Chronic Prostatitis and Its Impact on Sexual Function: What You Need to Know
Sexual dysfunction caused by chronic prostatitis? Hello Doctor: Recently, I have been experiencing prostatitis, and I read online that prostatitis can affect sexual function. I have become increasingly paranoid about having issues with my sexual function, and I feel like I am exp...
Dr. Xu Wencang reply Urology
Information on the internet may not always be accurate. Please follow medical advice and be patient with your treatment. It is recommended to maintain a regular routine, engage in moderate exercise, and adhere to a light diet. Thank you.[Read More] Chronic Prostatitis and Its Impact on Sexual Function: What You Need to Know
Urgency Without Relief: Understanding Nocturnal Urinary Issues
Feeling the urge to urinate but being unable to do so? When lying flat or sleeping on my stomach at night, I feel the urge to urinate, but when I go to the bathroom, there is either no urine or just a drop or two. However, this issue does not occur when I sleep on my side. I am c...
Dr. Xu Wencang reply Urology
You can visit the outpatient clinic for examination and evaluation.[Read More] Urgency Without Relief: Understanding Nocturnal Urinary Issues
Persistent Visible Hematuria: Causes and Diagnostic Insights
Persistent gross hematuria? Hello Doctor, I have been experiencing hematuria for a month, and the color is dark red. There is not much pain. When I first noticed it, I went to the hospital for a urinalysis, which showed numerous red blood cells, 3+ occult blood, and 20-25 white b...
Dr. Xu Wencang reply Urology
You can discuss with your physician and consider undergoing a cystoscopy.[Read More] Persistent Visible Hematuria: Causes and Diagnostic Insights
Understanding Painful Swelling of the Glans During Erection
Glans penis swelling and pain? Recently, I have been experiencing a feeling of extreme engorgement in the glans during erections, to the point of discomfort. By the time I reach ejaculation, the glans feels so swollen that it is very uncomfortable, and I have also noticed that th...
Dr. Xu Wencang reply Urology
When the glans penis (corpus spongiosum) becomes engorged, it is relatively softer compared to the corpora cavernosa. If the symptoms persist, please visit an outpatient clinic for examination.[Read More] Understanding Painful Swelling of the Glans During Erection
Understanding Penile Issues: Allergies or Hygiene Concerns?
Penile issues Last Sunday, I accidentally engaged in risky sexual behavior, and since then I've been experiencing intermittent sensations in my lower body. However, there are no visible symptoms. Could this be an allergic reaction or something else? Or could it be related to...
Dr. Xu Wencang reply Urology
You can go for an outpatient examination.[Read More] Understanding Penile Issues: Allergies or Hygiene Concerns?
Understanding Semen Color Changes: Causes and Concerns for Men
Semen issues Hello Doctor: After abstaining, the semen I ejaculate is completely normal white. However, when I do not abstain and masturbate 2-3 times a week like an average person, the first part of the semen is white while the latter part is yellow. This phenomenon has been occ...
Dr. Xu Wencang reply Urology
Further observation is recommended; if the yellow color persists, a semen analysis can be performed.[Read More] Understanding Semen Color Changes: Causes and Concerns for Men
Understanding Frequent Urination: Causes and Solutions for Young Adults
Frequent urination issues? Hello Doctor, I am currently 18 years old. I often experience a sensation of urgency to urinate whenever I move my body (such as laughing or walking), even right after I have emptied my bladder. The amount of urine in my bladder is not much, but I still...
Dr. Xu Wencang reply Urology
It may be overactive bladder syndrome. Initial treatment can involve medication, and if ineffective, consider treatments such as intravesical botulinum toxin injection.[Read More] Understanding Frequent Urination: Causes and Solutions for Young Adults
Understanding the Complications of Epididymitis: Key Questions Answered
The sequelae of epididymitis? Hello, Doctor. Recently, I have been experiencing pain and swelling in the right scrotum, which extends to the lower abdomen and lower back. After a physical examination by a urologist, I was diagnosed with epididymitis. A urinalysis showed elevated ...
Dr. Xu Wencang reply Urology
Epididymitis is caused by a urinary tract infection, and antibiotics should be taken for 2-3 weeks. It is important to check for the presence of Neisseria gonorrhoeae infection, which requires special antibiotics. The lump typically resolves in 2-3 months or may leave a small rem...[Read More] Understanding the Complications of Epididymitis: Key Questions Answered
Excessive Sweating and Low Urine Output: Kidney Health Concerns
Hyperhidrosis and oliguria? Working under direct sunlight for extended periods can lead to excessive sweating. Even with rest breaks and an hourly intake of at least 1000cc of fluids, daily water consumption can reach 5000-7000cc, yet urine output remains low. Will this continuou...
Dr. Xu Wencang reply Urology
It is advisable to maintain a daily urine output of around 2000 milliliters. You can use a measuring cup to keep track of the amount.[Read More] Excessive Sweating and Low Urine Output: Kidney Health Concerns
Understanding Balanitis: Causes, Symptoms, and Treatment Options
I would like to inquire about balanitis and phimosis? I would like to ask the doctor about a suspected case of tinea cruris that has transmitted to the glans, leading to balanitis. Initially, I applied clotrimazole and saw some improvement, but the area around the coronal sulcus ...
