Could Red, Itchy Spots Indicate Syphilis Rash After Sexual Encounter?
There are two red, itchy areas on the skin. I would like to know if this could be syphilis rash? Hello, doctor. Recently, I had sexual intercourse with an online acquaintance, and we used a condom throughout. I am inquiring because I've been experiencing itching in my arms, ...
Dr. Cai Zhuorong reply Urology
It is recommended that you undergo a blood test.[Read More] Could Red, Itchy Spots Indicate Syphilis Rash After Sexual Encounter?
Understanding Painful Urination: Causes Beyond Urethritis
Painful urination but not urinary tract infection? Hello Doctor, during my last visit to the urology clinic, I mentioned that I have symptoms of tinea, frequent urination, and penile pain. The doctor first performed a physical examination of my penis and then conducted a urinalys...
Dr. Cai Zhuorong reply Urology
Chronic prostatitis is indeed one of the differential diagnoses; it is recommended that you undergo further follow-up treatment.[Read More] Understanding Painful Urination: Causes Beyond Urethritis
Understanding the Impact of Ejaculation on Health and Fertility
Abstinence from sexual activity? 1. Are acne, hair loss, dull complexion, and obesity related to ejaculation? Could these symptoms be a result of insufficient kidney energy due to ejaculation? 2. Is it healthy to abstain from ejaculation for a year or six months if experiencing...
Dr. Cai Zhuorong reply Urology
Your question leans towards Traditional Chinese Medicine, so I recommend consulting a specialist in that field. For ovulation issues, you may want to consult a gynecologist.[Read More] Understanding the Impact of Ejaculation on Health and Fertility
Understanding Testicular Torsion: Symptoms and When to Seek Help
Testicular torsion Hello doctor, I would like to ask about a situation where sometimes when I wake up in the morning, my right testicle appears to be much higher than usual (this occurs about once every two to three weeks or at random). There is only a slight pain, which goes awa...
Dr. Cai Zhuorong reply Urology
It is indeed possible; if symptoms persist, please seek medical attention promptly.[Read More] Understanding Testicular Torsion: Symptoms and When to Seek Help
Understanding Symptoms of Balanitis: Redness, Pain, and Discharge
The foreskin is red and swollen, with a small area of broken skin that is bleeding. There is itching at the opening, and there is a white substance present. There is also a white substance on the glans? Hello Doctor: About a week ago, I noticed swelling and redness of the foreski...
Dr. Cai Zhuorong reply Urology
As you mentioned, I recommend that you seek medical attention to undergo blood tests to rule out diabetes. Balanitis can be treated with medication. If it recurs, surgical intervention is advised.[Read More] Understanding Symptoms of Balanitis: Redness, Pain, and Discharge
Understanding Glans Exposure and Concerns in Urology
Glans issues? Hello, doctor: 1. During masturbation, I experienced a moment where I was either overly excited or something else happened, and at the moment of ejaculation, my glans completely exposed (I have phimosis). After my penis softened, the glans remained outside, and I ...
Dr. Cai Zhuorong reply Urology
1. It is important to monitor for any signs of phimosis. 2. The length of the penis is determined by genetics and cannot be changed; it does not have significant implications.[Read More] Understanding Glans Exposure and Concerns in Urology
Understanding Perineal Pain After Ejaculation: Causes and Concerns
Perineal pain after ejaculation? Hello, doctor. I would like to inquire about a concern I've been experiencing over the past few weeks. Whether during sexual intercourse or masturbation, which occurs approximately every 2 to 3 days, I feel a sharp pain in the area from the p...
Dr. Cai Zhuorong reply Urology
Hello, the sharp pain from the perineum to the penis may decrease if you reduce the frequency of ejaculation, so it is advisable to temporarily lower the frequency. Generally, 2-3 times a week is not considered too frequent, and you can resume after the symptoms improve. If you e...[Read More] Understanding Perineal Pain After Ejaculation: Causes and Concerns
Can UTI Infections Spread Through Shared Bathtubs?
