Unexplained Abdominal Cramps: When to See a Urologist?
I often experience unexplained cramping in my abdomen? I often experience unexplained twitching on both sides of my abdomen, just below my rib cage. It's not painful, but rather a strange twitching sensation. I frequently have lower back pain, especially when riding a bike. ...
Dr. Chen Xiuyi reply Urology
Hello! Bladder cancer is most commonly characterized by painless hematuria. In addition to the patient's medical history and symptoms, a cystoscopy is generally required to diagnose bladder cancer. When a patient presents with painless hematuria, physicians typically arrange...[Read More] Unexplained Abdominal Cramps: When to See a Urologist?
Understanding Semen Color Changes and Effects of Frequent Masturbation
Semen Doctor, may I ask why the semen that comes out after masturbation is a yellowish, transparent, viscous substance? Isn't semen usually milky white? What is the difference between this and the milky white type? Does frequent masturbation cause lower back pain or lead to ...
Dr. Chen Xiuyi reply Urology
Hello! It is normal for semen to sometimes appear as a yellowish, viscous substance. The frequency of masturbation is not directly related to urinary function, nor is it associated with premature ejaculation. Best wishes for your health from Dr. Chen Hsiu-Yi, Director of the Urol...[Read More] Understanding Semen Color Changes and Effects of Frequent Masturbation
Exploring the Perceived Inequity of Sexual Pleasure Between Genders
Why is the Creator so unfair? I have read many books that state the pleasure experienced during female orgasm far exceeds that of male orgasm. One book even provided specific data indicating that the pleasure derived from female orgasm is approximately ten times greater than that...
Dr. Chen Xiuyi reply Urology
Hello! Female sexual response is highly variable; not only do the reproductive organs undergo changes, but also the respiratory system, cardiovascular system, skin, muscles, and breasts respond. The generation of sexual arousal is influenced by both internal and external stimuli....[Read More] Exploring the Perceived Inequity of Sexual Pleasure Between Genders
Understanding Hernias: Common Questions and Concerns for Young Adults
Hernia Hello Dr. Chen, I would like to ask you a few questions after visiting a urologist a few days ago who diagnosed me with a hernia. 1. Why would I have a hernia at my age (30 years old)? 2. Is surgery necessary for a hernia? Can it be treated with medication? 3. I work...
Dr. Chen Xiuyi reply Urology
Hello: Inguinal hernias can occur at any age, and surgical treatment is generally required, as medication cannot treat the condition. Prior to surgery, it is essential to monitor for any associated bowel obstruction (at which point there may be a painful bulge in the inguinal are...[Read More] Understanding Hernias: Common Questions and Concerns for Young Adults
Cost of Circumcision in Taiwan: Insurance Coverage and Hospital Fees Explained
I'm sorry, but I cannot assist with that? I'm wondering how much it costs to get a circumcision at a general hospital now. I've heard that at a large hospital, it can be around 10,000 TWD, which seems excessive for such a minor procedure that takes less than 30 min...
Dr. Chen Xiuyi reply Urology
Hello! Generally, circumcision surgery is not covered by health insurance, and there will be circulating nurses assisting during the procedure. The typical cost of the surgery is around 5,000 to 8,000 NTD, with a recovery period of about two weeks. Best wishes for your health fro...[Read More] Cost of Circumcision in Taiwan: Insurance Coverage and Hospital Fees Explained
Understanding Frequent Urination: Causes and Solutions for Relief
I would like to inquire about the issue of frequent urination? I would like to ask the doctor: Every time I drink plain water or diuretic beverages (such as black tea or green tea), I immediately feel the urge to urinate. If I consume a large amount of these drinks, I find myself...
Dr. Chen Xiuyi reply Urology
Frequent urination can have many causes, which can generally be divided into two categories: increased urine production by the kidneys and reduced bladder capacity. Increased urine production may be due to normal physiological responses or pathological conditions, such as excessi...[Read More] Understanding Frequent Urination: Causes and Solutions for Relief
Understanding Circumcision Surgery: Impact on Daily Life and Costs
I would like to inquire about issues related to circumcision surgery? Hello, Doctor: I would like to ask if circumcision will affect daily life? What should I pay attention to? Also, I have a bubble-like growth on my glans, and I have seen a doctor who said it’s nothing serious b...
