Navigating Prostate Health Concerns in an 81-Year-Old Patient
Urgent... Urgent... An 81-year-old man has prostate issues..? My father is 81 years old. A few days ago, he was hospitalized in the emergency department and was found to have issues with his prostate. The test results showed that his PSA level is over 500 (as the doctor mentioned...
Dr. Chen Xiuyi reply Urology
Hello: A PSA level of over 500 necessitates the exclusion of the possibility of prostate malignancy. Generally, a transrectal prostate biopsy should be arranged. The most common complications include infection, bleeding, and urinary retention. The complication rate is higher in o...[Read More] Navigating Prostate Health Concerns in an 81-Year-Old Patient
Understanding Lower Back Pain and Frequent Urination: What You Need to Know
Lower back pain and frequent urination? I have been experiencing frequent lower back pain and urinary urgency. The orthopedic doctor diagnosed me with lumbar myofascial pain and mentioned that if the pain is palpable, it is not visceral pain. However, every time I feel the urge t...
Dr. Chen Xiuyi reply Urology
Hello: Low back pain may be caused by urinary system issues or neuromuscular disorders such as myofascial pain syndrome. Urinalysis is normal, and a renal ultrasound can be arranged. Frequent urination is generally functional; it is advisable to record the frequency and volume of...[Read More] Understanding Lower Back Pain and Frequent Urination: What You Need to Know
Understanding Frequent Urination and Back Pain: When Tests Show Normal Results
Lower back pain and frequent urination... but the tests all came back normal? Hello, Dr. Chen. Recently, I've been experiencing soreness in my right lower back, especially when I feel the urge to urinate. Additionally, I've been having increased urinary frequency, about...
Dr. Chen Xiuyi reply Urology
Hello: Lower back pain is not necessarily a urinary tract disease; it may also be related to musculoskeletal or neurological issues. If blood tests, urine tests, and ultrasound results are all normal, you might consider consulting an orthopedic specialist or a rehabilitation phys...[Read More] Understanding Frequent Urination and Back Pain: When Tests Show Normal Results
Struggling to Urinate: Causes and Solutions for Weak Urination
Experiencing prolonged urination with weakness? Hello Doctor: My symptoms include having to stand in front of the urinal for a long time before I can urinate, and I feel very weak. This has been troubling me for a long time... What should I do?
Dr. Chen Xiuyi reply Urology
Hello: Weak urine flow and difficulty urinating after standing for a long time are generally indicative of functional disorders. Some cases may involve urethral stricture, which requires medical evaluation and diagnostic tests for differential diagnosis. Sincerely, Dr. Chen Hsiu-...[Read More] Struggling to Urinate: Causes and Solutions for Weak Urination
Does Masturbation Affect Height Growth? Expert Insights Explained
Masturbation does not affect height growth? Masturbation does not affect height growth. This is a common myth. Height is primarily determined by genetics and overall health during the growth years. If you have concerns about growth or development, it's best to consult a heal...
Dr. Chen Xiuyi reply Urology
Hello: According to current research, masturbation does not have physiological effects and is not related to height. However, it should not be done excessively, as it may affect daily routines and work. Sincerely, Dr. Chen Hsiu-Yi, Urologist.[Read More] Does Masturbation Affect Height Growth? Expert Insights Explained
Can the Penis Experience Varicose Veins? Understanding Symptoms and Concerns
Can the penis develop varicose veins? Hello, doctor: Can the penis have varicose veins? I have noticed that the veins on my penis are quite prominent, twisted, and have a purplish color. Could this be varicose veins?
Dr. Chen Xiuyi reply Urology
Hello: Every tissue in the body has a venous system, and if the venous valves do not function properly, varicose veins can occur. Varicose veins on the penis are less common in superficial veins, and it is advisable to seek medical attention. Sincerely, Dr. Chen Hsiu-Yi, Urologis...[Read More] Can the Penis Experience Varicose Veins? Understanding Symptoms and Concerns
Understanding Hematospermia: Causes, Symptoms, and Concerns
The condition of hematospermia? Hello, Doctor: Before asking my question, I have already reviewed related Q&A, but it seems my question hasn't been addressed, so I would like to ask you, what is hematospermia? Is it considered hematospermia if the semen ejaculated is bro...
