Understanding Painless Hematuria: Causes and Next Steps
Urinary problems I occasionally experience painless hematuria, urgency, but have difficulty urinating. I have been to the hospital for examination, where they arranged for ureteroscopy and cystoscopy, both of which reported no issues. What should I do next? Additionally, during t...
Dr. Li Minghui reply Urology
Hello: Long-term follow-up is necessary. It is important to drink plenty of water regularly. If there is visible hematuria, the follow-up period should be shorter. For microscopic hematuria, the follow-up can be longer. During follow-up, imaging studies, cytology, and urinalysis ...[Read More] Understanding Painless Hematuria: Causes and Next Steps
Understanding Frequent Urination: Causes, Diagnosis, and Management Tips
Frequent urination issues? Hello, doctor. Recently, I started experiencing frequent urination, going to the bathroom 8-10 times a night, and I had such severe pain in my urinary tract that I was rolling in bed. I went to Fu Jen Catholic University Hospital, where the doctor diagn...
Dr. Li Minghui reply Urology
Hello: If there are so many hospitals conducting examinations and all the tests are complete with no issues, there should be no problems with the urinary organs. However, during the consultation period, medication is usually prescribed, which should have a noticeable effect. If t...[Read More] Understanding Frequent Urination: Causes, Diagnosis, and Management Tips
Understanding Cartilage-Like Growths in the Bladder: What You Need to Know
What is the cartilage on the right side of the bladder? Hello, doctor. My mother has recently been concerned about possible urinary incontinence, so she visited a urologist. (My mother is currently 63 years old. She had a hysterectomy at the age of 40 and has been in menopause fo...
Dr. Li Minghui reply Urology
Hello: Can cartilage suddenly grow on the right side of the bladder? --- No, it cannot. Please have your mother ask for clarification during the next appointment. If she is currently seeing a clinic, it is advisable to switch to a hospital's urology department for examinatio...[Read More] Understanding Cartilage-Like Growths in the Bladder: What You Need to Know
Understanding Bladder Reconstruction Surgery After Cancer Diagnosis
Bladder reconstruction surgery Hello Doctor, my mother is 77 years old and has been on dialysis for nearly twenty years, with no urine output. Recently, she was diagnosed with bladder cancer due to hematuria and has not yet undergone surgery. The stage of the cancer is currently ...
Dr. Li Minghui reply Urology
Hello, ladies. 1. For patients with bladder tumors undergoing radical cystectomy who are also on dialysis due to renal failure, it is theoretically advisable to remove both kidneys to prevent future recurrence of the tumor in the kidneys and ureters. Additionally, reconstruction ...[Read More] Understanding Bladder Reconstruction Surgery After Cancer Diagnosis
Understanding High PSA Levels: Is Prostate Inflammation Common?
Prostatitis with PSA over 100? Hello Doctor, I would like to ask about my father-in-law who went to the emergency room last week due to feeling unwell. It was found that his white blood cell count was over 26,000. The doctor suspected prostatitis and his PSA level reached 104. He...
Dr. Li Minghui reply Urology
Hello: If you have had a blood draw within the past year, it is normal, and the likelihood of cancer is low. If there is severe inflammation of the prostate, PSA levels can rise significantly. After the use of antibiotics, PSA levels will noticeably decrease within about 1-2 week...[Read More] Understanding High PSA Levels: Is Prostate Inflammation Common?
Understanding Decreased Sensitivity and Ejaculation Issues in Men
Sensitivity, ejaculation Dear Director Li, I have been experiencing some concerns lately, and I'm not sure if they are related to my previous spinal surgery. 1. I have noticed a decrease in sensitivity of the glans, and during ejaculation, the sensation is not as pleasura...
Dr. Li Minghui reply Urology
Hello: Recently, I've been experiencing some concerns, and I'm not sure if it's related to my previous spinal surgery. 1. I've noticed a decrease in sensitivity of the glans, and during ejaculation, the sensation isn't as good as it used to be (I only mas...[Read More] Understanding Decreased Sensitivity and Ejaculation Issues in Men
Understanding Prolonged Penile Injury: Treatment and Concerns
The foreskin abrasion has been treated for over one month? Dear Director Li, Due to work commitments, I am unable to return to Taiwan for a consultation in the short term and would like to seek your professional advice. On February 21, I engaged in sexual intercourse without l...
