Failed Vein Surgery for Erectile Dysfunction: A Patient's Harrowing Experience
Xu Gengrong underwent venous stripping surgery, which was ineffective and resulted in subsequent complications? About ten years ago, I discovered that I had erectile dysfunction. The symptom was that as soon as any sexual stimulation stopped, my penis would quickly become flaccid...
Dr. Chen Jiansheng reply Urology
Based on your description, it seems you have gone through a lot of hardship and suffering. If you are in the northern part of Taiwan, you might consider visiting the Urology Department at National Taiwan University. Dr. Chang Hung-Chiang is currently the president of the Male Med...[Read More] Failed Vein Surgery for Erectile Dysfunction: A Patient's Harrowing Experience
Understanding the Risk of HPV Infection from Touching Contaminated Surfaces
The probability of cauliflower infection? Hello doctor, I have a question. Today, I used the phone of a patient with genital warts and typed on it. About half an hour later, I went to the restroom (and touched my genitals). Am I at risk of infection?
Dr. Chen Jiansheng reply Urology
Skin wound contact is necessary.[Read More] Understanding the Risk of HPV Infection from Touching Contaminated Surfaces
Understanding Cauliflower Treatment: Pain, Itching, and Healing Insights
Cauliflower treatment Hello, doctor. I would like to ask: 1. Is it normal to experience stinging or itching after applying medication to the affected area? Does this indicate that the medication is effective, or is it a sign of inflammation? 2. It has been four days since I appli...
Dr. Chen Jiansheng reply Urology
It is normal for some people to experience mild tingling sensations; however, if the tingling intensifies, it is important to stop the medication immediately. If there are still concerns about the treatment's effectiveness, a consultation with a physician for a personal eval...[Read More] Understanding Cauliflower Treatment: Pain, Itching, and Healing Insights
Understanding Chlamydia Testing: What Do IgG and IgM Results Mean?
Mycoplasma testing The results indicate that the individual was tested for Chlamydia trachomatis antibodies five months after a high-risk exposure. An IgG level of 0.94 suggests a borderline or gray area result, while an IgM level of 0.11 indicates no acute infection. The IgG val...
Dr. Chen Jiansheng reply Urology
IgM is an indicator of acute infection, representing recent or ongoing infection, while IgG typically indicates a past infection.[Read More] Understanding Chlamydia Testing: What Do IgG and IgM Results Mean?
Understanding Abdominal Pain After Frequent Masturbation: Causes and Solutions
Masturbating five times a week has caused lower abdominal pain? I have been experiencing discomfort after engaging in sexual activities and masturbation. My wife had a cesarean section due to her pregnancy, so I refrained from having intercourse with her and resorted to masturbat...
Dr. Chen Jiansheng reply Urology
It could be prostatitis. Please consult a urologist, as sometimes urinalysis may not reveal the condition.[Read More] Understanding Abdominal Pain After Frequent Masturbation: Causes and Solutions
Small Growth in Perineum: What You Need to Know
Cauliflower Concerns Hello doctor, in June of this year, I had sexual relations with my boyfriend. Recently, I discovered a very small growth in the perineal area. I visited a gynecologist earlier this month, but the doctor said I didn't have any growths. However, this small...
Dr. Chen Jiansheng reply Urology
If the cauliflower continues to grow, and you are truly concerned, consider excision and sending it for pathological examination.[Read More] Small Growth in Perineum: What You Need to Know
Risk of HIV Transmission from Unprotected Sex After Minor Injury
Can this lead to contracting HIV? If your boyfriend accidentally caused a small tear near the vagina during foreplay, which resulted in a little bleeding, and then proceeded to have unprotected vaginal intercourse with ejaculation, there is a potential risk of HIV transmission. T...
Dr. Chen Jiansheng reply Urology
There is a possibility of exposure through contact with bodily fluids.[Read More] Risk of HIV Transmission from Unprotected Sex After Minor Injury
Understanding HPV Type 32: Implications for Health and Relationships
Detection of HPV type 32 in the genital area? I engaged in risky sexual behavior on July 14. Two days later, I started feeling discomfort, unsure if it was psychological or a real infection, as I constantly felt like there was residual urine in my glans and that it might drip out...
Dr. Chen Jiansheng reply Urology
HPV has many types, and its survival in the natural environment is not strong. It is primarily transmitted through intimate contact, so there is no need to be overly anxious. The presence of HPV in epithelial cells does not necessarily mean that warts will develop, as most infect...[Read More] Understanding HPV Type 32: Implications for Health and Relationships
Can You Get Syphilis Even with Condom Use? Understanding the Risks
Can you get syphilis even if you use a condom? On Friday, feeling hopeless about life, I went to what is commonly referred to as a "Vietnamese shop" and received a full service. I used a condom throughout the entire process and did not ejaculate; later, the provider hel...
Dr. Chen Jiansheng reply Urology
Fluid exchange and micro-wound are key points.[Read More] Can You Get Syphilis Even with Condom Use? Understanding the Risks
Understanding Tongue Ulcers After Oral Sex: Infection or STD?
Tongue ulcers after oral sex? About five days ago, on August 10th, I had sexual intercourse with a male online friend. During the process, there was oral sex involved, and at that time, I had a small sore on my tongue, but I didn't think much of it. A few days later, the ulc...
Dr. Chen Jiansheng reply Urology
You can seek treatment from either oral and maxillofacial surgery or otolaryngology (ENT).[Read More] Understanding Tongue Ulcers After Oral Sex: Infection or STD?
