Understanding Chronic Urethritis: Symptoms, Treatment, and Recovery
Emergency Doctor, I developed urethritis over a year ago, but I haven't focused on treatment, which has led to frequent urination. However, in the past few months, I've started experiencing inexplicable sharp pain in my urethra, like being cut, and my bladder also feels...
Dr. Chen Xiuyi reply Urology
Hello: As you mentioned, it is essential to rule out chronic prostatitis. Chronic prostatitis is divided into chronic bacterial prostatitis and chronic non-bacterial prostatitis. The latter is characterized by an inflammatory response rather than a bacterial infection, and bacter...[Read More] Understanding Chronic Urethritis: Symptoms, Treatment, and Recovery
Do Doctors Remove Frenulum During Circumcision? Understanding the Procedure
Penile frenulum Hello, Doctor: May I ask if the frenulum of the penis is also removed during circumcision? I noticed that in adult films, the male actors seem to lack a frenulum. I've heard from friends that they have all undergone circumcision; is this true? Thank you for y...
Dr. Chen Xiuyi reply Urology
Hello: During the circumcision procedure, the umbilical cord is not necessarily cut; it is only severed if it is pulled too tightly, causing pain during an erection. Sincerely, Dr. Chen Hsiu-Yi, Urologist.[Read More] Do Doctors Remove Frenulum During Circumcision? Understanding the Procedure
Post-Circumcision Concerns: Sexual Desire, Discomfort, and Skin Issues
excuse me? Hello Doctor, I had a circumcision surgery a month ago (I was previously completely phimosis), and my recovery seems to be going well. However, I have a few concerns: 1. Since the surgery, I feel that my libido has significantly decreased, to the point where I have...
Dr. Chen Xiuyi reply Urology
Hello: Changes in libido after circumcision should not be related to the surgery. Discomfort in the penile frenulum during erection, feeling tight, may indicate that the wound has not fully healed. The bumps on the penis that resemble acne could be sebaceous glands; it is advisab...[Read More] Post-Circumcision Concerns: Sexual Desire, Discomfort, and Skin Issues
Managing Recurrence of Benign Prostatic Hyperplasia in Elderly Patients
Recurrent symptoms after prostate enlargement surgery? My father is currently 79 years old. He underwent surgery for benign prostatic hyperplasia three years ago, and his post-operative condition was good. However, starting last month, he has experienced occasional urinary diffic...
Dr. Chen Xiuyi reply Urology
Hello: Patients with benign prostatic hyperplasia are often elderly. During transurethral resection of the prostate (TURP), due to the patient's advanced age and compromised organ function, there is a possibility of experiencing complications during and after the surgery, su...[Read More] Managing Recurrence of Benign Prostatic Hyperplasia in Elderly Patients
Understanding Glandular Discharge: Is It a Sign of STD?
Glans issues I once had to drive urgently and used a bag to collect my urine. I later noticed that there was a yellow, thread-like substance mixed in with the urine. After a few more times of urinating into a cup, I found that substance again. Additionally, sometimes I notice a y...
Dr. Chen Xiuyi reply Urology
Hello: Based on your description, the presence of purulent discharge from the urethra and yellowish strands in the urine should rule out the possibility of chronic urethritis and even chronic prostatitis. You should seek treatment at a urology outpatient clinic. Sincerely, Dr. Ch...[Read More] Understanding Glandular Discharge: Is It a Sign of STD?
Understanding Urethral Pain: Risks of Improper Cleaning Techniques
Please, doctors, help me? Hello, doctor. I would like to ask you about the use of EpiPen and rinsing the urethral opening with hot water. What kind of damage could this cause? I have been doing this for over ten consecutive days, and now I feel a burning pain in the urethral open...
Dr. Chen Xiuyi reply Urology
Hello: The urethral opening and the urethra should not be rinsed with disinfectants or hot water, as this can easily lead to chemical urinary tract inflammation. This will likely result in urethral pain; please consult a urologist. Sincerely, Dr. Hsiu-Yi Chen, Urology.[Read More] Understanding Urethral Pain: Risks of Improper Cleaning Techniques
Understanding Right-Sided Varicocele: Causes, Symptoms, and Treatment Options
Right testicular pain! Doctor, I had a scrotal ultrasound last week, and the doctor said I have varicocele on both sides. However, isn't varicocele usually found on the left side? How can the right side also be considered varicocele? Additionally, if the severity is classifi...
