Understanding Kidney Pain: Symptoms, Concerns, and Seeking Help
[Kidneys] Do you have any questions regarding the kidneys? Please help me, thank you? I woke up on Tuesday morning (3/14) with sudden pain in both of my kidneys. Since I had to go to work, I delayed going for a check-up until the afternoon. The doctor performed a urinalysis and f...
Dr. Pan Zhenqin reply Urology
You mentioned that you have had issues with urine screening since the 5th grade. Is it hematuria or proteinuria? This could be related to your current situation. Additionally, based on your description, I cannot determine whether that episode was truly nephritis or just muscle an...[Read More] Understanding Kidney Pain: Symptoms, Concerns, and Seeking Help
Understanding the Relationship Between Penis Size and Hair Growth
Foreskin? 6. I've heard that for some people, their penis becomes thicker before hair grows, while for others, hair growth occurs before the penis thickens. Is that true?
Dr. Pan Zhenqin reply Urology
Some people take off their pants before their shirt, while others take off their shirt before their pants. Do you think the order is that important?[Read More] Understanding the Relationship Between Penis Size and Hair Growth
Understanding Elevated PSA Levels: Is Prostate Cancer Always the Cause?
Regarding prostate cancer? Hello Dr. Pan, my father is 64 years old. During a routine health check, his PSA level was found to be 16.6. He went to a municipal hospital for further examination, where the doctor noted a dark spot on the ultrasound. A repeat PSA test showed a level ...
Dr. Pan Zhenqin reply Urology
A PSA level of 16.6 is significantly above the normal range; however, the ultrasound-guided biopsy did not confirm the presence of cancer cells. Therefore, it is advisable to continue monitoring. Clinically, chronic prostatitis or an enlarged prostate, especially when calcificati...[Read More] Understanding Elevated PSA Levels: Is Prostate Cancer Always the Cause?
Reversing a Vasectomy: Costs, Recovery, and Alternatives for Fatherhood
Vasectomy reversal I have been sterilized for three years, and I recently remarried. I would like to have children again and reconnect my tubes so that my wife can become pregnant. What is the approximate cost of the surgery? How long does the procedure take? What is the recovery...
Dr. Pan Zhenqin reply Urology
After a male vasectomy reversal, it requires regional anesthesia and microsurgery. Whether hospitalization is necessary depends on the hospital, and the entire process must be paid out-of-pocket. In fact, if there is no strict requirement for natural conception and the goal is si...[Read More] Reversing a Vasectomy: Costs, Recovery, and Alternatives for Fatherhood
Is Nerve Microsurgery a Reliable Solution for Premature Ejaculation?
excuse me? I have a question for the doctor: I saw a report online stating that premature ejaculation can be treated by performing a microsurgical procedure to cut a small segment of the nerves responsible for controlling ejaculation, which supposedly guarantees a 100% effectiven...
Dr. Pan Zhenqin reply Urology
Male sexual dysfunction is a multifaceted issue, involving vascular, neurological, and psychological aspects, and premature ejaculation is no exception. The surgical method proposed by Dr. Chen involves microsurgically severing a portion of the nerves that innervate the glans pen...[Read More] Is Nerve Microsurgery a Reliable Solution for Premature Ejaculation?
Effective Strategies to Manage Nocturnal Emissions Before Military Service
How to improve nocturnal emissions? Dear Doctor, I am about to enlist in the military and have been troubled by a recurring issue: I frequently experience nocturnal emissions. I am concerned about how this might affect my life in the military. What can I do to improve this situat...
Dr. Pan Zhenqin reply Urology
Nocturnal emissions are a normal occurrence. From puberty onward, males produce billions of new sperm daily from the testes, along with semen secreted by the seminal vesicles and prostate. When the volume reaches a certain level, the body may either reabsorb it or expel it throug...[Read More] Effective Strategies to Manage Nocturnal Emissions Before Military Service
Understanding Red Dots on the Glans: Causes and Concerns
There are many small red spots on the glans? Doctor, I would like to ask... When I pull back my foreskin, there are many small red spots on the base of my glans. They are not painful or itchy. Why do I have these small red spots? Could it be due to an infection caused by oral sex...
