Understanding Male Vasectomy: Procedure, Costs, and What to Expect
Male sterilization Hello: I am currently married with one son and one daughter. After discussing with my wife, I am considering undergoing a vasectomy, but I feel scared and anxious. I would like to know if a vasectomy is quicker and more convenient compared to female sterilizati...
Dr. Zhang Chengye reply Urology
Hello, 1. According to the Eugenics and Health Care Act, male sterilization requires the consent of the spouse. 2. It is preferable to have at least two children, with the youngest being at least three years old. 3. Male sterilization is generally easier than female steriliza...[Read More] Understanding Male Vasectomy: Procedure, Costs, and What to Expect
Finding IC Treatment Options Near Taoyuan: Expert Insights and Resources
Is there IC (interstitial cystitis) treatment available near Taoyuan County? 1. Being diagnosed with Interstitial Cystitis (IC) at a medical center, including dynamic testing and cystoscopy, but recently finding fungi in the urine could indicate a urinary tract infection (UTI) ca...
Dr. Zhang Chengye reply Urology
Hello Juile: 1. It may be a fungal contamination of the specimen. 2. EIMIRON, a new medication, can be considered. 3. Linkou Chang Gung Memorial Hospital may be a better option. Sincerely, Dr. Chang Cheng-yeh, Attending Physician, Department of Urology, Hsinchu Hospital, Ministry...[Read More] Finding IC Treatment Options Near Taoyuan: Expert Insights and Resources
Understanding Interstitial Cystitis: Tests and Diagnosis Explained
What exactly is wrong with the bladder? Hello Dr. Chang, thank you for your prompt response. However, I think I may not have been clear. Elmiron was approved by the health insurance bureau based on my condition, and it was not purchased out-of-pocket. In your reply, you mentioned...
Dr. Zhang Chengye reply Urology
Hello EMLA: You need to undergo a cystoscopy, followed by hydrodilatation under general anesthesia using saline solution to distend the bladder twice, in order to check for any specific pinpoint bleeding lesions (glomerulations). It is advisable for you to consult and discuss thi...[Read More] Understanding Interstitial Cystitis: Tests and Diagnosis Explained
Understanding Premature Ejaculation: Tips for Lasting Longer
I apologize for bothering Dr. Chang again? However, why is it that some people can last over ten minutes on their first time, while I can only last a minute or even just a few seconds? Is this normal? If it is normal, I would like to ask the doctor how I can control the duration ...
Dr. Zhang Chengye reply Urology
Hello Mike: Yes, the above situation does not constitute a disease, so there is no need for concern. This is a response from Dr. Chang Cheng-yeh, attending physician of the Urology Department at Hsinchu Hospital, Ministry of Health and Welfare.[Read More] Understanding Premature Ejaculation: Tips for Lasting Longer
Understanding Bladder Issues: Elmiron, Diclofenac, and Treatment Options
What is happening with the bladder? Hello Dr. Chang, I previously asked you some related questions on June 2nd. However, I am now taking Elmiron. Later, the doctor prescribed Diclofenac Potassium for me to see if it could improve my symptoms. However, it seems that this medicatio...
Dr. Zhang Chengye reply Urology
Hello ELMA: Based on the situation you described, tests are necessary to determine whether it is interstitial cystitis. It is not recommended to purchase Elmiron out of pocket, as there are specific regulations under the National Health Insurance that can be followed. This is a r...[Read More] Understanding Bladder Issues: Elmiron, Diclofenac, and Treatment Options
How to Treat STDs: Symptoms, Solutions, and Where to Seek Help
Sexually transmitted diseases (STDs) Hello! I have symptoms of a sexually transmitted infection. How should I treat it? Where should I go for help?
Dr. Zhang Chengye reply Urology
Hello, fool: I recommend that you visit the outpatient department of a hospital for diagnosis and treatment by a physician. Sincerely, Dr. Chang Cheng-yeh, Attending Physician, Urology Department, Hsinchu Hospital, Ministry of Health and Welfare.[Read More] How to Treat STDs: Symptoms, Solutions, and Where to Seek Help
Understanding Swelling and Pain in the Labia: Causes and Concerns
Labial swelling Hello, doctor. I would like to ask you a question! Today I suddenly noticed a lump on my right labium, with a small red dot on it, and it hurts when I press on it. Can you tell me what this might be?
Dr. Zhang Chengye reply Urology
Hello, Xiao Bi: The protrusion you mentioned may be Bartholin's gland inflammation. It is recommended that you visit a gynecology clinic for a detailed diagnosis by a gynecologist. Sincerely, Dr. Chang Cheng-yeh, Attending Physician, Urology Department, Hsinchu Hospital, Dep...[Read More] Understanding Swelling and Pain in the Labia: Causes and Concerns
Understanding Premature Ejaculation: Tips for Lasting Longer
Please consult a doctor? Hello Dr. Chang, I have a question I would like to ask you. I am currently 23 years old and have had many sexual experiences, but I find myself troubled each time. Whenever I have intercourse for the first time, I ejaculate very quickly—within less than...
Dr. Zhang Chengye reply Urology
Hello MIKE: What you are experiencing is a normal phenomenon, so there is no need to worry too much. This is a response from Dr. Chang Cheng-yeh, attending physician of the Urology Department at Hsinchu Hospital, Ministry of Health and Welfare.[Read More] Understanding Premature Ejaculation: Tips for Lasting Longer
Understanding Small Bumps on the Vulva: Causes and Concerns
Small spots in the genital area? Hello, about a year ago, I noticed something that resembles a lymph node on my labia, which is neither painful nor itchy (I'm not sure if it's a lymph node, but it's under the skin). In the past few months, I've also found two ...
