Steven Luke

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Steven Luke
Dr.
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Naples
Urology
Specialists in Urology
8340 Collier Blvd., Suite 402
Naples
FL
34110

I have been taking Viagra for a few years but it is no longer working.  Are there other options?

There are many causes for erectile dysfunction (ED), and it is a very treatable condition. Evaluation includes a thorough history and physical exam because other medical conditions or even medications can contribute to the problem. In my practice we also check hormone levels and perform blood flow tests as well. Other medications such as Cialis and Levitra are available to treat ED, but because these are not effective in everybody there are many other options. A thorough evaluation can help improve this condition as well as prevent it worsening over time.

There was a small amount of blood found in my urine (hematuria) on a test. I have never seen it, and I feel fine. Should I be concerned?

Hematuria, can be visible or invisible to the eye, but needs to be evaluated. Although infection can cause hematuria it is dangerous to assume infection. Simply taking antibiotics and repeating the urine test in a week or two to see if it has cleared is not appropriate since bladder or kidney cancer or stones may not show hematuria every time. It is important to see a urologist who can perform simple tests to ensure the health of the entire urinary tract.

 

My libido has decreased over the last 2 years. Is this normal? Is there any treatment?

 

Many factors can cause a drop in libido, including hormone deficiencies as well as other medical conditions. In my practice a thorough history and physical examination as well as a review of all medications, alcohol and tobacco use is the starting point. In addition a complete check of hormone levels, including testosterone as well as others is critical. Testosterone levels can be easily replaced or improved by diet, exercise as well as hormone replacement therapy. Other contributing medical conditions or medications can also be adjusted to improve your condition.

 

Steven Luke
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