Dr. Pan Zhenqin reply Urology
Mild balanitis caused by phimosis can be improved by regularly retracting the foreskin, washing with clean water, and keeping the area dry. If the condition persists, consideration may be given to a circumcision.[Read More] Understanding Red Dots on the Glans: Causes and Concerns
Frustrations with Urology Care: Seeking Answers for Chronic Pain
This type of doctor is too careless and lacks responsibility? Dr. Pan, thank you very much for answering my questions. I have been seeking treatment at Chimei Hospital for a year, but there has been no improvement. When I first sought medical attention, the first doctor diagnosed...
Dr. Pan Zhenqin reply Urology
Most of your symptoms are subjective complaints. The diagnoses mentioned by your physician may be correct, but there is also a possibility that some could be inaccurate, making it difficult to assess. It is recommended that you visit a urology clinic for an in-person consultation...[Read More] Frustrations with Urology Care: Seeking Answers for Chronic Pain
Understanding Red Spots and Bumps on the Glans: Is It a STD?
I'm sorry, but I need specific content to translate. Please provide the text you'd like Hello, doctor... I have a red patch on my glans, and there are small bumps. Is this a sexually transmitted infection? It doesn't hurt and I don't feel anything... Please he...
Dr. Pan Zhenqin reply Urology
Have you had unsafe sexual contact? This needs to be assessed through a physical examination in the outpatient clinic.[Read More] Understanding Red Spots and Bumps on the Glans: Is It a STD?
Frustrations with Urologists: The Need for Thorough Prostate Care
This type of doctor is too careless and lacks responsibility? I have been suffering from chronic prostatitis for over two years and have visited several hospitals, including Chimei Hospital, Kaohsiung Chang Gung Memorial Hospital, and various urologists. They only asked a few que...
Dr. Pan Zhenqin reply Urology
A 28-year-old young patient does not need to undergo prostate-specific antigen (PSA) testing or prostate biopsy, nor should they. However, if diagnosed with chronic prostatitis, a digital rectal examination (DRE) to assess prostatic secretions is necessary. I believe that in a ur...[Read More] Frustrations with Urologists: The Need for Thorough Prostate Care
Understanding Swelling of the Foreskin Around the Glans: Causes and Implications
Swelling of the foreskin surrounding the glans penis? I would like to ask the doctor, after masturbating, I noticed that the skin around the glans is swollen, particularly at the tip. It doesn't hurt when I squeeze it, and there is no significant discomfort. It seems like th...
Dr. Pan Zhenqin reply Urology
It sounds like your foreskin may be longer or tighter, and during masturbation, when you retract the foreskin to expose the glans, it may not return completely to its original position, leading to poor drainage of the preputial tissue fluid and resulting in swelling of the foresk...[Read More] Understanding Swelling of the Foreskin Around the Glans: Causes and Implications
Understanding Pain in the Testicles and Difficulty Achieving Erection
Pain in the testicles and the area above the base of the penis? Hello Doctor, I would like to ask you about something. I recently started dating a girl after not having interacted with women for two years. Whenever we hold hands or hug, I often feel quite wet down there, but I ...
Dr. Pan Zhenqin reply Urology
The issue needs clarification; it is recommended that you visit the outpatient clinic for a physical examination to determine the problem.[Read More] Understanding Pain in the Testicles and Difficulty Achieving Erection
Concerns About HIV Risk After Improper Condom Use: A Urology Perspective
Improper use of condoms... I'm really scared of getting HIV? I'm not a doctor, but I can provide some general information. You mentioned that you engaged in sexual activity where a condom was initially used, but it was removed and then rolled back onto the penis after...
Dr. Pan Zhenqin reply Urology
The transmission rate of sexually transmitted infections (STIs) from a single sexual encounter with an infected individual is approximately 20-30%, while the rate for HIV is even lower, at only 5%, especially if the partner is unaware of their STI status. However, this does not m...[Read More] Concerns About HIV Risk After Improper Condom Use: A Urology Perspective
Understanding Premature Ejaculation: Causes, Treatments, and Finding a Specialist
Premature ejaculation issues? Hello doctor, I usually take about 2 minutes from penetration to ejaculation during intercourse. Does this count as premature ejaculation? I would like to see a doctor to see if I can extend this time. I heard that acupuncture therapy can help. I liv...
