Understanding Penile Fractures: Symptoms, Causes, and Concerns
I'm sorry Hello, Doctor: Recently, while reading articles, I came across two that discussed penile fractures. They described that during an erection, improper positioning or external forces could lead to a penile fracture, which might produce a distinct "pop" sound...
Dr. Chen Zhihong reply Urology
Penile fracture can result in curvature as a long-term consequence. As for the angle issue, it does not affect function; however, the appearance can be surgically corrected. It is advisable to seek medical evaluation.[Read More] Understanding Penile Fractures: Symptoms, Causes, and Concerns
Understanding Erectile Dysfunction: Impact of Stress and Sleep on Men's Health
Question? Hello Dr. Chen, I have some questions that I hope you can help answer. My husband has been very busy with work and has very little sleep, sometimes working until one or two in the morning, or even three or four. He is currently 30 years old, which should be a time of go...
Dr. Chen Zhihong reply Urology
It is commonly psychosomatic, but it is still advisable to seek evaluation at a medical facility.[Read More] Understanding Erectile Dysfunction: Impact of Stress and Sleep on Men's Health
Understanding Interstitial Cystitis: Symptoms, Treatments, and Costs
Interstitial cystitis Hello Dr. Chen, I would like to ask you about a recent issue I've been experiencing. After each time I use the restroom, I feel the urge to urinate again, and the volume is approximately the same each time. I also experience some discomfort in my lowe...
Dr. Chen Zhihong reply Urology
A diagnosis should be established first. Please keep a urinary diary to monitor the daily frequency before proceeding with further examinations.[Read More] Understanding Interstitial Cystitis: Symptoms, Treatments, and Costs
Understanding Blood During Ejaculation: Causes and Concerns
Hematospermia (blood in semen) during ejaculation? I'm very concerned because my boyfriend has been experiencing blood during ejaculation. This symptom started a few weeks ago. The first time I noticed the blood during ejaculation, I thought it might be because there wasn&#x...
Dr. Chen Zhihong reply Urology
Hematospermia generally indicates no major issues, and it is advisable to rest for a month. However, there is also a possibility of penile frenum tear causing bleeding, which should be evaluated by a physician. Additionally, insufficient lubrication can lead to pain, which varies...[Read More] Understanding Blood During Ejaculation: Causes and Concerns
Understanding Chlamydia Test Results: Do You Need Treatment?
Could you please provide more details regarding the blood test report for Chlamydia? Hello, doctor... I would like to ask you about a Chlamydia infection. About five weeks ago, I had sexual intercourse with my ex-girlfriend. Later, I found out she was seeing someone else, and we ...
Dr. Chen Zhihong reply Urology
Currently, the detection methods for Chlamydia include pathogen culture and polymerase chain reaction (PCR), which are the most accurate. The reliability of other antibody response tests is not high, so you do not need to be concerned about them.[Read More] Understanding Chlamydia Test Results: Do You Need Treatment?
Impact of Lifestyle on Sperm Quality and Fertility Concerns
Sperm quality Hello Dr. Chen, I have two questions to ask you. I recently got married and am planning to have a child, but my lifestyle has been irregular for the past few months, including staying up late and drinking coffee. I feel very fatigued both mentally and physically. H...
Dr. Chen Zhihong reply Urology
An irregular lifestyle and staying up late may affect the quantity and motility of sperm, potentially reducing fertility, and in severe cases, could lead to infertility (though not necessarily). However, if pregnancy occurs, it should not adversely affect the health of the fetus....[Read More] Impact of Lifestyle on Sperm Quality and Fertility Concerns
Understanding Incomplete Ejaculation: Causes and Solutions
Ejaculation It seems like I'm not ejaculating completely, and it comes out in a flowing manner. It feels less pleasurable, and I'm not sure why this is happening.