Dr. Chen Xiuyi reply Urology
Hello: Hematospermia is the presence of blood in the semen, which may appear red, pink, or dark red. If the semen is yellow and has clotted material, it may be due to a prolonged period without ejaculation, which can be confirmed through semen analysis. The vast majority of cases...[Read More] Understanding Hematospermia: Causes, Symptoms, and Concerns
Understanding Erectile Dysfunction: Causes, Treatments, and Solutions
Inability to achieve sufficient erection leading to failure in sexual intercourse? Although I have reached the age of hearing, my body is still healthy. Friends and family often say I look like I'm in my 40s or 50s. I am still very enthusiastic about my sex life, but in the ...
Dr. Chen Xiuyi reply Urology
Hello: Erectile dysfunction can be categorized into psychological, organic (which includes three main types: vascular, neurological, and endocrine, with vascular issues being the most common), and medication-related causes. Based on your description, it is likely due to vascular ...[Read More] Understanding Erectile Dysfunction: Causes, Treatments, and Solutions
Does Frequent Masturbation Cause Erectile Dysfunction or Premature Ejaculation?
Regarding masturbation behavior? There is a common belief that frequent masturbation can lead to erectile dysfunction or premature ejaculation in the future. Is this true? Also, is there a way to view certain things that would prevent an erection? Are there methods for this?
Dr. Chen Xiuyi reply Urology
Hello: So far, literature reports have not shown that frequent masturbation leads to erectile dysfunction or premature ejaculation. As for viewing certain sexually stimulating videos, images, or articles that may cause an erection, this is a normal sexual response. There is no ne...[Read More] Does Frequent Masturbation Cause Erectile Dysfunction or Premature Ejaculation?
Testicular Pain After Injury: When to See a Doctor?
The testicle is slightly bruised? Three days ago, a classmate inappropriately hit my genital area. Since there were several boys and girls present, I didn't confront him at the time. It was quite painful afterward, with a throbbing pain. Now, three days later, the pain has d...
Dr. Chen Xiuyi reply Urology
Hello: When trauma occurs to the vulva, it is essential to consider the location and severity of the injury. Commonly injured areas include the testicles and urethra. If there is no swelling of the scrotum or signs of hematoma, and no urethral bleeding is present, observation may...[Read More] Testicular Pain After Injury: When to See a Doctor?
Frequent Urination: Is Green Tea the Cause and What to Know?
Constant urge to urinate? Hello, doctor. I've been drinking unsweetened green tea for the past few days, and I've been going to the bathroom frequently, feeling the urge to urinate. Does green tea make you want to use the restroom? And what could be the reason if I feel...
Dr. Chen Xiuyi reply Urology
Hello: There are many causes of frequent urination, including 1. excessive fluid intake leading to increased urine output, 2. reduced functional capacity of the bladder, and 3. structural changes in the bladder. Frequent urination after drinking tea may be related to increased fl...[Read More] Frequent Urination: Is Green Tea the Cause and What to Know?
Understanding Frequent Urination: Causes, Treatments, and Next Steps
Frequent urination Hello Dr. Chen: I have a problem with frequent urination. There is no pain during urination; I just keep needing to urinate. This has been going on for a month and a half. I have visited several hospitals for examinations, and they all diagnosed me with cystiti...
Dr. Chen Xiuyi reply Urology
Hello: There are many causes of frequent urination. Some are physiological, such as increased urination during winter months, while in summer, hot weather leads to sweating, which decreases the need for fluid intake and subsequently reduces urination frequency. Some individuals h...[Read More] Understanding Frequent Urination: Causes, Treatments, and Next Steps
Persistent Peeling of the Glans and Foreskin: Causes and Solutions
Constant peeling of the skin? Doctor, I have been experiencing peeling of both my glans and foreskin. I consulted a physician who suggested it might be a fungal infection and prescribed medication to apply. However, only the areas covered by the foreskin and glans are peeling. So...
Dr. Chen Xiuyi reply Urology
Hello: If the treatment effect is not satisfactory, it is best to schedule another outpatient visit for the treating physician to follow up on the treatment. Sincerely, Dr. Chen Hsiu-Yi, Urology.[Read More] Persistent Peeling of the Glans and Foreskin: Causes and Solutions
Managing Frequent Urination in Older Adults: Causes and Solutions
Frequent urination Hello Dr. Chen, My mother is 65 years old and generally in good health. She is currently taking medication for hypertension and has undergone a hysterectomy, for which she is on hormone therapy. Everything else is normal, but recently she has been experiencing...
