https://www.healthcentral.com/author/jay-motola

Latest by Jay Motola, M.D.

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Fathering Children after Prostate Removal? Ask the Expert

Dear Dr. Motola,** I am looking for information on fertility after prostate removal. I cannot find any-no statistics, nothing. I am a 37-year-old female involved with a 62-year-old man. He is under the impression he can still have children after pros...

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How Often are Biopsies Needed When You Have a High-Grade PIN?

Dear Dr. Motola,** I am a healthy, very active 71 year old male. MY PSA level increased over the past 16 months from 2.1 to 3.2 and as a consequence my new urologist suggested a biopsy even though his digital rectal exam showed a healthy prostate.***...

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Overactive Bladder at a Young Age? - Ask the Expert

Dear Dr. Motola,** I have had an overactive bladder for several years but for the most part it’s been manageable. I am 42. Normally, I feel the urge to void about every 90 minutes. But it has started to interfere with important activities, like takin...

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What is a Normal PSA? - Ask the Expert

Dear Dr. Motola:** What is the normal PSA for a 69 year-old man? At what level does the PSA become troubling or warrant further tests?** PSA cut off levels have been debated for many years. Traditionally the cut off for a normal PSA has been 4, howev...

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Alternatives to Avodart and Flomax? Ask the Expert

Dear Dr. Motola,** I’m in my mid-70s and have been taking Avodart and Flomax for the last two years for enlarged prostate. Little improvements of the symptoms have been noticed with the medication therapy. Recently, my urologist recommended a two-ste...

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Blood in Semen - Ask the Expert

Dear Dr. Motola,** I have been showing slight blood in my semen for the past few months and my doctor has given me antibiotics but it has not gone away. There is no pain or other symptoms–I’m just concerned. What might be causing this? Should I see m...

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Incontinence after Prostate Cancer Surgery - How Long Will It Last?

Dear Dr. Motola,** I had surgery in Febuary of 2007 for prostate cancer. I have had incontinence problems since. When can I expect it to stop? (or will it ever?) Will another surgery of some type help alleviate this aggravation? Or are there other op...

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Enlarged Prostate Treatment: Green Light PVP

Technological advances such as the laser have redefined the surgical treatment of enlarged prostate. Laser is actually an acronym for Light Amplification by Stimulated Emission of R adiation. Light that is emited is converted to heat energy that has ...

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Flomax Side Effects: Are There Alternatives? - Ask the Expert

Dear Dr. Motola,** I have been taking Flowmax and it has improved my urine flow, but I’ve been experiencing some side effects - sluggishness, dizziness, etc. - that I think may outweigh the benefits.**** It seems there should be a procedure that coul...

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What Does Prostate Size Mean?

Patients are often confused about the prostate, the walnut sized gland that surrounds the urethra. Often times patients discuss the size of the prostate and “wear its size emblazoned across their chest” However, this is one of those times when more i...