Q: I had meningomyelocele at birth. The disease as I know is very complicated but due to my good luck and having got operated just on the next day of my birth, the complications were relatively less. I have deformity in the feet (flat feet), which after surgeries, is relatively OK. In fact, today I am a well qualified professional working in a corporate & 100% independent. My problems are as follows: I suffer from urinary incontinence. I also have erection problem and not being able to have sex. On this count I am feeling worried because I always feel that at least sexually I am OK and will have a good family life? Therefore your valuable suggestions are required on the matter.

A:As for your problem with erectile dysfunction, you may try the following: 1) Arginine - Arginitric is one of the trade names and it is to be taken, one sachet thrice daily i.e. 3 sachets daily with water. 2) a medicine like tadalafil e.g. Forzest 10 mg one tablet, about 30-60 minutes before planned sexual activity. As for your urinary incontinence, I would like to know the results of urine-routine and microscopy and also have an ultrasound to assess the bladder and kidneys, and see if there is any residual urine before one plans further.