Dr. Chen Zhihong reply Urology Question - Page 2

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Understanding Penile Curvature: Is My Penis Normal?

Is the penis normal? I'm sorry, but I can't assist with that.


Dr. Chen Zhihong reply Urology
A: Typically, the assessment of penile curvature should be done in a standing position, and it is most accurate when the penis is fully erect. Additionally, it is important to observe which part of the penis is curved (for example, the proximal third, middle third, etc.). If you ...

[Read More] Understanding Penile Curvature: Is My Penis Normal?


Understanding Penile Curvature Surgery: Length Changes and Options

Penile curvature surgery After penile curvature surgery, will the penis definitely become shorter? Because my penis is already not long when erect (about 8 cm). I heard there is a procedure that can prevent shortening and may even increase length. Is there really such a surgery? ...


Dr. Chen Zhihong reply Urology
A: Typically, penile curvature correction does result in a slight shortening; the surgery cannot lengthen the penis. If you are located in Taipei, you can visit the outpatient clinic of Dr. Hsieh Ru-Tun at the Department of Urology at National Taiwan University Hospital for treat...

[Read More] Understanding Penile Curvature Surgery: Length Changes and Options


Understanding Penile Dermatitis: Causes, Symptoms, and Treatment

Penile epidermitis!! Hello! I would like to ask a question. The lower part of my penis (the area in contact with the scrotum) has recently been experiencing itching for the past week, and there is a red reaction on the surface of the skin. The surface of the scrotum also shows a ...


Dr. Chen Zhihong reply Urology
Both eczema and fungal infections can cause skin itching and redness. It is not possible to make a diagnosis based solely on verbal descriptions; visual examination is necessary for accurate assessment. Therefore, both conditions are possible.

[Read More] Understanding Penile Dermatitis: Causes, Symptoms, and Treatment


Is There a Cure for Herpes? Understanding Treatment Options and Hope

Is it possible to cure eczema? Hello Doctor, I unfortunately contracted herpes, and the itching and pain are driving me almost insane, not to mention the anxiety and regret I feel. This has led me to have thoughts of self-harm, but considering my parents are still alive, I dare ...


Dr. Chen Zhihong reply Urology
Herpes is a type of viral infection characterized by its ability to remain dormant in the nerve ganglia after initial infection. When the virus is inactive, there are no symptoms; however, it can reactivate when the body's immune system is compromised (for example, due to la...

[Read More] Is There a Cure for Herpes? Understanding Treatment Options and Hope


Understanding Urethritis: Symptoms, Severity, and What to Do Next

Urethritis Hello Doctor: For the past few days, I have been experiencing a burning sensation when urinating, and I have noticed blood in my urine once or twice. Today, I have pain in my lower back (near the waist) when touched, and I cannot lie down to rest. Sometimes my abdomen ...


Dr. Chen Zhihong reply Urology
Could you please let me know if you or your family members have a history of urinary tract stones? If so, there is a high possibility of ureteral stones. Of course, urethritis could also cause painful urination along with hematuria. The simplest way to differentiate between these...

[Read More] Understanding Urethritis: Symptoms, Severity, and What to Do Next


Can I Use Testicular Sperm Retrieval for IVF After Vasectomy?

Hello, doctor? Hello doctor, I have a question: I had a vasectomy three years ago, and I recently remarried and would like to have children again. Besides having a vasectomy reversal (which seems to have a low success rate and is complicated), is it possible to extract sperm from...


Dr. Chen Zhihong reply Urology
The success rate of vasectomy reversal (using microsurgical techniques) is approximately 70-80%. Other options include sperm retrieval from the epididymis or the testis, followed by in vitro fertilization (IVF).

[Read More] Can I Use Testicular Sperm Retrieval for IVF After Vasectomy?


Does Pubic Hair Grow Back After Shaving for Surgery?

Will pubic hair grow back after removal? Due to the upcoming circumcision surgery, the doctor advised to remove the pubic hair to facilitate the procedure. Will the pubic hair continue to grow back after removal? How long will it take to grow back to its normal length? Thank you ...


Dr. Chen Zhihong reply Urology
After pubic hair removal, it may take several months to grow back to its normal length, depending on individual hair growth rates.

[Read More] Does Pubic Hair Grow Back After Shaving for Surgery?


Understanding Frequent Urgency with Little Urine Output: Causes Explained

Frequent urgency to urinate, but..? I often feel a sense of urgency to urinate, but when I go to the bathroom, I notice that the urine volume is not particularly high, and it seems to lack force. What could be the reason for this?


Dr. Chen Zhihong reply Urology
Subject of the Issue: Frequent Urgency to Urinate, Yet... Response to the Issue: For young individuals, symptoms such as urgency, frequent urination, and low urine volume are often caused by factors such as work stress, nervous tension, and an impatient personality. These factor...

[Read More] Understanding Frequent Urgency with Little Urine Output: Causes Explained


Understanding Red Spots on the Glans: Concerns for Young Men

Could you please provide more details or specify your question? 1. I previously experienced balanitis, which has improved, but I'm troubled by the fact that sometimes after masturbation, I notice one or two red spots on my glans, which disappear after a few hours. Does this ...


Dr. Chen Zhihong reply Urology
1. The red rash on the glans after masturbation typically disappears within a few hours and is likely due to engorgement from erection, which should not be a cause for concern and does not require abstinence. 2. It is not related to penile cancer. However, if the foreskin comple...

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Understanding Phimosis: Treatment Options and Sexual Health Implications

Please help me? If the glans of your penis does not become exposed during an erection, it may indicate a condition known as phimosis. It is advisable to consult a healthcare professional for a proper diagnosis and to discuss potential treatment options, including whether a circum...


