Dr. Fletcher Derrick

Urology
SC
65 years experience male

Locations

Office

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

Specialty

Licenses

United States: South Carolina

Languages spoken

English

Doctor Q&A

182 Answers
9 Agrees
The number of answers this doctor has agreed with.
A 29-year-old member asked:
Dr. Fletcher Derrick
Urology 65 years experience
Yes: If the ureteral implant becomes scarred and strictured yes. There may be other scarring from other organs or other problems . Rare but the new kidne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Fletcher Derrick
Urology 65 years experience
Excellent : We pioneered vasovastomy in the 70's. With microscope surgery in capable hands , return of sperm to semen is about 90%. Pregnancy will be dependent ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Small towel, 2 pins: Make an old fashion diaper with a small towel and two safety pins or a piece of old sheeting if the towel is too small. I tell my patients to "hang ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Fletcher Derrick
Urology 65 years experience
No: No. Semen inside or around vagina is nec for Preg
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old female asked:
Dr. Fletcher Derrick
Urology 65 years experience
Not reliable test: Stone analysis is still the standard. Of course, blood tests and 24 hour urine test will guide the urolodist
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Probably smegma: The whitish material collected around the corona of the penis is most likely smegma which is a natural oily material for some lubrication. It goes aw... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Yes if put in vagina: If you ejaculate into your hand and smear semen into vagina with that hand, pregnancy is possible. If you wash off the semen before any hand or finge... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Small cysts: probably minute cysts of the kidney which are usually benign.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Yes, afraid so: Sperm are about the size of a red blood cell , 5-7 microns. US IS good but cannot detect damage in a tube system that transports sperm cells . It is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Wait: No details here. simply keep clean, possibly antibiotic ointment on the tears or cortisone creme, and simply don't have sex until the areas are heale... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Fletcher Derrick
Urology 65 years experience
Try a cortisone crem: Baby oil in the vagina may be irritating. Use some cortisone creme for a couple of days to help get over the irritation. No soap just now. Try liqui... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Fletcher Derrick
Urology 65 years experience
Not a good idea: Surely you must have a friend who could help. If you grunt, groan, stoop, squat, push, pull etc you may disrupt the tube and that would create emerge... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Fletcher Derrick
Urology 65 years experience
No: Both men and women will have rare bacteria in a simple voided specimen . In the absence of other bladder sx usually has no significance. If the pt h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old member asked:
Dr. Fletcher Derrick
Urology 65 years experience
Yes: Epi occurs mostly after heavy lifting with a full bladder..resulting in chemical epi. Get it once, about 30% chance of getting again. Get it 2x. ..ab... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Yes: At 34, PSA OF .24 is perfect. Not much more to say
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Yes: Use a pill cutter and you can cut it. Not sure what a low dose would do, but. Certainly worth a try.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Fletcher Derrick
Urology 65 years experience
See Gyn Doc: Sounds a little complicated. May have an enlarged clitoris and otherwise normal, Go see Gyn at Med school in Philly ETC. May be normal. May be in ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Fletcher Derrick
Urology 65 years experience
OK but get help: Very normal and willbe gone in a day or so. Go get Azo standard (phenazopyridine) or similar product from drug store Ask pharmacist. It will help. I... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Fletcher Derrick
Urology 65 years experience
Reputable sperm bank: If you are a sperm donor, be sure you are dealing with a reputable sperm bank. Once the semen specimen is donated the sperm bank should have precauti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old female asked:
Dr. Fletcher Derrick
Urology 65 years experience
Could be easy: Depending on the size and location, it could be local anes and outpatient surgery. It could be nec to require gen anes and a catheter for a few says ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Could be a problem: If the prostatectomy was for cancer, some cancer could be remaining in the body, lymph nodes, bones ETC. If prostatectomy for benign disease to reli... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Fletcher Derrick
Urology 65 years experience
Yes: A beer or so or a glass of wine or a shot of whiskey will have very little effect on sprrm and semen vol. However, lots of booze will lower your libi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Good: This is good. It pulls the testes up out of the way....like in cold weather. The Sumu Wrestlers develop the muscle for protection during the rather ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 80-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Very new: Embolization of Prostate is not real new but not yet the best choice for BPH. Green light laser is top surgery for benign enlargement . Has your doc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Yes, yes, maybe: First, talk to your doc or urologist . Stoned in lower Ureter cause symptoms of needing to defecate and void. Meds can help symptoms and to pass sto... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old female asked:
Dr. Fletcher Derrick
Urology 65 years experience
Probably OK: Positive urine dip stik for Hemoglobin is common. Particularly if you were stillon your period. This also occurs with NSAIDS and blood thinners bein... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Probably: Now, having said probably, it depends on how soon after M that you try for oral or penetrating sex . We all have that recovery period after C. That v... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
