Swelling Behind the Testicles: Causes and Solutions for Concerned Families
There is swelling behind the testicle? I'm sorry, but I would like to ask the doctor a question. My father has swelling in the area where he urinates. He went to a small clinic, and the doctor said there is fluid accumulation in the scrotum. As a result, they made a small in...
Dr. Chen Xiuyi reply Urology
Hello: Based on your description, the most likely condition is epididymitis accompanied by secondary scrotal hydrocele. This condition is more difficult to treat in diabetic patients and requires a longer duration of antibiotic therapy. If there is a fever present, hospitalizatio...[Read More] Swelling Behind the Testicles: Causes and Solutions for Concerned Families
Understanding Unexplained Penile Pain: Causes and Recovery Tips
Unexplained cramping pain? Dear Doctor, I recently visited a urologist due to the following symptoms, and the doctor diagnosed it as pelvic muscle dysfunction. However, I would like to understand why this occurs and how to recover from it. (I have been symptom-free for two weeks,...
Dr. Chen Xiuyi reply Urology
Hello: The most common cause of pain at the urethral opening is due to infection or inflammation. If infection or inflammation has been ruled out, it may be due to muscle or nerve pain. If the cause is unclear, it is best to consult the original treating physician. Sincerely, Dr....[Read More] Understanding Unexplained Penile Pain: Causes and Recovery Tips
What Are Those Small Bumps on the Foreskin? Understanding Urological Concerns
I'm sorry, but I need specific content to translate. Please The small bumps on the foreskin could be a condition known as pearly penile papules, which are harmless and common. However, it's important to consult a healthcare professional for an accurate diagnosis and to ...
Dr. Chen Xiuyi reply Urology
Hello: There are many reasons for small bumps on the foreskin. Some require treatment, while others do not need to be addressed. It is best to seek medical attention for a definitive diagnosis. Sincerely, Dr. Chen Hsiu-Yi, Urologist.[Read More] What Are Those Small Bumps on the Foreskin? Understanding Urological Concerns
Understanding Tumors on the Penis: When to Consider Removal and Risks
Tumor on the penis Hello, I recently discovered two lumps near the base of my penis that resemble lipomas. They are not painful or itchy. I have a tendency to develop these tumors, but their location is quite bothersome. How large should they be before considering removal? Is the...
Dr. Chen Xiuyi reply Urology
Hello: I have found two lumps near the base of my penis that resemble lipomas. They are not painful or itchy, and I have similar growths in other areas of my body. It is most likely lipomas. Should I consider surgery? It is best to consult a physician for a diagnosis. Sincerely, ...[Read More] Understanding Tumors on the Penis: When to Consider Removal and Risks
Understanding Redness and Discharge: Is It Urethritis or STD?
I'm here to help! I would like to ask the doctor about the redness and swelling on my glans, along with some yellow-green discharge. I also experience a stinging sensation when urinating. I'm not sure if this is urethritis or a sexually transmitted infection.
Dr. Chen Xiuyi reply Urology
Hello: Based on your description, you may have urethritis. It is best to seek medical attention for examination to rule out gonorrhea as a cause. Sincerely, Dr. Chen Hsiu-Yi, Urology.[Read More] Understanding Redness and Discharge: Is It Urethritis or STD?
Do I Need Surgery for a Pain-Free Hernia Detected Years Ago?
Hernia I was diagnosed with a hernia during a physical examination six years ago, but since it hasn't been painful, I haven't paid much attention to it. Given this situation, do I still need surgical treatment? Thank you.
Dr. Chen Xiuyi reply Urology
Hello: Hernias generally do not heal on their own and require surgical treatment. The absence of symptoms does not mean that it has resolved. It is best to seek medical evaluation. Sincerely, Dr. Chen Hsiu-Yi, Urologist.[Read More] Do I Need Surgery for a Pain-Free Hernia Detected Years Ago?
Understanding Red Spots and Itching at the Urethral Opening
Prepuce I have a small red spot at the urethral opening of my foreskin, which is slightly swollen and itchy. However, there is no burning sensation during urination, and it has been a week with some signs of improvement, as the itching has decreased. Is this related?