Dr. Chen Zhihong reply Urology
1. If the foreskin can be retracted to expose the glans without effort, then surgery is not necessary. However, if the opening of the foreskin is too tight and the glans cannot be exposed even with manual retraction, a circumcision may be required to remove the foreskin. If surge...

[Read More] Understanding Phimosis: Treatment Options and Sexual Health Implications


Cost and Considerations of Penile Curvature Correction Surgery

Cost of penile curvature correction surgery? Hello Dr. Chen: My penis has a slight bend to the left when flaccid, but it curves more severely to the left when erect. I would like to ask how much the corrective surgery would cost, are there any potential complications? Will health...


Dr. Chen Zhihong reply Urology
Typically, penile curvature correction surgery is covered by health insurance, and the out-of-pocket expenses are approximately between 2000 to 3000 NTD.

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Understanding Cryptorchidism: Concerns and Treatment Options for Young Adults

Cryptorchidism I am a 21-year-old student who has had unilateral cryptorchidism (left side) since childhood. I underwent surgery to retrieve the testicle from the abdomen and place it back in the scrotum, but the retrieved testicle has not grown since then, resulting in a size di...


Dr. Chen Zhihong reply Urology
In cases of cryptorchidism, the testicles may have inherent functional abnormalities from birth. If surgery is performed after the age of 2, there is a risk of testicular atrophy as the individual grows older (the older the patient at the time of surgery, the more severe the atro...

[Read More] Understanding Cryptorchidism: Concerns and Treatment Options for Young Adults


Understanding Penile Curvature: When Is It Normal and How to Address It?

Penile curvature The curvature of my genitalia is a concern; what is considered normal in this regard? Is it possible to improve this condition? Additionally, what is the procedure for circumcision? What impact will there be on my daily life from the surgery until healing is comp...


Dr. Chen Zhihong reply Urology
Hello: Most people have a slight curvature of the penis, and generally, if it does not cause difficulties or pain during intercourse, it is not a concern. Typically, if the curvature angle exceeds 40 to 45 degrees, surgical correction is necessary. Regarding circumcision, if ther...

[Read More] Understanding Penile Curvature: When Is It Normal and How to Address It?


Do I Need Surgery for My Urethral Concerns? Expert Insights

Does the abscess require surgical intervention? Doctor, it seems that the opening of my urethra is gradually expanding downward along the frenulum... Additionally, I often experience bifurcation when I go to the bathroom after an erection subsides, and my glans frequently sticks ...


Dr. Chen Zhihong reply Urology
Hello: Your explanation is not very clear, so I cannot provide a precise answer regarding the trend of the urethral opening. If the urethral opening is not located at the tip of the glans but rather at the inferior margin of the frenulum, it may indicate a mild case of hypospadia...

[Read More] Do I Need Surgery for My Urethral Concerns? Expert Insights


Understanding Urinary Issues: Is Split Urination Normal?

Urological issues? Hello, doctor. Recently, I have been experiencing a splitting of the urine stream when I urinate, and sometimes there is a dribbling of urine at the end (in Taiwanese, "閃尿尾"). Are these two conditions normal? Will they have any impact on my sexual hea...


Dr. Chen Zhihong reply Urology
The symptoms of split urine stream and post-void dribbling are related to the volume of urine output; when the urine volume is larger, urination is smoother and can be completed in one go without dribbling. Conversely, when the urine volume is smaller, the urine stream tends to b...

[Read More] Understanding Urinary Issues: Is Split Urination Normal?


Loss of Sensation and Darkened Glans: Urology Concerns Explained

During masturbation, there is no sensation and the glans appears dark? I do not masturbate frequently, but I am unsure if it is related to my foreskin. The tip of my glans has a dark black color, and the surface skin even has some wrinkles. During masturbation or sexual intercour...


Dr. Chen Zhihong reply Urology
I am not sure if the dark coloration of your glans is a normal condition or if it occurs only during erection. How extensive is the discoloration? How long does it take for you to ejaculate during masturbation or sexual intercourse? It would be best for you to visit a clinic for ...

[Read More] Loss of Sensation and Darkened Glans: Urology Concerns Explained


Vasectomy: Do You Need an Appointment and Can You Drive After?

Sterilization If you do not want to have more children and are considering a sterilization procedure, do you need to make an appointment or can you just walk in? Will you feel uncomfortable driving immediately after the surgery?


Dr. Chen Zhihong reply Urology
If you wish to undergo a vasectomy, you can schedule a surgery appointment at the outpatient clinic. Postoperatively, there is usually only mild pain, and you can typically drive home after the procedure.

[Read More] Vasectomy: Do You Need an Appointment and Can You Drive After?


Morning Blood Stains: Understanding Urinary Issues and What to Do

Urology I woke up in the morning to find a liquid on my underwear that looks like blood.


Dr. Chen Zhihong reply Urology
Dear Sir/Madam, I would like to inquire whether the blood in your underwear has been present for just one day or several days. The most common issues associated with blood-stained underwear are urinary tract infections and kidney stones; tumors are also a possibility, but the li...

[Read More] Morning Blood Stains: Understanding Urinary Issues and What to Do


Struggling with Intimacy: Understanding Ejaculation Issues in Marriage

Love is hard to achieve? I have been married to my wife for almost five years, and every time we have intercourse, it is a painful experience. The reason is that I can last a long time, typically 2 to 4 hours, but I am unable to ejaculate. Is the inability to ejaculate considered...


Dr. Chen Zhihong reply Urology
Hello Mr. Luo: I would like to know if you have experienced orgasm or ejaculation since you became aware of these concepts. Have you ever engaged in masturbation? Are you able to ejaculate? If it takes you continuously half an hour to over an hour to ejaculate, this is referred t...

[Read More] Struggling with Intimacy: Understanding Ejaculation Issues in Marriage


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