It is OK: The Ultrasound would check the testis also for cancer. Don't worry
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old female asked:
Dr. Fletcher Derrick
Urology 65 years experience
Probably normal : If she is in kidney failure, temporarily from serious insult..infection, trauma or such it is quite normal to have little or no urine. She may return... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
You should be fine: Washing once would have beeN ok. Semen should be sterile unless you recently contracted a STD. Don't worry at this time. Get a napkin or cloth to catc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Fletcher Derrick
Urology 65 years experience
Prob pants in a wad: Sounds like tight pants and undies on long flight. Sit in hot tub of water. Use a little , I said little, face cream on bottom and loosen your undi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 54-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Repeat test: Repeat test...If still up and Family Hx of CaProstate, then Biopsy. If up and no Fam Hx of CaP...Rx for 1 month with Levaquin (levofloxacin) 250 dail... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Yes: Yes Cialis has said it may be good for older men with prostate enlargement using 2.5 or 5 mg. So far in my practice, most men who take it for like t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Fletcher Derrick
Urology 65 years experience
Good plan: Small cysts of kidney are seen frequently while actually looking for other problems The usual plan is to follow at reasonable intervals...6 mos.. Or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Fletcher Derrick
Urology 65 years experience
Get ready for sex: Lots of foreplay will give you your natural lubrication , and your partner. If not use liquid KY jelly or replens. If still painful. Check by Gyn .... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Flaccid or Erect?: About 2 inches flaccid and 5-6 inches erect. This can vary. Go to Phallic.org for some good info
Created for people with ongoing healthcare needs but benefits everyone.
A 60-year-old female asked:
Dr. Fletcher Derrick
Urology 65 years experience
Yes: Cipro (ciprofloxacin) can cause joint pains. Antibiotic can be changed, but wait until you see doc for instructions. Diverticulitis needs rx until it ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Yes: The sperm count or semenalysis is the only way to be sure the vasectomy is still working. Or if your partner gets pregnant. However, the sperm coun... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Fletcher Derrick
Urology 65 years experience
Take an aspirin : Sounds like minor injuries to penile blood vessels during sex. They may be small blood clots. Of no significance and will probably dissapear on their... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old member asked:
Dr. Fletcher Derrick
Urology 65 years experience
Hard to answer: Probably best ans is at least 1 cc of semen having at least 10-15 million active sperm. We know it takes about 40 sperm working on the egg trying to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Fletcher Derrick
Urology 65 years experience
Very good: In the hands of an experienced Urologist who does micro surgery, there is about 90 % plus chance of sperm return to semen after a vas reversal. Influ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Fletcher Derrick
Urology 65 years experience
Probably mixed blood: The old menses blood has an odor and when mixed with urine it gives off the odor. Try taking some Vit c. Fruits are natural sources. But 1000 units ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
See a Urologist: You need an exam and some endocrine blood tests...pure and simple. You could have delayed puberty, or a hormone balance problem.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
No: nipple tenderness can occur but gynecoomastia rarely.
Created for people with ongoing healthcare needs but benefits everyone.
A 62-year-old female asked:
Dr. Fletcher Derrick
Urology 65 years experience
Rarely: Incontinence rare after a hysterectomy. But this is a question for your gynecologist when you go for consultation. Ther are several approaches for hy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Not to my knowledge: The classic way to store and revive sperm is freezing in a special mixture in liquid nitrogen. They can be thawed and used for artificial insemenatio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Fletcher Derrick
Urology 65 years experience
Stop the medicine: Talk to Doc who gave you the medicine and he or she should be able to help. There are several meds in this category. another may help your problem a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old member asked:
Dr. Fletcher Derrick
Urology 65 years experience
Be very happy : If you get erections easily be happy. Now, if it embarrassing in public when sex is not on the menu, wear some tighty whites or compression pants to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Fletcher Derrick
Urology 65 years experience
Paper tape : Try paper tape or hypo-allergenic tape eye docs and plastic surgeons use on face.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Fletcher Derrick
Urology 65 years experience
Possible monilia: You could have a yeast infection, particularly if you are not circumcised. This may be the first sign of Diabetes... of course you may have a sex Tr... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
134
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Derrick is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Derrick is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! Ok thank you for responding. I did forget to mention I'm only 35. I read online that this is mostly normal with 50+? Is this true?
HealthTap member
This was very helpful. Thanks! what do you mean artificial insemination is that able to get me pregnant if its sterile or what
HealthTap member
This was very helpful. Thanks! Greatly appreciate the help and with no money, you still assisted me. Thank you!

Education & Training

Medical/Graduate school

MUSC
Graduated 1958MD

Awards

Top Urologist, First Place, South Carolina - Spring
2015
Top Doctor, Third Place, the Charleston Region - Spring
2017
Top Urologist, First Place, South Carolina - Spring
2017
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