Understanding Solid Kidney Mass with Vascularity: What You Need to Know
Solid mass with vascularity in the left middle kidney? Dear Dr. Pan, I received an ultrasound lab report about two weeks ago, and they suggested that I undergo a CT urogram to investigate the solid mass with vascularity in my left kidney. I would appreciate your comments on this...
Dr. Pan Zhenqin reply Urology
Dear Claire, I regret to inform you of my opinion regarding your condition. The ultrasound report indicates a hypoechoic solid mass with vascularity in the mid portion of the left kidney, which is more suggestive of renal cell carcinoma; however, a benign cyst or other benign re...[Read More] Understanding Solid Kidney Mass with Vascularity: What You Need to Know
Is Circumcision Covered by Insurance? Costs and Same-Day Surgery Info
Circumcision I would like to ask if circumcision is out-of-pocket expense? If so, how much would it cost at Tainan Municipal Hospital? Is it possible to have a consultation and the procedure done on the same day?
Dr. Pan Zhenqin reply Urology
Unless the phimosis meets the criteria set by the National Health Insurance, circumcision surgery typically requires out-of-pocket payment. The cost is approximately over 4,000 NT dollars. Surgery cannot be performed on the same day as the outpatient visit and must be scheduled f...[Read More] Is Circumcision Covered by Insurance? Costs and Same-Day Surgery Info
Understanding Post-Vasectomy Symptoms: Is Swelling a Concern?
Sterilization issues Hello Dr. Pan, I underwent a vasectomy a year ago, but recently I've been feeling a sense of swelling. Could this be due to a blockage caused by the vasectomy? What happens to the fluid that would normally be expelled when the vas deferens is tied off? P...
Dr. Pan Zhenqin reply Urology
One year post-surgery, the sensation of swelling may be due to scar tissue or the formation of granulation tissue at the surgical site. A warm sitz bath for about 10-15 minutes daily may help improve this condition. After a vasectomy, the testes will continue to produce sperm for...[Read More] Understanding Post-Vasectomy Symptoms: Is Swelling a Concern?
Post-Circumcision Swelling: Is It Normal and How Long Will It Last?
Post-circumcision swelling? It has been two weeks since I had a circumcision, but the area below the glans, around the incision site, is still swollen. Is this a normal phenomenon? If it is normal, how long will it take to heal? I would appreciate your response. Thank you!
Dr. Pan Zhenqin reply Urology
Post-circumcision, distal swelling between the incision and the glans is a common postoperative issue that typically resolves gradually within 1 to 2 weeks. When wearing pants, it is advisable to first position the penis upward, close to the abdomen, before putting on elastic bri...[Read More] Post-Circumcision Swelling: Is It Normal and How Long Will It Last?
Understanding Bladder Infections: Symptoms, Treatment, and Recurrence Risks
Cystitis I previously experienced blood in my urine and fever, which my doctor attributed to a urinary tract infection (UTI). Can a UTI be accompanied by fever? Recently, after having intercourse with my boyfriend, I suspect I had another UTI that also included fever symptoms. I ...
Dr. Pan Zhenqin reply Urology
Cystitis can sometimes cause fever, especially when it leads to pyelonephritis. Sexual activity is indeed one of the risk factors for developing cystitis, particularly when there is an increase in vaginal secretions during intercourse, which can make it more likely to occur. Howe...[Read More] Understanding Bladder Infections: Symptoms, Treatment, and Recurrence Risks
Understanding Phimosis: Causes, Risks, and Treatment Options
Phimosis Hello, doctor! I previously inquired about my foreskin issue, but I still have some questions. My glans cannot naturally be exposed; I need to push it back with my hand, which can be a bit painful! I previously consulted a doctor, who mentioned that over time, manually p...
Dr. Pan Zhenqin reply Urology
Based on your description, it is difficult to determine the exact issue; however, the likelihood of scrotal edema is low. I hope you can take the time to visit the outpatient clinic for a physical examination. Surgery for scrotal edema is covered by health insurance, and the pati...[Read More] Understanding Phimosis: Causes, Risks, and Treatment Options
Understanding Urology Surgery: What to Expect After Your Consultation
Surgery will be performed after evaluation? If I visit your hospital's urology department on January 26, will I undergo surgery right after the consultation? I have a condition of phimosis. I apologize for the inconvenience; I just want to confirm whether it will take too mu...
