Understanding Premature Ejaculation: Causes and Treatment Options in Taoyuan
Premature ejaculation Hello, doctor: I would like to ask you a question. During sexual intercourse, I feel the urge to ejaculate within less than a minute of vaginal penetration, so I withdraw and wait until the urge subsides. However, when I reinsert, I feel the urge to ejaculat...
Dr. Chen Xiuyi reply Urology
Hello: Premature ejaculation is recognized as the most common male sexual dysfunction, with reported prevalence rates ranging from 4% to 39%. Current research has gradually overturned the earlier belief that premature ejaculation is purely a psychological phenomenon. One hypothes...[Read More] Understanding Premature Ejaculation: Causes and Treatment Options in Taoyuan
Supporting a Parent Facing Elevated PSA Levels: Guidance for Families
Overwhelmed family members Hello Dr. Chen: My father is 64 years old this year, and his PSA level was found to be 5.7 during a hospital examination, which exceeds the standard value of 4. The doctor has prescribed a week's worth of medication and mentioned that if there is n...
Dr. Chen Xiuyi reply Urology
Hello: PSA is currently an indicator for the early detection of prostate cancer, and a value of 5.7 does not necessarily indicate malignancy. Prostatitis and benign prostatic hyperplasia can also lead to elevated levels. For younger patients with elevated PSA, early diagnosis of ...[Read More] Supporting a Parent Facing Elevated PSA Levels: Guidance for Families
Managing Penile Curvature: Post-Surgery Pain and Treatment Options
Penile curvature Hello doctor, last year I underwent corrective surgery for congenital penile curvature at Taipei Hospital in Xinzhuang. However, a few days ago, I may have overstressed the sutures in the corpus cavernosum, and it seems like they have ruptured. Now, the shape app...
Dr. Chen Xiuyi reply Urology
Hello: After undergoing corrective surgery for congenital penile curvature, it seems that the sutures of the tunica albuginea may have ruptured. It is important to monitor for any signs of hematoma and whether there is any deformity of the penis. It is advisable to seek medical a...[Read More] Managing Penile Curvature: Post-Surgery Pain and Treatment Options
Understanding Glandular Changes: Is a 1.5cm Opening Normal?
Hello, doctor. I have a question regarding issues with the glans penis? Hello doctor, due to my personal needs, the opening of my glans has become larger. Is an opening of about 1.5 centimeters normal? Are there any surgical options available to reduce the size of the glans openi...
Dr. Chen Xiuyi reply Urology
Hello: Is the glans opening referring to the urethral meatus? If it is an enlarged urethral opening, it should not be related to increased sexual activity. It is advisable to seek medical attention to rule out hypospadias of the glans. Sincerely, Dr. Chen Hsiu-Yi, Urology.[Read More] Understanding Glandular Changes: Is a 1.5cm Opening Normal?
Correcting Left-Sided Erection: Methods and Costs Explained
Crooked? Hello Dr. Chen, I have a question that has been bothering me. When I have an erection, it tends to lean to the left quite a bit. Is there any method to correct this? I previously read reports that injecting a certain substance could help, but I'm not sure if that&#x...
Dr. Chen Xiuyi reply Urology
Hello: The penis tends to lean to the left during erection, which is generally related to issues with the tunica albuginea structure. The effectiveness of medication treatment is limited. It is best to seek medical attention. Sincerely, Dr. Chen Hsiu-Yi, Urologist.[Read More] Correcting Left-Sided Erection: Methods and Costs Explained
Understanding Post-Surgery Symptoms After Kidney Stone Treatment
Could you please provide more details about the issue with kidney stones? I underwent extracorporeal shock wave lithotripsy on November 7th, targeting the right side. In the days leading up to the procedure, I experienced cramping sensations, but I am now back to normal. During a...
Dr. Chen Xiuyi reply Urology
Hello: After extracorporeal shock wave lithotripsy, there may be mild pain. Follow-up with X-rays, renal ultrasound, and urinalysis can be performed. If all results are normal, it may not be related to the stones and could be due to musculoskeletal pain. Sincerely, Dr. Chen Hsiu-...[Read More] Understanding Post-Surgery Symptoms After Kidney Stone Treatment
Understanding Cauliflower Warts: Risks and Transmission in Urology
Cauliflower..? Doctor, I have a flesh-colored growth at the corner of my mouth. I am considering a biopsy to check if it is a wart. During the biopsy, some blood flowed into my mouth and I swallowed it. If the growth at the corner of my mouth is a wart, will it self-transmit to c...