Dr. Chen Zhihong reply Urology
The intensity of ejaculation is related to the level of sexual stimulation prior to ejaculation. If the stimulation is relatively low, there may be a sensation of semen "leaking out." Another possibility is retrograde ejaculation, which is typically caused by nerve dama...[Read More] Understanding Incomplete Ejaculation: Causes and Solutions
Understanding Weak Urination and Genital Issues: Causes and Treatments
Urinary retention and a drooping genital organ may indicate underlying issues. Possible causes could include nerve damage, hormonal imbalances, or structural abnormalities. It is essential to consult a healthcare professional for a thorough evaluation and diagnosis. Treatment opt...
Dr. Chen Zhihong reply Urology
Do you know how much urine you have been passing recently, approximately in c.c.? The smoothness and force of urination are related to the volume of urine: urination is most smooth when the volume is between 300 to 500 c.c. If the urine volume is less than 200 c.c., you may exper...[Read More] Understanding Weak Urination and Genital Issues: Causes and Treatments
Post-Circumcision Urination Issues: Why Is My Stream Splitting?
Post-circumcision urinary stream bifurcation? Hello Dr. Chen: I am 25 years old and four days ago I underwent a circumcision. The biggest issue I am facing now is that when I urinate, the stream is completely erratic, not forming a straight line but instead spraying to the left, ...
Dr. Chen Zhihong reply Urology
Most patients who undergo circumcision may experience temporary urinary obstruction due to swelling of the surgical tissue, which can lead to intermittent urination difficulties. However, this condition is usually transient and will gradually resolve within 1 to 2 weeks, so there...[Read More] Post-Circumcision Urination Issues: Why Is My Stream Splitting?
Understanding Penile Curvature: Treatment Time and Costs Explained
Penile curvature I am married and have two children. However, my penis bends to the left and downward during an erection. Could you please tell me how long the correction would take and what the costs would be? Thank you!
Dr. Chen Zhihong reply Urology
The surgery duration is approximately 1.5 to 2 hours. The surgical costs can be covered by health insurance, with a patient co-payment of 10% (approximately 2,000 to 3,000 NTD).[Read More] Understanding Penile Curvature: Treatment Time and Costs Explained
Understanding Testicular Discomfort: Causes and Solutions
excuse me? Hello, I would like to ask about an issue regarding my testicles. Recently, I have been feeling that my testicles seem a bit unusual, as they often have a pulsating sensation similar to a heartbeat. Although there is no pain, it makes it difficult for me to sleep, and ...
Dr. Chen Zhihong reply Urology
Are you experiencing the sensation of your testicles twitching intermittently or continuously? Is it synchronized with your heartbeat? Is there any swelling of the testicles? If none of the above symptoms are present, it may be due to nerve or muscle pain in the spermatic cord. Y...[Read More] Understanding Testicular Discomfort: Causes and Solutions
Struggling with Urination: When Medication Isn't Enough
Urination..? I feel the urge to urinate when I go to the bathroom, but I have difficulty passing urine and often have to strain for a while before it comes out. I visited a doctor at the hospital, and they prescribed medication for me, but after taking it for two weeks, I still h...
Dr. Chen Zhihong reply Urology
How long have you been experiencing urinary issues? Given your age, the likelihood of bladder dysfunction is quite low (unless you have a history of spinal cord injury). If you tend to be anxious or have a hurried personality, the most probable cause is stress-induced bladder hyp...[Read More] Struggling with Urination: When Medication Isn't Enough
Do You Really Need a Circumcision? Understanding Phimosis at 17
Phimosis Is it necessary for everyone to undergo circumcision? I am seventeen and still have phimosis; what will happen if I don't get circumcised? Why do some people get circumcised as children while others do not? Who makes that decision?
Dr. Chen Zhihong reply Urology
1. Not everyone needs to undergo circumcision; typically, there are two conditions that warrant the procedure: one is complete phimosis (where the foreskin completely covers the glans and cannot be retracted even with manual manipulation), and the other is recurrent balanitis. ...[Read More] Do You Really Need a Circumcision? Understanding Phimosis at 17
Understanding Viagra: Risks, Concerns, and Erectile Dysfunction Solutions
Viagra 1. About six months ago, I experienced an issue where I sometimes had an erection during foreplay, but it wasn't firm enough for penetration. I took Viagra several times. Recently, I came across information stating that Viagra could cause erections lasting over four h...
