Locations
Pisgah Urology
Brevard, NC
About
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: Alabama, North Carolina, North Dakota
Languages spoken
English
Doctor Q&A
45 Answers
3 Agrees
The number of answers this doctor has agreed with.
A 35-year-old member asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Poss urachal abn: One possibility is an abnormality of the urachus, which runs from the belly button to the top of the bladder. In the fetus it is an open pathway. It n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
530 viewsReviewed >2 years ago
A 36-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Total T 900-1100: The reported normal range for Total Testosterone is quite broad. The ideal level (no low T sx) varies from man to man. Many men have sx even when T i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
521 viewsReviewed >2 years ago
A 42-year-old member asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Treatable, not cured: Genital herpes is caused by various strains of herpes virus which are sexually transmitted. Once in the skin, it cannot be cured, and tends to cause i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
536 viewsAnswered >2 years agoMerged
A 46-year-old member asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Not usually used: Flagyl is not typically used to treat epididymitis because the organisms which cause it are not usually sensitive to Flagyl. The best antibiotics for ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
536 viewsAnswered >2 years ago
A 33-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Yes: Urodynamic testing is the most accurate way to detect detrusor hyperreflexia. The study can detect the uninhibited, high pressure bladder contractions... Read More
Created for people with ongoing healthcare needs but benefits everyone.
487 viewsAnswered >2 years ago
A 27-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Yes: There should be no problem with masturbation or sexual activity one month after orchidopexy surgery.
Created for people with ongoing healthcare needs but benefits everyone.
487 viewsAnswered >2 years ago
A 27-year-old female asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Yes: Assuming the specimen was obtained by peeing in a cup, and not with a catheter, it is very common for Leukocytes (white blood or "pus" cells) to be wa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
521 viewsReviewed >2 years ago
A 37-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
10 million low: The lower limit of normal for sperm count is 20 million, so 10 million is very low. At this low count, fertility is impaired. However, pregnancy is st... Read More
Created for people with ongoing healthcare needs but benefits everyone.
483 viewsAnswered >2 years ago
A 16-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Don't be scared!: Testicular cancer is unusual at 16, doesn't usually cause pain, so this is unlikely to be dangerous. If the testicle is hard, irregular, or enlarged, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
526 viewsReviewed >2 years ago
A 26-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
No: Chlamydia is a sexually transmitted infection, but has no impact on erections.
Created for people with ongoing healthcare needs but benefits everyone.
527 viewsReviewed >2 years ago
A 21-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Not unusual your age: Men your age can often remain erect after orgasm and ejaculation, especially if there is continued visual or contact stimulation of an erotic nature. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
523 viewsReviewed >2 years ago
A 38-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Possible Diabetes: This group of symptoms is classic for undiagnosed diabetes. Have urine screened for glucose, fasting blood sugar, hemoglobin A1c.
Created for people with ongoing healthcare needs but benefits everyone.
521 viewsReviewed >2 years ago
A male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Yes, get checked out: The normal bladder empties completely with urination. Urine can be retained in the bladder for two main reasons. Obstruction in the pathway from the b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
511 viewsReviewed >2 years ago
A 20-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Different discharges: If this is a thin, clear, sticky substance, it is just urethral mucus. This most commonly appears in response to visual or manual sexual stimulation. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
508 viewsReviewed >2 years ago
A 25-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
No: Blood in the condom is not a sign of pregnancy. It is blood in the semen, known as "hematospermia". This can be caused by a number of conditions, whic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
530 viewsReviewed >2 years ago
A 30-year-old female asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Bladder, not kidney: If E Coli, or any other bacteria causing urinary infection, are sensitive to Macrobid, it will kill and eliminate them if taken properly. Sensitivity ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
506 viewsReviewed >2 years ago
A 20-year-old member asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Options: No need to boost testosterone unless you have symptoms of low T, and blood levels of T are low, or very low normal range. If truly need T level increa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
513 viewsReviewed >2 years ago
A 46-year-old member asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Oliguria causes azot: Oliguria is one of several causes for azotemia. Azotemia means the build up of metabolic waste products in the blood as a result of inadequate filteri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
536 viewsAnswered >2 years ago
A male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
No effect on angle : Circumcision will have no effect on the "angle of the dangle".
Created for people with ongoing healthcare needs but benefits everyone.
478 viewsAnswered >2 years ago
A female asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Depends on stone: If stone is not obstructing the kidney, or part of it, it may not because of pain. If activity causes pain, may not be the stone. Uncommon, but if sto... Read More
Created for people with ongoing healthcare needs but benefits everyone.
474 viewsReviewed >2 years ago
A 30-year-old female asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Any fluid helps: When trying to pass a kidney stone, drinking extra fluids of any kind increases urine production, resulting in an increased pressure head down the ure... Read More
Created for people with ongoing healthcare needs but benefits everyone.
505 viewsReviewed >2 years ago
A 43-year-old member asked:

