Understanding Bacterial Prostatitis: Post-Treatment Testing Guidelines
Bacterial prostatitis If I have been taking Levofloxacin 750 mg for one month but still have a persistent urge to urinate without any other pain, and my doctor seems to think that I should stop the medication after one month, how many days after stopping the medication should I w...
Dr. Jian Weihong reply Urology
Hello: If symptoms persist after a period of treatment, it may be necessary to consult your physician about the addition of other medications. Additionally, dietary considerations are important; limit the intake of beverages and focus on drinking plain water, while also minimizin...[Read More] Understanding Bacterial Prostatitis: Post-Treatment Testing Guidelines
Managing Sensitivity After Laser Circumcision: Tips and Insights
Laser circumcision for phimosis involves the use of skin adhesive? Hello doctor, I underwent laser surgery on May 10th, and postoperatively, skin glue was used to aid in wound healing, so there is no need for ointments or dressing changes. 1. However, my main concern right now ...
Dr. Jian Weihong reply Urology
Hello: 1. Currently, the most troubling issue is that the glans is very sensitive; it retracts slightly with any touch. I have been using a desensitizing spray, and it helps significantly after application. I would like to know how long it typically takes to adapt, and whether th...[Read More] Managing Sensitivity After Laser Circumcision: Tips and Insights
Understanding Blood Leakage from the Glans During Erection: Causes and Solutions
Penile glans bleeding? Hello doctor, when I firmly grip and squeeze my penis during an erection, I notice two spots on the glans that ooze blood. The bleeding stops when I release my grip. Normally, when I squeeze while not erect, there is no bleeding. What should I do about this...
Dr. Jian Weihong reply Urology
Hello: If there is bleeding, it is advisable to seek medical attention. Wishing you good health.[Read More] Understanding Blood Leakage from the Glans During Erection: Causes and Solutions
Managing Excessive Prostate and Bulbourethral Gland Secretion Issues
Excessive secretion of prostatic fluid and bulbourethral gland fluid? Is there a way to improve excessive secretion of prostatic fluid or bulbourethral gland fluid? Sometimes it gets so wet that it affects my daily life. 1. Sometimes I wake up in the morning feeling my underwear ...
Dr. Jian Weihong reply Urology
Hello: Your question is quite common and many people experience this; it is a natural reaction, though some may show it more clearly than others. If there is no pain, there is no need to worry too much. Regular elimination is also normal, just don't overdo it. Wishing you go...[Read More] Managing Excessive Prostate and Bulbourethral Gland Secretion Issues
Struggling with Urination: Exploring Long-Term Solutions for Bladder Issues
It is difficult to urinate, and it takes a long time? Hello, doctor. I have been experiencing urinary difficulties for a long time. I have undergone surgery twice at Kaohsiung Medical University Hospital and at Kaohsiung Datong Hospital. The surgeries were effective, but the resu...
Dr. Jian Weihong reply Urology
Hello: It is recommended to use medication long-term for this condition, as the detrusor muscle and sphincter do not coordinate well, leading to difficulties in urination. If medication is not taken regularly, medical attention may be necessary when symptoms worsen. Wishing you g...[Read More] Struggling with Urination: Exploring Long-Term Solutions for Bladder Issues
Understanding Epididymitis Pain: When to Seek Further Testing
Epididymal pain or discomfort? Hello Doctor, I recently experienced discomfort at the urethral opening and swelling of the epididymis, so I visited a urologist. After examination, I was diagnosed with urethritis caused by Chlamydia infection. After about 10 days of antibiotic tre...
Dr. Jian Weihong reply Urology
Hello: If the epididymis is still swollen or painful, you should seek medical attention for further evaluation. As for examinations and tests, they are for reference and can be determined by the physician. They are not mandatory. Wishing you good health.[Read More] Understanding Epididymitis Pain: When to Seek Further Testing
Understanding Small Hard Bumps on the Scrotum: Causes and Concerns
There are small hard lumps on the scrotal skin? Hello doctor, a couple of days ago I noticed a small hard lump on the skin of my scrotum (I am sure it is not on the testicle). It is slightly painful when I press on it, but it doesn't hurt otherwise. What could this be?