Dr. Pan Zhenqin reply Urology
I'm not sure if you had already scheduled a surgery time with the physician. If not, you may need to make another trip. The general procedure is as follows: after the initial consultation, the physician will examine you and both parties will agree on a surgery date and time ...[Read More] Understanding Urology Surgery: What to Expect After Your Consultation
Does Testicular Trauma in Adolescence Affect Hair Growth on One Side?
Testis During puberty, if the right testicle experienced trauma, could it affect hair growth on the left side of the body? I feel that the hair on the left side of my head and body is less than on the right side.
Dr. Pan Zhenqin reply Urology
First: A testicular impact does not necessarily indicate that the testicle is damaged or that future development will be affected. Second: From a Western medical perspective, the effects of hormones are systemic and not limited to the function of the affected or contralateral org...[Read More] Does Testicular Trauma in Adolescence Affect Hair Growth on One Side?
Should You See Urology or General Surgery for Circumcision?
Circumcision should be evaluated by a urologist or a surgeon. I encountered a urologist who referred me to a surgeon? If I really need to see a surgeon, can I have surgery at a general surgery clinic? I was all prepared, and then suddenly this happened, sigh~~~~~~~~~~~~~~~~~~~
Dr. Pan Zhenqin reply Urology
I also find it strange! Circumcision surgery is generally within the realm of urologists. Of course, some surgical clinics may also offer this service. Do you have any other issues besides the foreskin that the urologist suggested you consult a surgeon for first?[Read More] Should You See Urology or General Surgery for Circumcision?
Understanding Urinary Incontinence in Elderly Patients: Causes and Solutions
Urinary incontinence Hello, Doctor... My father is 80 years old. He had a vascular obstructive stroke six years ago. After being discharged, his urinary function was normal. However, in the past few months, we have noticed that whenever he feels the urge to urinate, he ends up ur...
Dr. Pan Zhenqin reply Urology
Your father's urinary incontinence may be due to several factors, including: 1. Urgency urinary incontinence caused by benign prostatic hyperplasia, 2. Coordination issues between the bladder muscles and the urethral sphincter following a stroke or due to age-related degener...[Read More] Understanding Urinary Incontinence in Elderly Patients: Causes and Solutions
Managing Benign Prostatic Hyperplasia: When to Consult a Specialist
Benign Prostatic Hyperplasia (BPH) Six months ago, I visited the Family Medicine outpatient department at Tainan Hospital, where Dr. Huang performed a rectal examination and a urinalysis, diagnosing me with benign prostatic hyperplasia. I was prescribed DOXABEN 1 mg, to be taken ...
Dr. Pan Zhenqin reply Urology
At the age of 44, one is considered relatively young among those with benign prostatic hyperplasia (BPH). In addition to medication, dietary adjustments, hydration, and lifestyle changes may help reduce the dosage of medication or even allow for a temporary cessation of it. Howev...[Read More] Managing Benign Prostatic Hyperplasia: When to Consult a Specialist
Can Health Checkups Detect STDs After Recent Unprotected Sex?
I'm sorry, but I need the content you would like me Doctor, may I ask... if I go for a health check-up, can I find out if I had a sexual encounter two and a half months ago and whether I contracted a sexually transmitted infection (STI) or HIV? ... Isn't there a syphili...
Dr. Pan Zhenqin reply Urology
Blood tests can generally determine the presence of syphilis and Chlamydia infections, but due to the approximately six-month window period for HIV, even if the current test result is negative, follow-up testing is still necessary. Urine tests can detect the presence of gonorrhea...[Read More] Can Health Checkups Detect STDs After Recent Unprotected Sex?
Post-Circumcision Care: Swimming and Cost Considerations
Circumcision? Thank you, doctor, for the explanation last time. I still have a question: after circumcision, I understand that I shouldn't take a shower for a week and it's best to avoid excessive activity for a month. I would like to know if swimming is allowed after c...
Dr. Pan Zhenqin reply Urology
Since avoiding water exposure is essential to prevent wound infection, swimming is not advisable. Therefore, it is recommended to avoid swimming or prolonged immersion in water for at least 10 to 14 days. The cost of a circumcision can vary significantly between different hospita...[Read More] Post-Circumcision Care: Swimming and Cost Considerations
Understanding Frequent Urination: Causes and What Counts as Normal
Frequent urination Hello, doctor. What frequency is considered frequent urination? What are the causes of frequent urination? I often wake up in the middle of the night to use the bathroom, which affects my sleep, so I would like to understand. Thank you for your answer!
