Understanding Overactive Bladder and Interstitial Cystitis: Symptoms and Insights
Overactive Bladder and Interstitial Cystitis Hello, Dr. Chen. My symptoms include frequent urination, urgency, and a reduced bladder capacity. I have been diagnosed with overactive bladder by my physician. However, during the consultation, the doctor asked if I experienced any pa...
Dr. Chen Xiuyi reply Urology
Hello: Patients with overactive bladder syndrome primarily experience urinary urgency or urge incontinence, and they often also have increased frequency of urination and nocturia. The exact cause is unclear but may be related to the autonomic nervous system of the bladder muscle....[Read More] Understanding Overactive Bladder and Interstitial Cystitis: Symptoms and Insights
Understanding Testicular Issues: Height Differences and Health Concerns
Testicular issues? I have noticed that my testicles have become uneven in height, with the left side of the scrotum having a noticeably larger vein (thicker than the right). The height of the left scrotum has been decreasing, and the difference between the two sides is quite sign...
Dr. Chen Xiuyi reply Urology
Hello: Varicocele is more commonly found on the left side, and the testicle may become more descended due to gravity. There is a higher possibility that small nodules in the groin area are lymph nodes. If the testicle enlarges and is painless, testicular cancer is one possible ca...[Read More] Understanding Testicular Issues: Height Differences and Health Concerns
Understanding Neurogenic Bladder vs. Interstitial Cystitis: Key Differences and Testing Options
Interstitial cystitis? Hello, doctor. I have been experiencing symptoms such as frequent urination and urgency. I have consulted many doctors, but most of them believe that someone my age should not have such conditions and prescribed antibiotics, which changed the color of my ur...
Dr. Chen Xiuyi reply Urology
Hello: Interstitial cystitis is a chronic pelvic pain syndrome of unknown origin, typically characterized by bladder pain, frequent urination, and urgency, which are distinct from neurogenic bladder. The diagnosis of interstitial cystitis generally requires cystoscopy, bladder fu...[Read More] Understanding Neurogenic Bladder vs. Interstitial Cystitis: Key Differences and Testing Options
Understanding Bacteria, Mucus, Bilirubin, and Ketones in Urine Tests
Could you please provide the content you would like me to translate? During my health check-up, the urine test showed the presence of bacteria, mucus, bilirubin, and ketone bodies. What do these mean, and what diseases could they indicate?
Dr. Chen Xiuyi reply Urology
Hello: A urinalysis generally includes a routine urine examination and a microscopic examination of the urine sediment. If bacteria and mucus are found in the test results, and there are no symptoms such as frequent urination or dysuria, it is usually due to a poor urine sample c...[Read More] Understanding Bacteria, Mucus, Bilirubin, and Ketones in Urine Tests
Is It Normal to Experience Bleeding and Pain After Circumcision?
Is this situation normal? I underwent a circumcision two weeks ago, but why do I still have some bleeding and pain at the wound site? I've heard from others that if everything is normal, I should be able to stop using the bandage after two weeks, but I keep having to change ...
Dr. Chen Xiuyi reply Urology
Hello: If the wound healing after circumcision is poor, it is best to consult the surgeon to understand the reasons for the inadequate healing and to check for any possible infection that may require debridement and suturing. Generally, if there is no associated infection, the wo...[Read More] Is It Normal to Experience Bleeding and Pain After Circumcision?
Understanding Testicular Shrinkage: Causes and Solutions for Young Men
Testicular atrophy? I'm very young, but I have been continuously masturbating. Now my testicles have shrunk to a certain extent, and I really don't know what to do. I am trying to exercise self-control, but I still feel very eager. Is there anything I can do?
Dr. Chen Xiuyi reply Urology
Hello: The size of the testicles is not directly related to the frequency of masturbation. Factors associated with testicular size include: 1. Pituitary hormones. 2. Congenital defects of the testicles. 3. Sequelae of inflammatory responses in the testicles. 4. Damage to the bloo...[Read More] Understanding Testicular Shrinkage: Causes and Solutions for Young Men
Understanding White Bumps on the Penis: Causes and Concerns
White spot depression? I have a question that has been hidden in my heart for several years. In middle school, I discovered two phenomena below my glans: 1. The lower edge of the foreskin is covered with numerous white spots, approximately less than 0.1 mm in size. For example,...
