Your Urology Prescription: What Your Doctor Might Have Missed - Urology

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Doctor... I hadn't finished explaining my condition yet, and he already prescribed me this medication..?


Doctor: I'm sorry...
I still didn't go to National Taiwan University Hospital.
After all, this is a shame for a man...
I ultimately chose a less crowded clinic with a good reputation, Shudian Clinic.
Please understand...
I'm really sorry, but I haven't finished explaining my condition, and he already prepared the prescription...
Although he did ask some questions (such as: whether I smoke, if there is any curvature in my LP, if there is morning response, etc.), I really doubt whether he fully understood my condition...
The medications he prescribed are as follows: 1.
2503*Trental 400mg for peripheral vascular circulation disorders; 2.
1611*Mesyrel 50mg/Tab for various types of depression and autonomic nervous system adjustment.
Doctor, what does this mean? Can it indicate any inference he has about my condition? Because time was tight, I also forgot if there are any dietary restrictions or activities I should avoid? Doctor, I'm sorry...
I hope you don't dislike me...

cyp, 20~29 year old female. Ask Date: 2005/07/25

Dr. Xu Weikai reply Urology


CYP: Hello, actually, these two medications were the most commonly used drugs before the emergence of Viagra, and they are still frequently used today.
The situation you mentioned is quite common among more renowned physicians, especially in private hospitals.
In the past at National Taiwan University Hospital, they would schedule patients with specific specialties to be seen during certain time slots, for example, in specialized clinics for sexual function.
These clinics did not accept walk-in registrations; in other words, they restricted patients to those who had been properly screened through outpatient consultations.
The advantage of this system is that it allows for a more thorough examination of patients without being overwhelmed by a sudden influx of patients, which could compromise the quality of care.
However, this system is limited by the volume of outpatient visits, and under the current National Health Insurance system, the income of hospitals and physicians would be severely affected, making it more feasible only for public hospitals.
Sexual dysfunction is a condition that requires a considerable amount of time for differential diagnosis, often necessitating multiple outpatient visits or consultations at specialized clinics to reach a diagnosis.
Urology Department Director Xu Wei-kai responds to the concerns of Taitung Hospital under the Ministry of Health and Welfare.

Reply Date: 2005/07/25

More Info


When it comes to understanding your urology prescription, it's essential to have a clear grasp of what your doctor has prescribed and the underlying reasons for those medications. Based on the medications you've mentioned—Trental (Pentoxifylline) and Mesyrel (Maprotiline)—let's break down what these drugs are typically used for and how they might relate to your condition.

Trental (Pentoxifylline) is primarily used to improve blood flow in patients with peripheral vascular disease. It works by decreasing the viscosity of blood, which helps to enhance circulation. In the context of urology, this medication might be prescribed if there are concerns about blood flow affecting erectile function or other aspects of sexual health. If your doctor prescribed this medication, it could indicate that they suspect a vascular component to your symptoms, such as erectile dysfunction or other issues related to blood circulation in the genital area.

Mesyrel (Maprotiline) is an antidepressant that is often used to treat various forms of depression. It can also have effects on the autonomic nervous system, which controls involuntary bodily functions, including those related to sexual arousal and function. If your doctor prescribed this medication, it may suggest that they are considering psychological factors or mood disorders that could be impacting your sexual health. This is particularly relevant if you have expressed feelings of anxiety or depression related to your condition.

Now, regarding your concerns about whether your doctor fully understood your condition, it's important to remember that urology can be a complex field, and many factors can influence sexual health. The questions your doctor asked—about smoking, curvature of the penis, and morning erections—are standard inquiries that help assess erectile function and overall sexual health. These questions are crucial for forming a comprehensive understanding of your situation.

If you feel that your doctor did not take the time to explain your condition thoroughly or address all your concerns, it is perfectly reasonable to seek clarification. You have the right to understand your diagnosis and the rationale behind any prescribed treatments. If you are unsure about the medications, their side effects, or any dietary restrictions, do not hesitate to reach out to your healthcare provider for more information.
In addition, if you are experiencing significant anxiety about your condition or the prescribed treatment, consider discussing this with your doctor. They may be able to provide additional support or refer you to a mental health professional who specializes in dealing with patients facing similar health challenges.
Lastly, if you feel uncomfortable with your current urologist or believe that your concerns are not being adequately addressed, it may be worthwhile to seek a second opinion. Finding a healthcare provider with whom you feel comfortable discussing sensitive issues is crucial for effective treatment and peace of mind.

In summary, understanding your urology prescription involves recognizing the purpose of each medication and how it relates to your symptoms. Don't hesitate to ask your doctor for clarification on any aspect of your treatment plan, and remember that your comfort and understanding are vital components of your healthcare journey.

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