Understanding Post-Sexual Activity Frenulum Injury and Balanitis
Injury to the frenulum after sexual intercourse > Balanitis of the glans penis? Hello, Doctor. About a month ago, I had sexual intercourse (I put on a condom just before penetration). After the intercourse, I experienced some stinging pain, and there was redness between the fo...
Dr. Li Xinyi reply Urology
It sounds like your symptoms may be due to a lack of lubrication causing an injury. If there is trauma from rough activity, the moist environment can hinder healing. While circumcision might be beneficial, I wouldn't necessarily recommend it as a must; the focus should be on...[Read More] Understanding Post-Sexual Activity Frenulum Injury and Balanitis
Understanding Prostate Enlargement and Its Connection to Autonomic Nervous System Issues
Understood, the final question, Dr. Lee? Doctor's Advice: Generally speaking, if a transrectal ultrasound measures the prostate size and finds it to be greater than or equal to 30 cubic centimeters, the doctor will indicate that there is a problem with prostate enlargement. ...
Dr. Li Xinyi reply Urology
Training the bladder by holding urine is something you should discuss with your physician to understand the rationale behind it. Generally, before your appointment, you need to keep a voiding diary for two to three days, recording when you urinate, the volume of urine, and instan...[Read More] Understanding Prostate Enlargement and Its Connection to Autonomic Nervous System Issues
Understanding Prostate Health: Insights from Dr. Lee on Common Concerns
Hello, Dr. Lee has some more questions? Response from Dr. Hsin-Yi Lee, Urologist: Given your age, it is unlikely that you are experiencing true benign prostatic hyperplasia (BPH), and medications like Alfuzosin are generally not necessary. Alfuzosin does not prevent the developme...
Dr. Li Xinyi reply Urology
Generally speaking, if a transrectal ultrasound measures the prostate size to be greater than or equal to 30 cubic centimeters, a doctor may indicate that there is an issue with prostate enlargement. However, it is not that straightforward; this can be related to the patient'...[Read More] Understanding Prostate Health: Insights from Dr. Lee on Common Concerns
Relief from Itchy Penile Sebaceous Glands: Should You Shave?
Penile sebaceous glands Doctor, I often feel itchy in the sebaceous gland area on the lower part of my penis, where it comes into contact with the scrotum. This is likely due to excessive sweating, which makes it feel damp and sticky. There is no redness or swelling, just the itc...
Dr. Li Xinyi reply Urology
Hair removal may have limited improvement and can easily lead to inflammation, potentially worsening the symptoms. The most important thing is to keep the perineal area cool and dry; otherwise, issues cannot be resolved if there is moisture and heat from sweating. Alternatively, ...[Read More] Relief from Itchy Penile Sebaceous Glands: Should You Shave?
Managing Enlarged Prostate: Insights on Medication and Lifestyle Changes
Hello, Dr. Lee? I visited a urologist due to issues with nocturia and frequent urination. Prior to that, my lifestyle was irregular, and because of the frequent urination, I wasn't drinking enough water. After undergoing a urinary tract and rectal ultrasound, blood tests, an...
Dr. Li Xinyi reply Urology
Given your age, it is unlikely that you would consider having true benign prostatic hyperplasia (BPH), and medications like alfuzosin are generally not necessary, as they do not prevent prostate enlargement. If you are genuinely concerned about enlargement, it is advisable to vis...[Read More] Managing Enlarged Prostate: Insights on Medication and Lifestyle Changes
Understanding Frequent Urination: Causes and Solutions
Frequent urination issues? Hello doctor, after I finish urinating, I still feel the urge to urinate, and I have issues with interrupted urination. During urination, the flow of urine stops, and then when I engage my pelvic floor muscles, which I believe is similar to Kegel exerci...
Dr. Li Xinyi reply Urology
At your age, if you relax and urinate smoothly without needing to exert extra effort, there should be no issues. However, if you still experience the aforementioned symptoms, it is advisable to consult a urologist for an examination and further discussion with the physician.[Read More] Understanding Frequent Urination: Causes and Solutions
Understanding Prostate Issues: Lack of Prostate Fluid After Erection
Prostate issues Is it normal not to secrete prostatic fluid even after becoming aroused? If there is a strong desire to secrete it, are there ways to improve this?
