Urological Concerns: Common Symptoms and Hygiene Practices - Urology

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Hello, Dr. Hsu?


Dr.
Hsu: I have a few questions I'd like to ask you! 1.
After watching adult films, sometimes my testicles feel painful, and at times my abdomen also experiences discomfort.
My penis secretes some clear fluid that resembles semen.
Are these symptoms normal? 2.
During my daily shower, I always clean the glans and the foreskin, but simply rinsing doesn't seem to get them clean.
Sometimes, I even masturbate to help remove the dirt from the glans, which makes it much cleaner! Occasionally, I apply soap or body wash to the entire penis (including the inside) for cleaning.
I don't feel any discomfort, but I want to ask if this could affect my reproductive function? 3.
Is it normal for one testicle to be larger than the other? I often feel bothered by the difference in size when sitting...
I always have to adjust my testicles, which is annoying, especially when they are hanging lower...
It doesn't happen when they are retracted.

Xiao Wei, 20~29 year old female. Ask Date: 2010/11/30

Dr. Xu Weikai reply Urology


Xiao Wei: Hello.
1.
Normal response.
2.
In principle, it should not happen.
However, overly strong cleaning products can irritate the glans and urethra, potentially leading to insufficient secretion from the preputial glands, resulting in dryness of the glans.
Additionally, frequent use of cleaning products on the glans can cause minor injuries, leading to localized itching and thickening of the epidermis as side effects.
In severe cases, it may decrease the sensitivity of the glans.
Generally, cleaning should be done with cold water (even hot water can be too stimulating), performing localized cleaning, and if necessary, using hands or a towel to gently scrub away dirt.
3.
Regarding testicular size, it is generally rare for them to be exactly the same size, but they are usually quite similar.
If there is a significant size difference, it should be examined.
If you have any further questions or need clarification, feel free to ask, and we can discuss and research together.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2010/11/30

More Info


When it comes to urological concerns, it's important to understand the common symptoms and hygiene practices that can affect male reproductive health. Let's address your questions one by one.

1. Pain in the Testicles and Abdomen After Watching Adult Films: Experiencing pain in the testicles or abdomen after sexual arousal or stimulation, such as watching adult films, can be a common phenomenon. This discomfort may be related to increased blood flow and tension in the pelvic region, which can lead to a sensation of fullness or pain. The transparent fluid you mentioned could be pre-ejaculatory fluid, which is a normal secretion that can occur during sexual arousal. However, if the pain is severe or persistent, or if you notice other symptoms such as swelling, redness, or changes in urination, it would be wise to consult a healthcare professional to rule out any underlying conditions such as epididymitis or testicular torsion.

2. Hygiene Practices and Their Impact on Reproductive Function: Maintaining proper hygiene of the genital area is crucial for overall health. While it is important to clean the glans (head of the penis) and the area under the foreskin (if uncircumcised), using soap or body wash directly on the sensitive skin of the penis can sometimes lead to irritation or allergic reactions. It is generally recommended to use mild, unscented soap and to rinse thoroughly. Over-cleaning or using harsh soaps can disrupt the natural balance of bacteria and lead to infections or irritation. If you find that your cleaning practices are causing discomfort or irritation, it may be beneficial to adjust your routine. Additionally, while masturbation is a normal and healthy practice, it should be done gently to avoid trauma to the tissues.

3. Asymmetry of the Testicles: It is quite normal for one testicle to be slightly larger or hang lower than the other. This asymmetry is common among men and usually does not indicate any health issues. The left testicle often hangs lower than the right due to anatomical differences. However, if you notice a significant change in size, shape, or if you experience pain, it is advisable to seek medical attention. Regular self-examinations can help you become familiar with your anatomy and detect any unusual changes early on.

In summary, while some of the symptoms you are experiencing may be normal, it is essential to listen to your body. If you have concerns about pain, hygiene practices, or the appearance of your testicles, do not hesitate to consult a healthcare provider. They can provide personalized advice and conduct any necessary examinations to ensure your reproductive health is in good standing. Regular check-ups and open communication with your doctor can help address any concerns and maintain optimal urological health.

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