Dr. Chen Xiuyi reply Urology
Hello: Warts (commonly known as cauliflower) are a type of viral infection. They are typically transmitted through contact and rarely occur in the oral cavity, but it is possible. It is advisable to follow up with examinations. Sincerely, Dr. Hsiu-Yi Chen, Urology.[Read More] Understanding Cauliflower Warts: Risks and Transmission in Urology
Understanding Lasting Solutions for Premature Ejaculation: Do They Work?
Issues with lasting solutions? I usually feel very sensitive when washing my glans during a shower. Additionally, when I have intercourse, I ejaculate in less than three minutes. I'm in my early twenties. There are some products on the market that claim to prolong duration; ...
Dr. Chen Xiuyi reply Urology
Hello: If the foreskin is longer, the skin on the glans may be more sensitive. The ingredients of the prolonging liquids available on the market are unknown. If they contain anesthetics, they will reduce sensitivity. Sincerely, Dr. Chen Hsiu-Yi, Urologist.[Read More] Understanding Lasting Solutions for Premature Ejaculation: Do They Work?
Understanding Pain and Discharge from the Glans: Is It a STD?
I have pain inside the glans? I had unprotected sexual intercourse a few days ago, and I have been experiencing pain inside the glans for the past two days. Additionally, I notice a white discharge, and it hurts when I urinate. Am I infected with a sexually transmitted infection?...
Dr. Chen Xiuyi reply Urology
Hello: Based on what you've described, you may have urethritis. It is best to seek medical attention, arrange for a bacterial culture, and receive antibiotic treatment. Sincerely, Dr. Chen Hsiu-Yi, Urologist.[Read More] Understanding Pain and Discharge from the Glans: Is It a STD?
Which Department to Visit for STD Blood Testing After Assault?
If you suspect a sexually transmitted infection (STI) and need a blood test, you should schedule an appointment with a specialist in Infectious Diseases or a Sexual Health Clinic? I'm sorry to hear that you're going through this. It's important to talk to a healthc...
Dr. Chen Xiuyi reply Urology
Hello: Oral sex involving the external genitalia can transmit sexually transmitted infections (STIs). To determine if an infection has occurred, one should observe for clinical symptoms and laboratory test results. You can make an appointment at the urology clinic. The cost will ...[Read More] Which Department to Visit for STD Blood Testing After Assault?
Understanding Painless Bumps on the Foreskin: When to Seek Medical Advice
Issues related to the foreskin? Hello doctor, I have a question to ask you. I have read some content from other inquirers stating that I have developed bubble-like formations on my foreskin. They are not painful, not itchy, and cannot be burst. Additionally, there are small raise...
Dr. Chen Xiuyi reply Urology
Hello: Regarding changes in the skin, a thorough physical examination is often necessary. It is best to seek medical attention for confirmation by a treating physician. Sincerely, Dr. Chen Hsiu-Yi, Urologist.[Read More] Understanding Painless Bumps on the Foreskin: When to Seek Medical Advice
Understanding Frequent Urination: Causes and Solutions for Relief
Frequent urination I have a question! After returning from work, I've noticed that my frequency of urination has increased (urinating). I'm not sure if it's caused by stress... What should I do to treat this? I often drink a little water, and then I feel the urge t...
Dr. Chen Xiuyi reply Urology
Hello: "Frequent urination" is merely a symptom, not a disease itself. Most people refer to frequent urination as the need to urinate more than usual (more than 8 times during the day) and with shorter intervals. The bladder capacity is approximately 350 to 450 millilit...[Read More] Understanding Frequent Urination: Causes and Solutions for Relief
Am I Experiencing Kidney Stones? Understanding Symptoms and Pain Relief
Am I experiencing kidney stones, or could it be other symptoms? This afternoon, when I was about to wake up from my nap, I suddenly felt a sharp pain in the upper right area of my abdomen and couldn't get up. So, I went to the hospital, initially seeing a neurosurgeon and la...
Dr. Chen Xiuyi reply Urology
Hello: Based on the information provided, the likelihood of ureteral stones is the highest. To confirm the diagnosis, a contrast-enhanced intravenous pyelography should be arranged. It is best to seek medical attention for the examination. Regarding treatment: during severe pain,...[Read More] Am I Experiencing Kidney Stones? Understanding Symptoms and Pain Relief
Understanding Scrotal Cysts: Causes, Concerns, and Treatment Options
Blister on the testicle? Hello, I have developed a cyst next to my testicle in the scrotum, and I am very anxious. I immediately went to Cheng Ching Hospital in Taichung for an examination. The doctor said that the cyst is not on the testicle itself, so it is less concerning, and...