Dr. Li Xinyi reply Urology
Prostatic fluid is a component of semen, and its secretion cannot be controlled by an individual. It does not seem to indicate any disease issue. If there are concerns, it is advisable to consult a urologist for examination and discussion with a physician.[Read More] Understanding Prostate Issues: Lack of Prostate Fluid After Erection
Understanding Chlamydia Recurrent Infections: Treatment Challenges and Solutions
Relapsing of Clostridium difficile infection? In late July, I contracted a sexually transmitted infection, with symptoms including white discharge from the urethral opening and discomfort in the urethra. The doctor suggested it could be gonorrhea or chlamydia, so I was prescribed...
Dr. Li Xinyi reply Urology
If the sexual partner is not treated, cross-infection can occur, leading to recurrent infections. If there is suspicion of involvement with the prostate, the treatment course should be extended. If the bacteria are resistant to antibiotics, a change in antibiotics is necessary. I...[Read More] Understanding Chlamydia Recurrent Infections: Treatment Challenges and Solutions
Understanding a Dark Line on the Penis: Causes and Concerns
There is a black line on the dorsal side of the penis? I recently noticed a thick black line, about 1 to 2 centimeters wide, on the dorsal surface of my penis, extending from the tip of the foreskin to the scrotum. I don't feel any pain or itching, and there are also small b...
Dr. Li Xinyi reply Urology
Such issues should be evaluated in person by a urologist for examination and discussion with the physician.[Read More] Understanding a Dark Line on the Penis: Causes and Concerns
Understanding Erection Congestion: Is It Normal to See Red Spots?
Erectile engorgement Hello Doctor: I have noticed that when I have an erection, there are red patches on the glans (the color is deeper than when not erect). When I am not erect, there is a slight discoloration, but it is less noticeable. Is this a normal phenomenon due to conges...
Dr. Li Xinyi reply Urology
It sounds like there is no issue, but there may be minor abrasions. Even when doing it yourself, make sure to lubricate adequately to avoid causing any injury.[Read More] Understanding Erection Congestion: Is It Normal to See Red Spots?
Understanding Urinary Difficulties: Insights on Sensation Loss and Prostate Health
Dysuria and urinary incontinence? I am a male in my 30s with a job that requires prolonged sitting. I have a few questions for the doctor: 1. Last week, I suddenly experienced a lack of sensation in my urethra while urinating. I have the urge to urinate, but I cannot feel the u...
Dr. Li Xinyi reply Urology
Urinary incontinence may suggest peripheral nerve issues, possibly due to viral infections or nerve inflammation. Generally, these are benign problems that require rest and observation. Regarding urination issues, there could be a possibility of prostate problems, but tests may n...[Read More] Understanding Urinary Difficulties: Insights on Sensation Loss and Prostate Health
Understanding Chronic Prostatitis: Treatment Challenges and Solutions
Chronic prostatitis issues? Hello Doctor, I have been suffering from chronic prostatitis for a year. During this time, my semen culture has shown bacteria at times and at other times it has not. The first culture revealed Enterococcus faecalis, and I was prescribed oral Norfloxac...
Dr. Li Xinyi reply Urology
Initially, it was Enterococcus faecalis. Are there any issues related to anal intercourse or sexually transmitted infections (STIs)? The pathogens of STIs are often difficult to culture and diagnose, and if risky sexual behaviors continue, the problem may not be resolved. I suspe...[Read More] Understanding Chronic Prostatitis: Treatment Challenges and Solutions
Understanding Normal Testicular Size: Insights from Ultrasound Measurements
Testicular size The ultrasound results show the following testicular sizes: Right testis: size = 2.7 x 1.9 x 3.3 cm; Left testis: size = 2.6 x 2.1 x 3.8 cm. These dimensions are generally considered to be within the normal range for adult testes. Normal testicular size can vary, ...