Dr. Chen Xiuyi reply Urology
Hello: There is a small red spot at the urethral opening, which is slightly swollen and itchy, indicating a possible infection. If the symptoms are mild, it may resolve on its own. However, if the symptoms persist, it is best to seek medical attention. Sincerely, Dr. Chen Hsiu-Yi...[Read More] Understanding Red Spots and Itching at the Urethral Opening
What to Do If You Experience Blood in Urine: A Guide to Symptoms and Treatment
What should I do if I have hematuria? Hello Doctor: Recently, I have noticed blood in my urine, along with frequent urination (but only a small amount each time, and I have a constant urge to urinate). I am experiencing painful urination and urgency, and this has been going on fo...
Dr. Chen Xiuyi reply Urology
Hello: Based on your description, acute hemorrhagic cystitis should be considered first. Antibiotic treatment is generally required, typically for 3 to 7 days. If symptoms persist, it is advisable to seek medical attention for a urinalysis or bacterial culture. During this time, ...[Read More] What to Do If You Experience Blood in Urine: A Guide to Symptoms and Treatment
Post-Varicocele Surgery: Understanding Changes in the Scrotum
Postoperative conditions after varicocele surgery? Hello Dr. Chen, About three weeks ago, I underwent varicocele surgery performed by Dr. Hsu at your hospital. During my follow-up appointment, the incision site had healed well. However, I recently noticed that the upper part of...
Dr. Chen Xiuyi reply Urology
Hello: The surgical methods for varicocele can be classified based on the surgical site into high, mid, and low approaches. Postoperatively, swelling of the spermatic cord incision may occur due to vascular dissection, which typically resolves within a few weeks and can be monito...[Read More] Post-Varicocele Surgery: Understanding Changes in the Scrotum
Understanding the Uncommon Condition of Spermatic Cord Epididymitis
Strange Epididymitis Hello Doctor: My husband has pain above his left testicle (not the testicle itself, but it feels like a cord or tube above the testicle) when pressed, it feels hard, and there is a sensation of fullness. A urologist has examined him and diagnosed him with epi...
Dr. Chen Xiuyi reply Urology
Hello: The spermatic cord contains arteries, veins, lymphatic vessels, the vas deferens, and soft tissue, and it may become swollen due to inflammation, although this is less common in clinical practice. More commonly, epididymitis occurs, which is generally a result of retrograd...[Read More] Understanding the Uncommon Condition of Spermatic Cord Epididymitis
Understanding Pearly Penile Papules: What You Need to Know
White bumps on the glans? Hello, Dr. Chen. What is a cholesteatoma? Also, it's not located in the coronal sulcus but rather on the glans, a bit away from the coronal area. It doesn't hurt and doesn't seem to be growing.
Dr. Chen Xiuyi reply Urology
Hello: A pearly penile papule is a benign tumor located in the coronal sulcus, which typically does not change and does not require treatment. However, papillary tumors located on the glans penis should be evaluated by a physician for diagnosis. Sincerely, Dr. Chen Hsiu-Yi, Urolo...[Read More] Understanding Pearly Penile Papules: What You Need to Know
Understanding White Bumps on the Glans: Causes and Treatments
White bumps on the glans? Hello Dr. Chen, I recently noticed a white bump on my glans while showering. It's about one centimeter and slightly raised, but it doesn't hurt or itch. A few days ago, I visited a doctor who diagnosed it as a bacterial infection and prescribed...
Dr. Chen Xiuyi reply Urology
Hello: There is a white lump on the glans, but I'm not sure where it is located on the glans. If it is located at the coronal sulcus, it could be a pearly penile papule. Other possibilities include infections (bacterial or fungal), warts, etc. It is best to see a urologist o...[Read More] Understanding White Bumps on the Glans: Causes and Treatments
Can Men Control Ejaculation? Insights on Timing and Fertility
Male ejaculation..? Hello Dr. Chen, I would like to ask... Can men control ejaculation during erection and excitement? There is a sensation during ejaculation, but is it possible to "hold it back"? During sexual intercourse, if one can control the duration and intensity...
Dr. Chen Xiuyi reply Urology
Hello: The process of ejaculation is accompanied by sensations and is governed by the sympathetic nervous system, making it impossible to fully control the timing of ejaculation through conscious effort. The success rate of contraception is related to the method used. Generally, ...[Read More] Can Men Control Ejaculation? Insights on Timing and Fertility
Seeking Advice on Urology: Concerns About Edema and Medication Side Effects
I have a question! I previously saw a doctor for symptoms of vascular edema. After taking medication for a while, I experienced improvement. However, now there is swelling again, but it feels like edema in the foreskin, and I don't see any symptoms of vascular swelling, just...
