Understanding Urinary Tract Infections: Medication Effects on Urine Color and Kidney Health
Urinary tract infection (UTI), regarding the color of urine after taking medication and issues related to Tylenol (acetaminophen)? Hello doctor, I had a urinary tract infection last week and have seen the doctor three times already. The pain in my urethra keeps recurring, and the...
Dr. Jian Weihong reply Urology
Hello: If there is no improvement, it is recommended to seek examination at a major hospital. A urinalysis should be conducted; if inflammation is present, it is often accompanied by lifestyle modifications such as dietary changes and rest, which can lead to significant improveme...[Read More] Understanding Urinary Tract Infections: Medication Effects on Urine Color and Kidney Health
Understanding Post-Circumcision Inflammation: When to Seek Help
The doctor said the balanitis was healed, but it broke out again after DIY treatment? I had a circumcision, and initially, I noticed that the glans sulcus, the groove near the head of the penis, was red. It didn't improve, and soon both sides of the glans sulcus became red a...
Dr. Jian Weihong reply Urology
Hello: If this situation occurs, it is mostly caused by DIY methods. Continuous treatment should be maintained. Additionally, if there has been any unsafe sexual activity, a follow-up visit should include a blood test. If there is a family history of diabetes, blood glucose level...[Read More] Understanding Post-Circumcision Inflammation: When to Seek Help
Understanding Recurrence and Transmission of HPV-Related Warts in Urology
Cauliflower-related issues? 1. The recurrence rate of genital warts (condylomata acuminata) is indeed high. If all visible lesions have been removed, the definition of recurrence refers to the reappearance of genital warts (lesions). However, it is also possible for the human pap...
Dr. Jian Weihong reply Urology
Hello: 1. The recurrence rate of warts (condyloma) is very high. If the lesions have been completely removed, does recurrence mean that warts (lesions) reappear? --> Yes, or can it be that the surface appears completely healthy, yet the wart virus still remains latent and can ...[Read More] Understanding Recurrence and Transmission of HPV-Related Warts in Urology
Understanding Recurrence and Latency of Genital Warts: Key Insights
Cauliflower-related issues? 1. The recurrence rate of genital warts (condylomata acuminata) is indeed high. If all visible lesions have been removed, the definition of recurrence refers to the reappearance of genital warts (lesions). However, it is also possible for the human pap...
Dr. Jian Weihong reply Urology
Hello: 1. The recurrence rate of warts (condyloma acuminatum) is quite high. If the lesions have been completely removed, does recurrence mean that new warts (lesions) appear again? --> Yes, or can it also mean that the surface appears completely healthy, yet the wart virus is...[Read More] Understanding Recurrence and Latency of Genital Warts: Key Insights
Understanding Semen Analysis After Male Vasectomy: Timing and Reasons
Semen analysis after male sterilization? After a male undergoes a vasectomy, it is commonly advised to either ejaculate 15 times or wait for 3 months before returning to the clinic to check for sperm in the semen. The rationale behind the 3-month waiting period is based on the li...
Dr. Jian Weihong reply Urology
Hello: Generally, it is considered that 15 ejaculations can deplete the sperm count, but if not counting the frequency, a recommendation is to wait for 3 months. Wishing you good health.[Read More] Understanding Semen Analysis After Male Vasectomy: Timing and Reasons
Understanding Sudden Testicular Pain: Causes and Concerns
Sudden testicular pain? After resting while sitting at noon, I got up in the afternoon and noticed a dull pain in my testicles. At first, I didn't pay much attention to it, but later when I took a shower at home, I realized that the right testicle was larger than the left (i...
Dr. Jian Weihong reply Urology
Hello: You should seek medical attention, as it may be an inflammation. This condition requires medical evaluation. Wishing you good health.[Read More] Understanding Sudden Testicular Pain: Causes and Concerns
Can MRI Detect Prostate Cancer After Surgery? Understanding PSA Testing
Prostate cancer Thank you very much for Dr. Jian's response. I would like to ask if cancer cells can be detected on an unremoved prostate using MRI-PET scans. My father has undergone this examination, and the results showed no issues. After his prostate laser surgery, he fel...
