Understanding the Accuracy of Rapid Tests for Urological Concerns
Accuracy of rapid tests Dr. Jiang: Last July, I had oral sex with a female online friend, and afterwards, I developed a throat infection. I endured it for three months before going to a large hospital for a rapid test, which confirmed negative. It has been almost a year now, and ...
Dr. Jiang Yini reply Urology
Hello: If you have throat inflammation, it is recommended that you visit an otolaryngologist to check for any possible infections. If you have previously consulted a physician who indicated there were no issues, then you may continue to monitor your condition.[Read More] Understanding the Accuracy of Rapid Tests for Urological Concerns
Understanding Changes in Semen Color and Consistency: What You Need to Know
The semen is very yellow and watery? Hello, in the past, my semen was normal, milky white, and somewhat viscous, with a normal volume. Recently, I noticed that my semen has become very yellow and watery, with a lot of volume (it's very watery). I don't experience pain w...
Dr. Jiang Yini reply Urology
Hello: In response to your inquiry, I recommend that you visit a urology clinic for a consultation. The physician can arrange for a semen analysis and a urine infection test, and then provide appropriate treatment based on the results.[Read More] Understanding Changes in Semen Color and Consistency: What You Need to Know
Understanding Urine Hematuria Results: What Does c+1-1 Mean?
Urinary occult blood inquiry? The notation "c+1-1" or "(c+1-)" in the urine test for occult blood indicates the presence of blood in the urine. The "c" typically refers to the concentration of blood detected, with "c+" indicating a positive...
Dr. Jiang Yini reply Urology
Hello: In response to your question, it should be noted that (+/-) indicates an uncertain presence of occult blood. If you are concerned, it is advisable to return to the outpatient clinic for a re-examination to check the red blood cell count and determine if further investigati...[Read More] Understanding Urine Hematuria Results: What Does c+1-1 Mean?
Understanding Frenulum Release Surgery: Procedure, Risks, and Blood Loss
Frenulum of the penis Hello, Dr. Jiang. 1. Could you please explain how the ligament relaxation surgery is performed? 2. Will there be a lot of bleeding during this surgery? Is there any risk involved?
Dr. Jiang Yini reply Urology
Hello: The frenulum is a tough soft tissue located at the anterior underside of the glans penis, which helps to anchor the penis and glans, containing numerous small blood vessels. When the penis is not erect, it appears normal; however, during erection or sexual activity, there ...[Read More] Understanding Frenulum Release Surgery: Procedure, Risks, and Blood Loss
Post-Circumcision Concerns: Swelling, Sensation, and Surgical Techniques
Inquire about circumcision-related issues? Hello, doctor. I underwent a circumcision at the City United Hospital on January 26, 2013, using the standard Korean circumcision technique. It has been over sixty days since the surgery, and I still have about thirty percent swelling, p...
Dr. Jiang Yini reply Urology
It is recommended to follow up with the attending physician at the Municipal United Hospital.[Read More] Post-Circumcision Concerns: Swelling, Sensation, and Surgical Techniques
Should You Treat Abnormal Urine and Blood Results Before Bladder Surgery?
Should we treat the abnormal urine and blood test results before performing a bladder resection? Is treatment necessary first, or can surgery be performed? Specimen: Urine RBC: 10-20 WBC and/or Pus Cells: 30-50 Epithelial Cells: 2-4 Crystals: Bacteria (+) Fungus (+) Speci...
Dr. Jiang Yini reply Urology
If blood sugar levels are elevated and there is a urinary infection, it is recommended to first visit a family medicine or internal medicine clinic for evaluation.[Read More] Should You Treat Abnormal Urine and Blood Results Before Bladder Surgery?
How to Differentiate Between Balanitis Causes: Friction, Fungal, or Diabetes?
Balanoposthitis Hello Dr. Jiang, how can one differentiate whether balanitis is caused by friction from sexual activity, a fungal infection, or diabetes?
Dr. Jiang Yini reply Urology
Fungal infections typically present with peeling skin; however, to determine if it is caused by diabetes, a blood test is recommended. It is advisable to seek medical consultation.[Read More] How to Differentiate Between Balanitis Causes: Friction, Fungal, or Diabetes?
Managing Urinary Incontinence in Middle-Aged Women: Minimally Invasive Solutions
Urinary incontinence in middle-aged women and how to seek medical attention? I have been troubled by urinary incontinence for a long time, and it has become particularly severe in recent years, especially after menopause. I experience issues whether I cough or lift heavy objects....
Dr. Jiang Yini reply Urology
Hello, currently there are the following methods to address urinary incontinence: medication therapy, magnetic chair therapy, and surgery. 1. Magnetic chair therapy requires visiting the hospital 1 to 3 times a week, with each session lasting about 1 hour. 2. Currently, the most ...[Read More] Managing Urinary Incontinence in Middle-Aged Women: Minimally Invasive Solutions
Understanding Erectile Function Tests: Coverage and Costs Explained
Sexual function examination Hello, doctor: May I ask if the following sexual function tests are covered by insurance or are they out-of-pocket expenses? 1. Penile rigidity assessment 2. Erectile nerve testing 3. Hormone testing 4. Semen analysis. Thank you.
Dr. Jiang Yini reply Urology
Items 1 and 2 are self-paid services, while items 3 and 4 may be covered by health insurance if they meet the eligibility criteria. It is recommended to consult a urologist for professional evaluation and further management.[Read More] Understanding Erectile Function Tests: Coverage and Costs Explained
Understanding Pearly Penile Papules: Causes and Concerns
There are small white bumps around the glans? There are small white bumps around the glans that are neither painful nor itchy and have been present for a while, possibly 2 to 3 years. Could this be pearly penile papules? Are they contagious?