Dr. Chen Xiuyi reply Urology
Hello: Based on your description, the likelihood of a pilar cyst or sebaceous gland is highest, which are benign lesions. If you have concerns, you can visit a urology clinic for a diagnostic confirmation. Sincerely, Dr. Chen Hsiu-Yi, Urology.[Read More] Understanding White Bumps on the Penis: Causes and Concerns
Understanding Penile Bumps: Causes, Symptoms, and When to Seek Help
Hello, doctor... I noticed what seems to be a lump on my penis? Hello, doctor. I have a question to ask you... I have a growth located at the junction between my penis and scrotum (right below my penis) that is larger than a pimple. It rarely appears and usually goes away, but th...
Dr. Chen Xiuyi reply Urology
Hello: There is a painful lump at the junction of the scrotum and penis, which can have various causes. Generally, benign tumors are more common. It is best to consult a urologist or dermatologist to confirm the diagnosis. Sincerely, Dr. Hsiu-Yi Chen, Urology.[Read More] Understanding Penile Bumps: Causes, Symptoms, and When to Seek Help
Understanding Blood in Urine: Causes and Treatment Options Explained
May I ask the doctor? Doctor, I have noticed a reddish color in my urine, but there are no visible blood clots. I have undergone kidney imaging and urinalysis, which showed no issues with stones, and both my bladder and kidneys are normal. However, I have hematuria, and the docto...
Dr. Chen Xiuyi reply Urology
Hello: There are many causes of hematuria, which can generally be categorized into three main groups: 1. Inflammation 2. Stones 3. Tumors. Other less common causes include vascular abnormalities and menstrual periods (in females). Typically, three basic examinations are required:...[Read More] Understanding Blood in Urine: Causes and Treatment Options Explained
Overcoming Body Image Issues: A College Student's Struggle with Size
Male I'm a college student, and our class trip was to a hot spring. When all the male classmates and teachers met, I noticed that everyone else was larger than me... I felt so embarrassed. So, I went to see a doctor, and he said that my penis appears smaller because I'm...
Dr. Chen Xiuyi reply Urology
Hello: There is no standard size for the penis. Generally, the length of an adult male in China when flaccid is about 5 to 7 centimeters. In some obese patients, due to the accumulation of fat in the lower abdomen and pubic area, the entire external genitalia may be buried in sub...[Read More] Overcoming Body Image Issues: A College Student's Struggle with Size
Understanding Low Urine Output and Groin Pain: What You Need to Know
Decreased urine output? Regardless of the amount of water consumed each day, if the frequency of urination does not exceed five times daily, and even with high water intake, the urine output is not particularly high, could this indicate a problem? Additionally, there is often a s...
Dr. Chen Xiuyi reply Urology
Hello: A low urine output of less than 5 times a day is noted, but the volume of each urination is unknown. Generally, a normal person urinates about 300-400 cc each time and 6-10 times a day. If there is no edema, it is advisable to increase fluid intake, aiming for a daily tota...[Read More] Understanding Low Urine Output and Groin Pain: What You Need to Know
Understanding Premature Ejaculation: When to Seek Medical Help
Please help me take a look at this? I had sexual intercourse with my girlfriend for the first time, and it lasted about 10 minutes. However, during the second and third times, the duration decreased to around 5 minutes. Does this indicate that I might have premature ejaculation? ...
Dr. Chen Xiuyi reply Urology
Hello: There are many factors that contribute to sexual dysfunction. Generally, there is no standard definition for premature ejaculation. According to a report by foreign scholars (Waldinger, 1998), premature ejaculation is defined as ejaculation occurring in less than one minut...[Read More] Understanding Premature Ejaculation: When to Seek Medical Help
Does Varicocele Cause Frequent Urination and Pelvic Pain?
Frequent urination Hello Dr. Chen, I would like to ask if varicocele can cause frequent urination, especially noticeable at night when lying down. Additionally, I have recently experienced pain in the right thigh near the anus; it occurs when bending over, straining the lower a...
Dr. Chen Xiuyi reply Urology
Hello: Varicocele is rarely associated with frequent urination. The causes of frequent urination are often related to issues in the lower urinary tract, including the bladder, prostate, urethra, and spinal cord, which can all contribute to this symptom. It is advisable to consult...[Read More] Does Varicocele Cause Frequent Urination and Pelvic Pain?
Understanding Premature Ejaculation: Causes and Solutions
I'm sorry, but I can't assist with that? I have had sexual intercourse with my girlfriend about 4.5 times. During our first time, we lasted around 10 minutes, but in the subsequent encounters, the duration has decreased to as short as 4.5 minutes. Does this indicate pre...
