Understanding Elevated PSA Levels: Causes and Recommendations for Retesting
Elevated PSA levels? Hello Doctor: Recently, during a company health check-up, my PSA level was found to be 14, but I have no symptoms of discomfort. I have researched various factors that can affect PSA levels and would like to confirm with you whether my activities could have h...
Dr. Li Minghui reply Urology
Hello: If you are asymptomatic with urination, walk for 30 minutes daily, avoid activities that may compress the perineum such as cycling (motorcycle riding should be fine), refrain from sitting for prolonged periods without getting up to move, maintain a light diet, and drink pl...[Read More] Understanding Elevated PSA Levels: Causes and Recommendations for Retesting
Understanding Persistent Foamy Urine: Causes and Concerns
Concerns about persistent foamy urine; blood and urine tests were conducted two months ago? Four months ago, I experienced autonomic nervous system dysfunction along with cervical spine issues. I took a considerable amount of psychiatric medication, painkillers, and traditional C...
Dr. Li Minghui reply Urology
Hello: If your urine is foamy, you should get a urinalysis. If the results are normal, there's no need to worry. Wishing you good health.[Read More] Understanding Persistent Foamy Urine: Causes and Concerns
Understanding Interstitial Cystitis: Symptoms, Diagnosis, and Surgical Impact
Interstitial cystitis Hello, Dr. Lee. Three years ago, during a health check-up, I was found to have hematuria in my urine. I went to the hospital for a detailed examination, and the doctor used a cystoscope to discover a polyp. Consequently, I underwent a bladder polypectomy, wh...
Dr. Li Minghui reply Urology
Hello: 1. Can excessive irrigation during surgery cause blood streaks in the bladder wall? ---》 Yes, it can happen in some individuals. 2. If not, am I in an asymptomatic phase of interstitial cystitis? ---》 A diagnosis of interstitial cystitis requires the presence of symptoms; ...[Read More] Understanding Interstitial Cystitis: Symptoms, Diagnosis, and Surgical Impact
Understanding and Managing Itching in the Genital Area: Expert Advice
Please provide the content you would like me to translate into English? Hello Doctor: Thank you for your previous response, which has put my mind at ease. However, in the past few days, I have been feeling very anxious, and with the recent high levels of stress, along with the su...
Dr. Li Minghui reply Urology
Hello: If there is no redness, rinse with warm water and dry thoroughly. Do not use excessive body wash. If there is no improvement, you may need to see a doctor for medication. Wishing you good health.[Read More] Understanding and Managing Itching in the Genital Area: Expert Advice
Understanding Possible Prostate Inflammation: Symptoms, Diagnosis, and Tests
Regarding a diagnosis of possible prostatitis by a physician? 1. I would like to consult a doctor. On Sunday, November 5th, around 5 PM, while I was standing and cooking dinner, I suddenly experienced pain in my testicles. At that moment, I was not holding my urine; everything fe...
Dr. Li Minghui reply Urology
Hello: 3. I would like to ask the doctor what prostatitis is, as I found many different causes online, but I don't quite understand what prostatitis is. Is it a precursor to benign prostatic hyperplasia? ---> This condition has multiple classifications, and the causes var...[Read More] Understanding Possible Prostate Inflammation: Symptoms, Diagnosis, and Tests
Understanding Infection Risks After Bathroom Encounters: What You Need to Know
Infection risk Today, while using the restroom, I accidentally brushed against the back wall with my buttocks. As soon as I realized it, I left immediately and did not take any action at that moment. However, about 10 minutes later, I wiped the area I touched with alcohol and spr...
Dr. Li Minghui reply Urology
Hello: Based on your description, it seems unlikely to wish for good health.[Read More] Understanding Infection Risks After Bathroom Encounters: What You Need to Know
Understanding Ureteral Stones: Symptoms, Treatment, and When to Seek Help
Ureteral stones Doctor, I was diagnosed with a 4mm left upper ureteral stone in early July, and since then, I have undergone three sessions of extracorporeal shock wave lithotripsy by October. I have been passing small fragments of the stone. Last week, I returned to the hospital...
