Understanding Uric Acid Stones and Prevention Strategies
About uric acid stones? Hello Doctor: A 39-year-old male, 163 cm tall and weighing 75 kg, has had a long-term uric acid level above 8 and recently experienced a gout attack. The doctor prescribed benzbromarone. Is this medication likely to cause kidney stones? What methods or tre...
Dr. Xu Wencang reply Urology
Benbromarone promotes the excretion of uric acid through urine, which can easily lead to the formation of uric acid stones. An alternative is febuxostat, which reduces uric acid production in the liver and can help prevent uric acid stones.[Read More] Understanding Uric Acid Stones and Prevention Strategies
Understanding Persistent Low-Grade Fever and Bacterial Infections in Urology
Persistent low-grade fever, bacterial infection? Since February of this year, I have been experiencing intermittent low-grade fevers ranging from 36.8 to 37.5 degrees Celsius. I do not have any significant discomfort, but I feel slightly feverish, fatigued, and my eyes are very s...
Dr. Xu Wencang reply Urology
If there is a high fever, emergency care is required, followed by a follow-up in the outpatient clinic to monitor the results of the bacterial culture, as well as symptoms and urinalysis.[Read More] Understanding Persistent Low-Grade Fever and Bacterial Infections in Urology
How Long Should You Take Medication for Mild Prostate Enlargement?
How long should medication be taken for mild benign prostatic hyperplasia? I have mild benign prostatic hyperplasia causing urgency issues. I have been prescribed Vesicare and Harnalidge, and I have been taking them for over a month. Currently, I no longer have urgency problems, ...
Dr. Xu Wencang reply Urology
You can gradually taper off the medication and monitor the symptoms. Follow up in the outpatient clinic for further evaluation.[Read More] How Long Should You Take Medication for Mild Prostate Enlargement?
Understanding Interstitial Cystitis: Pain Management and Treatment Options
Consult with a physician regarding the reasons for persistent pain due to interstitial cystitis and the ineffectiveness of pain medications, as well as recommendations for management? Hello Doctor, I recently had a urinary tract infection, and after about two weeks of treatment, ...
Dr. Xu Wencang reply Urology
Interstitial cystitis can cause bladder pressure and pain, similar to bladder inflammation. Hyaluronic acid instillation can be requested, and further discussion with a physician is recommended.[Read More] Understanding Interstitial Cystitis: Pain Management and Treatment Options
Understanding Gonorrhea: Is Morning Discharge Normal After Treatment?
Issues related to gonorrhea? I would like to ask, after initially contracting gonorrhea and receiving treatment with both medication and injections, I have not engaged in sexual activity for about six months. However, I still notice a small amount of discharge on my underwear in ...
Dr. Xu Wencang reply Urology
You can visit the outpatient clinic for further examination, and you can also undergo culture and nucleic acid testing.[Read More] Understanding Gonorrhea: Is Morning Discharge Normal After Treatment?
Understanding Foreskin Issues: Symptoms, Treatments, and Care
Foreskin issues A few days ago, I experienced itching of the foreskin, followed by some cracking and breaking of the skin. Yesterday, I noticed that the cracked area turned black, and it feels slightly painful when touched. Currently, there is no itching. Should I apply (Xinaison...
Dr. Xu Wencang reply Urology
Sure! If you continue with regular outpatient check-ups.[Read More] Understanding Foreskin Issues: Symptoms, Treatments, and Care
Understanding Urethritis Treatment: Concerns About Rifampicin Use
Urethritis, the doctor prescribed three red capsules? I visited three clinics due to urethritis. After describing my condition to the doctors, they confirmed that I have urethral inflammation. I have not engaged in sexual activity, and all three prescribed a three-day course of a...
Dr. Xu Wencang reply Urology
Recurrent infections still need to be treated properly. Rifamycin is not commonly used for urinary tract infections. It is advisable to go to the hospital for treatment evaluation.[Read More] Understanding Urethritis Treatment: Concerns About Rifampicin Use
Post-Ureterectomy Complications: Understanding Leg Weakness After Surgery
Postoperative Issues Following Ureterectomy Hello! I have a unilateral left-sided duplex kidney issue, which has led to recurrent urinary tract infections and repeated kidney inflammation requiring hospitalization. Following my doctor's advice, I underwent my first laparosco...
Dr. Xu Wencang reply Urology
Please schedule a follow-up appointment for evaluation by the surgeon.[Read More] Post-Ureterectomy Complications: Understanding Leg Weakness After Surgery
Understanding Oral Symptoms After Unprotected Sex: What You Need to Know
Oral issues Hello Doctor: I had unprotected sexual intercourse (two minutes of unprotected vaginal intercourse) on March 31. About three weeks later, I experienced unexplained nasal discharge, and although my throat did not hurt, I felt a scratchy sensation. When I moved my throa...
Dr. Xu Wencang reply Urology
You can undergo some sexually transmitted infection screenings, and then consult an otolaryngologist for an examination.[Read More] Understanding Oral Symptoms After Unprotected Sex: What You Need to Know
Understanding Red Dots on the Frenulum: Treatment and Recovery
There are red spots on the frenulum of the foreskin? The foreskin had a tear previously, and the doctor prescribed Gentian Violet and Dalacin cream for me. Currently, there is no inflammation, but there is a half-circle of whiteness on the foreskin and a small red dot on the fren...
