Understanding Painful Bumps at the Base of the Penis: Causes and Concerns
There is a lump at the base of the penis that resembles a tumor! Hello Doctor: I have a lump-like protrusion at the base of my penis, approximately 1 cm in diameter, which is painful to touch. About a month ago, I had a similar growth, but it eventually disappeared. I noticed thi...
Dr. Pan Zhenqin reply Urology
Based on your description, it is likely folliculitis. You may want to closely examine whether the lump originates from the root of a hair follicle and if there are white spots on the surface resembling pimples. Pay attention to your personal hygiene and keep the area dry, which s...[Read More] Understanding Painful Bumps at the Base of the Penis: Causes and Concerns
Understanding Painful Erections: Causes and When to Seek Help
Penile erection pain Hello, Dr. Pan. Two weeks ago, after being intimate with my boyfriend, he mentioned that he experiences unexplained pain when his penis is erect. However, the pain subsides after the erection goes away, and he feels fine when not erect. Now, he says that if h...
Dr. Pan Zhenqin reply Urology
Your boyfriend may have penile curvature, which could be due to previous minor injuries to the penile fascia from repetitive trauma. Although he may not exhibit obvious symptoms, over time this can lead to fibrosis of the fascia. It is recommended that you both perform a self-exa...[Read More] Understanding Painful Erections: Causes and When to Seek Help
Understanding Urological Concerns: Addressing Your Anxieties and Symptoms
Thank you, doctor? Previously, the discomfort in my perineal area has resolved following my doctor's advice. However, I am unsure if I am just overly sensitive or if there is something else going on, as I tend to worry when I notice something unusual. Recently, while showeri...
Dr. Pan Zhenqin reply Urology
Red and dark spots on the glans are usually non-specific changes in the skin and may not have any pathological significance, so there is no need to be overly concerned. You can observe them for a while, and if there are no changes, you can continue to monitor them. If you are sti...[Read More] Understanding Urological Concerns: Addressing Your Anxieties and Symptoms
What Do Genital Warts Look Like? Symptoms and Information Explained
What do warts look like? Hello Doctor: I have a question to ask you. I do not engage in risky sexual behavior, and I always use a condom when having intercourse with my girlfriend. Recently, while showering and examining my genital area, I noticed a few spots on the glans that lo...
Dr. Pan Zhenqin reply Urology
Based on your description, the spot-like lesions near your glans are likely just pearly penile papules and squamous epithelial hyperplasia, which are benign conditions caused by long-term accumulation of smegma and friction, and there is no need for concern. As for the cauliflowe...[Read More] What Do Genital Warts Look Like? Symptoms and Information Explained
Understanding Penile Swelling: Causes, Symptoms, and Treatment Options
Penile enlargement (hematoma fibrosis?!) Doctor: Hello, about three weeks ago, I may have injured myself during intercourse due to improper force or angle?! At that time, I didn't feel any pain... and I didn't immediately experience erectile dysfunction... Ten days ago,...
Dr. Pan Zhenqin reply Urology
It appears that you have a rupture of the tunica albuginea, commonly referred to as penile fracture, compounded by the fact that you continued to engage in sexual activity, which has exacerbated the injury. The hematoma seems to be difficult to resolve, especially since you have ...[Read More] Understanding Penile Swelling: Causes, Symptoms, and Treatment Options
Understanding Testicular Discomfort After Sexual Activity: What to Know
Testicular heaviness or discomfort? Hello Doctor: A few days ago, I had sexual intercourse with my girlfriend while using a condom. When I was about to ejaculate, I intentionally held back a bit because I wanted to continue. However, I felt like I might have released some semen, ...
Dr. Pan Zhenqin reply Urology
Holding back ejaculation during orgasm is indeed an unpleasant experience, as it requires increasing the tension of the pelvic floor muscles. This can lead to discomfort similar to pelvic congestion syndrome, and may also cause a dull pain in the testicles. If you are certain tha...[Read More] Understanding Testicular Discomfort After Sexual Activity: What to Know
Understanding Epithelial Cells in Urine Tests: What Do High Levels Mean?
Epithelial cells Hello Doctor: I recently underwent an adult health check-up, and in the urine test results, the epithelial cells per high power field (HPF) were reported as 4-6, highlighted in red. I am concerned about what health warnings this might indicate. Could you please t...
