Stephen Liroff, MD  
Male
West Bloomfield - MI

Specialties: Urology, Pediatric Urology, Peyronie’s disease

Henry Ford Hospital
Request Appt: 1-800-436-7936
6777 West Maple Road
West Bloomfield - MI
Nov 16, 2008 04:41PM in the Urology Expert Forum
My initial concern is the lymph node swelling and the liver enzyme abnormalities. These may be a key to a systemic problem that needs treatment before dealing with the urination issues. Are you experiencing leg swelling in the course of the day? This represents fluid that is eliminated over night when you are lying down. Are you taking any "water pills?" The...
Nov 16, 2008 04:11PM in the Urology Expert Forum
My initial thought is that the problem is related to a spinal nerve. I am not sure where you press to lessen your discomfort, but that area bears some consideration as being related to the cause. To rule out the kidney as a cause (a kidney stone is high on the list of rule-outs), get a CT of your abdomen and pelvis with and without intravenous contrast. A n...
Nov 16, 2008 04:03PM in the Urology Expert Forum
Wet dreams or sexual excitement with some of the urethral secretions/semen caught between the foreskin and glans could account for this. After sexual intercourse wash your penis with the foreskin pulled back and see if this helps. Ultimately you should have this checked out at your urologist if you keep experiencing this. S.A.Liroff, M.D.
Nov 16, 2008 03:55PM in the Urology Expert Forum
Sounds like a bummer! I would not recommend douching. Your partner may benefit from a non-scented skin lubricant (Lubriderm) or hand cream applied 1-2 times per day for a week or so. Do not have sexual intercourse until both of you have had your tissues return to normal. When you do resume, try a water soluble lubricant such as K-Y jelly, Surgilube, or Ast...
Nov 16, 2008 03:46PM in the Urology Expert Forum
My comments are based on reasoning out what may be happening. I have not seen or read about the situation that you relate to me. The surgery which you had would undoubtedly change the angle of your shaft, especially when flaccid (for that is how the additional length is initially achieved). I do not see your surgery affecting the rigidity of your erections. ...
Nov 16, 2008 03:19PM in the Urology Expert Forum
Obviously there are many possibilities, including local irritation from the chemicals in the wipes or any soaps that you may not completely rinse from the opening to your vagina. Why do you have urethral dilatations? Do you truly have a urethral stricture (very rare in women)? If you have a true stricture, then reconstruction of this area seems appropriate ...