Dr. Li Minghui reply Urology
Hello: Regarding your situation: This facility is unable to provide a diagnosis, as it is mostly due to the presence of wounds and subsequent poor care. Taking ACYCLOVIR before detection will not pose significant issues, unless there is an allergy. The interpretation of the prese...[Read More] Understanding Prolonged Penile Injury: Treatment and Concerns
Understanding Swelling After Masturbation: When to Seek Help
Penile issues It sounds like you may have experienced some swelling of the penis due to vigorous masturbation. The swelling you describe, particularly if it is not accompanied by significant pain or discoloration, is likely to resolve on its own. Applying ice packs can help red...
Dr. Li Minghui reply Urology
Hello: I personally recommend seeking medical attention. If it's temporarily inconvenient, observe for a few hours, and if symptoms do not improve, please seek medical care. Wishing you good health.[Read More] Understanding Swelling After Masturbation: When to Seek Help
Understanding Genital Herpes and Balanitis: Symptoms and Diagnosis
Genital herpes? Balanitis? Dear Director: On March 8, I had my last sexual encounter. On the morning of March 12, I experienced painful urination and noticed two or three red spots near the urethral opening of the glans. I consulted a doctor on March 13 (no internal examination...
Dr. Li Minghui reply Urology
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Genital Herpes and Balanitis: Symptoms and Diagnosis
Is It Dangerous If Warts Appear After Two Months? Urology Insights
Is cauliflower still dangerous if it has been over two months? Hello doctor, I had unprotected oral sex 7 weeks ago and I have a few questions: 1. Is it common for warts (condyloma) to appear more than two months after exposure? My previous urologist told me that most warts dev...
Dr. Li Minghui reply Urology
Hello: 1. Are there many cases where warts take more than two months to appear? Because my previous urologist told me that warts usually develop within a month, but there can be exceptions. 2. Are cases of warts appearing in the oral cavity common? 3. If both of the above cas...[Read More] Is It Dangerous If Warts Appear After Two Months? Urology Insights
Understanding HIV Anxiety: Concerns After Unprotected Sex and PrEP
HIV/AIDS, anxiety Hello Doctor, I had unprotected sexual intercourse (vaginal sex) with a female sex worker in mid-February. I took PrEP (Tenofovir/Emtricitabine) approximately 25 hours later. It has been 28 days since I took the medication, but I am still feeling very anxious an...
Dr. Li Minghui reply Urology
Hello: Please discuss with the prescribing physician, as doctors in general outpatient settings are more specialized in HIV prevention. Wishing you good health.[Read More] Understanding HIV Anxiety: Concerns After Unprotected Sex and PrEP
Managing Post-Prostate Cancer Surgery: Nighttime Urination and Treatment Options
Post-prostate cancer surgery Hello Director Lee, my father underwent a Da Vinci surgery for stage 2 prostate cancer last August and is currently living normally. However, he still experiences nocturia, and the frequency is higher than before the surgery! He also has issues with u...
Dr. Li Minghui reply Urology
Hello: If you feel that urinary incontinence and nocturia do not require medication, you can choose not to take it. However, if you believe it affects your quality of life, it is advisable to consult a physician. There are various medications available that can help improve the c...[Read More] Managing Post-Prostate Cancer Surgery: Nighttime Urination and Treatment Options
Can You Get HIV or STDs from Intimate Contact? A Urology Perspective
Will this cause an infection? I'm not a doctor, but I can provide some general information. Engaging in sexual activities, especially with open wounds, can increase the risk of transmitting infections, including sexually transmitted infections (STIs) and HIV. If there was an...
Dr. Li Minghui reply Urology
Hello: If a sexual partner has a sexually transmitted infection and there is fluid contact, there is a risk. If there is contact with bodily fluids through an open wound, the chances increase. Wishing you good health.[Read More] Can You Get HIV or STDs from Intimate Contact? A Urology Perspective
Understanding Bladder Dysfunction: When to Consider Surgery for Prostate Issues
Bladder dysfunction Due to prostate issues, the bladder has become distended and there is no sensation of fullness from the abdomen where a catheter is inserted. The doctor at Taipei Medical University Hospital mentioned that the bladder has lost its elasticity due to distension ...
