Understanding Bacterial Presence in Urine Without Infection: A Urology Perspective
The urine test shows bacteria, but the doctor says there is no infection? Hello, doctor. I have been diagnosed with interstitial cystitis for a year. During this year, I have undergone two rounds of hyaluronic acid injections, and my condition has been manageable. However, after ...
Dr. Li Minghui reply Urology
Hello: 1) Is there an infection? It may be related to your urine sample collection. Was it done aseptically? For females, if not careful, an inappropriate sample can be obtained. Please refer to the following guidelines from National Taiwan University Hospital: https://www.ntuh.g...[Read More] Understanding Bacterial Presence in Urine Without Infection: A Urology Perspective
Chronic Prostatitis: Challenges in Antibiotic Treatment and PSA Levels
Acute or chronic prostatitis, with PSA levels above 12, shows poor sensitivity to oral antibiotics? Hello Dr. Li, I would like to describe my medical history as it has been quite distressing and painful for me. I apologize for the lengthy details. Urological History: I have a ...
Dr. Li Minghui reply Urology
Hello: 1) These types of antibiotics are generally effective, but they require several months of treatment along with strict lifestyle precautions. However, if the patient does not see results, changing medications may not be certain. As for muscle-related side effects, they are ...[Read More] Chronic Prostatitis: Challenges in Antibiotic Treatment and PSA Levels
Understanding Urinary Incontinence After Prostate Biopsy: Causes and Concerns
Prostate enlargement biopsy urinary incontinence 1. Due to benign prostatic hyperplasia, my PSA level is 6.24. This is following my first biopsy three years ago (September 2018, PSA 6.38) and a continuous medication regimen with Alfuzosin. On December 12, 2022, I underwent a seco...
Dr. Li Minghui reply Urology
The apex of the prostate is close to the sphincter, and the nerves enter the prostate and sphincter from both sides externally. Although standard biopsies typically do not reach the apex or the sides directly, which would harm the sphincter or nerves, inflammation can occur near ...[Read More] Understanding Urinary Incontinence After Prostate Biopsy: Causes and Concerns
Understanding Urinary Incontinence After Prostate Biopsy: Causes and Concerns
Prostate enlargement biopsy urinary incontinence 1. Due to benign prostatic hyperplasia, my PSA level is 6.24. This follows my first biopsy three years ago (September 2018, PSA 6.38), after which I have been continuously taking medication: Alfuzosin. On December 12, 2022, I under...
Dr. Li Minghui reply Urology
The apex of the prostate is close to the sphincter, and the nerves enter the prostate and sphincter from both sides externally. Although routine biopsies typically do not involve the apex or the sides directly, which would harm the sphincter or nerves, inflammation can occur near...[Read More] Understanding Urinary Incontinence After Prostate Biopsy: Causes and Concerns
Understanding Post-Void Dribbling: Causes and Solutions
Urinary issues Hello Dr. Lee, I would like to consult you on a few issues. I am 35 years old and I usually drink very little water. I engage in self-pleasure every two to three days. The problem is that for almost two months now, after I finish using the restroom, I have noticed...
Dr. Li Minghui reply Urology
This condition is referred to as "post-void dribbling." The exact cause is not very clear at this time, but there are two possible explanations: one is insufficient muscle function surrounding the base of the penis and the urethra, which prevents the complete expulsion ...[Read More] Understanding Post-Void Dribbling: Causes and Solutions
Understanding Urethral Swelling: Causes and Concerns in Urology
Urethral meatus swelling Hello, Director. Thank you again for your previous response. I recently noticed some swelling at the urethral opening and have engaged in unsafe sexual behavior (unprotected oral sex). It seems abnormal, so I went to the hospital for a check-up. The docto...
Dr. Li Minghui reply Urology
You're welcome. If there are any changes in your symptoms, remember to seek medical attention again.[Read More] Understanding Urethral Swelling: Causes and Concerns in Urology
Understanding Persistent Urethritis: Causes and Management Tips
Urethritis for 3 weeks? Hello Doctor, on December 12th, I experienced itching in the urethra and went to the hospital for an examination. Urinalysis showed normal white blood cells and red blood cells. On December 14th, the itching persisted, and I had slight pain during urinatio...