Dr. Li Minghui reply Urology
Hello: The skin over the stone will not appear red, but pain may indicate the formation of a stone. If there is bruising or redness, please consult a surgeon. Wishing you good health.[Read More] Understanding Ureteral Stones: Symptoms, Treatment, and When to Seek Help
Understanding Sexual Arousal and Ejaculation Issues in Men
Inquiry about sexual arousal and ejaculation? Personal situation: I have had little contact with the opposite sex, have been single for a long time, and have almost no experience with intimate interactions. I would like to ask the doctor the following questions: 1. Sometimes wh...
Dr. Li Minghui reply Urology
Hello: 1) Descriptions related to sensations are difficult to answer, I apologize. 2) Everyone is different; if there is a functional deficiency, it is recommended to seek medical attention at a large hospital. Wishing you good health.[Read More] Understanding Sexual Arousal and Ejaculation Issues in Men
Understanding Penile Ulcers: Causes, Symptoms, and Treatment Options
There is a slight ulcer on the penis? Hello Doctor, I am a male with slightly elevated uric acid levels and have experienced joint inflammation twice. After receiving an injection, likely for anti-inflammatory and pain relief, I feel heat and itching on my glans, and after a coup...
Dr. Li Minghui reply Urology
Hello, I would like to inquire if my current cleaning method is correct: rinsing with water during a shower, drying off, disinfecting with antiseptic solution, and then applying the antifungal ointment prescribed by my doctor. Is this correct? The ointment I am currently using is...[Read More] Understanding Penile Ulcers: Causes, Symptoms, and Treatment Options
Post-Operative Concerns: Understanding Penile Curvature After Vein Ligation Surgery
Post-operative care after penile venous leakage ligation? Hello, doctor. On August 29th, I underwent a "penile venous ligation" procedure performed by the retired chief of urology at Kaohsiung Veterans General Hospital, costing 120,000 TWD. The surgery lasted over two h...
Dr. Li Minghui reply Urology
Hello: The surgeon is better equipped to provide answers. I cannot predict, wishing you good health.[Read More] Post-Operative Concerns: Understanding Penile Curvature After Vein Ligation Surgery
Blood Stains on Underwear and Occasional Pain: Urology Concerns
There are blood stains on the underwear at the glans area, and occasionally there is a sharp pain in the penis? Hello doctor, I have recently noticed blood stains on my underwear for three consecutive days. The amount of bleeding is not significant, and the size of the stains is ...
Dr. Li Minghui reply Urology
Hello: Please seek medical attention, as you may need examination and testing. Wishing you good health.[Read More] Blood Stains on Underwear and Occasional Pain: Urology Concerns
Understanding Bladder and Prostate Issues in Diabetic Patients
Bladder and prostate issues? I have diabetes and benign prostatic hyperplasia. Four days after my diagnosis last month, I experienced urinary retention and went to the hospital for an examination. The doctor said my bladder is relaxed, and I don't feel the urge to urinate ev...
Dr. Li Minghui reply Urology
Hello: Different physicians have different practices, and the personal impact after diagnosis remains unclear. Most cases are still evaluated individually. Bladder issues generally require time to recover, and there are not many medications available to assist bladder function. A...[Read More] Understanding Bladder and Prostate Issues in Diabetic Patients
Morning Erections: Understanding Softness and Frequent Masturbation
Morning erection Is it related if a man experiences morning erections but they are not firm? Recently, I've been concerned that my frequency of masturbation is too high (averaging two to three times a day). Initially, my erections were firmer, but later, before ejaculation, ...
Dr. Li Minghui reply Urology
Hello: If you suspect excessive masturbation, you may consider taking a break. It's also important to pay attention to your overall lifestyle. Wishing you good health.[Read More] Morning Erections: Understanding Softness and Frequent Masturbation
Post-Circumcision Care: Common Concerns and Recovery Tips
Post-circumcision care Hello, doctor. I had a circumcision two weeks ago, and I have a few questions: 1. I haven't used any bandages for a week now, but sometimes my urine still splits. Will this improve? If not, what should I do? 2. Is it better to wear loose underwear n...
