Understanding Hypospadias: Concerns and Treatment Options for Your Child
Hypospadias and Urethral Stricture My 3.5-year-old son has a small hole below the glans of his penis. The doctor said it is mild, with a success rate of over 95%. However, after two surgeries, he still experiences urinary leakage, and the urethral opening, which was already small...
Dr. Huang Yuanhui reply Surgery
Hypospadias surgery has a relatively low success rate, with an average success rate of only 60% for the first surgery, and the best success rate being around 80%. The success rate for subsequent surgeries gradually declines, with the best outcomes being approximately 50% of patie...[Read More] Understanding Hypospadias: Concerns and Treatment Options for Your Child
Understanding Hydrocele in Infants: Surgery Timing and Anesthesia Options
Scrotal edema Hello Doctor, my son just turned 1 year old and has a hydrocele. I would like to ask: 1. When can surgery be performed, and what are the risks? 2. Will general anesthesia or local anesthesia be required for the surgery? Thank you for your response.
Dr. Huang Yuanhui reply Surgery
1. Scrotal swelling in children over one year of age requires surgical treatment, preferably completed before the age of six to avoid developmental impacts. The risk of surgery comes from anesthesia allergies, which occur in less than one in ten thousand cases. 2. The surgery req...[Read More] Understanding Hydrocele in Infants: Surgery Timing and Anesthesia Options
Understanding Hernias: Symptoms, Diagnosis, and Solutions
Hernia Hello! I'm not sure if I have a hernia. I've noticed that my scrotum hangs quite low, and it rarely retracts unless it's very cold. Additionally, there seems to be a slight linear and lump-like structure at the upper edge of my scrotum. Upon visual inspectio...
Dr. Huang Yuanhui reply Surgery
The typical symptom of a hernia is the appearance of a bulge in the groin area when standing or exerting pressure on the abdomen, such as during sneezing, coughing, or laughing. However, this bulge will disappear when lying down or when the abdominal pressure is relieved. Your de...[Read More] Understanding Hernias: Symptoms, Diagnosis, and Solutions
Understanding Facial Swelling in Infants: When to Seek Medical Advice
Impatience My daughter is currently two months old (born on March 8). I noticed a lump on her right cheek; it appears normal without any significant asymmetry, just slightly swollen. When touched, it feels like a firm ball, approximately 1.5 x 1.5 cm, and it is movable. We consul...
Dr. Huang Yuanhui reply Surgery
It is most likely a congenital epithelial cell tumor, a type of cell that should have regressed during embryonic development. Most of these tumors have no impact on the body. If there is significant concern, surgical removal can be considered, but it may leave a scar. Dr. Huang Y...[Read More] Understanding Facial Swelling in Infants: When to Seek Medical Advice
Is the Breathable Bandage Method Effective for Surgical Care?
Breathable adhesive bandage Many people online are sharing the so-called "breathable tape method." Is it really effective?
Dr. Huang Yuanhui reply Surgery
Hello: Breathable adhesive bandages are generally used to cover wounds and help flatten them. Is what you referred to as the "breathable adhesive bandage method" related to this?[Read More] Is the Breathable Bandage Method Effective for Surgical Care?
Differentiating Between Umbilical Fistula and Umbilical Granuloma in Children
Umbilical cord How can we differentiate between an umbilical fistula and an umbilical granuloma? A four-year-old girl recently developed redness and swelling around her navel, accompanied by itching, but without any discharge or odor. What diagnostic techniques, aside from clinic...
Dr. Huang Yuanhui reply Surgery
Hello: In addition to clinical symptoms, the patency of the urachus can be confirmed using a rectal-umbilical fistulography to check if it connects to the bladder. A urachal remnant will protrude outside the umbilicus and will not connect to the bladder. Redness and swelling arou...[Read More] Differentiating Between Umbilical Fistula and Umbilical Granuloma in Children
Understanding Subcutaneous Bumps on the Hand: Causes and Concerns
Dorsal hand mass Hello, I would like to ask, this morning when I woke up, I noticed a small raised bump on the back of my right hand, similar to a mosquito bite, which is swollen under the skin. It does not hurt when pressed, it can move, and it moves along with my fingers. Could...
Dr. Huang Yuanhui reply Surgery
Hello: It is most likely a tendon tumor. Please visit a plastic surgery department for diagnosis and treatment. Wishing you good health![Read More] Understanding Subcutaneous Bumps on the Hand: Causes and Concerns
Impact of Antiepileptic Drugs on Fetal Development in AVM Patients
Arteriovenous malformation (AVM) Patients with arteriovenous malformations (AVMs) who have undergone gamma knife treatment and are currently 28 weeks pregnant, experiencing involuntary tremors, should consult their healthcare provider regarding the use of antiepileptic medication...
Dr. Huang Yuanhui reply Surgery
Hello: 1. Please first confirm whether you are experiencing seizures to determine if medication is necessary, so you should follow up at the neurosurgery outpatient clinic. 2. If you must take antiepileptic medication, you need to discuss with your obstetrician whether the medica...[Read More] Impact of Antiepileptic Drugs on Fetal Development in AVM Patients
Understanding Rectal Polyps in Toddlers: Causes, Concerns, and Treatment Options
Anal polyp My child is currently 15 months old. A few months ago, I noticed a polyp about 1 centimeter in size around his anus. It does not bleed or have any discharge, and his bowel movements are normal. However, I am still very concerned. Why did it grow? What should I pay atte...
