Dr. Cai Bingkun reply Urology Question - Page 3

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Why Is My Semen Yellow? Understanding Causes and Concerns

Why does semen appear yellowish? I have noticed that since April of this year, the semen I ejaculate has a slightly yellowish tint, although sometimes it appears white. Previously, the only time it would look yellowish was after a long period without ejaculation, while it was nor...


Dr. Cai Bingkun reply Urology
Normal semen volume is approximately 2-6 cc, with a viscous consistency and a color that ranges from clear to milky white, and sometimes slightly yellow, especially after a prolonged period without ejaculation, which may result in increased volume and a light yellow tint. Therefo...

[Read More] Why Is My Semen Yellow? Understanding Causes and Concerns


Understanding Glans Issues: Post-Surgery Concerns and Symptoms Explained

Glans issues? Hello, Dr. Tsai. My glans is retracted due to phimosis. Recently, while showering, I forcibly pulled back my foreskin while not erect, which caused swelling because the ring at the front was too tight. I went to a clinic for a check-up, and the doctor suggested two ...


Dr. Cai Bingkun reply Urology
I really don't understand what you mean by a white spot near the coronal sulcus of the glans. Please visit a urology clinic for a consultation with a physician who can provide you with answers.

[Read More] Understanding Glans Issues: Post-Surgery Concerns and Symptoms Explained


Understanding Post-Circumcision Care Costs and Patient Concerns

Circumcision issues? Hello Doctor, three days ago I underwent a circumcision at a hospital under the Department of Health. However, I am puzzled as to why I have to pay an outpatient fee for coming back to the hospital 2-3 times just for dressing changes. Additionally, I develope...


Dr. Cai Bingkun reply Urology
After a circumcision, most doctors will require patients to return to the hospital for a follow-up examination to check for any issues with the wound. During this follow-up visit, not only is wound care addressed, but sometimes medication treatment may also be necessary. Therefor...

[Read More] Understanding Post-Circumcision Care Costs and Patient Concerns


Understanding Skin Issues: Bumps on Scrotum and Lips in Adolescents

Keratosis pilaris A few weeks ago, I noticed something near my scrotum that looks like "skin where the feathers of a chicken have been plucked," and it appears to be grainy. It looks quite alarming and there are many of them. What could this be? Also, I have developed w...


Dr. Cai Bingkun reply Urology
It sounds like what you're describing about your scrotal skin resembling plucked chicken feathers in small bumps is normal. That is the skin of the scrotum, which is highly elastic and can stretch to a size comparable to a small pillow, so there’s no need to worry. As for th...

[Read More] Understanding Skin Issues: Bumps on Scrotum and Lips in Adolescents


Understanding Testicular Issues: Concerns About Size and Position

Testicular issues? I have a question. Why do my testicles appear to be retracted into the skin when I am sitting, making them look flat? When I stand, they seem to hang down and I can see their shape. However, when I have an erection, the skin pulls tighter and my testicles becom...


Dr. Cai Bingkun reply Urology
The scrotum is commonly referred to as the "treasure bag," as each side contains four important structures: the testis, epididymis, vas deferens, and seminal vesicle. Typically, the size of these structures in an adult is approximately 4 x 3.5 x 2 cm. If these structure...

[Read More] Understanding Testicular Issues: Concerns About Size and Position


Understanding Normal Testicle Size and Measurement Techniques

Testicular size Hello, doctor. I would like to ask, what is the average size of a normal testicle? How should it be measured? I feel like my scrotum is not big enough and doesn't compare to the impressive size of the male protagonists in adult films.


Dr. Cai Bingkun reply Urology
The normal size of an adult male's testicles is approximately 4 x 3.5 x 2 centimeters, and they are usually measured clinically using ultrasound. As for the scrotum being smaller, I think you are currently 17 years old, which is still within the developmental age, so it woul...

[Read More] Understanding Normal Testicle Size and Measurement Techniques


Understanding White Bumps on the Scrotum: Causes and Treatments

Scrotal skin I have many small, white, grain-like bumps on the skin of my testicles. They are painless and itch-free, and they have been there for a long time. What could these be?