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 drains directly into the inferior vena cava, while the left spermatic vein enters the renal vein at a ri...[Read More] Understanding Right-Sided Varicocele: Causes, Symptoms, and Treatment Options
Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Please help me, doctor? Hello, doctor. I initially experienced pain after using hot water to rinse the urethral opening while showering, which prompted me to seek medical attention. When I told the doctor that I felt heat and pain in the urethral opening, several doctors immediat...
Dr. Chen Xiuyi reply Urology
Hello: Prostatitis can be classified into 1. acute prostatitis 2. chronic bacterial prostatitis 3. chronic nonbacterial prostatitis 4. prostatodynia. If there is no bacterial infection in cultures and no inflammatory findings in prostatic secretions, it may be prostatodynia. Pros...[Read More] Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Seeking Help for Chronic Prostatitis: A Patient's Struggle
Please help me, doctors? Doctor, thank you for answering my questions. You mentioned two types of antibiotics that I have been taking for a while, but there has been no improvement. I have also undergone prostate-specific antigen tests, anal massage, prostatic secretions examinat...
Dr. Chen Xiuyi reply Urology
Hello: Prostatitis can be classified into 1. acute prostatitis 2. chronic bacterial prostatitis 3. chronic non-bacterial prostatitis 4. prostatodynia. If cultures show no bacterial infection and prostate fluid analysis also shows no signs of inflammation, it may be prostatodynia....[Read More] Seeking Help for Chronic Prostatitis: A Patient's Struggle
Desperate for Help: Chronic Prostatitis and Its Treatment Challenges
Please help me, doctors? Hello, doctor. I have been suffering from chronic prostatitis for over two years. I have visited several hospitals, but my condition remains painful and burning. The doctors always conduct urine tests or ask a few questions and then conclude that I have c...
Dr. Chen Xiuyi reply Urology
Hello, chronic prostatitis can be classified into two types: chronic bacterial prostatitis and chronic non-bacterial prostatitis. The latter is characterized by an inflammatory response rather than a bacterial infection, and bacteria cannot be isolated from cultures; it may also ...[Read More] Desperate for Help: Chronic Prostatitis and Its Treatment Challenges
Understanding Urinary Discomfort: Causes and Health Implications
Dysuria Recently, after exercising, I have been experiencing difficulty during urination. Just before I finish urinating, I feel a sharp pain in the urethra, which makes me hesitant to continue, and I can only urinate slowly. This pain radiates to my lower abdomen, and it feels s...
Dr. Chen Xiuyi reply Urology
Hello: Painful urination after exercise may be caused by excessive sweating and concentrated urine due to low urine output. However, it is important to rule out the possibility of an infection, so a urine test is recommended. Regarding the sizable black mole on the glans, it is a...[Read More] Understanding Urinary Discomfort: Causes and Health Implications
Understanding Abnormal Urinalysis Results: What Elevated WBC Means
Health Check Report Hello, doctor. During my company's annual health check-up, the results showed abnormalities in the urine section. It indicated that the white blood cell count (WBC) was 6-8 and leukocytes were 1+. Could you please tell me what this might indicate?
Dr. Chen Xiuyi reply Urology
Hello: The urine test results show white blood cells (WBC) 6-8, with leukocytes at 1(+), which generally indicates a urinary tract infection. The specific site of infection should be determined based on clinical symptoms. Please visit the urology outpatient clinic for further eva...[Read More] Understanding Abnormal Urinalysis Results: What Elevated WBC Means
Is It Cauliflower? Understanding White Bumps Near the Glans
Is this cauliflower? Hello Doctor: Recently, I noticed small white bumps near the foreskin, close to the glans. Could this be genital warts? How should I treat it? I live in Taoyuan County; where should I go to see a doctor?
Dr. Chen Xiuyi reply Urology
Hello: There are small white granules at the coronal sulcus of the glans penis. If there has been no abnormal sexual contact, the diagnosis may be pearly penile papules, but it is best to visit a urology clinic for confirmation of the diagnosis. Generally, regional hospitals and ...[Read More] Is It Cauliflower? Understanding White Bumps Near the Glans
Understanding Groin Lumps: Causes and When to Seek Medical Advice
Groin mass? Hello Doctor: A couple of days ago, I noticed a lump located below my testicles at the junction with my thigh while showering. The lump measures approximately 1.5 cm in length and 0.5 cm in width. It does not hurt when not pressed, but there is some pain when pressure...
