Experiencing Painful Ejaculation with Partial Erection: Is It Normal?
Experiencing pain during ejaculation when the penis is not fully erect? Hello, doctor. Thank you for taking the time to answer my question: Sometimes after watching adult films for too long, when I switch to another video, my penis may be in a semi-flaccid state. At that moment, ...
Dr. Li Minghui reply Urology
Hello: If the occurrence is infrequent, there should be no problem. Wishing you good health.[Read More] Experiencing Painful Ejaculation with Partial Erection: Is It Normal?
Experiencing Semen Leakage with Catheter: What to Do Next?
The presence of semen flowing out while a catheter is in place? Hello, I have been using a catheter for urinary retention for about 10 days now. Since I still cannot urinate normally on my own, the doctor has decided to keep the catheter in for another week. However, today I had ...
Dr. Li Minghui reply Urology
Hello: Nocturnal emissions themselves do not necessarily lead to catheter-related issues. It is important to observe whether the urine is cloudy and if there is any discharge from the urethral opening, such as yellow discharge. If both are normal and there is no fever, you can re...[Read More] Experiencing Semen Leakage with Catheter: What to Do Next?
Understanding Persistent Urge to Urinate: Causes and Solutions
Glans issues Hello Dr. Lee: My symptoms include a persistent urge to urinate at the tip of my penis when I lie down at night, and even after going to the bathroom, there isn't much urine. Recently, this situation seems to have worsened, making it difficult for me to fall asl...
Dr. Li Minghui reply Urology
Hello: If it occurs infrequently, rather than daily, it could be related to hydration, food, lifestyle, or medications. If it happens every day, it may indicate a bladder function issue. Start by drinking more water, avoid beverages, and steer clear of irritating foods. If the pr...[Read More] Understanding Persistent Urge to Urinate: Causes and Solutions
Understanding Recurrent Bleeding from the Foreskin: Causes and Solutions
Torn foreskin with bleeding? Hello, doctor. I have not engaged in any high-risk sexual behavior, but I do have phimosis and always use condoms during sexual intercourse. I previously had symptoms of balanitis, which have resolved. However, this time the sensation is different; re...
Dr. Li Minghui reply Urology
Hello, it is recommended to see a trusted urologist.[Read More] Understanding Recurrent Bleeding from the Foreskin: Causes and Solutions
Understanding STD Risks After Oral and Vaginal Sex with Protection
Is it possible to contract a sexually transmitted infection (STI)? Hello doctor, I recently couldn't resist and had my first experience with a sex worker. During the encounter, I used a condom for both oral and vaginal sex, but my tongue came into contact with hers. What is ...
Dr. Li Minghui reply Urology
Hello: Don't guess, it's worth consulting a trusted urologist for discussion.[Read More] Understanding STD Risks After Oral and Vaginal Sex with Protection
Understanding Frequent Urination: Causes and Symptoms Explained
Frequent urination issues? Hello doctor, I haven't been drinking much water lately, yet I constantly feel the urge to urinate, sometimes as frequently as every 1-2 hours. At night, I also keep getting up to use the bathroom. However, the urine volume is not much; sometimes a...
Dr. Li Minghui reply Urology
Hello, based on your symptom description, it aligns with a diagnosis of overactive bladder. Please consult a urologist for examination and treatment.[Read More] Understanding Frequent Urination: Causes and Symptoms Explained
Understanding Bladder Issues: Urgency and Discomfort Explained
Bladder issues Recently, I have been experiencing a sudden urge to urinate, sometimes feeling like I am about to urinate immediately. A few times, I have felt a painful sensation in my bladder while urinating.
Dr. Li Minghui reply Urology
Hello: A urine test should be performed first. If there is no infection, interstitial cystitis should be suspected. It is recommended to consult a urologist for evaluation and treatment.[Read More] Understanding Bladder Issues: Urgency and Discomfort Explained
Understanding Prostate Cancer Treatment and Diagnostic Options
Treatment of prostate cancer? Hello Doctor, my father was diagnosed with stage IV prostate cancer with bone metastasis in early November last year. His initial PSA level was 256. He is currently receiving monthly injections of Enzalutamide and taking oral medication, which is Bic...