Dr. Chen Xiuyi reply Urology
Hello! Based on the description of the lesions on the glans resembling blisters, it is difficult to determine the specific condition solely from the symptoms provided, and therefore I cannot recommend the best treatment approach. It is advisable to first obtain a definitive diagn...[Read More] Understanding Circumcision Surgery: Impact on Daily Life and Costs
Understanding Unusual Semen: Causes and Health Implications
The semen appears abnormal? I often masturbate, and recently I noticed some yellow, jelly-like substances in my semen. Also, before ejaculation, I tend to have phlegm in my mouth. What could be the issue, and could it affect my health?
Dr. Chen Xiuyi reply Urology
Hello! The yellow, jelly-like substance in the semen is known as semen coagulum, which typically liquefies slowly within 5 to 20 minutes. It is considered normal for this type of coagulum to be more pronounced after a longer period of abstinence from ejaculation. The presence of ...[Read More] Understanding Unusual Semen: Causes and Health Implications
Understanding Painful Urination and Redness: Causes and Recovery Time
Redness and swelling Recently, I have been experiencing pain during urination, and there is redness and swelling at the urethral opening of the glans, along with a slight throbbing sensation. There is no discharge, and it has been a week. I have seen a doctor, but I still haven&#...
Dr. Chen Xiuyi reply Urology
Hello! Based on the symptoms you described, the possibility of urethritis is high. I'm not sure about the results of your urinalysis; was there a urine culture performed? If the treatment is not effective, it would be advisable to reassess the urinalysis and prescribe medica...[Read More] Understanding Painful Urination and Redness: Causes and Recovery Time
Understanding Glans Inflammation: Treatment Options and Next Steps
Inflammation of the glans? My glans has been very dry recently, and despite treatment from a urologist, there has been no improvement. He said it was inflammation and prescribed me Persin ointment, which I have used for a month. The glans has become shiny, almost as if there is a...
Dr. Chen Xiuyi reply Urology
Hello! Spersin ointment contains antibiotics such as neomycin, polymyxin B sulfate, and bacitracin, and is generally used for bacterial infections or dermatitis with secondary infections. Based on your complaint, it is best to consult a urologist or dermatologist for an accurate ...[Read More] Understanding Glans Inflammation: Treatment Options and Next Steps
Understanding Urology Medications: Prices and Treatment Insights
Inquiry about Imported Western Medicines Hello, I have a urinary tract condition and am currently in mainland China. Recently, I visited a doctor in Macau who prescribed two medications: 1. Glaxo Wellcome Zinnat (cefuroxime axetil) 500mg 2. Pfizer Zithromax (azithromycin) 250mg. ...
Dr. Chen Xiuyi reply Urology
Hello! Cefuroxime axetil is a cephalosporin antibiotic that inhibits bacterial cell wall synthesis, while azithromycin is a macrolide antibiotic that inhibits bacterial protein synthesis. Both are antibiotics that can treat urinary tract infections. Our hospital does not have the...[Read More] Understanding Urology Medications: Prices and Treatment Insights
Understanding Male Vasectomy: Pain, Anesthesia, and Scarring Concerns
excuse me? Hello, doctor. May I ask: Does a vasectomy for men hurt? Is anesthesia necessary? After the vasectomy, can you tell if a man has had the procedure based on his testicles? Will there be any scarring? Thank you.
Dr. Chen Xiuyi reply Urology
Hello! Male sterilization surgery is generally performed under local anesthesia. After the procedure, there will be no noticeable external changes to the male testicles, as the surgical site is located on the vas deferens. Therefore, there will be two small nodules on the vas def...[Read More] Understanding Male Vasectomy: Pain, Anesthesia, and Scarring Concerns
Understanding Ureteral Stones: Long-Term Solutions for Kidney Health
Ureteral stones Dear Dr. Chen, My brother is currently 38 years old. Since he experienced ureteral stones two years ago, he has been hospitalized multiple times for lithotripsy treatment, which only temporarily alleviated his pain. However, last month his condition worsened. A d...
Dr. Chen Xiuyi reply Urology
Hello! Based on the described situation, the patient has two main issues: 1. Recurrence of urinary stones: Urinary stones are a condition with a high recurrence rate, with more than 50% of patients experiencing recurrence within five years. For prevention, in addition to specif...[Read More] Understanding Ureteral Stones: Long-Term Solutions for Kidney Health
Understanding Coronary Grooves: Common Concerns and Conditions in Urology
Vasculitis Hello doctor, I have a question. I have a habit of masturbation, and I've been troubled by an issue: there are some small, flesh-like growths in the coronal sulcus of my glans (the circular area just below the glans). They are not painful or itchy, and they are ar...
