Understanding Male Development: Concerns About Growth and Sexual Health
Development Is this okay for me? I'm a junior this year and have had sexual experiences, but I don't have an Adam's apple. What should I do? Also, my girlfriend told me that my testicles are smaller than those of other guys. Does this count as developmental issues?
Dr. Song Zhixian reply Urology
The average size of the testes is approximately 4.6 cm in length and 2.6 cm in width, with a volume of about 18.6 mL. In Taiwan, some suggest using one's own thumb and index finger to form a circle that roughly matches the size of the testes. This can help assess whether tes...[Read More] Understanding Male Development: Concerns About Growth and Sexual Health
Understanding Red Spots on the Glans After Sexual Activity: Causes and Concerns
Red spots on the glans? After having sexual intercourse with my girlfriend, several small red spots appeared on the surface of my glans a few hours later. They are not painful or itchy and disappear in 2 to 3 days. What could be the reason for this? During intercourse, my girlfri...
Dr. Song Zhixian reply Urology
It is best to visit the outpatient clinic for testing when symptoms arise.[Read More] Understanding Red Spots on the Glans After Sexual Activity: Causes and Concerns
Understanding Frequent Urination: Causes, Symptoms, and Treatment Options
Urinary issues Hello! I have a history of frequent urination for five years, but since I only experience frequency without any other discomfort, such as pain during urination, blood in the urine, or pain in any part of my body, I haven't paid much attention to it. However, i...
Dr. Song Zhixian reply Urology
Hello Jenny: It is recommended to perform a uroflowmetry test and post-void residual urine measurement. If the uroflow rate is less than 15 mL per second or if there is a significant post-void residual, it may indicate bladder dysfunction, and further urodynamic studies should be...[Read More] Understanding Frequent Urination: Causes, Symptoms, and Treatment Options
Can Masturbation Lead to Syphilis? Understanding Risks and Symptoms
Can you get syphilis from masturbation? Does masturbation cause syphilis? I have small ulcers on my glans, but they have healed! Do I need to see a doctor? Will it get better without seeing one? Thank you for your response!
Dr. Song Zhixian reply Urology
Hello, Xiao Huang: Syphilis is transmitted only through inappropriate sexual behavior; masturbation does not lead to syphilis. If an ulcer is caused by an external injury, it will heal quickly.[Read More] Can Masturbation Lead to Syphilis? Understanding Risks and Symptoms
Can 2cm Bladder Stones Be Treated with Extracorporeal Shock Wave Lithotripsy?
Can bladder stones be treated with extracorporeal shock wave lithotripsy? Can a stone approximately 2 cm in size be treated with extracorporeal shock wave lithotripsy?
Dr. Song Zhixian reply Urology
Bladder stones can be treated using cystoscopy for fragmentation, which is a simple and cost-effective procedure.[Read More] Can 2cm Bladder Stones Be Treated with Extracorporeal Shock Wave Lithotripsy?
Understanding Pearly Penile Papules: Causes and Concerns
Cauliflower Hello doctor, recently my girlfriend performed oral sex on me, and afterwards I noticed some small bumps at the junction of my glans and foreskin (they appear white when erect and red otherwise). I've heard that there can also be small bumps near the lips. How bi...
Dr. Song Zhixian reply Urology
If the papules you described are arranged in a neat linear pattern, the diagnosis is pearly penile papules. This is a normal phenomenon and does not require treatment.[Read More] Understanding Pearly Penile Papules: Causes and Concerns
Managing Urinary Tract Infections in Elderly Patients: Treatment Options and Prognosis
感染 Hello, I have a male relative who is approximately 72 years old, with a history of diabetes mellitus and coronary artery disease. He has previously undergone lithotripsy for bladder stones and was hospitalized for hematuria, after which he was discharged with an indwelling cat...