Dr. Li Minghui reply Urology
Hello: Please discuss your bone pain issues with your attending physician. Depending on the size of the hospital, it is generally experienced that pain may occur before medication is taken, and pain relief medication may still be needed after treatment. Additionally, health insur...[Read More] Understanding Prostate Cancer Treatment and Diagnostic Options
Understanding Urethral Warts: Treatment Options and Concerns
Cauliflower grows inside the urethra? As mentioned, my cauliflower (genital warts) has grown inside the urethral opening. I used a magnifying glass to slightly open the urethral opening and can still see a bit of it. When I consulted a doctor, he only performed electrosurgery on ...
Dr. Li Minghui reply Urology
Hello: You can undergo transurethral electrosurgery using a cystoscope at the hospital.[Read More] Understanding Urethral Warts: Treatment Options and Concerns
Is It Normal to Urinate While Having a Bowel Movement?
Is it normal to expel some urine when having a bowel movement? Hello, doctor. I often notice that when I sit on the toilet to have a bowel movement, a little bit of urine comes out when I exert some effort. Is this normal? Thank you.
Dr. Li Minghui reply Urology
Hello: It is normal to have some urine leakage during a bowel movement because the nerves controlling the colon and those regulating urination can be interconnected at times.[Read More] Is It Normal to Urinate While Having a Bowel Movement?
Understanding Pearly Penile Papules: Causes and Treatment Options
Sebaceous gland hyperplasia or pearly penile papules? I have small, bump-like lesions on my glans that I’m unsure about; they appear pink and cover a relatively large area, surrounding the coronal sulcus but located on the glans itself. They are not painful or itchy. Usually, I j...
Dr. Li Minghui reply Urology
Hello: If you need to seek medical attention, please inform the physician if you have engaged in unsafe sexual practices. Wishing you good health.[Read More] Understanding Pearly Penile Papules: Causes and Treatment Options
Understanding Prostate Enlargement: Symptoms and Early Detection of Bladder Cancer
Benign Prostatic Hyperplasia (BPH) Dear Director Li: Regarding the causes and symptoms of prostate enlargement, are they not very similar to the symptoms of bladder cancer? Both can present with hematuria, urgency, frequency, and a feeling of incomplete bladder emptying. I person...
Dr. Li Minghui reply Urology
Hello: It is best to use cystoscopy for examination to gain understanding. Wishing you good health.[Read More] Understanding Prostate Enlargement: Symptoms and Early Detection of Bladder Cancer
Understanding Cold Genital Symptoms: Causes and When to Seek Help
Cold genitalia Hello, doctor. Recently, the weather has turned cooler, and I feel that my penis and scrotum are cold all day, without any shrinkage; it's not a case of heat expansion and cold contraction. This wasn't the case before. My sexual function is inconsistent; ...
Dr. Li Minghui reply Urology
Hello: The feeling of coldness may be related to vascular circulation. It is important to pay attention to overall health, such as exercise and diet. If sexual function is not satisfactory, it is advisable to seek medical attention for necessary examinations. Wishing you good hea...[Read More] Understanding Cold Genital Symptoms: Causes and When to Seek Help
Understanding Post-Ejaculation Pain: Causes and Solutions
Experiencing pain in the perineal area after ejaculation while sleeping? I would like to ask the doctor—after engaging in sexual intercourse, there is no pain at the moment of ejaculation, but during sleep, I experience severe pain in the perineal area or possibly the anus, to th...
Dr. Li Minghui reply Urology
Hello: You need to seek medical examination, as it occurs occasionally. It is recommended to see a doctor when this situation arises, as it is mostly related to prostate issues. Wishing you good health.[Read More] Understanding Post-Ejaculation Pain: Causes and Solutions
Understanding Post-Ejaculation Pain: Causes and Solutions
Experiencing pain in the perineal area after ejaculation while sleeping? I would like to ask the doctor—after engaging in sexual intercourse, there is no pain at the moment of ejaculation, but during sleep, I experience severe pain in the perineal area or possibly the anus, which...