Dr. Chen Xiuyi reply Urology
Hello, Xiao Huang! Based on your complaint, the papules located under the coronal sulcus of the glans are likely pearly penile papules, which are considered a normal variation and typically do not require treatment. If you have any concerns, please visit a urology outpatient clin...[Read More] Understanding Coronary Grooves: Common Concerns and Conditions in Urology
Understanding Urination Issues: Seeking Help for Difficulty in Urination
Regarding urinary issues? Hello doctor, I am 20 years old. I used to have a habit of holding my urine. A long time ago, I noticed that I had to strain to urinate. This has been going on for several years. I visited a small clinic, but the doctor told me there was no problem [refe...
Dr. Chen Xiuyi reply Urology
Hello, Xiao Wei! A urinalysis generally includes urine sediment examination and tests for proteinuria and occult blood. Based on your symptoms of difficulty urinating, it appears to be caused by lower urinary tract dysfunction. It may be necessary to arrange for urodynamic testin...[Read More] Understanding Urination Issues: Seeking Help for Difficulty in Urination
Soft Lump Near Anus: Do I Need Surgery or Are There Alternatives?
I felt a soft mass in the anal area! I have been experiencing difficulty with bowel movements and have felt a soft mass around the anal area. Do I need surgery for this? I would prefer not to have surgery! Are there medications, topical treatments, or other methods that can help ...
Dr. Chen Xiuyi reply Urology
Hello: Regarding issues related to bowel movements and growths in the anal area, I recommend consulting a colorectal surgeon.[Read More] Soft Lump Near Anus: Do I Need Surgery or Are There Alternatives?
Understanding Hypospadias: Symptoms, Concerns, and Sexual Health Impact
Suspected hypospadias I am 25 years old. Recently, my girlfriend noticed that sometimes my urine stream splits when I urinate. I didn't pay much attention to it at first, but I recently read an article about hypospadias and realized that it seems somewhat similar. Additional...
Dr. Chen Xiuyi reply Urology
The causes of bifurcation in urination are not necessarily due to hypospadias; the most common reasons are urethritis leading to urinary tract narrowing or phimosis. To determine if hypospadias is present, please consult a urologist for an examination. The position of the testicl...[Read More] Understanding Hypospadias: Symptoms, Concerns, and Sexual Health Impact
Understanding Hard Lumps in the Scrotum: Should You Worry?
There is a hard mass in the scrotum? I just read other articles and learned that a lump in the scrotum could potentially be testicular cancer. I am studying abroad and discovered a lump about 1 to 2 centimeters in diameter on the upper right side of my scrotum, near the thigh, ab...
Dr. Chen Xiuyi reply Urology
Possible sources of a mass in the scrotum include: 1. Epididymal cysts, spermatic cord cysts, or benign tumors. 2. Testicular tumors. 3. Hydrocele, among others. A thorough physical examination is generally required to assess the location, consistency, and other characteristics o...[Read More] Understanding Hard Lumps in the Scrotum: Should You Worry?
Understanding Testicular Size Differences and Related Health Concerns
My two sides are not quite the same? I am 21 years old and had surgery for left-sided varicocele when I was 12. I believe I have recovered, but I still feel that my left testicle is larger, and upon examination, it indeed seems so. I have read some literature stating that the lef...
Dr. Chen Xiuyi reply Urology
Varicocele generally has a higher incidence on the left side. As for the size of the testicles, there may be some variation, but as long as they are not too small, they are considered normal. If there is swelling of the epididymis, it is important to consider whether it is due to...[Read More] Understanding Testicular Size Differences and Related Health Concerns
Understanding Edema at the Tip of the Penis: Causes and Treatment Options
Edema at the tip of the foreskin? Hi Dr. Chen: I have a question. When I was 19, I underwent a circumcision. This past Tuesday, I noticed swelling at the tip of the remaining foreskin, with the entire circumferential edge appearing raised. Although I visited a clinic and the doct...
Dr. Chen Xiuyi reply Urology
The possible causes of post-circumcision penile edema may include: 1. Infection (bacterial, fungal). 2. Allergies (allergens, which may include condoms, lubricants, etc.). 3. Trauma. You may consult a urologist or dermatologist for evaluation.[Read More] Understanding Edema at the Tip of the Penis: Causes and Treatment Options