Dr. Chen Xiuyi reply Urology
Hello: Based on what you've described, it's difficult to clearly understand your issue. It's best to visit a clinic for an examination and treatment by a urologist. Sincerely, Dr. Hsiu-Yi Chen, Urology.[Read More] Seeking Advice on Urology: Concerns About Edema and Medication Side Effects
Bleeding During Intercourse: Causes and What to Do Next
Bleeding? If you notice bleeding during intercourse and experience pain, particularly in the lower front area (where the foreskin connects to the penis), it is possible that there may be a tear at that connection point. What could this be? What should I do? P.S. Currently, it’s n...
Dr. Chen Xiuyi reply Urology
Hello: Based on the description, penile frenulum rupture causing bleeding should be suspected, and there is a possibility of recurrent bleeding. It is recommended to seek outpatient medical treatment. Sincerely, Dr. Hsiu-Yi Chen, Urology.[Read More] Bleeding During Intercourse: Causes and What to Do Next
Understanding the Effects of Frequent Masturbation on Men's Health
常 ( Is frequent masturbation associated with any problems? If done excessively, what symptoms might arise? Could it lead to testicular cancer or benign prostatic hyperplasia?
Dr. Chen Xiuyi reply Urology
Hello: According to foreign statistics, approximately 94% of men and 70% of women have experienced orgasm through masturbation. In Taiwan, the reports may be similar to those from abroad. After puberty, the development of male genitalia is complete, and occurrences of erections a...[Read More] Understanding the Effects of Frequent Masturbation on Men's Health
Understanding Testicular Injury: Symptoms, Recovery, and Concerns
Testicular injury Third inquiry: Due to a severe impact to the testicular area from a careless classmate, it has been a month and a half, and I have not fully recovered. I have seen three doctors and undergone an ultrasound examination. The doctors all said it is likely a contusi...
Dr. Chen Xiuyi reply Urology
Hello: Scrotal injuries can be classified into blunt trauma, penetrating injuries, burns, bites, and skin avulsions of the scrotum. In cases of scrotal injury, it is essential to assess whether there is a testicular rupture to increase the likelihood of testicular preservation an...[Read More] Understanding Testicular Injury: Symptoms, Recovery, and Concerns
What Foods to Avoid with Kidney Stones: Understanding Calcium Oxalate and Carbonate
What foods should be avoided with kidney stones? What foods should be avoided with kidney stones? What is calcium oxalate? What is calcium carbonate?
Dr. Chen Xiuyi reply Urology
Hello: To discuss stone prevention, it is essential to understand the composition of the stones and whether there are any metabolic abnormalities. Common stone components include monohydrate/dihydrate calcium oxalate, hydroxyapatite, brushite, uric acid, and struvite (magnesium a...[Read More] What Foods to Avoid with Kidney Stones: Understanding Calcium Oxalate and Carbonate
Understanding End-Stage Prostate Cancer: Pain Management and Life Expectancy
Urgent inquiry: Issues regarding prostate cancer in an 81-year-old man..? I would like to ask Dr. Chen: The results of my 81-year-old father's nuclear medicine examination have come out. The radiation oncologist said it is advanced prostate cancer. The cancer cells have meta...
Dr. Chen Xiuyi reply Urology
Hello: If prostate cancer with bone metastasis is confirmed at clinical stage D, it is important to note that prostate cancer is one of the few types of cancer that progresses relatively slowly. Long-term clinical observations indicate that hormone therapy (oral, injection, or su...[Read More] Understanding End-Stage Prostate Cancer: Pain Management and Life Expectancy
Understanding Hormonal and Vascular Issues in Urology: A Patient's Guide
Hormonal and vascular issues? Hello Dr. Chen, Last month, I consulted you regarding the issue of erectile dysfunction due to insufficient blood flow. I sincerely appreciate your enthusiastic explanation and have followed your advice to get a blood test at the hospital. My hormon...
Dr. Chen Xiuyi reply Urology
Hello: The hormone level is 0.54, but it is unclear which specific hormone this index refers to. Please consult your physician for a better understanding of the standard reference range. Elevated lipid levels are risk factors for cardiovascular diseases and erectile dysfunction, ...[Read More] Understanding Hormonal and Vascular Issues in Urology: A Patient's Guide