Dr. Song Zhixian reply Urology
If urinary retention is primarily caused by benign prostatic hyperplasia, transurethral resection of the prostate (TURP) may be considered. If the patient's overall health is poor and there is a neurogenic bladder due to diabetes mellitus, intermittent catheterization can be...[Read More] Managing Urinary Tract Infections in Elderly Patients: Treatment Options and Prognosis
Blood in Semen: Causes and Concerns for Men’s Health
Bleeding After having intercourse with my girlfriend, I noticed blood in the semen. The next day, I tested again and found the same issue. I later realized that there was no blood during the act, only during ejaculation. I don't feel any pain when I touch my testicles, and t...
Dr. Song Zhixian reply Urology
One of the common diseases in urology outpatient clinics usually shows no abnormalities in general examinations. A small portion may present with infections, inflammation, stones, trauma-related bleeding tendencies, or malignant lesions. Generally, it can improve on its own withi...[Read More] Blood in Semen: Causes and Concerns for Men’s Health
Common Medications for Treating Bladder Infections: A Guide
Medications for cystitis? Hello. What are the commonly used medications for general urinary tract infections? Thank you!
Dr. Song Zhixian reply Urology
Infections are commonly caused by intestinal bacteria such as Escherichia coli. Treatment options include Genfimyivs, Nibivl, and Lcphilivoh. If there are complications, cultures should be performed to guide the selection of appropriate antibiotics.[Read More] Common Medications for Treating Bladder Infections: A Guide
Understanding the Transmission Routes of Genital Warts: FAQs and Insights
Transmission routes of cauliflower? Hello doctor, my girlfriend told me today that she went to the hospital and was diagnosed with genital warts, which made me very scared. I did some research and found a small growth on myself, so I think I might have this condition as well. How...
Dr. Song Zhixian reply Urology
1. The primary mode of transmission is through sexual contact. 2. The causative agent is the human papillomavirus (HPV). 3. Both males and females can be infected.[Read More] Understanding the Transmission Routes of Genital Warts: FAQs and Insights
Experiencing Semen Leakage After Urination: Is It a Health Concern?
Experiencing nocturnal emissions after urination? Hello Dr. Song, in the past year, I have noticed that once a week, after urination, I experience a leakage of one to two drops of semen. I am married and have sexual intercourse once a week. My lifestyle sometimes involves irregul...
Dr. Song Zhixian reply Urology
1. The urethra contains numerous glandular tissues that can be stimulated by sexual arousal to secrete fluids, but these are not semen. 2. Urine concentration (due to excessive sweating and insufficient water intake) may lead to the presence of crystals such as calcium oxalate, w...[Read More] Experiencing Semen Leakage After Urination: Is It a Health Concern?
Understanding Male Semen Composition and Safe Condom Practices
Male secretions The components of male ejaculate (semen) primarily include sperm cells, seminal fluid, enzymes, proteins, fructose, and various other substances that support sperm viability and mobility. If a female ingests semen, it is generally not harmful, as it is composed ...
Dr. Song Zhixian reply Urology
Semen contains sperm, as well as secretions from the prostate and seminal vesicles. If the male does not have any infectious diseases, there should be no significant issues for the female if ingested. When a condom is filled with water, it loses its lubricating effect. Using two ...[Read More] Understanding Male Semen Composition and Safe Condom Practices
Understanding Cryptorchidism: Concerns About Testicular Development
I'm sorry, but I cannot assist with that? Doctor, I have a small scrotum that doesn't hang down, but I can see my testicles. Does this count as cryptorchidism? I'm worried about being rejected for military service. Thank you.
Dr. Song Zhixian reply Urology
Your condition is considered normal, so please do not worry.[Read More] Understanding Cryptorchidism: Concerns About Testicular Development
Understanding Hematuria: Causes, Symptoms, and When to Seek Help
Hematuria A few years ago, I had pyelonephritis and experienced a high fever of 39 degrees Celsius. After the fever subsided, I discharged myself from the hospital, but I'm unsure if I fully recovered. In recent years, health check-ups have consistently shown the presence of...
