Understanding Varicocele: Causes, Symptoms, and Concerns Explained
Varicocele 1. Recently, I have noticed that the area above my left testicle and groin is sore. Could this be related to varicocele? 2. I have been walking a lot in the past few days, so I would like to know if this could have caused the varicocele, leading to the soreness and di...
Dr. Li Xinyi reply Urology
Based on your description, it doesn't seem to be a disease-related issue. To diagnose varicocele, you should visit a urologist for an examination and discuss it further with the physician.[Read More] Understanding Varicocele: Causes, Symptoms, and Concerns Explained
Understanding Painful Urination: Causes and Solutions
Severe pain during urination. It feels like there is a blockage? Hello, doctor. Recently, I've been experiencing some pain at the beginning of urination. A few days later, when I go to the bathroom and just about to urinate, it hurts a lot, and it feels like I'm blocked...
Dr. Li Xinyi reply Urology
If the treatment is not successful, it is recommended to return to the outpatient clinic to discuss your condition with the doctor. Your situation may require treatment, and it could be that your condition is more complex.[Read More] Understanding Painful Urination: Causes and Solutions
Understanding Urethral Discharge: Chronic Urethritis or Recovery?
Urethral discharge Hello, I was diagnosed with a urinary tract infection on December 29th. After a 7-day course of antibiotics, I no longer had symptoms, except for a very small amount of transparent discharge at the very bottom edge of the urethral opening that is barely noticea...
Dr. Li Xinyi reply Urology
Testing may not always be accurate, and symptoms suggest there may still be an infection. It is advisable to consult with a urologist for discussion and treatment.[Read More] Understanding Urethral Discharge: Chronic Urethritis or Recovery?
Pain Near Urinary Area: Understanding Symptoms and Seeking Help
There is a painful blood vessel next to the area where I urinate, and it hurts even when I haven't done anything? I just started experiencing this today. At first, I felt pain in the lower area while walking. After telling my mom, she suggested I get it checked. I found out ...
Dr. Li Xinyi reply Urology
You need to go to the obstetrics and gynecology department for a check-up to find out.[Read More] Pain Near Urinary Area: Understanding Symptoms and Seeking Help
Understanding Nocturia and Penile Enlargement: Causes and Concerns
Nocturia accompanied by penile engorgement? Hello Dr. Lee: Recently, I have been experiencing nocturia accompanied by penile engorgement, which makes it difficult to urinate. I have to stand for a while before I can urinate, and the amount is not much, and I feel like I can'...
Dr. Li Xinyi reply Urology
It doesn't sound like a disease issue, but could it be related to medication you are taking? If you have concerns, it's advisable to see a urologist for an examination and discuss it with your doctor.[Read More] Understanding Nocturia and Penile Enlargement: Causes and Concerns
Understanding Vaginal Discharge Infections: Symptoms and Causes
Vaginal discharge infection and inflammation? Hello, doctor! At first, my discharge was a bit white and yellow-green, resembling cottage cheese, and it had a slight odor. I experienced itching in the vagina and some pain while urinating. However, after about 6 or 7 days, the disc...
Dr. Li Xinyi reply Urology
It appears that there is a case of vaginitis. It is recommended to visit a gynecologist for a thorough examination and to discuss it with the physician.[Read More] Understanding Vaginal Discharge Infections: Symptoms and Causes
Understanding Coccyx Pain: Is It Linked to Chronic Prostatitis?
Coccyx pain from masturbation? Hello, doctor. I am currently 19 years old and have recently experienced pain near the coccyx due to more frequent masturbation. I read online that this could be related to chronic prostatitis. Is this true, or could it just be due to poor posture? ...
Dr. Li Xinyi reply Urology
It may not be chronic prostatitis yet; it is likely inflammation caused by the pelvic floor muscles and tendons due to ejaculation and frequent contractions. Resting for a week should help improve the condition. If there are still issues, it is advisable to consult a urologist.[Read More] Understanding Coccyx Pain: Is It Linked to Chronic Prostatitis?