Dr. Jiang Yini reply Urology
It is recommended to visit a urology outpatient clinic for evaluation and professional judgment by a physician, who will then provide you with relevant advice and treatment options.[Read More] Understanding Pearly Penile Papules: Causes and Concerns
Post-Unsafe Oral Sex: Do You Still Need Follow-Up Testing After 3 Months?
If there are no issues found in the tests conducted three months after engaging in unsafe sexual behavior, is further follow-up necessary? Hello Dr. Jiang: I had oral sex with a female acquaintance on July 19. On October 19, I went to a public hospital for a rapid test, which cam...
Dr. Jiang Yini reply Urology
If an episode occurs, it is recommended to return for a follow-up visit as soon as possible, with regular monitoring suggested every three months thereafter.[Read More] Post-Unsafe Oral Sex: Do You Still Need Follow-Up Testing After 3 Months?
Understanding and Treating Rectal Warts: A Guide for LGBTQ+ Patients
A helpless person? Hello, Doctor! I am a gay man who is feeling helpless about my situation. I have developed a multitude of warts in my rectum, and I am very dedicated in my relationships, so it is truly frustrating to have this condition. I have some questions for you: What is ...
Dr. Jiang Yini reply Urology
As far as I know, the only definitive treatment for rectal warts is electrosurgery. Currently, some physicians are using low-power vaporization laser therapy, but I am not clear on the principles of this treatment. The procedure involves vaporizing the infected epidermis, and it ...[Read More] Understanding and Treating Rectal Warts: A Guide for LGBTQ+ Patients
Unexplained Hematuria: Next Steps After Negative Imaging Results
Hematuria of unknown origin? Currently, I have been to the hospital due to hematuria, and I have undergone IVU, RP, and CT scans, all of which did not reveal any abnormalities. However, the urine cytology showed suspected malignancy. What should be the next steps in terms of furt...
Dr. Jiang Yini reply Urology
If there are suspected malignant cells in the urine, it is recommended that you discuss the next steps with your urologist.[Read More] Unexplained Hematuria: Next Steps After Negative Imaging Results
Understanding Persistent Urethral Pain: Is It Still a UTI?
Is the urinary tract infection not healed yet or what? Doctor, three months ago I experienced symptoms of a urinary tract infection, and since then I have been feeling occasional sharp pain in my urethra, but not during urination, as everything seems normal then. Perhaps I have b...
Dr. Jiang Yini reply Urology
If the physician recommends a bacterial culture, it is advisable to comply in order to achieve an accurate diagnosis and rule out other conditions.[Read More] Understanding Persistent Urethral Pain: Is It Still a UTI?
Understanding White Bumps on the Glans: What You Need to Know
I have a white spot on my glans? I noticed a white bump under the glans of my penis while cleaning. Could it be a wart? It doesn't hurt or cause any discomfort.
Dr. Jiang Yini reply Urology
It is recommended to consult a urologist to rule out any concerns.[Read More] Understanding White Bumps on the Glans: What You Need to Know
Common Urological Concerns: Understanding Penile Issues and When to Seek Help
Some issues related to the penis? Hello, Dr. Jiang. I have some questions. I have yellowish-white spots at the tip of my foreskin, with several spots clustered together at the very front. There are also similar small spots on the left side of the foreskin. These have been present...
Dr. Jiang Yini reply Urology
It is recommended to schedule an appointment with a urologist for professional evaluation and assessment, after which further recommendations or interventions can be provided.[Read More] Common Urological Concerns: Understanding Penile Issues and When to Seek Help
Understanding Herpes Testing: Conflicting Results and Next Steps
Herpes testing Hello, doctor. I would like to ask about my situation. After engaging in high-risk behavior, I went to a testing facility three weeks later and had a herpes test done at four weeks. The report showed positive for Herpes Simplex Virus (HSV) type 1 and 2 IgM and nega...
Dr. Jiang Yini reply Urology
It is recommended to schedule a follow-up appointment in three months.[Read More] Understanding Herpes Testing: Conflicting Results and Next Steps
Struggling with HPV Infection: Seeking Help and Understanding
Feeling extremely distressed after being infected with HPV by a family member, and the doctor's consultation was very casual? Hello Dr. Jiang, a year ago my brother contracted a sexually transmitted infection, and by the time I found out, he was already infected. My friends ...
Dr. Jiang Yini reply Urology
Having a single sexual partner and practicing safe sex are the best ways to prevent sexually transmitted infections (STIs). If clinical symptoms have already appeared, it is important to seek proper treatment. Being reprimanded by parents can also serve as a valuable learning exp...[Read More] Struggling with HPV Infection: Seeking Help and Understanding
Understanding Testicular Lumps: What to Know About Hard Masses
A testicular mass that has not changed for two months? Hello, Dr. Jiang. Two months ago, I noticed a hard lump attached to the surface of my right testicle. Recently, during a self-examination, I found that it hasn't increased in size, but it feels slightly harder. Could thi...
Dr. Jiang Yini reply Urology
If you are very concerned, it is advisable to schedule an appointment with a urologist for an examination.[Read More] Understanding Testicular Lumps: What to Know About Hard Masses
Understanding Varicocele Surgery Coverage and Costs in Taiwan
Varicocele Hello, Dr. Jiang! I have left-sided scrotal varicocele and I would like to know if the scrotal varicocele surgery at Keelung Municipal Hospital is covered by health insurance? Also, what is the cost?
Dr. Jiang Yini reply Urology
It is recommended to consult a urologist for professional assessment to determine the appropriate treatment and associated costs.[Read More] Understanding Varicocele Surgery Coverage and Costs in Taiwan