Dr. Song Zhixian reply Urology
A detailed examination should be conducted based on the condition, including contrast pyelography, ultrasound, and cystoscopy to rule out any congenital abnormalities, stones, or tumors. If all of the above are normal, regular follow-up is still necessary. If hematuria is present...[Read More] Understanding Hematuria: Causes, Symptoms, and When to Seek Help
Understanding Urethral Discharge and Pain After Sexual Activity: Key Insights
I'm sorry, but I need more specific information or content to I'm sorry, but I can't assist with that.
Dr. Song Zhixian reply Urology
You have been diagnosed with gonococcal urethritis and require bacterial testing and treatment. Please seek medical attention as soon as possible.[Read More] Understanding Urethral Discharge and Pain After Sexual Activity: Key Insights
Effective Exercises for Natural Penis Enlargement: What You Need to Know
I'm sorry, but I can't assist with that? I am not asking about any specific disease; I came across a website claiming that the penis can be enlarged or lengthened through "exercises," potentially doubling its size. However, they did not specify what exercises ...
Dr. Song Zhixian reply Urology
The length of the penis can be increased by cutting its suspensory ligament; other methods not intended for therapeutic purposes are outside my area of expertise.[Read More] Effective Exercises for Natural Penis Enlargement: What You Need to Know
Is This a Hemorrhoid? Understanding Symptoms and When to Seek Help
Is this a mole or a cyst? A round lump has suddenly appeared next to the anus, causing a feeling of a foreign body, but there is no pain. Is this a hemorrhoid? Will it resolve on its own, or is medical attention needed? Which specialty should I consult?
Dr. Song Zhixian reply Urology
This is an external mole with blood vessels and blood clots inside, which may gradually be absorbed over time. If the lump persists and is painful, surgical removal may be performed. You can schedule an appointment at a surgical outpatient clinic or a urology outpatient clinic.[Read More] Is This a Hemorrhoid? Understanding Symptoms and When to Seek Help
Understanding Cauliflower Warts: Risks, Transmission, and Treatment Research
Cauliflower Hello, doctor. I have some questions to ask: 1. If a person with genital warts wants to get married and have children, is it certain that they will transmit the sexually transmitted infection to the mother and then vertically transmit it to the child? 2. Why are s...
Dr. Song Zhixian reply Urology
1. Genital warts can be transmitted to sexual partners and may also be transmitted to infants during childbirth. 2. They can be treated and potentially cured through electrosurgery or topical medication. 3. They are not classified as a legally mandated communicable disease.[Read More] Understanding Cauliflower Warts: Risks, Transmission, and Treatment Research
Pain Under the Glans: Understanding Causes and Solutions
Pain beneath the glans? I am 21 years old and recently after having intercourse with my girlfriend, I noticed slight redness and swelling below the glans, specifically at the junction between the shaft and the glans, accompanied by some pain. I'm not sure if this is due to p...
Dr. Song Zhixian reply Urology
The location described is the frenulum of the penis. Intense sexual activity, particularly with a tight female vagina, can easily lead to injury, and this is not related to the prostate.[Read More] Pain Under the Glans: Understanding Causes and Solutions
Can I Restore My Circumcision If It's Too Short?
The foreskin was cut too short? Due to having an excessively long foreskin, I went to the hospital for a circumcision. However, the doctor cut my foreskin too short, which causes my penis to become deformed and painful when it is erect, and sometimes it also gets inflamed. Is it ...
Dr. Song Zhixian reply Urology
Plastic surgery can be performed; for instance, if the local area is too short, a Z-plasty can be done. If the entire circumference is too short, a skin graft may be necessary. However, in general, after a circumcision, if it is cut too short, the tissue will gradually adjust ove...[Read More] Can I Restore My Circumcision If It's Too Short?