Understanding Pain During Intercourse: Causes and Solutions
Dyspareunia Hello doctor, after having intercourse with my girlfriend in the missionary position, I'm not sure if it was too intense or what, but I experience a sharp pain when pressing on the glans, while other areas do not hurt. It's been almost a week. What should I ...
Dr. Li Xinyi reply Urology
If there is no trauma and surgery is not required, then medical treatment or continuous observation is indicated. It is still recommended to consult a urologist for an examination and further discussion with the physician.[Read More] Understanding Pain During Intercourse: Causes and Solutions
Unusual Urine Odor: Is It a Sign of Urinary Tract Infection?
Urine with an unusual odor? Hello, doctor. A few weeks ago, I took antibiotics for a urinary tract infection and recovered, with normal urine tests afterward. However, about two weeks later, I started to notice a strong odor in my urine, resembling a foul smell, but I do not have...
Dr. Li Xinyi reply Urology
It sounds like there is no evidence of a urinary tract infection; the odor may be due to insufficient water intake or could originate from the vaginal area. If there is no improvement, it is advisable to seek further evaluation.[Read More] Unusual Urine Odor: Is It a Sign of Urinary Tract Infection?
Understanding Testicular Size Differences and Associated Symptoms
Testicular issues My left testicle is smaller than the right one, and sometimes it feels like there are lines or cords in it, while other times it feels smoother. The right testicle feels more swollen than the left and sometimes has a dull ache. Is it normal to have soft tissue a...
Dr. Li Xinyi reply Urology
The two sides are not completely symmetrical to begin with, and there are no unusual hard lumps felt, so there should be no issues in principle. However, if there are any concerns, it is advisable to consult a urologist for an examination and further discussion with the physician...[Read More] Understanding Testicular Size Differences and Associated Symptoms
Understanding Bladder and Testicular Issues: What Causes Pus and Growth?
Purulent discharge from the left side of the bladder? There is a bump that resembles an acne lesion located between the left side of the bladder and the testicle. Initially, it was ignored, but it has recently become larger and can be distinctly felt as a spherical mass. Squeezin...
Dr. Li Xinyi reply Urology
It could just be a subcutaneous abscess. However, if it is related to unsafe sexual practices, it could potentially be caused by a sexually transmitted infection (STI). It is advisable to see a urologist for an examination and to discuss it with a physician.[Read More] Understanding Bladder and Testicular Issues: What Causes Pus and Growth?
Is It Chronic Prostatitis? Understanding Urinary Symptoms and Diagnosis
Is it chronic prostatitis? I have seen two doctors who both diagnosed me with overactive bladder. My symptoms include a strong sensation of residual urine accompanied by a burning sensation near the prostate area, occurring less than two minutes after urination. However, if I can...
Dr. Li Xinyi reply Urology
Based on your description, it does seem like there is a chronic infection in the prostate that has not been resolved. Is there any connection with the COVID-19 infection? It appears that a follow-up appointment is necessary to discuss this further with your physician.[Read More] Is It Chronic Prostatitis? Understanding Urinary Symptoms and Diagnosis
Understanding Prostate Volume: Is 19g Considered Enlarged?
Prostate volume I am 26 years old (almost 27) and I would like to ask if my prostate ultrasound shows a volume of approximately 19 grams (almost 20), does this indicate benign prostatic hyperplasia? Also, can prostatitis lead to prostate enlargement as well?
Dr. Li Xinyi reply Urology
Your prostate size is normal. Prostatitis can cause, but does not necessarily lead to, prostate enlargement.[Read More] Understanding Prostate Volume: Is 19g Considered Enlarged?
Morning Wetness: Is It Nocturnal Emission or Urinary Leakage?
After waking up in the morning, my underwear is damp (a large area), and it seems to have a urine odor? Could it be that I experienced a nocturnal emission this morning when I woke up to find my underwear damp (a large area)? However, it smells like urine, which is different from...