Dr. Li Minghui reply Urology
Causes of urethral itching and pain include urinary tract infections, non-infectious inflammation such as interstitial cystitis, local irritation from factors like stones, sexual activity, or cycling, as well as metabolites of medications or food components in the urine. Urinary ...[Read More] Understanding Persistent Urethritis: Causes and Management Tips
Understanding Occult Blood in Urine: When to Seek Medical Attention
Urinary occult blood issue? Hello, Doctor. I have previously consulted your website with questions, and this is my first time reaching out to you. I have undergone lithotripsy and have had several urine tests. Sometimes I have trace hematuria (+/-), and sometimes I do not, but I ...
Dr. Li Minghui reply Urology
The occult blood test uses a chemical reaction to identify the presence of hemoglobin in the urine. Some causes of hematuria can lead to the rupture of red blood cells, making it difficult to see intact red blood cells; in such cases, the occult blood test may be more sensitive t...[Read More] Understanding Occult Blood in Urine: When to Seek Medical Attention
Understanding Urethral Swelling: When to Seek Further Medical Attention
Urethral meatus swelling Hello doctor, on November 25th, I had unprotected oral sex and noticed some abnormalities on the glans, but no other issues. Concerned about infection, I visited a doctor two weeks ago. The examination was very brief, and the doctor felt it wasn't se...
Dr. Li Minghui reply Urology
The photo is not very clear, and it's difficult to identify any abnormalities. If the condition is severe or persists, an in-person examination may be necessary.[Read More] Understanding Urethral Swelling: When to Seek Further Medical Attention
Swelling at the Urethral Opening: Causes and Concerns
Swelling of the urethral opening? Hello Director, I apologize for the inconvenience. I am number 163759, and I am sending you a clearer image for your reference. The red circle indicates swelling at the tip of the urethra, along with the frenulum (the frenulum itself appears norm...
Dr. Li Minghui reply Urology
There doesn't appear to be any obvious abnormalities. Upon close examination, the area from the urethral opening to the frenulum shows a slight protrusion, which is considered normal. You can search for images online and you will find that some people naturally have this app...[Read More] Swelling at the Urethral Opening: Causes and Concerns
Understanding Antibiotic Use for Epididymitis: Key Questions Answered
Medication Consultation Recently, after visiting the urology department, I found out that I have inflammation in my epididymis. The doctor prescribed antibiotics (Baktar, a combination medication) to be taken twice a day for 7 days, stating that I should complete the course. Howe...
Dr. Li Minghui reply Urology
Two weeks of using Pseudomonas aeruginosa is not considered long-term use, so there is no need to worry too much.[Read More] Understanding Antibiotic Use for Epididymitis: Key Questions Answered
Potential Drug Interactions: Betmiga and Catilon for Urological Issues
Inquire about drug interactions? I am currently taking Betmiga (mirabegron) for overactive bladder, and recently I visited a gastroenterologist for irritable bowel syndrome, who prescribed me Catilon (butylscopolamine). I found that both medications have a common keyword, "a...
Dr. Li Minghui reply Urology
Currently, there is no research literature indicating any interactions between the two medications, so they can be taken safely. The mechanism of action of Catilon (citalopram) is not fully understood, but it primarily acts on the colon. The receptors that mediate the effects of ...[Read More] Potential Drug Interactions: Betmiga and Catilon for Urological Issues
Should You Seek Medical Attention for Prostate Bleeding After Use of Adult Toy?
Prostate bleeding? Hello doctor, my girlfriend bought a sex toy that she used to stimulate my prostate. It is about the size of a straw and she inserted it about two fingers deep. When she slightly twisted it and took it out, we noticed there was blood on it. The tip of the toy i...
Dr. Li Minghui reply Urology
Some blood streaks are likely due to rectal mucosal abrasion, and it is generally acceptable to leave it untreated without the need for anti-inflammatory medication. The risk of persistent bleeding or infection is minimal, similar to how blood streaks can occur occasionally with ...[Read More] Should You Seek Medical Attention for Prostate Bleeding After Use of Adult Toy?