Dr. Jian Weihong reply Urology
Hello: If the symptoms persist or even worsen, or if other urinary symptoms appear, it may be necessary to seek medical evaluation. If the symptoms resolve on their own within 1-2 days or gradually improve, then no action is needed. Wishing you good health.[Read More] Understanding Small Hard Bumps on the Scrotum: Causes and Concerns
Understanding Kidney Hydronephrosis: Causes, Recovery, and Treatment
Renal edema issues? Hello Doctor: Eight days ago, I experienced painful urination, hematuria, chills, high fever, vomiting, and weakness, which led me to visit the emergency department at Veterans General Hospital. I was diagnosed with cystitis (an ultrasound was not performed), ...
Dr. Jian Weihong reply Urology
Hello: 1. How many days does it usually take for hydronephrosis caused by kidney inflammation to recover? --> Hydronephrosis may be related to inflammation, but it is important to monitor and identify the underlying cause. 2. How can we determine if kidney inflammation has hea...[Read More] Understanding Kidney Hydronephrosis: Causes, Recovery, and Treatment
Understanding Pulsating Sensations in the Area from Scrotum to Anus
Twitching or pulsating sensations in the area from the scrotum to the anus? Hello, Dr. Jian: My symptoms occur in the area from below the scrotum to near the anus, where I sometimes experience twitching or pulsating sensations. I am wondering if this could be related to varicose ...
Dr. Jian Weihong reply Urology
Hello: It may be caused by local nerve stimulation; the reason is difficult to determine, and it is mostly observed. Wishing you good health.[Read More] Understanding Pulsating Sensations in the Area from Scrotum to Anus
Understanding Infection Risks in Shared Food Situations
What are the modes of transmission among colleagues? Hello, doctor. We have a new colleague who joined our unit. At the end of August, we ordered breakfast together, and there was a portion of chicken nuggets. We shared it, and he directly ate the chicken nuggets from the paper b...
Dr. Jian Weihong reply Urology
Transmission primarily occurs through sexual activity. If not treated and there is contact with bodily fluids, there is still a risk of transmission.[Read More] Understanding Infection Risks in Shared Food Situations
Can Touching Toilet Seats Lead to Genital Infections or Inflammation?
Regarding whether the genital area can become infected or inflamed? Hello doctor, I am a male. About a week ago, in the morning while having a bowel movement, my pubic hair touched the front edge of the toilet seat. Later that evening, without cleaning my pubic hair, I masturbate...
Dr. Jian Weihong reply Urology
Hello: The likelihood of encountering issues should be very low. Wishing you good health.[Read More] Can Touching Toilet Seats Lead to Genital Infections or Inflammation?
Understanding Post-Surgery Pain and Skin Issues After Circumcision
Frenulum tear Hello Doctor, I underwent a circumcision procedure on November 15th, and everything seemed normal initially. However, after the surgeon advised me to start showering on November 20th, I took my first shower and maintained proper hygiene and dressing changes. The nex...
Dr. Jian Weihong reply Urology
Hello: Your condition requires clinical judgment. If it is friction-related, it should occur gradually. Initially, if there is a wound, it will be painful. Wishing you good health.[Read More] Understanding Post-Surgery Pain and Skin Issues After Circumcision
Understanding Herpes Results: A Patient's Journey Through Urology and Dermatology
Herpes issues? Hello Doctor, I have some questions regarding my herpes test results. Here’s the timeline: At the beginning of January this year, I developed a red bump on the glans of my genitalia. On January 10th, I visited the urology department at a major hospital, where the d...
Dr. Jian Weihong reply Urology
Hello: HSV may have been contracted a long time ago, but your description does not indicate any occurrence of blisters. IgG indicates whether there has been a past infection, while IgM indicates a recent infection, which may disappear in about 5-6 weeks. Based on your report, it ...[Read More] Understanding Herpes Results: A Patient's Journey Through Urology and Dermatology
Understanding and Managing Frenulum Issues: A Urology Perspective
Frenulum issues? Hello Doctor: I have a tear in my frenulum with redness and swelling. There is a small white patch underneath that looks like pus. It has been almost a week, and it hasn't gotten worse. However, when I pull back the foreskin while showering, it stings, but i...
