Understanding Urological Issues: Symptoms and Concerns Explained
Penile issues Doctor, I would like to ask you a few questions. I had prostatitis during the first semester of my first year in high school. At that time, I went to a nearby community hospital for examination and received medication. After about three weeks, my symptoms showed sig...
Dr. Li Minghui reply Urology
Hello: Your symptoms do not necessarily indicate a recurrence of the previous condition, but it is essential to pay attention to your lifestyle, including diet, hydration, and activity levels. If you are engaging in sexual activity, practicing safe sex is important. The likelihoo...[Read More] Understanding Urological Issues: Symptoms and Concerns Explained
Understanding Left Lower Abdomen and Groin Discomfort: A Urology Perspective
Left lower abdomen and groin issues? Hello Doctor: I have been experiencing a mild bloating sensation in my lower left abdomen for a few months (it's not pain, but it can't be described as soreness either). When I squat down, I feel a slight foreign sensation in my groi...
Dr. Li Minghui reply Urology
Hello: Based on your description, it may not be closely related to urology; however, a urine test is still needed for diagnosis. Wishing you good health.[Read More] Understanding Left Lower Abdomen and Groin Discomfort: A Urology Perspective
Understanding Semen Consistency: Causes and Fertility Implications
Issues with semen viscosity? I would like to ask a few questions: 1. My semen has always been thick and very minimal in volume. Regardless of other factors I try to change, nothing seems to work. Is it true that some people's semen consistency is innate? Some people can ex...
Dr. Li Minghui reply Urology
Hello: 1. My semen has always been thick and very minimal, and no matter what other factors I try to change, it remains ineffective. Is it true that some people's semen consistency is innate? Some people can experience changes, like after eating seafood, but I don't s...[Read More] Understanding Semen Consistency: Causes and Fertility Implications
Understanding Chronic Urinary Issues: Interstitial Cystitis or Prostate Problems?
The frequent urination issue that has been troubling you for 10 years could be related to interstitial cystitis or prostate problems? I previously experienced suspected interstitial cystitis due to the use of ketamine. Ten years ago, I underwent water distension cystoscopy at Tai...
Dr. Li Minghui reply Urology
Hello: Your symptoms are a result of ketamine's side effects. However, when the symptoms are severe, medication can be used to alleviate them. If you experience cloudy urine or blood in your urine, you should seek medical attention. It's important to pay special attenti...[Read More] Understanding Chronic Urinary Issues: Interstitial Cystitis or Prostate Problems?
Post-Circumcision Complications: When to Seek Medical Attention?
Bleeding due to the opening of the incision after circumcision stitches have come undone? Hello Doctor, I am currently about three weeks post circumcision, and the stitches have gradually come loose. One of the stitches has fallen out, and there seems to be a split in the wound, ...
Dr. Li Minghui reply Urology
Hello: Most small wounds do not become inflamed and will heal on their own if kept clean and dry. Follow-up visits after outpatient surgery are necessary. Wishing you good health.[Read More] Post-Circumcision Complications: When to Seek Medical Attention?
Understanding Right-Sided Lower Back Pain: Causes and Solutions
Right-sided flank pain? Hello doctor, my question is that after drinking a lot of water at night, I experience pain on the right side of my lower back in the morning. I'm not sure if it's due to pressure from holding in urine, but the pain disappears after I use the res...
Dr. Li Minghui reply Urology
Hello: Your condition should be evaluated by the urology department at the hospital to check for any abnormalities in the right kidney during urination. If the tests are normal, we can explore other possible causes. Wishing you good health.[Read More] Understanding Right-Sided Lower Back Pain: Causes and Solutions
Understanding Low Urine Output After Childbirth: Causes and Concerns
The urine output does not exceed 100 ml each time? Hello, doctor. My issue with bladder urine volume started after I gave birth naturally. The obstetrician mentioned that it could be a side effect of the epidural anesthesia or that the prolonged labor may have caused some pressur...
Dr. Li Minghui reply Urology
Hello: Please note that this response is for reference only and cannot replace a physician's examination. Difficulty urinating after childbirth is quite common, as both pregnancy and the delivery process can have an impact. If your gynecological recovery is progressing well ...[Read More] Understanding Low Urine Output After Childbirth: Causes and Concerns
Understanding Persistent Pain and Discomfort After Urogenital Infections
Both WBC and RBC are 0, and the pain and itching in the penis and testicles persist? Previously, I went to the clinic where the doctor tested for Trichomonas and Chlamydia, both of which came back negative. However, the doctor only asked me to squeeze the base of my penis 20-30 t...