Dr. Pan Zhenqin reply Urology
Premature ejaculation can be considered a significant concern regarding male sexual performance, and the duration of intercourse is a matter of great importance for many men. In reality, there is no absolute standard for premature ejaculation, and no definitive conclusions have b...[Read More] Understanding Premature Ejaculation: Causes, Treatments, and Finding a Specialist
Understanding Frequent Urination: Causes, Concerns, and Solutions
This issue is troubling me? Since February of this year, I have noticed that my frequent urination has become increasingly severe. After drinking 600 cc of water, I need to go to the bathroom about 4 to 5 times. I have been intermittently visiting a traditional Chinese medicine p...
Dr. Pan Zhenqin reply Urology
Frequent urination can be caused by insufficient fluid intake, holding urine, urinary tract infections, or emotional stress, so the possibilities you mentioned are all valid. It is recommended that you come to the outpatient clinic for a definitive diagnosis and treatment while t...[Read More] Understanding Frequent Urination: Causes, Concerns, and Solutions
Is Laser Circumcision the Best Option for Quick Recovery?
I want to undergo a circumcision? I enjoy exercising, but I often experience irritation in my groin, which seems to be something like balanitis. I'm considering switching from long sleeves to short sleeves, meaning I want to undergo circumcision for a permanent solution. I w...
Dr. Pan Zhenqin reply Urology
The use of lasers is unrelated to the recovery process of circumcision. Our hospital does not perform circumcision using lasers, but past surgical patients have been very satisfied, and there are rarely issues with poor wound healing. The Urology Department of Tainan Hospital wis...[Read More] Is Laser Circumcision the Best Option for Quick Recovery?
Understanding Penile Straightening Surgery: Recovery and Care Tips
Penile straightening? Hello Dr. Pan: I have seen other responses and would like to ask about well-known hospitals and doctors for this surgery in the southern region (I live in Tainan). Additionally, what precautions should I take after the procedure, and how long should I wait b...
Dr. Pan Zhenqin reply Urology
After an initial outpatient examination, a decision will be made regarding the necessity of surgery. Prior to the appointment, you may take photos of your erect penis from above and from the side. Bringing these photos or photo files to the outpatient clinic can provide helpful r...[Read More] Understanding Penile Straightening Surgery: Recovery and Care Tips
Can Weight Loss Pills Be Safe for Kidney Patients?
Issues related to the kidneys? Hello, I am someone who underwent surgery to remove one kidney due to a car accident in my childhood, and I also have issues with obesity. Can I take commercially available weight loss medications (approved by the health department)? I noticed that ...
Dr. Pan Zhenqin reply Urology
Having only one kidney can be sufficient for a lifetime as long as you take good care of it. However, the use of medications or improper dietary habits can often harm either the liver or the kidneys. Even if neither is harmed, unnecessary metabolic burdens can still pose a risk f...[Read More] Can Weight Loss Pills Be Safe for Kidney Patients?
Impact of Fungal Infections on Sexual Health: Can You Still Have Sex?
Fungal infection Is a fungal infection of the glans penis affecting sexual activity or causing problems? Can sexual intercourse be performed?
Dr. Pan Zhenqin reply Urology
The source of a fungal infection of the glans is usually from a vaginal infection in a female partner, transmitted through sexual intercourse, but it is different from what we commonly refer to as a sexually transmitted disease. If the infection does not improve, it can certainly...[Read More] Impact of Fungal Infections on Sexual Health: Can You Still Have Sex?
Understanding Common Urological Concerns: Pain and Itching Explained
I have a few questions I would like to ask? Doctor, I would like to ask you a few questions. 1. I often feel a slight throbbing pain in my penis, around the glans (I'm not sure if it's the glans or the foreskin that is experiencing this mild pain). It happens several ...
Dr. Pan Zhenqin reply Urology
1. It is difficult to determine the cause of the pain from the description alone, so you are advised to come to the clinic for a physical examination. 2. It could be folliculitis of the pubic hair or pubic lice, so please come to the clinic for a physical examination as well.[Read More] Understanding Common Urological Concerns: Pain and Itching Explained