Dr. Cai Bingkun reply Urology
Ming: Based on your complaint of having some white lumps on the skin of your scrotum, it seems to be epidermoid cysts, which contain keratinized material, similar to facial acne. Alternatively, it could be unexplained skin calcification (containing calcium phosphate). Neither con...

[Read More] Understanding White Bumps on the Scrotum: Causes and Treatments


Understanding Circumcision: Costs and Considerations for Students

Circumcision surgery When my glans is erect, it is still covered by the foreskin, only exposing a small portion... Should I consider undergoing a circumcision? Could you please tell me the cost of this procedure at the Yunlin Hospital? As I am still a student, I would like to kno...


Dr. Cai Bingkun reply Urology
In most males, the glans penis is covered by the foreskin, and as long as it can be cleaned properly, surgery is not necessarily required. If surgery is needed, the cost is out-of-pocket and is approximately $3,500.

[Read More] Understanding Circumcision: Costs and Considerations for Students


Understanding Urological Discomfort: Seeking Help for Persistent Issues

I feel like I'm getting worse? Hello Dr. Tsai, I apologize for bothering you again. I had originally planned to visit you for a consultation, but due to work commitments and feeling embarrassed, I have delayed my visit. Currently, I still feel discomfort in my lower region...


Dr. Cai Bingkun reply Urology
As long as you can engage in sexual activity, it doesn't matter if there is a curvature; after all, it's not like others can see it—only you and your partner know. Moreover, most men have some degree of curvature. So, it's all good! If it truly affects your physica...

[Read More] Understanding Urological Discomfort: Seeking Help for Persistent Issues


Understanding Erectile Issues in Young Men: When to Seek Medical Advice

Question Hello, when my younger brother tries to achieve an erection, it cannot reach a horizontal position and instead points down at a 45-degree angle. It has become firm but he cannot lift it. Is this considered erectile dysfunction? Is this normal for a young person? He has n...


Dr. Cai Bingkun reply Urology
In a normal male, an erect penis typically points forward and upward, and one can even feel the pulsation of the penile artery. However, some individuals may experience curvature to the left, right, or downward, which is known as congenital penile curvature (acquired curvature ma...

[Read More] Understanding Erectile Issues in Young Men: When to Seek Medical Advice


Can Stress Cause Blood in Urine? Understanding Possible Reasons

Can high stress levels cause hematuria? What are the possible causes of hematuria? Can stress be a factor? I've been experiencing increased stress lately, and I've noticed blood in my urine. My symptoms include dark brown (reddish) urine, a slight burning sensation afte...


Dr. Cai Bingkun reply Urology
There are many factors that can cause hematuria, with the most common being infections and urinary tract stones. Stress is unlikely to cause hematuria. Since you reported experiencing a burning sensation and post-void dribbling after urination, it is likely that the hematuria is ...

[Read More] Can Stress Cause Blood in Urine? Understanding Possible Reasons


Understanding Pearly Penile Papules: When to Seek Medical Advice

Phimosis with a protruding lesion on the inner foreskin? Doctor, I have never had sexual intercourse, but when I retract my foreskin, I notice many small, clustered granules that are about the size of a grain of rice. Additionally, there are one or two pimple-like bumps near the ...


Dr. Cai Bingkun reply Urology
The male external genital organ, the penis, normally has a ring of pearly penile papules around the corona of the glans, which is a normal anatomical structure. These may be more prominent near the urethral opening. If you are still concerned, it is advisable to consult a urologi...

[Read More] Understanding Pearly Penile Papules: When to Seek Medical Advice


Concerns About a Hard Lump on My Testicle: What Could It Be?

I need help? I recently discovered a small, marble-like lump attached to my left testicle. It feels round and hard to the touch. I'm worried it might be testicular cancer. Can you please help me understand what this could be? I'm studying in the UK and am currently in t...


Dr. Cai Bingkun reply Urology
A normal scrotal physical examination typically reveals four structures: the testes, epididymis, spermatic cord, and vas deferens. The scrotum is colloquially referred to as the "eight-treasure bag." The hard structure that the author refers to as being attached to the ...

[Read More] Concerns About a Hard Lump on My Testicle: What Could It Be?


Understanding Penile Curvature Correction: Surgical Options Explained

"Reconstructive surgery for limb deformities" or "Correction of limb deformities" Hello: What are the methods for correcting penile curvature surgery? Are there two different approaches? Is there a surgical option that does not require hospitalization? Approxi...