Dr. Pan Zhenqin reply Urology
The currently accepted definition of frequent urination is the need to urinate more than eight times a day. However, individual tolerance levels can vary significantly, depending on whether it affects one's daily activities or mood. The causes of frequent urination are diver...[Read More] Understanding Frequent Urination: Causes and What Counts as Normal
Understanding Phimosis: Concerns About Circumcision and Aesthetic Outcomes
Prepuce Hello Dr. Pan: I have read many questions about the foreskin online, and since I also have a condition of excessive foreskin (which I believe is phimosis), I have some additional questions to ask you. First, I have seen online that the wound after circumcision may not loo...
Dr. Pan Zhenqin reply Urology
If there are no infection issues after circumcision, the healing of the wound is generally quite good, so there is no need for further surgery. Moreover, I believe no physician would intentionally perform a poor circumcision. Phimosis refers to the inability to retract the foresk...[Read More] Understanding Phimosis: Concerns About Circumcision and Aesthetic Outcomes
Understanding Pain and Bruising in the Penis: Causes and Concerns
Pain Hello Doctor, I have a question. Recently, I've been experiencing a feeling of bruising in the glans area, and there is pain near the base of the penis. Could this be related to the curvature of my penis? I'm not sure what this situation might be. Could you please ...
Dr. Pan Zhenqin reply Urology
Have you recently engaged in more vigorous sexual activity? Bruising of the glans may be related to intense sexual behavior. Vigorous sexual activity can also cause microscopic injuries to the penile corpora cavernosa. Repeated injuries to the corpora cavernosa may lead to fibrot...[Read More] Understanding Pain and Bruising in the Penis: Causes and Concerns
Does Frequent Masturbation Affect Penis Size? A Urology Perspective
Penis size Frequent masturbation does not typically lead to any permanent changes in the size or shape of the penis. However, if you have concerns about your sexual health or any changes you are experiencing, it is advisable to consult a healthcare professional for personalized a...
Dr. Pan Zhenqin reply Urology
If the penis is not injured too severely, resulting in the development of fibrous plaques or lesions on the penile white membrane, further surgical treatment is generally not expected to affect the size of the penis.[Read More] Does Frequent Masturbation Affect Penis Size? A Urology Perspective
Understanding Penile Curvature Surgery: Options, Costs, and Recovery Insights
Clarifying the myths and facts about penile curvature! Question 1: I have seen two types of penile curvature surgeries on relevant websites, one for lengthening and the other for shortening. What are the differences between the two, and can patients choose freely between them? Q...
Dr. Pan Zhenqin reply Urology
In penile curvature surgery, most techniques have the drawback of shortening the penis, while autologous tissue grafting can reduce the risk of shortening or even lengthen the penis postoperatively. However, for patients with the affected area located on the dorsal side of the pe...[Read More] Understanding Penile Curvature Surgery: Options, Costs, and Recovery Insights
Concerns About a Bruise-Like Spot on the Penis: What You Should Know
I have a question I would like to ask..? Hello, I have a habit of masturbation, and today, on May 20, 2003, I suddenly noticed a round spot on my glans that looks like a bruise, but it is neither painful nor itchy. I am very worried that I might have contracted a sexually transmi...
Dr. Pan Zhenqin reply Urology
Based on your description, it seems to be just unexplained subcutaneous bleeding or pigmentation, and there is no need to be overly concerned at this time. However, it is still recommended that you visit a urology clinic for an in-person evaluation to make a final determination.[Read More] Concerns About a Bruise-Like Spot on the Penis: What You Should Know
Concerns About Erectile Issues at 24: Seeking Answers and Solutions
I'm really worried about my health..? I'm 24 years old and currently preparing for graduate school entrance exams. I started having sexual experiences a little over a year ago, but I've only had two encounters. In both instances, my erection didn't last long e...
Dr. Pan Zhenqin reply Urology
Male sexual function is a complex mechanism influenced by many factors. In addition to abnormalities in the local structure of the penis, factors such as recent physical fatigue, emotional stress, anxiety during first sexual experiences, or failures during initial sexual encounte...[Read More] Concerns About Erectile Issues at 24: Seeking Answers and Solutions