Dr. Pan Zhenqin reply Urology
Epithelial cells in urine represent the shedding of epithelial tissue from the urinary tract, primarily from the urethra or bladder, following metabolic processes. This is most commonly seen in urinary tract inflammation. Additionally, an increase may occur in cases of tumor prol...[Read More] Understanding Epithelial Cells in Urine Tests: What Do High Levels Mean?
Understanding Testicular Atrophy: Causes, Diagnosis, and Recovery Options
Response to Dr. Pan's answer? Thank you, Dr. Pan, for your response. You mentioned that my right testicle, which is atrophied, may have been congenitally small, so when the left side developed a varicocele, it appeared smaller in comparison. However, the atrophy of my right ...
Dr. Pan Zhenqin reply Urology
You only need to draw a small amount of blood from a vein in your arm. You are welcome to come to our hospital for further exploration of possible options. My clinic hours are every Tuesday and Friday morning, as well as Friday evening. Additionally, there are outpatient services...[Read More] Understanding Testicular Atrophy: Causes, Diagnosis, and Recovery Options
Understanding Prostate Cancer Treatment Options and Their Effects
Prostate cancer Hello Dr. Pan: For prostate cancer, after a comprehensive examination at the hospital, it was found to be located only in the urethra. The treatment options include: 1. Surgery 2. Chemotherapy 3. Medication. Which of these methods is the best? What are the effects...
Dr. Pan Zhenqin reply Urology
If prostate cancer is confined to the prostate gland, specifically within stage B, and considering a patient who is 60 years old, undergoing radical prostatectomy yields better follow-up results. At this stage, chemotherapy is not required. Hormonal therapy is utilized for patien...[Read More] Understanding Prostate Cancer Treatment Options and Their Effects
Understanding Pearly Penile Papules vs. Warts: A Urology Perspective
This is cauliflower and a cholesteatoma? I have a habit of masturbation, but recently I've noticed some neatly arranged white spots on my foreskin, as well as some irregular white spots. There are also some small red spots at the junction of the glans and the foreskin that d...
Dr. Pan Zhenqin reply Urology
Based on your description, it should not be a cauliflower. However, a definitive diagnosis can only be made after an actual examination in the clinic.[Read More] Understanding Pearly Penile Papules vs. Warts: A Urology Perspective
Understanding Testicular Size Discrepancies: Causes and Concerns
One testicle is larger than the other? Hello Doctor, recently I noticed that my right testicle is significantly smaller than my left testicle, so I went to Cheng Kung University for an examination. An ultrasound confirmed that I have a left-sided varicocele. Since the related sym...
Dr. Pan Zhenqin reply Urology
Ninety percent of varicocele cases occur unilaterally on the left side, which may lead to mild atrophy of the left testicle. However, in terms of the external appearance of the scrotum, the left testicle along with the varicocele may still appear larger than the right side. I...[Read More] Understanding Testicular Size Discrepancies: Causes and Concerns
Understanding Weak Urination: Possible Causes and Solutions
Weak urine flow Hello: My urine stream seems weak (I don't feel the urge to control it), and shortly after drinking water, I feel the need to urinate. Additionally, my ejaculation lacks force (I don't feel the sensation of ejaculation, just a flow). I am 37 years old, a...
Dr. Pan Zhenqin reply Urology
A 37-year-old man should experience a smooth and free flow during urination or ejaculation. If you are experiencing the issues you mentioned, it is advisable to undergo further examination for potential urethral stricture or other problems. I recommend visiting a urology clinic. ...[Read More] Understanding Weak Urination: Possible Causes and Solutions
Understanding the Impact of Obesity on Penis Size: A Urology Perspective
The comparison of penile size in individuals with obesity? The perception that overweight individuals have smaller penises is a common misconception. In reality, penis size is largely determined by genetics and is not directly affected by body weight. However, excess fat in the p...
Dr. Pan Zhenqin reply Urology
Obese individuals do not necessarily have smaller penises, unless their weight has led to hormonal changes, such as the development of gynecomastia. However, most obese individuals may appear to have smaller penises because a significant portion is concealed by the fat in the pub...[Read More] Understanding the Impact of Obesity on Penis Size: A Urology Perspective
Understanding Scrotal Pain: Causes, Symptoms, and Treatment Options
Scrotal issues? I have two shallow yellow wounds on my scrotum, resembling the symptoms of tongue ulcers. They are quite painful, and I am unsure of the cause. What is the name of this condition? How should I treat it? Is applying povidone-iodine effective on the wounds? I would ...