Dr. Jian Weihong reply Urology
Hello: MRI can be referenced, but it is generally recommended to wait for a period of time before surgery, as it may affect the interpretation even if a stent has been placed. In addition to medication, lifestyle habits should be taken into consideration. First, identify the caus...[Read More] Can MRI Detect Prostate Cancer After Surgery? Understanding PSA Testing
Understanding Elevated PSA Levels and Prostate Cancer Treatment Options
Elevated PSA Levels and Cancer Treatment Hello Doctor: My father is 70 years old. At the end of last year, he was referred to a major hospital due to elevated PSA levels and urinary difficulties detected at a clinic. The physician recommended laser surgery to treat benign prostat...
Dr. Jian Weihong reply Urology
Hello: 1. The PSA level has been elevated for over two months following surgery. Although surgery and inflammation can cause an increase, it should ideally decrease. If inflammation is present, it should be well-controlled. Additionally, what is the current assessment of the tu...[Read More] Understanding Elevated PSA Levels and Prostate Cancer Treatment Options
Understanding Prostate Cancer Staging: Implications of Perineural Invasion
Prostate cancer I underwent a Da Vinci radical prostatectomy for prostate cancer, and the pathology report indicates pT2N0, grade 2, Gleason 3+4, Stage IIB. However, there are additional findings of perineural invasion: Present. I preserved one side of the neurovascular bundles, ...
Dr. Jian Weihong reply Urology
Hello: You have localized prostate cancer (stage T1-2 N0), which is classified as localized prostate cancer. Your pathology report indicates stage 2B. Wishing you good health.[Read More] Understanding Prostate Cancer Staging: Implications of Perineural Invasion
Understanding Epididymitis: Symptoms, Treatment, and When to Seek Help
I would like to ask the doctor about epididymitis? Hello Doctor, I would like to ask you about a situation I experienced. A week ago, I suddenly had pain and swelling in my epididymis. I went to a large hospital and saw a urologist, who prescribed a week of antibiotics (half gree...
Dr. Jian Weihong reply Urology
Hello: I currently have a thickened scrotum that feels swollen, with a hard area at the bottom while the rest is soft. In this situation, would you recommend seeing a different hospital for consultation, or should I continue taking antibiotics for improvement? -- It may take some...[Read More] Understanding Epididymitis: Symptoms, Treatment, and When to Seek Help
Understanding Cysts and Lumps: When to See a Urologist or Dermatologist
Lipoma/Hard mass Hello, doctor. I will still be visiting a large hospital for outpatient services, but I have several questions I would like to confirm online first. 1. I have noticed a growth near the base of my penis, close to the skin of the scrotum, which feels similar to a...
Dr. Jian Weihong reply Urology
Hello: 1. A pathology report is necessary for confirmation. 2. Either urology or dermatology is acceptable. 3. No need; the physician will address it if deemed necessary. Wishing you good health.[Read More] Understanding Cysts and Lumps: When to See a Urologist or Dermatologist
Understanding Prostatitis: When to See a Urologist for Symptoms
Prostatitis I visited the doctor on Tuesday and mentioned that I was experiencing discomfort in my lower abdomen. The doctor diagnosed me with intestinal inflammation and prescribed antibiotics. However, I forgot to tell the doctor that I experienced a burning sensation during ej...
Dr. Jian Weihong reply Urology
Hello: If you have time, I recommend seeing a doctor right away. Wishing you good health.[Read More] Understanding Prostatitis: When to See a Urologist for Symptoms
Understanding MRI Findings of Renal Nodules: What You Need to Know
MRI renal nodule The health check revealed an MRI report indicating a 0.7 cm renal nodule of unknown origin. It is advised to consult a urologist for further evaluation and follow-up. Can the doctor clarify whether an MRI is unable to determine the type of renal nodule?
Dr. Jian Weihong reply Urology
Hello: Imaging studies can provide some possibilities, but they cannot confirm a diagnosis. It is recommended to consult a urologist at a medical center. Wishing you good health.[Read More] Understanding MRI Findings of Renal Nodules: What You Need to Know
Understanding Foreskin Care: Pain, Hygiene, and Treatment Options
Cleaning the foreskin and glans (genital area) Hello, doctor. I would like to ask: 1. The foreskin retracts automatically during an erection, but I feel a slight sting during the retraction process (it seems not to happen in summer). When not erect, I can retract it manually, b...