Dr. Li Minghui reply Urology
Hello: You need to seek medical examination, as it occurs occasionally. It is recommended to see a doctor when this situation arises, as it is mostly related to prostate issues. Wishing you good health.[Read More] Understanding Post-Ejaculation Pain: Causes and Solutions
Understanding Prostate Cancer: Managing Urinary Issues and Hormone Therapy Options
Prostate cancer Hello Doctor, my father had a PSA level of 32.5 and a prostate volume of 45 in September. He underwent a laser enucleation procedure, and the biopsy results confirmed prostate cancer. The doctor arranged for a bone scan and MRI, which showed no bone metastasis or ...
Dr. Li Minghui reply Urology
Hello: 1) Postoperative urinary incontinence generally improves gradually over several months. If the amount of leakage decreases, it will continue to improve. Medication can also help, but the extent of recovery may vary. 2) Hormonal therapy is a common treatment option that sup...[Read More] Understanding Prostate Cancer: Managing Urinary Issues and Hormone Therapy Options
Understanding Prostate Cancer: Managing Incontinence and Hormone Therapy Options
Prostate cancer Hello Doctor, my father had a PSA level of 32.5 and a prostate volume of 45, and underwent a laser enucleation procedure in September. The biopsy results confirmed prostate cancer, and the doctor arranged for a bone scan and MRI, which showed no bone metastasis or...
Dr. Li Minghui reply Urology
Hello: 1) Postoperative urinary incontinence generally improves gradually over a few months. If the amount of leakage decreases, it will continue to improve. Medication can also help, but the extent of recovery varies. 2) Hormonal therapy is a common treatment option that suppres...[Read More] Understanding Prostate Cancer: Managing Incontinence and Hormone Therapy Options
Managing Prostate Cancer: Addressing Urinary Incontinence and Treatment Options
Prostate cancer Hello Doctor, my father had a PSA level of 32.5 and a prostate volume of 45 in September, and he underwent a laser enucleation procedure. The biopsy results confirmed prostate cancer, and the doctor arranged for a bone scan and MRI, which showed no bone metastasis...
Dr. Li Minghui reply Urology
Hello: 1) Postoperative urinary incontinence generally improves gradually over several months. If the amount of leakage decreases, it will continue to improve. Medication can also help, but the extent of recovery may vary. 2) Hormonal therapy is a common treatment option that sup...[Read More] Managing Prostate Cancer: Addressing Urinary Incontinence and Treatment Options
Intermittent Pain in Left Testicle: Causes and Treatment Options
Intermittent pain in the left testicle? Hello doctor, the night before I was supposed to fall asleep, I suddenly experienced severe discomfort due to acute pain in my testicles. I went to the emergency room for an examination. The results showed that the doctor used an imaging de...
Dr. Li Minghui reply Urology
Hello: Generally, there is no clear reason. It is important to observe and avoid engaging in strenuous exercise for the time being. Wishing you good health.[Read More] Intermittent Pain in Left Testicle: Causes and Treatment Options
Understanding Clear Fluid Discharge from the Urethra: Causes and Concerns
During urination, a fluid similar to prostatic fluid can be expelled from the urethra? I previously had a two-week treatment for a urinary tract infection caused by Chlamydia, but it has recurred twice. The doctor diagnosed me with prostatitis and prescribed a one-month treatment...
Dr. Li Minghui reply Urology
Hello: If there is a possibility of infection due to sexual activity, antibiotics can often treat it. However, it's important to not only rely on medication but also to pay attention to lifestyle and practice safe sex. A positive leukocyte esterase test can indicate the pres...[Read More] Understanding Clear Fluid Discharge from the Urethra: Causes and Concerns