Question Title: Kidney stones and weak urine flow/ejaculatory force.

Dear sirs:

I am 24 years old and have had uric acid kidney stones since I was thirteen. I have passed about twenty stones since that time and currently take allopurinol and polycitra to prevent new stones from forming. I have also had two cystoscopies, one when they were trying to diagnose what was causing my urine to be have blood in it, and one when I had a stone stuck in one of my ureters. My problem relates to the fact that I have very weak urine flow and weak ejaculatory force, as well as a somewhat downward bend in my erections. What I want to know is if there is any relation between having this condition and problems such as these. At my last cystoscopy the doctor said there was no stricture in the urethra and he also didn't seem to find any abnormalities with my prostate. Could my weak urinary flow and ejaculatory force be the result of damage from passing stones? If so is there anything I can do about it? One last question, the downward curve in my erections has made me avoid any sexual relationships, as I am self conscious as to how the woman might react. How abnormal is it to have a slight downward curve in erections, and is this something that I should have examined to make sure it doesn't get any worse?

Thank you very much for your time.

Dear S.S.
Uric acid kidney stones are a type of stone that does not show up on routine xray. Certain patients benefit from the medicine Allopurinol that leads to a decreased output of uric acid into the urine. Polycitra K helps prevent these stones by raising the urinary pH into the 6.5 - 7.5 range where uric acid stones dissolve. Medicines are no substitute for increasing your fluid intake markedly to help prevent future stones.
Your treatment has involved invasive procedures that can lead to strictures of the urethra causing obstructive voiding symptoms. You mentioned that strictures were ruled out. A pressure flow urodynamic study can evaluate obstruction symptoms. Curvature of the penis may be congenital or acquired later in life as in Peyronie's disease. Your urologist will determine the cause of the curvature with a history and physical exam. At that time surgical intervention to correct the curvature of the penis may be discussed.
This information is provided for general medical information purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available through our department at the Henry Ford Hospital and its suburban locations (I-800-653-6568).
Sincerely;
HFHS M.D.-CK
* Keyword: uric acid stones

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