Dr. Chen Zhihong reply Urology
1. The term "priapism" refers to an erection lasting more than 4 hours, which can damage the erectile tissue, specifically in the context of a "sustained erection," not intermittent erections over a 4-hour period. Currently, I have not seen any formal literatu...[Read More] Understanding Viagra: Risks, Concerns, and Erectile Dysfunction Solutions
Understanding Semen Color: Is Yellow Normal and What About Crystals?
Semen issues What color should semen be? Mine has often been light yellow... is that normal? Also, it seems to have a crystalline texture.
Dr. Chen Zhihong reply Urology
A: The color of semen ranges from milky white to light yellow. If ejaculation occurs more frequently, the color tends to be milky white. However, if there is a longer interval (several days) without ejaculation, the color may appear lighter yellow, and there may be the presence o...[Read More] Understanding Semen Color: Is Yellow Normal and What About Crystals?
Understanding Bumps on the Foreskin: Causes and Treatment Options
Issues with the foreskin? Hello, doctor. I have small pimple-like bumps on both sides of my foreskin that resemble acne, but they are asymptomatic. I have not engaged in sexual intercourse with a partner, only masturbation. What kind of sexually transmitted infection (STI) could ...
Dr. Chen Zhihong reply Urology
A: These small spots, similar to acne, are likely the openings of sebaceous glands and are not sexually transmitted diseases, so no treatment is necessary.[Read More] Understanding Bumps on the Foreskin: Causes and Treatment Options
How to Contact Your Urologist: Requesting Email for Medical Queries
excuse me? Hello, doctor... I am someone who previously asked a question. I would like to send a photo but I don't know your email address. Could you please provide it? Thank you.
Dr. Chen Zhihong reply Urology
I'm sorry, but I cannot assist with that.[Read More] How to Contact Your Urologist: Requesting Email for Medical Queries
Understanding White Bumps on the Penis: When to See a Urologist
White spots..? Hello doctor, I recently noticed that my brother has developed a row of small white bumps along the glans sulcus. They are not painful or itchy. Is this a normal phenomenon? How can we make the white bumps disappear? Should we see a urologist? Thank you for your re...
Dr. Chen Zhihong reply Urology
Response to the physician: Subject of concern from Dr. Chen Chih-Hong: White small spots... This is a normal phenomenon; some individuals may develop these "pearly penile papules" on the glans, and they may appear larger during an erection. There is no need for concern ...[Read More] Understanding White Bumps on the Penis: When to See a Urologist
Can Genital Warts Heal Without Medication? Key Questions Answered
Can cauliflower recurrence heal without medication? Three months ago, I was infected with genital warts and visited a private clinic. The doctor prescribed medication, stating that I would be fine after a week, and I took the medication for a week. A month later, I went to a larg...
Dr. Chen Zhihong reply Urology
1. Warts cannot heal on their own; they require the application of special antiviral ointments or electrosurgery for treatment. If they fall off on their own, they are likely not warts. 2. The incubation period for syphilis can last up to 2 months, while for HIV it can be up to 6...[Read More] Can Genital Warts Heal Without Medication? Key Questions Answered
Understanding Varicocele: Symptoms, Diagnosis, and Fertility Impact
Could it be a varicocele? Doctor, I have some questions: 1.) In a normal person, can the blood vessels be seen on the outside of the scrotum? 2.) On the right side of my scrotum, there is a more prominent blood vessel that appears slightly larger. Its diameter is about 0.1 cm, bu...
Dr. Chen Zhihong reply Urology
1. Varicocele typically refers to the enlargement of veins within the scrotum (not on the surface), leading to poor blood flow and resulting in blood pooling in the scrotum. 2. The vessels you mentioned are likely varicose veins of the spermatic cord. The small bumps on the surfa...[Read More] Understanding Varicocele: Symptoms, Diagnosis, and Fertility Impact