Dr. Huang Yuanhui reply Surgery
Hello: In addition to polyps, there is also the possibility of an anal fistula. Please take your child to the pediatric surgery outpatient clinic for evaluation and treatment before deciding whether surgery is necessary. My clinic hours are Monday afternoons and Friday evenings. ...[Read More] Understanding Rectal Polyps in Toddlers: Causes, Concerns, and Treatment Options
Understanding Frog Legs in Children: Growth, Health, and Future Implications
Frog limb Hello Doctor: My son is in the fourth grade of elementary school. The other day, after a school health check, they mentioned he might have "frog legs" because when asked to squat, he couldn't keep his feet flat on the ground. I would like to know if this ...
Dr. Huang Yuanhui reply Surgery
Dear Parent, The symptoms you described are consistent with the characteristics of frog legs. Aside from the inability to squat, this condition does not affect overall health. It is caused by tight fascia in the thigh muscles and is not related to being overweight. It is recomm...[Read More] Understanding Frog Legs in Children: Growth, Health, and Future Implications
Understanding Testicular Asymmetry: Causes and Concerns
The issue of one testicle being higher than the other? At birth, there was scrotal swelling. During a follow-up at one month, it was reported to be fine. At the age of four, surgery was performed for a hernia. Currently, one testicle is positioned higher than the other. The indiv...
Dr. Huang Yuanhui reply Surgery
Hello: Patients with anal atresia not only have underdeveloped anal structures, but the nerves that control bowel movements may also be poorly developed, leading to an inability to effectively sense stool accumulation and to evacuate the bowels completely. So far, the most effect...[Read More] Understanding Testicular Asymmetry: Causes and Concerns
Managing Bowel Control Issues After Anorectal Malformation Surgery
Concerns about Anorectal Agenesis After surgery for anal atresia, the patient is unable to control bowel movements normally (unable to accumulate stool to a certain volume before defecating) and experiences constant fecal incontinence. As soon as there is stool in the intestines,...
Dr. Huang Yuanhui reply Surgery
Hello: Patients with anal atresia not only have underdeveloped anal structures, but the nerves that control bowel movements may also be poorly developed, leading to an inability to effectively sense the accumulation of stool and to evacuate it completely. So far, the most effecti...[Read More] Managing Bowel Control Issues After Anorectal Malformation Surgery
Understanding and Treating Infant Anal Polyps: Causes and Solutions
Infant anal polyps Hello, Dr. Huang! My baby girl is just 7 months old. Last week, I discovered a small polyp at her anal opening, about the size of a mung bean. She doesn't seem to be in any discomfort. I would like to know the possible causes and treatment options. Thank y...
Dr. Huang Yuanhui reply Surgery
Hello: It is most likely a trace of an anal fissure, commonly caused by a history of constipation or passing large stools that have stretched the anal opening. The general management principle is to monitor for any associated inflammation of the anal tissue. If there is no rednes...[Read More] Understanding and Treating Infant Anal Polyps: Causes and Solutions
Understanding Hernias in Infants: When to Consider Surgery
Hernia Hello doctor, my child developed a hernia due to crying when he was one month old. We took him to the hospital for a consultation, and the doctor recommended performing hernia surgery when he turns three months old. However, after he stopped crying forcefully, the conditio...
Dr. Huang Yuanhui reply Surgery
Dear Parent, 1. If a bulge from a hernia has appeared more than once, it indicates that the pathway through which the testicle descended has not yet closed. Regardless of whether the bulge reappears, surgery is necessary to close this pathway; otherwise, hernia symptoms may recu...[Read More] Understanding Hernias in Infants: When to Consider Surgery
Post-Surgery Complications: Understanding Pain and Swelling After Ankle Tumor Removal
Surgical complications I underwent a tumor excision surgery on July 6, approximately 2 cm above the left ankle joint, and I am still experiencing the following symptoms: 1) There is still a tingling sensation near the wound, especially around the ankle joint. 2) There is swelling...
Dr. Huang Yuanhui reply Surgery
Response to Question 1: The ankle must bear the weight of the entire body while walking and adjust to changes in terrain, which is why wounds near the ankle tend to heal more slowly. Even after the wound has healed, individuals may experience a tingling sensation due to the press...[Read More] Post-Surgery Complications: Understanding Pain and Swelling After Ankle Tumor Removal
Understanding Elevated CEA Levels: Next Steps in Surgical Evaluation
CEA (Carcino In April 2002, during a routine check-up, the CEA level was 10.5. In May, a colorectal examination was performed, and a 1 cm polyp was removed. Subsequently, for the next two months, two CEA tests were conducted, both showing a level of 4.35, which is still above the...
Dr. Huang Yuanhui reply Surgery
Answer: Surgery Dr. Huang Yuan-Hui stated that since our hospital already has a colorectal surgery specialty, this question is specifically addressed by Dr. Hou Yong-Ji from the colorectal surgery department. Thank you. Colorectal Surgery Dr. Hou Yong-Ji: 1. Carcinoembryonic anti...[Read More] Understanding Elevated CEA Levels: Next Steps in Surgical Evaluation