Dr. Chen Xiuyi reply Urology
Hello: Frequent urination is one of the most common concerns presented by patients in the urology clinic. The causes of frequent urination can be divided into two main categories: one is an increase in urine production by the kidneys, and the other is a decrease in the effective ...[Read More] Managing Frequent Urination in Older Adults: Causes and Solutions
Why Can't I Urinate? Understanding Urinary Issues After Spicy Foods
I have difficulty urinating? My mother is 45 years old, and for some reason, she has difficulty urinating. This issue occurs every time after she eats spicy food. Medication has not improved the situation, and she relies on catheterization almost every day.
Dr. Chen Xiuyi reply Urology
Hello: There are many reasons for urinary retention in female patients. It is essential to evaluate the condition through medical history, physical examination, laboratory tests, and urodynamic studies. It is best to seek medical attention at a urology outpatient clinic. Sincerel...[Read More] Why Can't I Urinate? Understanding Urinary Issues After Spicy Foods
Understanding Internal Lithotripsy: Procedure Duration and Risks Explained
Intra-body lithotripsy? Hello, my height is 165 cm and my weight is 90 kg. I am scheduled for an internal lithotripsy at this hospital because extracorporeal shock wave lithotripsy has not been effective after two attempts. How long does the surgery take? Are there any potential ...
Dr. Chen Xiuyi reply Urology
Hello: After two sessions of extracorporeal shock wave lithotripsy for ureteral stones, the results have been unsatisfactory. Possible reasons include the size of the stones and ureteral narrowing or swelling. Subsequent management typically involves endoscopic procedures, which ...[Read More] Understanding Internal Lithotripsy: Procedure Duration and Risks Explained
Understanding Right Testicular Mass: Causes, Concerns, and Treatment Options
Hard mass on the right testicle? Hello Doctor, I have a hard lump on the right side of my testicle, and it hurts when I move slightly. The pain also affects my upper right abdomen. I have already gone to Chang Gung Memorial Hospital for an examination, and the doctor said that th...
Dr. Chen Xiuyi reply Urology
Hello: Based on what you mentioned, it is important to determine the location of the mass, whether it is in the epididymis or the testis. Generally, testicular tumors are more commonly malignant, while tumors of the epididymis are often benign. It is essential to identify the typ...[Read More] Understanding Right Testicular Mass: Causes, Concerns, and Treatment Options
Changes in Semen Consistency and Testicular Discomfort: What to Know
Testis I have been ejaculating into a plastic container while masturbating. Previously, the semen was milky white and viscous, taking about 30 minutes to liquefy. When I rinsed the container, some of the semen would still stick together like thick mucus. However, for the past mon...
Dr. Chen Xiuyi reply Urology
Hello: Normal semen is typically whitish and viscous immediately after ejaculation, and it begins to liquefy after about five to thirty minutes. In cases of more frequent ejaculation, the semen usually remains whitish, while prolonged abstinence may result in a yellowish appearan...[Read More] Changes in Semen Consistency and Testicular Discomfort: What to Know
Understanding High Urine Blood Test Results: What to Do Next?
The health check report indicates a urine occult blood test result of 3+ and a red blood cell count of 9070? In the health check report from a few weeks ago, dated October 15, the results showed a urine occult blood level of 3+ and a red blood cell count of 9070, both of which ar...
Dr. Chen Xiuyi reply Urology
Hello: There are many causes of hematuria, which can be due to infections, stones, tumors, trauma, autoimmune diseases, nephritis, etc. It is important to seek medical attention promptly to identify the cause. Sincerely, Dr. Chen Hsiu-Yi, Urologist.[Read More] Understanding High Urine Blood Test Results: What to Do Next?
Concerns About Varicocele: Symptoms, Progression, and Surgical Outcomes
Concern A few months ago, I was diagnosed with mild varicocele. Initially, I experienced some slight discomfort and aching in the scrotum, but in the past month or two, the discomfort has decreased significantly. However, I am still very concerned that the pain may return and wor...
Dr. Chen Xiuyi reply Urology
Hello: In males, the blood from the pampiniform plexus within the scrotum collects from the testes and drains into the right and left spermatic veins. The right spermatic vein directly empties into the inferior vena cava, while the left spermatic vein enters the renal vein at a r...[Read More] Concerns About Varicocele: Symptoms, Progression, and Surgical Outcomes