
- With Mayo Clinic urologist
Erik P. Castle, M.D.
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Erik P. Castle, M.D.
Erik P. Castle, M.D.
Dr. Erik Castle is a board-certified urologist who joined the Mayo Clinic staff in Arizona in 2007.
Dr. Castle is an associate professor of urology at College of Medicine, Mayo Clinic, and a senior associate consultant in the Department of Urology, where he also is assistant residency coordinator.
He was an assistant professor in the Department of Urology at Tulane University in New Orleans from 2004 to 2006 after serving as a clinical instructor/fellow at Mayo Clinic in Arizona for one year.
Dr. Castle's research interests include prostate cancer, bladder cancer and kidney cancer. He is the director of the Desert Mountain Prostate Cancer Research Fund and is the principal investigator of Castle labs housed at the Samuel C. Johnson Medical Research Building at Mayo Clinic in Arizona. His basic science research is focused on novel secondary hormonal therapies of prostate cancer as well as genomics of prostate and bladder cancers.
His surgical expertise includes laparoscopic urology, robot-assisted radical prostatectomy with nerve sparing, robot-assisted radical cystectomy with neobladder, robot-assisted retroperitoneal lymph node dissection, robot-assisted partial nephrectomy and other robotic urologic oncology procedures. He has performed many of these procedures as demonstrations internationally. He is a member of the American Association of Clinical Urologists, the American Urological Association, the Endourological Society, and the Society of Laparoendoscopic Surgeons. He is past president of the international Society of Urologic Robotic Surgery. He is also the director of the international laparoscopic nephrectomy courses throughout Mexico on behalf of the American Urologic Association.
Question
Foamy urine: What does it mean?
What does it mean when you have foamy urine? Should I be concerned if it doesn't go away after a few days?
Answer
from Erik P. Castle, M.D.
Passing foamy urine now and then is normal, for the speed of urination and other factors can influence this. But you should see your doctor if you have persistently foamy urine that becomes more noticeable over time. This can be a sign of protein in your urine (proteinuria), which requires further evaluation. Increased amounts of protein in urine may indicate a serious kidney problem.
If your urine seems unusually foamy most of the time, your doctor may recommend that your urine be checked for elevated levels of protein. If the test is positive, you may need further tests to determine the cause of the problem.
- Proteinuria. National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC). http://kidney.niddk.nih.gov/kudiseases/pubs/proteinuria. Accessed Sept. 20, 2011.
- Landry DW, et al. Approach to the patient with renal disease. In: Goldman L, et al. Cecil Medicine. 24th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/191371208-2/0/1492/0.html#. Accessed Sept. 20, 2011.


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