Cauliflower infection Doctor, may I ask if there was a lesion present and I used the bathtub in a hotel (after draining the water), and then the next user used the bathtub as well... could this transmit an infection to them? I hope you can help me with this question. Thank you.
Dr. Cai Zhuorong reply Urology
The probability of indirect contact transmission is very low, but it is not impossible.[Read More] Can UTI Infections Spread Through Shared Bathtubs?
Understanding Recurrence and HPV Persistence in Urology
Possibility of recurrence or persistence? Hello Doctor, I underwent electrosurgery for genital warts in early August last year and started using LedaMed. Three months later (in December), during my follow-up appointment, the doctor said there was no recurrence (no HPV testing was...
Dr. Cai Zhuorong reply Urology
According to research, the human papillomavirus (HPV) may be cleared by the immune system within two years after treatment; however, there are cases where it remains latent in the body for a longer period. If a gynecological examination confirms that there are no lesions, fertili...[Read More] Understanding Recurrence and HPV Persistence in Urology
Understanding Pain During Masturbation: Causes and Solutions
Pain during masturbation? Hello Doctor: I have recently started masturbating in the past few weeks. Previously, I had no issues with manual stimulation, but a few days ago, when I tried using lubricant for masturbation, I experienced a dull pain on the left side of the internal p...
Dr. Cai Zhuorong reply Urology
Trauma can indeed cause pain, and it is recommended that you seek medical evaluation for examination.[Read More] Understanding Pain During Masturbation: Causes and Solutions
Understanding HPV: Symptoms, Treatment, and Prevention of Warts
Suspected infection of genital warts? Hello, doctor. Last Friday, I went to the urology department for a routine urine test due to slight discomfort (a mild burning sensation) while urinating. I suddenly remembered that I had previously noticed a small growth resembling a polyp u...
Dr. Cai Zhuorong reply Urology
Based on your description, it is difficult to determine whether it is genital warts. The most accurate method is to perform a surgical excision and conduct a pathological examination of the tissue. As for your earlier questions regarding the diagnosis of genital warts, those meth...[Read More] Understanding HPV: Symptoms, Treatment, and Prevention of Warts
Understanding Penis Skin Peeling: Causes and Concerns in Urology
Penile issues Doctor, I recently noticed peeling on my penis. I haven't had sexual intercourse recently; the last time was a month ago, and I used a condom. Since then, my girlfriend has been helping me with her hands or mouth once a week. I'm a bit worried about the pe...
Dr. Cai Zhuorong reply Urology
The common differential diagnosis primarily includes balanitis, and specific skin diseases cannot be ruled out.[Read More] Understanding Penis Skin Peeling: Causes and Concerns in Urology
Quick Ejaculation and Erection Issues: Understanding Causes and Solutions
Experiencing rapid ejaculation and insufficient hardness during masturbation? I have a habit of masturbating quite frequently (every two to three days), and at my age, I’m unsure if this frequency is too high. In the past, my average masturbation duration from being flaccid to ej...
Dr. Cai Zhuorong reply Urology
In medicine, it is generally believed that masturbation is not problematic; however, it should not be used as a measure of your sexual function. As long as both partners are satisfied during intercourse, that is what truly matters.[Read More] Quick Ejaculation and Erection Issues: Understanding Causes and Solutions
Pain Near Frenulum and Glans: Causes and Treatment Options
Pain near the frenulum or the ejaculation outlet, as well as issues with the glans? 1. Hello Doctor, I have been experiencing some pain at the tip of my penis (possibly the frenulum) over the past few days. When I masturbate and apply more pressure, I feel pain near the frenulum ...