Dr. Chen Xiuyi reply Urology
Hello: A cyst adjacent to the testicle within the scrotum may be a spermatocele, hydrocele, or remnants of embryonic tissue, among others. Generally, these conditions are benign. To confirm the diagnosis, surgical excision and pathological examination are necessary. Sincerely, Dr...[Read More] Understanding Scrotal Cysts: Causes, Concerns, and Treatment Options
Understanding Changes in Ejaculation and Urinary Sensations After Masturbation
Why is this happening? I have been experiencing some issues related to masturbation. One time, while I was masturbating, I held my hand over my urethra, and afterward, I felt a sensation similar to having urine trapped, accompanied by a slight burning feeling that lasted for a wh...
Dr. Chen Xiuyi reply Urology
Hello: A decrease in semen volume and weak ejaculation may be related to the frequency of ejaculation. If symptoms persist, it is advisable to seek medical attention. Sincerely, Dr. Chen Hsiu-Yi, Urologist.[Read More] Understanding Changes in Ejaculation and Urinary Sensations After Masturbation
Understanding Urological Issues: Seeking Help for Frequent Urination and Pain
I'm sorry, but I need more context to provide an appropriate response? Hello Doctor: I have some questions I would like to ask you. When I was a child, I underwent urethral reconstruction surgery due to hypospadias. During elementary school, I frequently experienced the foll...
Dr. Chen Xiuyi reply Urology
Hello: After undergoing urethral reconstruction surgery for hypospadias, if there were no previous symptoms and the urine stream was strong, the current symptoms may not be related to the hypospadias. Hematuria may indicate infection, stones, tumors, etc. If symptoms persist, it ...[Read More] Understanding Urological Issues: Seeking Help for Frequent Urination and Pain
Understanding Hard Lumps on the Testicles: Is It Tuberculous Orchitis?
Lump There is a hard lump on the testicle; could this be tuberculous orchitis? It is not painful. What treatment should be considered?
Dr. Chen Xiuyi reply Urology
Hello: A painless lump above the testicle may be indicative of epididymal disease or some cysts, and it is best to seek medical attention for a confirmed diagnosis. Diagnosing tuberculous epididymitis is challenging and cannot be reliably confirmed through physical examination or...[Read More] Understanding Hard Lumps on the Testicles: Is It Tuberculous Orchitis?
Understanding the Link Between Small Kidney Stones and Hematuria
0.2 to 0.3 cm kidney stones with hematuria? Hello Dr. Chen, during my last health check-up in 2004 and the recent one in 2006, both tests revealed hematuria. In the 2004 check-up at Taoyuan Hospital, further imaging did not show any significant abnormalities, and the outpatient d...
Dr. Chen Xiuyi reply Urology
Hello: The presence of hematuria in male patients indicates urinary tract bleeding, which can have various causes, one of which is urinary stones. Kidney stones measuring 0.2 to 0.3 cm generally do not require surgical intervention and can be monitored every six months with urine...[Read More] Understanding the Link Between Small Kidney Stones and Hematuria
Understanding Foamy Urine, Lower Back Pain, and Loose Stools
Foamy urine, lower back pain, and loose stools? Hello, Director Chen: I have noticed bubbles in my urine for a while now. I have been to the hospital for blood tests and urinalysis, both of which came back normal. However, I took medication for a duodenal ulcer for the past 2-3 m...
Dr. Chen Xiuyi reply Urology
Hello: The causes of lower back pain may include diseases related to the urinary tract, musculoskeletal system, gallbladder, pancreas, and others. When caused by urinary tract diseases, urine tests will generally show abnormalities in most patients, except for a few. If symptoms ...[Read More] Understanding Foamy Urine, Lower Back Pain, and Loose Stools
Understanding Urinary Issues: Symptoms of Inflammation or Stones?
Urological issues Hello Doctor: I drink about 1000cc of water daily and I usually enjoy drinking beverages with strong flavors (salty, spicy, sour). After urination, I often experience discomfort in my urethra (similar to a burning or stinging sensation), which requires me to rin...
Dr. Chen Xiuyi reply Urology
Hello: Based on what you described, a urinary tract infection cannot be ruled out. It is best to seek medical attention and have your urine tested. When there is an infection, it is not advisable to consume overly spicy foods. Sincerely, Dr. Chen Hsiu-Yi, Urologist.[Read More] Understanding Urinary Issues: Symptoms of Inflammation or Stones?