Dr. Li Minghui reply Urology
Hello: Based on your description, if symptoms persist and do not improve, it is important to pay attention to lifestyle management and seek further evaluation at a major hospital to confirm whether the symptoms are caused by a sexually transmitted infection or another underlying ...[Read More] Understanding Persistent Pain and Discomfort After Urogenital Infections
Post-Varicocele Surgery: Concerns About Erections and Recovery
Postoperative care for varicocele surgery? I would like to ask the doctor, two weeks ago I underwent microscopic varicocelectomy for varicocele. Will erections have a negative impact on the ligated blood vessels? Sometimes I experience discomfort in the blood vessels during an er...
Dr. Li Minghui reply Urology
Hello: If the wound has healed and you have had a follow-up appointment, it should not have a significant impact. Just be careful not to exert too much pressure on your abdomen, and try to limit the frequency of DIY activities. Wishing you good health.[Read More] Post-Varicocele Surgery: Concerns About Erections and Recovery
Understanding Testicular Lumps: Cancer, Inflammation, or Tumors?
There is a small, bean-sized lump inside the right testicle, not on the skin? I have a small, raised bump on my right testicle that resembles a pimple, about the size of a bean. It has been there for a long time, and currently, there is no heaviness or pain (although there is a s...
Dr. Li Minghui reply Urology
Hello: For your reference, during inflammation, the testicles can become increasingly swollen, similar to testicular cancer. Both conditions can cause enlargement, and there may be some benign causes. A physician's examination is necessary. Wishing you good health.[Read More] Understanding Testicular Lumps: Cancer, Inflammation, or Tumors?
Understanding Chronic Prostatitis: Treatment Options and Expert Opinions
Treatment options for chronic prostatitis? Hello, doctor. I have a troubling issue I would like to consult you about. Initially, my symptoms included 3-4 episodes of nocturia. After treatment, my current symptoms are as follows: mild burning and itching sensation in the urethra, ...
Dr. Li Minghui reply Urology
Hello: 1. According to Dr. B, the medication prescribed by Dr. A is for symptomatic treatment, and the idea that long-term use is necessary to achieve therapeutic levels is something I have never heard before. I am aware that long-term use of non-steroidal anti-inflammatory dru...[Read More] Understanding Chronic Prostatitis: Treatment Options and Expert Opinions
Understanding Urinary Incontinence After Prostate Laser Surgery: What to Expect
Side effects of prostate surgery? Hello Dr. Lee: I underwent laser prostate surgery a month ago, and I have been unable to urinate since then. It has been a month since the surgery, and my incontinence issue does not seem to have improved. Is it normal to experience incontinence ...
Dr. Li Minghui reply Urology
Hello: It is not uncommon to experience incontinence after prostate surgery, and this should be mentioned in the surgical consent form. It usually improves gradually. If it is only a small amount of urine leakage, it will likely resolve quickly. Currently, take good care of yours...[Read More] Understanding Urinary Incontinence After Prostate Laser Surgery: What to Expect
Active Monitoring vs. Treatment: Navigating Prostate Health Decisions
Can active monitoring be implemented? At the beginning of the year, I experienced difficulty urinating and underwent catheterization. After about five months of medication, I again faced urinary difficulties, leading to catheterization and a prostatectomy. My preoperative PSA lev...
Dr. Li Minghui reply Urology
Hello: Prostate cancer is quite unique; some cases may progress rapidly while others remain stable for many years. There are various treatment options available if one chooses to pursue aggressive treatment, and the associated complications can vary significantly. Therefore, it i...[Read More] Active Monitoring vs. Treatment: Navigating Prostate Health Decisions
Understanding Chronic Prostatitis: Causes, Diagnosis, and Treatment Options
Chronic prostatitis? Hello doctor, I have been troubled by frequent urination and difficulty urinating for a long time. Could the cause of prostatitis possibly be related to excessive masturbation? If the prostatic fluid is expressed during a digital rectal exam and not sent for ...