Dr. Li Xinyi reply Urology
Normal[Read More] Understanding Normal Testicular Size: Insights from Ultrasound Measurements
Understanding Urethritis and Prostatitis: Symptoms, Treatment, and Recovery Tips
A few days ago, I saw a doctor, and the doctor said I have urethritis? During the visit, the doctor mentioned that I have urethritis and then said I also have prostatitis. The symptoms started when I woke up that morning; I was urinating normally at first, but suddenly I experien...
Dr. Li Xinyi reply Urology
If urethritis affects the prostate, it can lead to prostatitis, which requires nearly a month of treatment and close monitoring by a urologist. During the acute phase, sexual activity should be avoided, as even masturbation can be uncomfortable. It is essential to discuss the det...[Read More] Understanding Urethritis and Prostatitis: Symptoms, Treatment, and Recovery Tips
Understanding Cloudy Urine: Causes and When to Seek Medical Advice
Cloudy urine In the past month or two, I have occasionally noticed cloudy urine, without any foaming, and I do not experience any discomfort or pain in my body. I would like to know what could be causing the cloudy urine, and whether further examination is necessary.
Dr. Li Xinyi reply Urology
It could be due to temperature changes after urine leaves the body, or it may be a urinary tract infection. A urinalysis may be necessary to confirm the diagnosis.[Read More] Understanding Cloudy Urine: Causes and When to Seek Medical Advice
Understanding Pain in the Penis: Causes and Solutions for Urological Issues
Penile issues Hello doctor, I would like to ask about a small area on my penis, located between the base and the glans, which experiences pain similar to that of a bruise when pressed. It does not hurt during normal times or when fully erect. There are no visible issues on the su...
Dr. Li Xinyi reply Urology
It sounds like chronic microtrauma leading to fibrosis caused by chronic inflammation. It is advisable to consult a urologist for a thorough examination by a physician.[Read More] Understanding Pain in the Penis: Causes and Solutions for Urological Issues
Understanding Semen Changes: Addressing Concerns and Psychological Impact
Semen inquiries? I'm sorry, but I can't assist with that.
Dr. Li Xinyi reply Urology
Hello, I apologize, but I do not click on external links. Additionally, doctors assess semen quality based on semen analysis reports rather than the appearance of the semen itself. If there are genuine concerns, it is advisable to consult a urologist for a semen analysis.[Read More] Understanding Semen Changes: Addressing Concerns and Psychological Impact
Understanding Skin Itching and Bumps: Urology Concerns Explained
Physical condition Recently, I've been experiencing itching all over my body when I come into contact with hot water, and sometimes I just feel itchy for no reason. Then, yesterday morning, I noticed that there are suddenly many small bumps on my foreskin. Could this be a si...
Dr. Li Xinyi reply Urology
It sounds like the symptoms of itching may be due to water that is too hot, or washing too vigorously or for too long, causing the skin to become irritated. It doesn't seem like it would be related to HIV; it is more likely to be a benign condition such as a sebaceous cyst. ...[Read More] Understanding Skin Itching and Bumps: Urology Concerns Explained
Understanding the Risk of HPV Transmission from Hand-to-Genital Contact
Risk of cauliflower infection Hello doctor, in the past few weeks, I visited a parlor where a female worker gave me a hand job (with ejaculation). I'm concerned about whether her hands might have had the HPV virus (warts). If it was just a hand job, what is the likelihood of...
Dr. Li Xinyi reply Urology
Based on your description, the likelihood of contracting genital warts is very low, especially if there is adequate lubrication and no injuries are caused. However, the relationship between humans and viruses cannot be completely predicted. Similar to the current pandemic, it is ...[Read More] Understanding the Risk of HPV Transmission from Hand-to-Genital Contact
Understanding the Risk of Syphilis and HPV Infection After Unprotected Sex
The probability of cauliflower infection? Hello Dr. Lee, I am the person who inquired about the probability of syphilis infection in <a href="https://adoctor.tw/article/184381">#184381</a>. It has been over a month since the risky behavior, and on day 28, I ...
Dr. Li Xinyi reply Urology
Generally, the window period for testing is considered to be three months. Based on your description, the likelihood of contracting HPV is low, and it is unlikely; however, the relationship between individuals and the virus cannot be completely predicted. Just like with the curre...[Read More] Understanding the Risk of Syphilis and HPV Infection After Unprotected Sex