Dr. Li Xinyi reply Urology
Medications for chronic prostatitis theoretically could lead to excessive bladder fullness at night, potentially resulting in mild incontinence; however, the likelihood of this occurring is very low. As for whether it is nocturnal emissions, that is something only the individual ...[Read More] Morning Wetness: Is It Nocturnal Emission or Urinary Leakage?
Understanding Urethritis: Symptoms, Treatment, and Medication Concerns
Urethritis Hello Doctor, last year I frequently experienced urethritis. On April 23rd of this year, I had my last episode, and the morning before yesterday, I woke up with increased urinary frequency, which normalized about an hour later. The next day, I woke up again with interm...
Dr. Li Xinyi reply Urology
Anytime symptoms are present, a urine test should be conducted. If there is an inflammatory infection, oral antibiotics may be necessary. In severe cases, an ultrasound examination may also be required. Your condition will need to be monitored with follow-up tests until the urine...[Read More] Understanding Urethritis: Symptoms, Treatment, and Medication Concerns
Understanding Prostate Hardness: What Does It Mean for Your Health?
There is a hard mass in the prostate? Hello Dr. Lee, my father is 68 years old and in late September, during a health check-up at National Taiwan University Hospital, a hard mass was found in his prostate, and his PSA level was 4.3 (he has symptoms of benign prostatic hyperplasia...
Dr. Li Xinyi reply Urology
I understand your concerns, and your thoughts are valid. It is indeed possible to schedule an earlier follow-up appointment to discuss with the doctor.[Read More] Understanding Prostate Hardness: What Does It Mean for Your Health?
Understanding Recurrent Urethritis: Symptoms, Causes, and Treatment Options
Recurrent urethritis Hello Doctor, I have a normal daily routine and drink water adequately. I only have sexual intercourse with my wife, which is not frequent (about once a week). Around August 15, I experienced acute urethritis for the first time in my life. I visited a nearby ...
Dr. Li Xinyi reply Urology
It sounds like prostatitis, and the bacteria cultured may be from the feces. May I ask if there has been any anal intercourse? These bacteria could potentially have strong antibiotic resistance, and a stronger medication may be required, with treatment lasting 4 to 6 weeks. It is...[Read More] Understanding Recurrent Urethritis: Symptoms, Causes, and Treatment Options
Understanding PSA Levels: Insights on Prostate Health and Lifestyle Factors
Hello Dr. Lee, I received a report after today's follow-up appointment? The PSA level is 2.96. The doctor mentioned that while this is not considered normal for my age, it is within the normal range since it is below 4, indicating that there is not much concern. I am wonderi...
Dr. Li Xinyi reply Urology
Bicycling and masturbation can indeed affect PSA levels. Based on your description, it seems you have had good communication with your primary physician and have reached a consensus on monitoring your PSA levels, which is great. I don't need to add anything further. Addition...[Read More] Understanding PSA Levels: Insights on Prostate Health and Lifestyle Factors
Managing Ureteral Tumors in Elderly Patients with Bladder Cancer
Ureteral tumor resection Hello Doctor: My mother has stage II bladder cancer along with ureteral cancer. After undergoing endoscopic laser surgery and radiation therapy, the doctor mentioned that there is still a segment of the ureteral tumor that has not been removed. She is sch...
Dr. Li Xinyi reply Urology
Based on your description, it seems that you are referring to an endoscopic laser tumor vaporization procedure, rather than a resection followed by suturing. Endoscopic surgery is generally considered to be safer than traditional open surgery. It is important to discuss the detai...[Read More] Managing Ureteral Tumors in Elderly Patients with Bladder Cancer
Is It Safe to Force Urination? Understanding Residual Urine Issues
Forcefully sitting down may cause residual urine? I have been straining to urinate for a year, and I also push hard to completely empty my bladder. Now it seems there is a problem; I noticed that after urinating, when I exert myself, a few drops of urine are involuntarily release...
Dr. Li Xinyi reply Urology
Urination should be smooth and effortless; do not strain. It is not unusual for someone your age to experience these symptoms, so it is advisable to consult a urologist for a thorough examination.[Read More] Is It Safe to Force Urination? Understanding Residual Urine Issues