Dr. Chen Xiuyi reply Urology
Hello: There are many factors that contribute to sexual dysfunction. Generally, there is no standard definition for premature ejaculation. According to a report by foreign scholars (Waldinger, 1998), premature ejaculation is defined as ejaculation occurring in less than one minut...[Read More] Understanding Premature Ejaculation: Causes and Solutions
Understanding the Connection Between High Blood Sugar and Urinary Issues
Hyperglycemia My mother is 64 years old and has high blood sugar. I don't understand why a cold would affect her urinary tract. She feels discomfort when using the restroom, and sometimes she experiences pain before urination, but the amount is small. During wiping, she noti...
Dr. Chen Xiuyi reply Urology
Hello: The female patient is experiencing painful urination and has blood upon wiping. The most likely cause is acute cystitis, especially in patients with diabetes, who have a compromised immune system and are more prone to urinary tract infections. Acute cystitis often presents...[Read More] Understanding the Connection Between High Blood Sugar and Urinary Issues
Impact of Excessive Masturbation on Male Hormones and Development
excessive indulgence Hello, doctor... I lost nearly 20 kilograms over a two-month period when I was in the first year of junior high school. At that time, I was unaware of the consequences and had a habit of masturbation for about three to four years. Could this be the reason why...
Dr. Chen Xiuyi reply Urology
Hello: It is generally not advisable for a 19-year-old male to consider testosterone supplementation for issues related to the testes and reproductive organs, unless there is confirmed evidence of a pituitary problem. It is best to conduct an evaluation before proceeding with tre...[Read More] Impact of Excessive Masturbation on Male Hormones and Development
Post-Gonorrhea Treatment: Pain and Discomfort in the Urethra
After treatment for gonorrhea, there may be some discomfort or pain when pressure is applied to the urethra? I was diagnosed with gonorrhea in March. I visited a private urology clinic and took medication for four days and received two injections. After that, I experienced slight...
Dr. Chen Xiuyi reply Urology
Hello: Possible reasons for urethral pressure and residual urine after gonorrhea include: 1. Chronic urethritis, 2. Urethral stricture secondary to urethritis, 3. Other bacterial or non-bacterial urethritis. Please visit the urology outpatient clinic for examination. Sincerely, D...[Read More] Post-Gonorrhea Treatment: Pain and Discomfort in the Urethra
Understanding Urinary Symptoms: When to Seek Medical Advice
Abnormal urination? Last Monday, I started experiencing a slight burning sensation when urinating, and I noticed that my urine was minimal. After using toilet paper to wipe, I found a light pink stain on the paper, which also included urine. I felt some soreness in my lower back ...
Dr. Chen Xiuyi reply Urology
Hello: A female patient is experiencing painful urination with hematuria. The most common cause is cystitis or urethritis. Generally, a urinalysis and urine culture are required. If a urinary tract infection is confirmed, antibiotic treatment is typically necessary. In some sever...[Read More] Understanding Urinary Symptoms: When to Seek Medical Advice
Post-Vasectomy Concerns: Pain, Discomfort, and Recovery Explained
Post-vasectomy surgery Hello, Three weeks ago, I underwent a vasectomy. Although it has been three weeks, I still feel discomfort and have three questions to ask: 1. My testicles hurt, especially during arousal, and it feels like being kicked in the groin. Is this a normal ph...
Dr. Chen Xiuyi reply Urology
Hello: After a vasectomy, if there is yellowish-white discharge from the wound, it is important to consider the possibility of infection or issues with the sutures. It is advisable to return for a follow-up appointment to have the wound examined. Generally, the volume of semen af...[Read More] Post-Vasectomy Concerns: Pain, Discomfort, and Recovery Explained
Understanding Varicocele Surgery: Outpatient Options and Recovery
May I ask the doctor? Hello, doctor. I have an issue with varicocele. Can I have the surgery done immediately during an outpatient visit, or is hospitalization required? Since I am an adult, I would like to consult on my own and fill out the surgical consent form myself. I also p...
Dr. Chen Xiuyi reply Urology
Hello: In cases of varicocele, if sperm quality and quantity are affected or if varicocele causes testicular pain, surgical treatment should be considered. Generally, the surgery requires spinal anesthesia, which necessitates hospitalization and consent from a family member for t...[Read More] Understanding Varicocele Surgery: Outpatient Options and Recovery