Dr. Li Minghui reply Urology
Hello: Generally, surgery is not performed at this time because the outcomes can vary significantly. If the condition is severe, it may take several months for recovery; if it is not severe, a few weeks may suffice. Overall physical condition should also be taken into considerati...[Read More] Understanding Bladder Dysfunction: When to Consider Surgery for Prostate Issues
Managing Bladder Issues: Tips for Recovery and Dietary Support
Bladder issues About four months ago, I was diagnosed with urinary retention (I have benign prostatic hyperplasia and have been on medication). After examination, it was found that my bladder was distended and unable to contract, so I had a urinary catheter placed, which has been...
Dr. Li Minghui reply Urology
Hello: You can take walks, strengthen pelvic floor muscle exercises, and pay attention to the patency of the urinary catheter, as sometimes leakage occurs due to catheter obstruction. Wishing you good health.[Read More] Managing Bladder Issues: Tips for Recovery and Dietary Support
Understanding Benign Prostatic Hyperplasia: Symptoms, Diagnosis, and Management
Benign Prostatic Hyperplasia (BPH) 1. In the past six months, there have been two instances where I experienced a sudden discharge of a large amount of blood from the penis while sitting on a chair watching TV or using the computer. I went to a major hospital for a consultation a...
Dr. Li Minghui reply Urology
Hello: 2. When urinating, if the flow is strong or if I exert a little effort, I experience a brief pain and a sensation of obstruction. Is it okay to exert some effort while urinating? — Generally, for middle-aged and older individuals, a strong urge to urinate may require som...[Read More] Understanding Benign Prostatic Hyperplasia: Symptoms, Diagnosis, and Management
Understanding Elevated PSA Levels: Causes and Concerns
Elevated PSA levels? My prostate-specific antigen (PSA) levels have been steadily increasing over the years, and last week it reached 30. I have undergone four biopsies at Asia University Hospital, all of which were normal. However, the continuous rise in this index is concerning...
Dr. Li Minghui reply Urology
Hello: A rise to 30 can be primarily attributed to inflammation or cancer. If you are open to it, I recommend seeking a second opinion at a medical center, as some physicians are more specialized in this area. Wishing you good health.[Read More] Understanding Elevated PSA Levels: Causes and Concerns
Understanding Internal Bleeding After Abdominal Trauma: When to Seek Help
Internal bleeding after a lower abdominal impact? Hello doctor, I would like to ask a question. A week ago, I was involved in a car accident and sustained minor injuries. At the time of the accident, I felt a impact on my lower abdomen, but since I didn't feel anything after...
Dr. Li Minghui reply Urology
Hello: If there is pain, you should seek medical attention. Generally, bruising appears later, but pain should occur at the time of injury and gradually improve. Wishing you good health.[Read More] Understanding Internal Bleeding After Abdominal Trauma: When to Seek Help
Can You Masturbate While Treating Acute Prostatitis? Expert Insights
During the treatment period for acute prostatitis, is it advisable to engage in masturbation? Will it have any effects? I have been on antibiotics for over a month now (still not finished with the second pack), and I have been trying to avoid masturbation. I have a few questions ...
Dr. Li Minghui reply Urology
Hello: If there is prostatitis with bacterial infection, it is personally advised to limit DIY (do-it-yourself) activities to once a week. Aseptic conditions are normal. For bacterial and aseptic cases, safe sexual practices are essential. Maintain a light diet, engage in moderat...[Read More] Can You Masturbate While Treating Acute Prostatitis? Expert Insights
Understanding Left Abdominal Pain After Kidney Surgery: Causes and Solutions
Pain to the left of the navel? Hello, I underwent a traditional right nephrectomy for kidney cancer at the end of June. I often experience pain near the incision, to the left of my belly button, and it hurts when I press on it. I consulted my doctor, and a CT scan showed no issue...
Dr. Li Minghui reply Urology
Hello: It may be necessary to investigate other causes. If you have pain after surgery that has not improved for six months, please return for a follow-up and discuss this with your physician. Wishing you good health.[Read More] Understanding Left Abdominal Pain After Kidney Surgery: Causes and Solutions