Dr. Jian Weihong reply Urology
Hello: Keep the area clean and dry. It is considered healed only when the redness and swelling have subsided. Small abrasions will heal in 3-5 days; if they do not improve, seek medical attention. Wishing you good health.[Read More] Understanding and Managing Frenulum Issues: A Urology Perspective
Understanding Frenulum Tears: When to Seek Medical Attention
Ligament tear Hello doctor, I seem to have caused a laceration of about 0.2 cm while doing DIY, and now on the 10th day, the surface of the wound looks healed, but there is a small indentation that is slightly painful to touch. Do I need to go to the hospital for suturing, or can...
Dr. Jian Weihong reply Urology
Hello: I seem to have caused a laceration of about 0.2 cm while doing DIY, and now on the 10th day, the surface of the wound looks healed, but there is a small indentation that is slightly painful when touched. Should I go to the hospital for suturing, or can I wait for it to hea...[Read More] Understanding Frenulum Tears: When to Seek Medical Attention
Understanding Scrotal Itching and Foreskin Swelling: Causes and Treatments
Issues related to the foreskin, glans, penis, and scrotum? Hello, Doctor. I have been experiencing a series of issues over the past few days... 1. A few days ago, I noticed itching in my scrotum, and after scratching it a few times, I found that my scrotum became swollen. It stil...
Dr. Jian Weihong reply Urology
Hello: 1. A few days ago, I experienced itching in the scrotum and scratched it a few times. After a few days, I noticed that the scrotum became swollen and still itches, with some areas slightly broken and oozing, causing a stinging sensation when they rub against the broken s...[Read More] Understanding Scrotal Itching and Foreskin Swelling: Causes and Treatments
Understanding Appetite Changes in Advanced Prostate Cancer Patients
Prostate cancer patients suddenly experiencing poor appetite and nausea? My father has always had a normal appetite and cannot go without eating. Four years ago, his appetite suddenly decreased. Although he felt very hungry, he became extremely sensitive to the taste of food, to ...
Dr. Jian Weihong reply Urology
Hello: 1. In terms of PSA, there should be no deterioration, but recurrence cannot be ruled out. Stage IV prostate cancer can be well controlled, but it is not considered cured, so there is no issue of recurrence. 2. It is advisable to consult the original oncologist who is most ...[Read More] Understanding Appetite Changes in Advanced Prostate Cancer Patients
Understanding Prostate Issues: Symptoms, Treatment, and Monitoring
Prostate issues Hello Doctor, I had a health check-up at the end of July and found some issues with my prostate, so I would like to ask for your advice. The report shows: > Prostate-Specific Antigen (PSA) 1.40 > Mild Prostatic Hyperplasia (Size: 2.7*4.37*3.74cm => 23.079...
Dr. Jian Weihong reply Urology
Hello: 1. It is recommended to take the medication for a period of time, make lifestyle adjustments, and then try to discontinue it; otherwise, the condition may return quickly. 2. Relaxation is important and should not be minimized. 3. It is difficult to predict. 4. Blood tests ...[Read More] Understanding Prostate Issues: Symptoms, Treatment, and Monitoring
Understanding Urinary Tract Infections: Symptoms and Treatment Options
Urinary tract infection (UTI) Hello doctor, about a month ago I started experiencing pain during urination and decided to see a doctor. The doctor diagnosed me with a urinary tract infection and prescribed medication, which showed some improvement, but I still haven't fully ...
Dr. Jian Weihong reply Urology
Hello: You should go to a major hospital. It's also important to stay hydrated by drinking plenty of water, and avoid alcohol and spicy foods. Practice safe sex. If the condition persists and becomes chronic, it could lead to complications. Wishing you good health.[Read More] Understanding Urinary Tract Infections: Symptoms and Treatment Options
Understanding Persistent Urinary Tract Infections: Symptoms and Solutions
Urinary tract infection (UTI) Hello, doctor. About a month ago, I started experiencing pain during urination and went to see a doctor. The doctor diagnosed me with a urinary tract infection, and after taking medication, I saw some improvement, but I still haven't fully recov...
Dr. Jian Weihong reply Urology
Hello: You should go to a major hospital. Also, make sure to drink plenty of water, avoid alcohol and spicy foods, practice safe sex, and be cautious as prolonged untreated conditions can become chronic, which can be troublesome. Wishing you good health.[Read More] Understanding Persistent Urinary Tract Infections: Symptoms and Solutions