Dr. Li Minghui reply Urology
Hello: I have been troubled by frequent urination and difficulty urinating for a long time. Regarding prostatitis --> Could it be that the cause of inflammation is due to excessive sexual activity? --> If the prostatic fluid expressed during a digital rectal exam is not sen...[Read More] Understanding Chronic Prostatitis: Causes, Diagnosis, and Treatment Options
Interstitial Cystitis or Chronic Cystitis: Understanding Your Bladder Symptoms
Interstitial cystitis? Or chronic cystitis? Hello, doctor. Last year, during a health check-up, I had a urine test that showed trace blood (1+). After experiencing acute cystitis at the end of January, I began to have bladder discomfort and issues with urination. A urologist perf...
Dr. Li Minghui reply Urology
Hello: Your issue is related to bladder symptoms, and it is important to confirm with a gynecologist that there are no gynecological problems. The relationship with sexual activity should also be considered. If urinalysis is normal and urodynamic testing is acceptable, it can onl...[Read More] Interstitial Cystitis or Chronic Cystitis: Understanding Your Bladder Symptoms
Understanding Penile Swelling After Masturbation: Causes and Solutions
Penile issues related to masturbation? On February 28th, after taking a shower and masturbating, my penis suddenly swelled up (edema). I went to the emergency room, and the doctor only prescribed medication (it later returned to normal). However, after two weeks, I masturbated ag...
Dr. Li Minghui reply Urology
Hello: If there is inflammation, it is important to pay attention to cleanliness and hygiene. If the skin tightness is causing poor circulation, it may lead to swelling, and you should seek medical attention to determine the appropriate follow-up treatment. Wishing you good healt...[Read More] Understanding Penile Swelling After Masturbation: Causes and Solutions
Can Prostate Massage Benefit Patients with Advanced Prostate Cancer?
Can prostate cancer patients undergo prostate massage? Dear Director: I am a patient with T3b prostate cancer, which has spread to the seminal vesicles, with a Gleason score of 4+3. I underwent radiation therapy a year ago and am currently receiving hormone therapy, which my doct...
Dr. Li Minghui reply Urology
Hello: The treatment for prostate cancer, including surgery and radiation therapy, has the potential to be curative, but it is important to discuss this with your treating physician. As for average life expectancy, you can refer to https://www.canceraway.org.tw/cancerinfo.asp?id=...[Read More] Can Prostate Massage Benefit Patients with Advanced Prostate Cancer?
Understanding Sudden Urinary Leakage: Causes and Solutions
I don't quite understand why I'm experiencing some sudden urinary leakage? Hello, doctor. Recently, I've noticed that after urinating, I don't feel the urge to urinate, but I often feel that my underwear is damp. Upon checking, it seems like urine is continuou...
Dr. Li Minghui reply Urology
Hello: Occasional occurrences are quite common, but if it persists and happens every time, it is advisable to monitor for other symptoms besides incontinence, such as weak urine stream, increased frequency of urination, or discomfort in the urethra. If none of these symptoms are ...[Read More] Understanding Sudden Urinary Leakage: Causes and Solutions
Understanding Prostate Enlargement in Young Men: Causes and Solutions
Young individuals can experience issues with prostate enlargement? Hello Doctor, I am about to turn 37 this year. For the past few years, I have been experiencing frequent urination, feeling the urge to go to the bathroom often, but it is not uncontrollable. I initially thought i...
Dr. Li Minghui reply Urology
Hello: What could be the reasons for this issue at my age? --> Is it normal that the doctor has not prescribed any medication to suppress or improve this phenomenon since the cause is unknown? --> Since urination is normal, what can I do on my own to improve this condition ...[Read More] Understanding Prostate Enlargement in Young Men: Causes and Solutions
Understanding Interstitial Cystitis: Symptoms, Diagnosis, and Treatment Options
Interstitial cystitis Hello Doctor, I have interstitial cystitis and have been experiencing frequent urination and pain for the past two years. Recently, the symptoms have worsened, and I underwent a water distension examination. The images from the distension are as follows: htt...
Dr. Li Minghui reply Urology
Hello: 1) This platform is not for diagnosis and should not be used for that purpose. 2) Treatment options should be discussed with the attending physician, and there should be multiple approaches to treatment. A detailed discussion is necessary for understanding. 3) For chronic ...[Read More] Understanding Interstitial Cystitis: Symptoms, Diagnosis, and Treatment Options