Impact of HIV on Male Genital Health: Risks and Surgical Considerations
In males with HIV, the genital organs may undergo various changes due to the effects of the virus and associated conditions. These changes can include: 1. **Lymphadenopathy**: Swelling of lymph nodes in the groin area. 2. **Genital lesions**: The presence of sores or lesions, wh...
Dr. Chen Jiansheng reply Urology
Treatment of diseases that may cause nonspecific rashes does not necessarily involve excision of the affected area.[Read More] Impact of HIV on Male Genital Health: Risks and Surgical Considerations
Understanding Risks of Unprotected Oral Sex and HIV Treatment Options
Recent unprotected oral sex? I recently visited a parlor and engaged in unprotected oral sex. It has been a week, and I have no symptoms. I would like to know if the risk is higher with ejaculation in the mouth. If I were to contract HIV, can you tell me if treatment would not be...
Dr. Chen Jiansheng reply Urology
Please seek medical examination and avoid making unnecessary assumptions.[Read More] Understanding Risks of Unprotected Oral Sex and HIV Treatment Options
Understanding Herpes: Symptoms, Testing, and Transmission Risks
Herpes issues? 1. Is it possible that I was first infected with HSV at that time when I experienced sore throat and difficulty urinating after intimate contact? 2. What does a high IgG value of 114 RU/mL and 124 RU/mL indicate? 3. Does an increasing IgG value mean that I am being...
Dr. Chen Jiansheng reply Urology
1. After engaging in intimate activities, I experienced a sore throat and difficulty urinating the next day. Could this indicate that I was infected with HSV for the first time? --> It's difficult to determine unless you had previously tested for antibodies. 2. What doe...[Read More] Understanding Herpes: Symptoms, Testing, and Transmission Risks
Can Scrotal Skin Breaks Increase STD Risk During Sexual Activity?
Is a torn scrotum contagious for sexually transmitted diseases? Hello doctor, I recently had scrotal eczema, which sometimes causes itching and skin breakdown. Today, I had sexual intercourse with a woman I am not very familiar with, and we used a condom throughout. However, I am...
Dr. Chen Jiansheng reply Urology
There is a possibility that all diseases transmissible through bodily fluids can be transmitted.[Read More] Can Scrotal Skin Breaks Increase STD Risk During Sexual Activity?
Understanding Cauliflower Warts: HPV Concerns and Treatment Options
Cauliflower (Condylomata Acuminata) Hello Dr. Chen: I am currently working abroad. Three months ago, I engaged in a regrettable high-risk behavior. I used condoms throughout the entire intercourse, but did not use one during oral sex. About 15 days before leaving for work abroad,...
Dr. Chen Jiansheng reply Urology
If the disease cannot be determined, it is advisable to seek medical attention as soon as possible, especially if the condition continues to progress.[Read More] Understanding Cauliflower Warts: HPV Concerns and Treatment Options
Is It Genital Warts? Understanding Symptoms and Next Steps
Could you please tell me if this is a cauliflower growth? Or is it something else? What would you recommend for follow-up... should I see a urologist? Last Wednesday, due to social obligations, I visited a massage parlor where I am 100% certain that the other party only used thei...
Dr. Chen Jiansheng reply Urology
The photo does not appear to show typical cauliflower-like changes. If there is no recurrence after the initial treatment, it is sufficient to continue monitoring.[Read More] Is It Genital Warts? Understanding Symptoms and Next Steps
Understanding Syphilis: Treatment, Testing, and Transmission Concerns
Regarding indices? Hello Doctor: Three to four months ago, I had a skin tear on my glans and visited a clinic, initially thinking it was balanitis. After a week of treatment with no improvement, I returned to the clinic. This time, the doctor suspected the presence of primary syp...
Dr. Chen Jiansheng reply Urology
Appropriate penicillin treatment can reduce the infectivity of patients within 24 to 48 hours. What you are referring to is likely the VDRL test, which is used to monitor the activity of the disease and the effectiveness of treatment. It is best to compare results from the same t...[Read More] Understanding Syphilis: Treatment, Testing, and Transmission Concerns
Understanding Circumferential Swelling at the Corona: What You Need to Know
Swelling around the coronal sulcus? Hello, doctor: I apologize for the inconvenience, but since there are no urology clinics open on weekends and I am feeling very anxious to know, I have to ask here. After taking a shower today, I noticed that the area where the glans meets the ...
Dr. Chen Jiansheng reply Urology
It is possible that a definitive diagnosis cannot be made without a personal examination.[Read More] Understanding Circumferential Swelling at the Corona: What You Need to Know
Understanding Symptoms and Management After Ureteral Stone Surgery
Symptoms and Management of Ureteral Stones Ureteral stones can cause a variety of symptoms, including: 1. Severe pain: Often described as sharp or cramping, typically located in the lower back, side, or abdomen, and may radiate to the groin. 2. Hematur Hello Dr. Chen, my father...
Dr. Chen Jiansheng reply Urology
Post-surgery, damage to the urethral mucosa or friction from a double-J stent can naturally lead to hematuria. If the symptoms are severe, can the patient still exercise? A follow-up appointment for examination is necessary. The symptoms you described regarding ureteral stones, i...[Read More] Understanding Symptoms and Management After Ureteral Stone Surgery
Is It Normal to Experience Pain After Gonorrhea Treatment?
Is it normal to experience a prickling sensation in the penis after gonorrhea? Initially, I was diagnosed with gonorrhea by the doctor. At that time, I had symptoms of painful urination, hematuria, and frequent urination. After going to the hospital for examination, I received a ...
Dr. Chen Jiansheng reply Urology
In the late stage of acute infection, tissue swelling can be assessed through urine culture to determine if it is completely cleared. Please report the medication status to the physician.[Read More] Is It Normal to Experience Pain After Gonorrhea Treatment?