Dr. Li Minghui reply Urology
Hello: 1. I haven't used a bandage for a week now, but sometimes my urine still splits. Will this improve? If not, what should I do? -- It will mostly improve gradually, but the extent of improvement may vary. 2. Is it better to wear loose underwear now? I considered wea...[Read More] Post-Circumcision Care: Common Concerns and Recovery Tips
Understanding Epididymitis: Recovery, Complications, and Treatment
Epididymitis with a mass? Hello, doctor. Last month, I experienced pain in my scrotum, and a urologist diagnosed me with unilateral epididymitis. I was prescribed antibiotics and have been taking them for four weeks. The tenderness in the epididymis has decreased to mild discomfo...
Dr. Li Minghui reply Urology
Hello: 1) How long do I need to continue taking antibiotics? --> Generally, a follow-up visit is required to assess progress, often through urine tests, examination of the scrotal skin, and tenderness of any lumps. 2) How long does it take for the lump to disappear? What is ...[Read More] Understanding Epididymitis: Recovery, Complications, and Treatment
Understanding a Small Lump on the Testicle: What Could It Be?
A small lump on the testicle? During a shower, I noticed a small lump on my left testicle, located near the epididymis. It is about the size of a small pimple. There is no discomfort or swelling in the testicle, but when I lightly press on the lump, I feel a slight soreness. I wo...
Dr. Li Minghui reply Urology
Hello: If there is no unsafe sexual behavior and it is only a single issue, mostly related to sebaceous gland problems, if it increases in size, it is advisable to seek medical attention. Wishing you good health.[Read More] Understanding a Small Lump on the Testicle: What Could It Be?
Understanding Bladder Issues: Insights and Solutions for Patients
Bladder issues Hello Doctor: If I weren't at my wit's end, I wouldn't be saying so much... (1) At the end of February, I experienced some urinary leakage. One night, I performed Kegel exercises about five or six times, holding each for 15 seconds. A day or two late...
Dr. Li Minghui reply Urology
Hello: Your condition seems not to require urodynamic studies, as the results are highly unlikely to reveal any significant findings. Please maintain a regular lifestyle, drink water evenly, and engage in moderate exercise. If you are taking medications from other specialties, pl...[Read More] Understanding Bladder Issues: Insights and Solutions for Patients
Understanding Urinary Issues: Insights on Fluid Intake and Output
Urinary problems Hello, Doctor: I forgot to mention that I have consistently maintained my water intake between 2400 to 2700 milliliters. Before mid-June, my urine output was between 1500 to 2000 milliliters. Thank you.
Dr. Li Minghui reply Urology
Hello: Your condition seems not to require urodynamic studies, as the results are highly unlikely to reveal any significant findings. Please maintain a regular lifestyle, drink water evenly, and engage in moderate exercise. If you are taking medications from other specialties, pl...[Read More] Understanding Urinary Issues: Insights on Fluid Intake and Output
Does Sexual Activity Before Blood Tests Affect Free/Total PSA Ratio?
Will engaging in sexual intercourse the day before a blood test affect the Free/Total PSA Ratio? On April 26, I had a routine check-up at a general clinic and my PSA level was found to be 4.6. Later, on May 10, I went to a tertiary hospital for further blood tests, and the result...
Dr. Li Minghui reply Urology
Hello: There is no reliable data to reference regarding whether the PSA ratio is affected by ejaculation. Wishing you good health.[Read More] Does Sexual Activity Before Blood Tests Affect Free/Total PSA Ratio?
Understanding Urination Issues: A Guide for Teens Facing Discomfort
Dysuria Hello Doctor: I am currently a high school student and recently discovered that I have some urinary issues. When urinating while standing, I need to exert pressure from my abdomen and feel a lack of force in urination. Even when sitting, I still need to use my abdominal m...
Dr. Li Minghui reply Urology
Hello: You may be drinking too little water. When you have time, go to the hospital for a urine test. In the meantime, drink more water regularly and observe if your condition improves.[Read More] Understanding Urination Issues: A Guide for Teens Facing Discomfort