Dr. Chen Xiuyi reply Urology
Hello: There is a lump approximately 1.5 cm long and 0.5 cm wide located at the junction of the scrotum and thigh. It is not painful when not pressed, but there is some pain when pressure is applied, which may indicate an enlarged lymph node. It is advisable to visit a urology cl...[Read More] Understanding Groin Lumps: Causes and When to Seek Medical Advice
Understanding Recurrent Vaginal Yeast Infections and Their Causes
Urethral fungal infection Hello, doctor. Since I started a relationship with my husband two years ago, I have been experiencing frequent vaginal yeast infections with a high recurrence rate. In the past six months, I have even had recurrent urinary bladder infections every month....
Dr. Chen Xiuyi reply Urology
Hello: Urinary tract infections are very common in female patients and can easily recur. There are many causes: 1. Poor hygiene habits such as holding in urine, low fluid intake, and incorrect wiping direction after using the restroom. 2. It is more prevalent in women due to the ...[Read More] Understanding Recurrent Vaginal Yeast Infections and Their Causes
Everything You Need to Know About Circumcision Recovery and Costs
Questions related to circumcision!!! Hello! May I ask: 1. How long does it take to recover after a circumcision? 2. Can I return to work the day after the circumcision, or do I need to take a leave of absence? 3. How can I schedule a circumcision procedure? 4. What is the cost of...
Dr. Chen Xiuyi reply Urology
Hello: The circumcision surgery can be scheduled through outpatient appointments, as it is an outpatient procedure. Whether the surgery will affect your work depends on the nature of your job. It is advisable to rest on the day of the surgery, and the recovery period is approxima...[Read More] Everything You Need to Know About Circumcision Recovery and Costs
Understanding Varicocele: Concerns, Surgery, and Fertility Impact
Varicose veins 1. My left side is more than twice the size of my right side. I went to the hospital for an examination, and the doctor said it is mild varicose veins, but I feel like it has swollen to twice its size. Is there a chance it could get bigger? 2. Also, if the pain i...
Dr. Chen Xiuyi reply Urology
Hello, in the treatment of varicocele, if there is only mild discomfort, medication can be used to alleviate pain. However, if the pain is severe or leads to infertility, surgical intervention is recommended. The surgical options include: retroperitoneal varicocele ligation, ingu...[Read More] Understanding Varicocele: Concerns, Surgery, and Fertility Impact
Understanding Changes in Adolescent Sexual Health: When to Seek Help
My penis? I started practicing self-pleasure in the sixth grade of elementary school and continued until the third year of junior high. However, I haven't done it for about 3-4 days recently. When I was showering, I touched my penis, and it unexpectedly became soft and ejacu...
Dr. Chen Xiuyi reply Urology
Hello: The first step in the male sexual response is penile erection, which is controlled by two central mechanisms: the brain's erectile center and the sacral reflex erectile center. Following erection, the seminal vesicles and prostate begin to secrete semen, which accumul...[Read More] Understanding Changes in Adolescent Sexual Health: When to Seek Help
Should I Consider Surgery for My Urological Concerns?
I'm not sure whether to undergo surgery? Hello, Director Chen. I am 28 years old. A few years ago, during my military service, I accidentally discovered a lump about the size of a mung bean on the right side of my testicle (it moves around with the testicle). I went to a mil...
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 drains directly into the inferior vena cava, while the left spermatic vein enters the renal vein at a ri...[Read More] Should I Consider Surgery for My Urological Concerns?
Understanding Overactive Bladder: Symptoms, Causes, and Solutions
Some concerns~~~~ Hello Dr. Chen! This is my first time posting a question on the Taiwan e-Hospital, so if there are any unclear parts in my explanation, I would appreciate your clarification. Thank you for your response! Here is my question statement: I previously visited a urol...
Dr. Chen Xiuyi reply Urology
Frequent urination is one of the most common issues encountered in urology outpatient clinics. Patients often complain of the need to urinate frequently, and even after urination, they feel as though their bladder is not completely empty. The frequency of urination considered nor...[Read More] Understanding Overactive Bladder: Symptoms, Causes, and Solutions