Dr. Cai Bingkun reply Urology
Currently, most procedures utilize the approach of "straightening the curve and shortening the long side." Postoperative penile length is typically about 1 to 2 centimeters shorter than the original length, and hospitalization is usually required. However, there is anot...

[Read More] Understanding Penile Curvature Correction: Surgical Options Explained


Do You Need Hospitalization for Penile Curvature Correction Surgery?

Corrective surgery Is hospitalization required for penile curvature correction surgery? Because if I have to stay in the hospital, it would be embarrassing if my parents found out... @_@ Also, are there any potential complications after the surgery? For example, will I be unable ...


Dr. Cai Bingkun reply Urology
Penile curvature correction surgery is based on the principle of "straightening by resection." Postoperatively, the length of the penis may be slightly shorter than before. The surgery typically requires a hospital stay of 3 to 4 days. Postoperative complications are si...

[Read More] Do You Need Hospitalization for Penile Curvature Correction Surgery?


Understanding Normal Penis Curvature: Is Your 30-Degree Bend Alarming?

The shape of the penis? Hello Dr. Tsai: My penis bends downward by about 30 degrees when erect, and the angle of erection is vertical to my body rather than at a 45-degree angle upwards. Is this normal? Is there any way to improve this?


Dr. Cai Bingkun reply Urology
In a normal male, an erection typically points forward and upward; however, some may have a slight curve to the left or right. If there is no history of injury or disease, and a physical examination reveals no hard lumps on the penis, this is considered congenital penile curvatur...

[Read More] Understanding Normal Penis Curvature: Is Your 30-Degree Bend Alarming?


Addressing Common Urological Concerns: Confidence and Performance Issues

Penile issues Hello, Dr. Tsai. I apologize for bothering you again. After reading your previous response, I still have hope for penile correction due to psychological reasons. Part of it is psychological distress, and part of it is discomfort during sexual activity, as well as fe...


Dr. Cai Bingkun reply Urology
1. For congenital penile curvature, you can take photos with a digital camera or instant camera to capture the angle of curvature during an erection. Remember to take two types of shots: one from above to assess whether it curves to the right or left, and another from the side to...

[Read More] Addressing Common Urological Concerns: Confidence and Performance Issues


Urology Concerns: Anxiety and Urination Issues in Public Restrooms

My trip to the south..? Today I went to the southern part of Taiwan for a trip. I needed to use the restroom, and when I entered, I found there were no urinals, only a trough. As I was about to relieve myself, I suddenly noticed a guy staring at me, which made it difficult for me...


Dr. Cai Bingkun reply Urology
In normal males, urination occurs when the bladder contracts and the external sphincter relaxes. The external sphincter is controlled by the sympathetic nervous system. If there are external factors, such as someone watching you urinate, the sympathetic nervous system becomes hei...

[Read More] Urology Concerns: Anxiety and Urination Issues in Public Restrooms


Understanding Penile Curvature: Treatment Options and Insurance Coverage

Penile curvature Hello, doctor. I would like to ask if your hospital offers penile correction surgery. If so, is it covered by health insurance? My penis tends to curve to the right when erect, and the curvature is quite severe. Additionally, I often experience premature ejaculat...


Dr. Cai Bingkun reply Urology
Men should focus on the function of their genitalia rather than its appearance. As long as they can be with their sexual partners, it doesn't matter if the penis is curved or not; marriage and having children are not an issue. There is no need to worry excessively unless the...

[Read More] Understanding Penile Curvature: Treatment Options and Insurance Coverage


Understanding Unusual Vaginal Discharge: What You Need to Know

Unexplained vaginal discharge in a girlfriend? I heard some concerning news today. My girlfriend told me that she has been experiencing some reddish discharge from her vagina, but her menstrual period just ended. We are unsure what it could be. We have had some intimate activitie...


Dr. Cai Bingkun reply Urology
Your friend has unusual vaginal discharge, and suspects it may be related to issues with the hymen due to intimate activity. It is best to consult a gynecologist for a detailed evaluation and explanation.

[Read More] Understanding Unusual Vaginal Discharge: What You Need to Know


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