Dr. Xu Wencang reply Urology
You can visit the outpatient clinic for a reassessment of your treatment, and you may also consider adding oral medication.[Read More] Understanding Balanitis: Causes, Symptoms, and Treatment Options
Understanding Erectile Dysfunction: Causes and Solutions for Men
Erectile dysfunction I usually have a habit of masturbating once a day, smoke cigarettes, and have been drinking alcohol daily for a long time. Recently, I noticed that when I try to masturbate, I seem to have difficulty achieving an erection, or if I do get hard, it becomes soft...
Dr. Xu Wencang reply Urology
It is recommended to quit smoking, change lifestyle habits, and engage in regular exercise. If symptoms persist, seek evaluation and treatment at a clinic.[Read More] Understanding Erectile Dysfunction: Causes and Solutions for Men
Understanding Low Morning Urine Output: Causes and Concerns
Decreased urine output in the morning? Hello doctor, in the past month or two, I've noticed that I have very little urine in the morning when I wake up, whereas I used to have a lot. However, after the morning, my urination is normal. What could be the reason for this? I hav...
Dr. Xu Wencang reply Urology
The amount of water intake and sweating is also related; further observation or outpatient evaluation may be necessary.[Read More] Understanding Low Morning Urine Output: Causes and Concerns
Improving Erectile Function and Ejaculation Issues: A Urology Guide
Erectile dysfunction, etc? In the morning, there are times when I have an erection and times when I do not. During intercourse, I often experience insufficient erection hardness, making penetration difficult. Previously, I would ejaculate with a large volume and a strong jet, but...
Dr. Xu Wencang reply Urology
You can visit the outpatient clinic for evaluation, examination, and treatment. Medications and low-energy shockwave therapy can be used.[Read More] Improving Erectile Function and Ejaculation Issues: A Urology Guide
Understanding Low Testosterone in Teenagers: Causes and Solutions
Hypogonadism Hello Doctor, last month (around mid-May) I had a blood test for testosterone at the urology department (but it was done in the evening) and my level was 257 ng/dL. I am currently 17 years old. Besides having occasional morning erections, I also find that I cannot ac...
Dr. Xu Wencang reply Urology
It is not recommended to supplement testosterone; you can retest in the morning. Regular routines and exercise can help improve the situation. Testosterone supplementation may lead to infertility, but stopping for a period of time will allow recovery.[Read More] Understanding Low Testosterone in Teenagers: Causes and Solutions
Understanding Morning Erections and Foreskin Issues in Young Men
Morning erection issues, foreskin problems? I am 18 years old and have had a habit of masturbating before sleep since puberty in middle school, with a frequency of about once every 1-2 days. However, I rarely experience morning erections. I do not drink water before bed to avoid ...
Dr. Xu Wencang reply Urology
It should be fine, but you can go for an outpatient examination.[Read More] Understanding Morning Erections and Foreskin Issues in Young Men
Optimal Timing for Testosterone Testing: Why Morning Matters
Testosterone testing time? Hello, doctor. I have been following a routine of going to bed at 8 PM and waking up at 4 PM for many years. Is it necessary for testosterone testing to be conducted between 8 AM and 11 AM for accurate results? Thank you.
Dr. Xu Wencang reply Urology
There may be differences in values between morning and evening; it is recommended to conduct tests in the morning.[Read More] Optimal Timing for Testosterone Testing: Why Morning Matters
Understanding UTI Symptoms: Causes of Discomfort and Bacterial Infections
Urinary tract infection (UTI) Hello, doctor. Since last year, I have been experiencing a slight dull pain in the area of my genitals when I am not urinating. It does not occur frequently, just occasionally, and there is no pain during urination. The discomfort arises when I am no...
Dr. Xu Wencang reply Urology
Urinalysis is normal? Gynecological issues such as vaginitis or hormonal deficiency can sometimes cause discomfort in the urethra. You may visit the outpatient clinic for further examination and treatment.[Read More] Understanding UTI Symptoms: Causes of Discomfort and Bacterial Infections
Improving Bladder Contraction: Solutions for Urethral Dysfunction
Urethral stricture? Hello, I am Shu-Wei. I am a student with a disability. Occasionally, I engage in masturbation, and once I held back from ejaculating, which resulted in ejaculation the following morning. After that, I felt something was wrong and became hesitant to do it again...
Dr. Xu Wencang reply Urology
Uroflowmetry is an overall assessment of urinary performance. If symptoms persist and medications do not improve the condition, more invasive bladder function tests or cystoscopy may be necessary.[Read More] Improving Bladder Contraction: Solutions for Urethral Dysfunction
Should You Consider Penile Vein Ligation Surgery for Venous Leak?
Is penile venous stripping surgery recommended for venous leakage? I do not have any other diseases, but I have been diagnosed with venous leakage issues by both Cheng Kung University Hospital and Dr. Hsu Geng-Rong in Taipei. I would like to address this problem. Would you recomm...
Dr. Xu Wencang reply Urology
You are only 24 years old; it's advisable to evaluate multiple options before making a decision. Penile prosthesis implantation is irreversible, so it may be better to try other treatments first.[Read More] Should You Consider Penile Vein Ligation Surgery for Venous Leak?
How to Monitor Suspected Adrenal Nodules: A Urology Guide
How to pursue? Low-dose computed tomography (LDCT) of the chest indicated a suspected small nodule on the left adrenal gland. How should I proceed with follow-up? I visited a urology clinic, but the physician did not provide specific guidance, only mentioning that I should monito...
Dr. Xu Wencang reply Urology
Generally, it is non-functional; however, it is important to monitor blood pressure and conduct blood tests to determine if there is any functional impairment.[Read More] How to Monitor Suspected Adrenal Nodules: A Urology Guide