Dr. Gregory Carteranswered
Urology 41 years experience
No effect on periods: Nothing in the product Cystex would have any effect on menstrual cycle or periods.
Created for people with ongoing healthcare needs but benefits everyone.
508 viewsReviewed >2 years ago
A 16-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Normal line: This line extends along the penile urethra and all the way down the middle of the scrotum. It is called the median raphe, and is where the skin closes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
527 viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Gregory Carteranswered
Urology 41 years experience
No, not possible: No, this is not possible. There is no pathway for sperm cells produced in the transplanted testicle to reach the female fallopian tube and egg (ovum) ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
536 viewsReviewed >2 years ago
A 24-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Lose weight overall: There is no way to specifically lose fat in the genital/crotch area. You will need to lose weight overall in order to lose fat in that area, and impro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
508 viewsReviewed >2 years ago
A 30-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Depends on amount: How much blood? Visible to you, just on a chemical dipstick test, or abnormal # red blood cells on microscopic exam of urine. Only of concern if visib... Read More
Created for people with ongoing healthcare needs but benefits everyone.
473 viewsAnswered >2 years ago
A 29-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Consider 4K Score : If concerned about complications, or just want to avoid biopsy, there is a blood test called the 4K Score Test which determines the probability or lik... Read More
Created for people with ongoing healthcare needs but benefits everyone.
487 viewsAnswered >2 years ago
A 28-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Poss Prostatitis: These sx together suggest prostatitis - inflammation o f the prostate gland. This can be due to bacterial infection, or not. If sudden in onset, and a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
521 viewsReviewed >2 years ago
A male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Kidney stone: This is most likely a 3 mm kidney stone.
Created for people with ongoing healthcare needs but benefits everyone.
484 viewsReviewed >2 years ago
A male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Likely benign lump: If this lump has remained unchanged for 5-6 years, it is almost certainly benign, and not cancerous. If it is not causing pain or other unpleasant sym... Read More
Created for people with ongoing healthcare needs but benefits everyone.
508 viewsReviewed >2 years ago
A 53-year-old member asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Neither: Hypertonic saline will draw water out of cells. Distilled water is pulled into cells. Normal Saline is the normal fluid for cell health - does not swe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
521 viewsReviewed >2 years ago
A female asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Protect kidney : The remaining kidney will enlarge and take over the blood filtering function of the lost kidney. To protect the remaining kidney, make sure any medica... Read More
Created for people with ongoing healthcare needs but benefits everyone.
484 viewsAnswered >2 years ago
A 34-year-old female asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Not necessary : If the polyp was truly benign, you do not require cystoscopy, or any other regular follow up.
Created for people with ongoing healthcare needs but benefits everyone.
513 viewsReviewed >2 years ago
A 34-year-old female asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Best wait on report: The depth a polyp or tumor extends into the bladder wall is not usually determined by ultrasound - it would not be very accurate. The only way you can... Read More
Created for people with ongoing healthcare needs but benefits everyone.
511 viewsReviewed >2 years ago
A 36-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Not related: Testicular torsion would have no impact on erectile function or ejaculation, whether the testicle is salvaged or not. If testicle is lost due to torsi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
502 viewsReviewed >2 years ago
A 33-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Weak contraction: An areflexic bladder is one that does not respond to fullness with any degree of contraction and does not empty at all. Hyporeflexia is a less severe ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
484 viewsAnswered >2 years ago
A 29-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Options: Low probability of passing this size stone, but no harm in a trial of observation/medical treatment (fluids and Flomax), asking as pain is well contro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
513 viewsReviewed >2 years ago
A 52-year-old female asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Depends on stone: If a stone is confirmed by X-ray or scan, only kind dissolvable is uric acid, but these are only 5-10% of stones. Other stones have to pass on their o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
473 viewsAnswered >2 years ago
A 38-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Usually silent: Declining kidney function usually dose not cause symptoms until fairly severe. When severe usually causes weakness/fatigue due to associated anemia. S... Read More
Created for people with ongoing healthcare needs but benefits everyone.
521 viewsReviewed >2 years ago
A 63-year-old female asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Yes: Angiomyolipomas greater than 4 cm in size are at increased risk for spontaneous rupture and hemorrhage. At 6 cm, consideration should be given to doin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
487 viewsAnswered >2 years ago
A 36-year-old female asked:
I had kidney surgery with stent is it normal to start bleeding again and a lot of pain 8 days later?

Dr. Gregory Carteranswered
Urology 41 years experience
Common scenario : There can be blood in the urine off and for several days to weeks after kidney procedures. Pain is sometimes caused by the stent itself irritating the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
523 viewsReviewed >2 years ago
A 19-year-old male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Kidney obstruction : Pelvi-calyceal system fullness refers to dilation of the internal structures of the kidney, usually caused by obstruction of drainage from the kidney.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
527 viewsReviewed >2 years ago
A male asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Many causes: Scrotal swelling has many potential causes. Enlargement of the testicle itself is concerning for tumor. Fluid can accumulate around testicle - hydroce... Read More
Created for people with ongoing healthcare needs but benefits everyone.
523 viewsReviewed >2 years ago
A 34-year-old female asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Yes and no: The only direct sexual impact of Viagra is to enhance the rigidity of erection by improving blood flow into and within the penis. Indirectly, sensatio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
493 viewsReviewed >2 years ago
A 21-year-old female asked:

Dr. Gregory Carteranswered
Urology 41 years experience
Varies : Sometimes symptoms resolve in 24 hrs, sometimes can take several days. This is determined by the degree of inflammation in the bladder lining in respo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
478 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.
15
Thank you notes
HealthTap member
Your answer was very helpful, thanks! Just that i wrote it wrong I meant on the condom not inside it ty doc
HealthTap member
Your answer was very helpful! Thanks :) thank you so much for the great answer
HealthTap member
Your answer made me feel good! Thanks :)
Education & Training
Medical/Graduate school
Indiana University School of Medicine, IN
Graduated 1982MD
Awards
Alpha Omega Alpha (AOA)
Most Influential, Second Place, the Asheville Region - Spring
2017
Thought Leader, First Place, the Asheville Region - Spring
2017
Affiliations
American urological association
American Association of Clinical Urologists
American Board of Urology
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