Dr. Xu Wencang reply Urology
You can apply the medication and observe, then continue to go to the hospital for further examination.[Read More] Understanding Red Dots on the Frenulum: Treatment and Recovery
Understanding Bladder Pain and Frequent Urination: Causes and Solutions
Bladder pain and frequent urination? Hello Dr. Hsu, I would like to ask about my condition. Two months ago, I experienced bladder pain and frequent urination. I went to the hospital for an ultrasound and urinalysis, both of which came back normal. I have a long-standing habit o...
Dr. Xu Wencang reply Urology
A urinary diary can be recorded first for evaluation by the physician. Medication treatment can be initiated; if interstitial cystitis is suspected, a cystoscopy under anesthesia is necessary.[Read More] Understanding Bladder Pain and Frequent Urination: Causes and Solutions
Understanding Erectile Dysfunction and Urinary Issues After Trauma
Erectile dysfunction and urinating with a tilt to the left? Eight years ago, I sustained an injury to the lower right side of the base of my penis and right testicle, resulting in bruising and hematoma. The right side of the base is very painful, and now my urine stream deviates ...
Dr. Xu Wencang reply Urology
It is advisable to have a male health expert reassess. Invasive angiography can be performed on the penile vasculature.[Read More] Understanding Erectile Dysfunction and Urinary Issues After Trauma
Understanding White Bumps on the Penis: Causes and Concerns
Penile issues There is a white bump on the ring-like area of the penis that looks like a pimple. It doesn't hurt or itch when squeezed, and it cannot be squeezed out. I would like to ask the doctor what this could be.
Dr. Xu Wencang reply Urology
It could be pearly penile papules, which typically appear around the coronal sulcus of the glans. This condition usually lasts for a period of time.[Read More] Understanding White Bumps on the Penis: Causes and Concerns
Understanding Short Frenulum: Causes, Symptoms, and Treatment Options
Short frenulum of the foreskin? I previously visited Keelung Municipal Hospital. I have a condition of phimosis, and when I have an erection and engage in sexual intercourse, a short frenulum causes the glans to become deformed and painful (if I don't have sex, there are no ...
Dr. Xu Wencang reply Urology
Frenoplasty is available! Please have a consultation with the physician for evaluation first.[Read More] Understanding Short Frenulum: Causes, Symptoms, and Treatment Options
Understanding Ejaculation: Is It Normal at Age 13?
Ejaculatory dysfunction Hello, Doctor Hsu. I am currently thirteen years old (in the first year of junior high school) and I have a habit of masturbation. I would like to ask if it is normal for semen to come out during this process? Does masturbation have any effects on my body?
Dr. Xu Wencang reply Urology
No. Regular exercise is important.[Read More] Understanding Ejaculation: Is It Normal at Age 13?
Brown Urine After Intense Exercise: When to Seek Medical Advice
Brown urine after exercise? In the past, I never had issues with the color of my urine after intense exercise, but recently I have experienced slight hematuria (blood in urine) after vigorous workouts on two occasions. The first time was in early January, and the second time was ...
Dr. Xu Wencang reply Urology
It is better to get checked, as it could be hematuria or rhabdomyolysis.[Read More] Brown Urine After Intense Exercise: When to Seek Medical Advice
Understanding Penis Size: Is My 10cm Length Normal at 23?
The penis seems to be too short? Hello Dr. Hsu, I am 23 years old, 178 cm tall, and weigh 52 kg. I have an Adam's apple, armpit hair, and pubic hair. My erect penis length is 10 cm (I measured it gently with a ruler from the pubic bone to the tip), and the circumference is 3...
Dr. Xu Wencang reply Urology
You can go to the hospital for an examination to measure the erect length or the length of the corpora cavernosa, as part of it is buried in the fat.[Read More] Understanding Penis Size: Is My 10cm Length Normal at 23?
Understanding Penile Curvature After Trauma: Causes and Treatment Options
The penis is bent to the left during urination? I previously sustained an injury to the lower right side of the base of my penis, resulting in bruising and hematoma in the right testicle. Now, when I urinate, the stream deviates to the left. I can still achieve an erection even t...
Dr. Xu Wencang reply Urology
Is erectile function normal? You can return to the outpatient clinic for evaluation.[Read More] Understanding Penile Curvature After Trauma: Causes and Treatment Options
Understanding Cystoscopy: Is It Necessary for Blood in Urine?
Cystoscopy issues Hello, Doctor! I would like to ask about experiencing visible blood in my urine for the past few days, which returned to normal after about two days. I have also had some mild pain in my abdomen and lower back. I visited a doctor who performed an ultrasound (whi...
Dr. Xu Wencang reply Urology
The physician will further evaluate that a flexible cystoscopy can be performed in an outpatient setting. If anesthesia is required for a pain-free procedure, the anesthesia fee will need to be paid out of pocket.[Read More] Understanding Cystoscopy: Is It Necessary for Blood in Urine?
Understanding White Particles in Urine: Causes and Concerns in Urology
White object Hello, I experienced a urinary tract infection around November 2022, which led to a fever and a visit to the emergency room. Blood and urine tests revealed that Escherichia coli had entered my bloodstream, causing the fever. After recovering, I had a recurrence in De...
Dr. Xu Wencang reply Urology
If symptoms persist, you can visit the outpatient clinic for a urinalysis and bacterial culture. An ultrasound examination can also be performed to rule out other issues.[Read More] Understanding White Particles in Urine: Causes and Concerns in Urology