Dr. Joshua Steinanswered

Urology 20 years experience

Varicocele: In general, the closer to the testicle that a varicocele procedure is performed, the greater chance for success. Embolization may be minimally invasiv... Read More

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A 16-year-old male asked:

Before sex i ejaculated and wiped it with a cloth. then i tried to have sex, but only my glans could be inserted, what are the chances of pregnancy?

Dr. Joshua Steinanswered

Urology 20 years experience

Safe sex: It is impossible to estimate your chances of conceiving a pregnancy in that situation. However, if even a small amount of semen found its way into the... Read More

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