Dr. Cai Zhuorong reply Urology
1. It is indeed necessary to consider trauma or balanitis. 2. The red spots have different differential diagnoses based on their various forms, and it is recommended that you visit a urology clinic for evaluation and treatment.[Read More] Pain Near Frenulum and Glans: Causes and Treatment Options
Frequent Urination at Night: Causes and Solutions for Better Sleep
Frequent urination and nocturia? Hello Doctor: When I lie down, especially flat on my back, I feel a soreness in my penis and scrotum, along with a strong urge to urinate, even though I just went to the bathroom not long ago. When I do urinate, it’s only a small amount, and I oft...
Dr. Cai Zhuorong reply Urology
If acute urinary infections, stones, or conditions such as diabetes have been ruled out, the primary consideration should be chronic prostatitis.[Read More] Frequent Urination at Night: Causes and Solutions for Better Sleep
Simultaneous Prostate Laser Surgery and Biopsy: Is It Safe?
Simultaneous transurethral laser prostatectomy and biopsy procedure? Dr. Tsai: Hello, my PSA levels are increasing rapidly, and due to benign prostatic hyperplasia, my urinary flow rate is very low. After evaluation by my doctor, there is concern about the possibility of a tumor....
Dr. Cai Zhuorong reply Urology
It is feasible to perform two surgeries simultaneously. Of course, if there is a high suspicion of prostate cancer, a biopsy can be performed first. Once the biopsy confirms the presence of a malignant tumor, a radical prostatectomy can be scheduled. This approach can save the co...[Read More] Simultaneous Prostate Laser Surgery and Biopsy: Is It Safe?
Can You Self-Catheterize While Sitting? A Guide for Spinal Injury Patients
Is it possible to insert a urinary catheter while sitting? Hello, I am a spinal cord injury patient and I want to self-catheterize using a double-lumen catheter with a saline-filled balloon. Can I insert the catheter while sitting, or do I have to lie down to do it? Thank you.
Dr. Cai Zhuorong reply Urology
Sure, I have many patients who come to the clinic and change their catheters while sitting, and it doesn't require any special techniques. For patients with spinal cord injuries, being able to self-catheterize without assistance can greatly enhance their quality of life. The...[Read More] Can You Self-Catheterize While Sitting? A Guide for Spinal Injury Patients
Are Prostate Exam Costs Covered by Health Insurance in Taiwan?
Are the costs for prostate-related examinations covered by health insurance? Hello Dr. Tsai, I am fifty years old and have been experiencing frequent nocturia. After urination, I often feel a persistent urge to urinate. After researching, I suspect this may be related to benign p...
Dr. Cai Zhuorong reply Urology
Examinations within a reasonable range are covered by health insurance. Some urology specialty clinics and most hospitals with urology departments are equipped with the necessary instruments and equipment.[Read More] Are Prostate Exam Costs Covered by Health Insurance in Taiwan?
Can Minors Visit Hospitals for STD Testing Without Guardian Consent?
Can a minor go to the hospital on their own to get tested for sexually transmitted infections (STIs)? Is it still necessary for a guardian to accompany or consent?
Dr. Cai Zhuorong reply Urology
Your question pertains to legal matters and is not within the medical profession. In practice, hospitals do not require a consent form for blood tests and other examinations, except for HIV testing, which does require consent.[Read More] Can Minors Visit Hospitals for STD Testing Without Guardian Consent?
Understanding Persistent Itching and Sensitivity in the Glans: A Urology Perspective
Itching at the tip of the glans? Hello Doctor: About two weeks ago, I started experiencing a tingling and itchy sensation at the tip of my glans (it feels like it's at the urethral opening), but it’s not painful. Sometimes it’s mild, and other times it’s quite sensitive. To ...
Dr. Cai Zhuorong reply Urology
If there is risky sexual behavior, sexually transmitted infections should still be considered. Further examination may include cystoscopy, but abnormalities may not necessarily be detected. All tests carry a degree of uncertainty, so all diagnoses are merely "more likely,&qu...[Read More] Understanding Persistent Itching and Sensitivity in the Glans: A Urology Perspective