Dr. Pan Zhenqin reply Urology
It seems likely that it could be folliculitis, which can be treated with povidone-iodine or antibacterial ointment. However, if it does not improve after a few days or if the condition worsens, it is advisable to visit a clinic for a proper examination.[Read More] Understanding Scrotal Pain: Causes, Symptoms, and Treatment Options
Understanding Surgery for Penile Curvature: Costs and Recovery Insights
Downward bend inward~ Hello, doctor. I have reviewed many previous online Q&A sessions and have a general understanding of my condition. It is clear that I need surgery to correct the curvature of my penis. Could you please provide information on the costs, recovery situation...
Dr. Pan Zhenqin reply Urology
You can choose to consult with Dr. Wu Hsi-Chin from the Urology Department at China Medical University Hospital or Dr. He Hao-Chung from Taichung Veterans General Hospital. As for the costs and recovery details, it is best to discuss them with the surgeon performing the scheduled...[Read More] Understanding Surgery for Penile Curvature: Costs and Recovery Insights
Understanding Urethral Inflammation: Symptoms, Causes, and Treatment
It's inflamed! Hello Dr. Pan! I experience urethritis every few months, with symptoms including a white, clear discharge from the urethral opening, urine splitting, and a slight burning sensation. The last occurrence was in February, where I received treatment at a clinic. M...
Dr. Pan Zhenqin reply Urology
If you have not had any other sexual contact and have a history of these conditions, inflammation of the seminal vesicles or prostate must be considered. It is recommended that you maintain adequate hydration, ideally consuming more than 2500 ml of fluids daily. Additionally, it ...[Read More] Understanding Urethral Inflammation: Symptoms, Causes, and Treatment
Does Body Type Affect Penis Size? Common Concerns Explored
Is that so? I would like to ask if there is a relationship between penis size and body type. My classmate and I are both tall and slim, but he has been working out and building muscle. However, he claims that his penis has shrunk. Should I start exercising too? I don't want ...
Dr. Pan Zhenqin reply Urology
The size and length of the penis are indeed related to body physique, but they are not necessarily directly proportional. Muscle training should not significantly affect the size of the penis. If your classmate's penis is genuinely small, rather than an optical illusion, it ...[Read More] Does Body Type Affect Penis Size? Common Concerns Explored
Understanding Semen Changes: When to Consult Your Urologist
Regarding semen? Dr. Pan: I apologize for bothering you, but I have a question. Last week, I visited your clinic, and you diagnosed me with urethritis. You also conducted a blood test for Chlamydia and mentioned that I should return in two weeks to review the results. However, I ...
Dr. Pan Zhenqin reply Urology
It is possible that there is still an inflammatory state, but it may not necessarily be prostatitis. It is likely not testicular inflammation. A follow-up appointment can be scheduled to confirm.[Read More] Understanding Semen Changes: When to Consult Your Urologist
Understanding Bladder Wrinkles: Causes and Implications
Bladder? Hello Dr. Pan! Could you please explain why wrinkles appear in the bladder (confirmed by ultrasound)? Thank you!
Dr. Pan Zhenqin reply Urology
The presence of folds in the bladder observed during ultrasound may indicate that the bladder is not fully distended, could suggest chronic inflammation of the bladder, or may raise concerns about a tumor. These possibilities should be considered in conjunction with your other sy...[Read More] Understanding Bladder Wrinkles: Causes and Implications
Understanding Vasography: Risks, Contrast Agents, and Recovery Time
Vasography I am currently receiving treatment at a hospital in Tainan and have been suspected of having obstructive azoospermia due to a blockage at the ejaculatory duct (with a prostate cyst). I have some concerns regarding the upcoming vasography and would like to ask about the...
Dr. Pan Zhenqin reply Urology
There is no literature indicating that the contrast agents used in vasography harm sperm. Generally, any discomfort experienced typically improves within one or two days after the procedure, primarily due to pain from surgical incisions made while locating the vas deferens. Since...[Read More] Understanding Vasography: Risks, Contrast Agents, and Recovery Time