Prostate Stimulation and Rectal Bleeding: When to Seek Medical Attention
Prostate? Bleeding? Hello Doctor, I apologize for asking question number <a href="https://adoctor.tw/article/163668">#163668</a> earlier today, but I have a new development, so I'm sending another question. I'm very sorry! My girlfriend purchased a...
Dr. Li Minghui reply Urology
Some blood streaks are likely due to rectal mucosal abrasion. It is generally acceptable to leave it alone, and there is no need for anti-inflammatory medication. The risk of persistent bleeding or infection is minimal, similar to how blood streaks can occur occasionally with con...[Read More] Prostate Stimulation and Rectal Bleeding: When to Seek Medical Attention
Understanding Wrinkles on the Glans: Causes and Concerns
Wrinkles on the glans? The presence of horizontal wrinkles on the glans and a whitish layer on the foreskin may indicate a condition such as balanitis or a fungal infection. It is advisable to consult a healthcare professional for an accurate diagnosis and appropriate treatment. ...
Dr. Li Minghui reply Urology
It is recommended that you visit a urology clinic to see if any relevant examinations are needed. Thank you, and wish you good health![Read More] Understanding Wrinkles on the Glans: Causes and Concerns
Understanding Red Bumps on the Scrotum: Causes and Treatment Options
Regarding the appearance of acne-like lesions on the scrotum? Hello, Doctor: I have been experiencing red pimples on my scrotum lately, and when they appear on the penis, they resemble mosquito bites. I notice 1 to 3 of them at a time, and they itch intermittently, though the int...
Dr. Li Minghui reply Urology
It is recommended that you visit a urology outpatient clinic to determine if any relevant tests are needed. Thank you, and wishing you good health![Read More] Understanding Red Bumps on the Scrotum: Causes and Treatment Options
Understanding Pain Management After Urology Consult: When to Stop Ibuprofen
Medication consultation Recently, after visiting the urology department, I found that I have inflammation in the epididymis. The doctor prescribed pain relievers (Ibuprofen) and antibiotics (Baktar, a combination antibiotic) for a duration of 7 days each. I would like to ask if I...
Dr. Li Minghui reply Urology
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Pain Management After Urology Consult: When to Stop Ibuprofen
Understanding Nocturnal Emissions and Urinary Concerns: What You Need to Know
I'm sorry, but I need content to translate. Please provide the text you would like me to translate Hello doctor, a few days ago I experienced a nocturnal emission and woke up immediately. Although some semen had already leaked out, I managed to hold back a little and quickly...
Dr. Li Minghui reply Urology
Hello: Generally, if there has been no sexual activity, you can observe the situation for a few days, maintain a normal lifestyle, ensure adequate rest, and minimize the intake of spicy and irritating foods. However, if there has been unprotected sexual activity, it may be necess...[Read More] Understanding Nocturnal Emissions and Urinary Concerns: What You Need to Know
Understanding and Treating Glans Eczema: Symptoms and Solutions
Glans eczema My glans coronal area appears light pink, and sometimes I experience a moist sensation. It doesn't itch, but there is an unusual odor. Is this glans eczema? Can it be completely cured?
Dr. Li Minghui reply Urology
Hello: If the foreskin covers the glans and it was previously dry but is now moist, and it was not red before but is now red, it may be a case of eczema. It is important to keep the area dry, pat it dry after exposure to water, avoid washing with very hot water, and temporarily r...[Read More] Understanding and Treating Glans Eczema: Symptoms and Solutions
Is Excessive Masturbation Causing Urethral Pain?
Is excessive masturbation a concern? After masturbating for three consecutive days, I experienced pain in the frenulum and urethra on the third day that lasted for one day. After resting for two days, I thought I was fine, but after masturbating again, I had the same symptoms and...
Dr. Li Minghui reply Urology
Hello: If you have a persistent urge to urinate accompanied by a burning sensation during urination, it is likely a sign of an infection. It is recommended to consult a urologist for examination. Wishing you good health.[Read More] Is Excessive Masturbation Causing Urethral Pain?