Dr. Jian Weihong reply Urology
Hello: 1. If you continue to experience this condition despite daily cleaning, drying, and repositioning, surgery may be necessary. 2. After daily cleaning, drying, and repositioning, if it remains very wet after urination, you should also dry it thoroughly. Avoid using soap or b...[Read More] Understanding Foreskin Care: Pain, Hygiene, and Treatment Options
Can Rectal Exams Reveal Past Anal Sexual Activity?
Anal endoscopy Hello, doctor. May I ask if it is possible to determine whether anal intercourse has occurred during an external examination, palpation, or during an endoscopic procedure to visualize the interior of the rectum? Thank you.
Dr. Jian Weihong reply Urology
Hello: Regarding how long to wait after sexual intercourse to get tested, if there are any abnormalities, the doctor can only suspect but cannot confirm. Wishing you good health.[Read More] Can Rectal Exams Reveal Past Anal Sexual Activity?
Options for Anesthesia During Cystoscopy: Local, Regional, or General?
Bladder cystoscopy anesthesia I would like to ask the doctor: Is there an option for general anesthesia or sedation for a cystoscopy, or is it only possible with local anesthesia?
Dr. Jian Weihong reply Urology
Hello: The physician will assess the situation. Generally, local anesthesia is the norm; however, if a longer examination time is anticipated or if there are special circumstances, other forms of anesthesia may be recommended. Wishing you good health.[Read More] Options for Anesthesia During Cystoscopy: Local, Regional, or General?
Understanding Prepuce Issues: Symptoms, Treatment, and Infection Concerns
Foreskin, hospital bed, ointment issues? 1. The inner side of the foreskin is red, and the red area has a wrinkled, coffee-colored appearance. It also appears somewhat dark and has slight peeling. When the foreskin is retracted, there is a ring of redness. Additionally, just belo...
Dr. Jian Weihong reply Urology
Hello: 1. Inflammation and phimosis are most likely. 2. It will not happen. 3. It needs to be pushed back. Wishing you good health.[Read More] Understanding Prepuce Issues: Symptoms, Treatment, and Infection Concerns
Post-Circumcision Concerns: Swelling and Pain After Surgery
Postoperative care after circumcision? Hello doctor, I underwent circumcision surgery, and on the same day, my penile shaft became engorged and swollen (about three times its normal size). Additionally, there is a soft, movable lump that appears, which causes slight discomfort wh...
Dr. Jian Weihong reply Urology
Hello: For swelling, it is advisable to consult a physician, as it is often a hematoma. Wishing you good health.[Read More] Post-Circumcision Concerns: Swelling and Pain After Surgery
Understanding Testicular Skin Pain: Causes and Solutions
Testicular skin prickling pain? Hello, I visited the Veterans General Hospital last month for an examination, and nothing significant was found during the physical examination. I would like to ask about an unexplained pain in my testicular area. I wake up at night due to pressure...
Dr. Jian Weihong reply Urology
Hello: If a physician's examination shows no abnormalities, it is generally advisable to observe the situation and maintain clean and dry skin. Wishing you good health.[Read More] Understanding Testicular Skin Pain: Causes and Solutions
Understanding Seminal Cysts: Recovery, Symptoms, and Sexual Health
Seminal vesicle cyst 1. Will a spermatocele resolve on its own? 2. How can we determine that a spermatocele has resolved? (Previously, I had a small lump on my testicle that I consulted a doctor about, and he said it was a spermatocele that wouldn't cause any issues. Now tha...
Dr. Jian Weihong reply Urology
Hello: 1. Will a spermatocele resolve on its own? --> Some may resolve. 2. How can we determine that a spermatocele has resolved? (Previously, there was a small lump on my testicle that I consulted a doctor about, and the doctor said it was a spermatocele that wouldn't ca...[Read More] Understanding Seminal Cysts: Recovery, Symptoms, and Sexual Health