Dr. Zhang Chengye reply Urology
Hello Xiaomei: The issue you described may be a Bartholin's cyst, which is not a sexually transmitted disease. I recommend that you visit a hospital for a physician's diagnosis, which should provide you with more peace of mind. Sincerely, Dr. Chang Cheng-yeh, Attending ...[Read More] Understanding Small Bumps on the Vulva: Causes and Concerns
Anesthesia Options for Circumcision in 10-Year-Olds: Local, Regional, or General?
For a 10-year-old child undergoing circumcision, the procedure can be performed under local anesthesia, regional anesthesia (such as a spinal block), or general anesthesia, depending on the specific circumstances and the child's health status. The choice of anesthesia should...
Dr. Zhang Chengye reply Urology
Hello Andy: Generally, local anesthesia is used, but it depends on the child. If there is fear, then general anesthesia may be employed. As a principle, it is recommended to wait until the child is a bit older before proceeding with the surgery. Sincerely, Dr. Chang Cheng-yeh, At...[Read More] Anesthesia Options for Circumcision in 10-Year-Olds: Local, Regional, or General?
Red Oval Bump on Scrotum: Causes and When to See a Doctor
Red raised lesions A sudden appearance of an oval-shaped, slightly reddish bump on the scrotum, measuring approximately 1.5 cm in length and 0.3 cm in width, which is painful when pressed but not painful or itchy otherwise, could indicate a few possibilities such as a sebaceous c...
Dr. Zhang Chengye reply Urology
Hello Jian-Zhi: What you are describing is likely folliculitis. I recommend that you consult a urologist. This is a response from Dr. Chang Cheng-Ye, attending physician of the Urology Department at Hsinchu Hospital, Department of Health, Executive Yuan.[Read More] Red Oval Bump on Scrotum: Causes and When to See a Doctor
Concerns About Dizziness and Frequent Urination in Teen Boys
I'm very worried..? Hello, doctor: I am a 2nd-year middle school boy. For about a year, when I stand up after lying down, I feel dizzy. Recently, I have been very thirsty and urinating a lot, and my lips are quite dry. I have a habit of masturbating, which has been going on ...
Dr. Zhang Chengye reply Urology
Hello, Mr. Xiao De: There is no correlation between the two; however, it is advisable for you to visit the hospital for a urine test. Sincerely, Dr. Chang Cheng-yeh, Attending Physician, Urology Department, Hsinchu Hospital, Ministry of Health and Welfare.[Read More] Concerns About Dizziness and Frequent Urination in Teen Boys
Understanding Common Urological Concerns: Urine Clarity and Hygiene Issues
I'm sorry, but I need specific content to translate. Please 1. It is normal for the first few urinations after holding urine or after sexual activity to appear slightly cloudy or milky. This can be due to the presence of sperm, prostatic fluid, or other substances. 2. The w...
Dr. Zhang Chengye reply Urology
Hello, A-Yuan: 1. It is normal. 2. The white membrane is dirt. 3. The retraction is to check for phimosis; there should not be an erection. Sincerely, Dr. Chang Cheng-Ye, Attending Physician, Department of Urology, Hsinchu Hospital, Ministry of Health and Welfare.[Read More] Understanding Common Urological Concerns: Urine Clarity and Hygiene Issues
Understanding Scrotal Edema After Varicocele Surgery: Causes and Treatment
Scrotal edema Hello Dr. Chang: If there is scrotal swelling after varicose vein surgery, what impact will it have on the body? Is treatment necessary? Thank you.
Dr. Zhang Chengye reply Urology
Hello, regarding scrotal hydrocele: it does not have an impact on the body and does not require treatment. It typically resolves within about six months. This is a response from Dr. Chang Cheng-yeh, attending physician of the Urology Department at Hsinchu Hospital, Ministry of He...[Read More] Understanding Scrotal Edema After Varicocele Surgery: Causes and Treatment
Understanding Varicose Vein Surgery: Costs, Coverage, and Outcomes
Varicose veins Hello Dr. Chang: Regarding the surgery for varicose veins, I have seen responses in online Q&A stating that it is covered by health insurance. Why do some hospitals require out-of-pocket expenses for procedures such as endovenous laser therapy? Will there be an...
Dr. Zhang Chengye reply Urology
Hello, Pan: There should be no need for out-of-pocket expenses. Post-surgery, there may be scrotal edema. The success rate is approximately 70%. There are high and low surgical approaches. This is a response from Dr. Chang Cheng-yeh, attending physician of the Urology Department ...[Read More] Understanding Varicose Vein Surgery: Costs, Coverage, and Outcomes
Understanding Itchy Genital Symptoms: Causes and Solutions for Women
Could you please provide the content you would like me to translate? Dear Dr. Chang, I currently live in the United States and have a question I would like to ask you. I have never visited a gynecologist before, but recently I have been experiencing itching in my genital area. I...
Dr. Zhang Chengye reply Urology
Hello Meng Yun: It may be caused by excessive cleaning, or it could be due to diabetes leading to candidal vulvovaginitis. It is advisable to avoid self-applying iodine and to let things take their natural course to observe any changes. If there is no improvement, I recommend vis...[Read More] Understanding Itchy Genital Symptoms: Causes and Solutions for Women
Should You See a Doctor for a Split Urethral Opening After Masturbation?
Urethral orifice After masturbating, if the urethral opening appears to be裂開 (cracked or split), should I see a doctor?
Dr. Zhang Chengye reply Urology
Hello, you may have a ligament tear and should visit an outpatient clinic for diagnosis and treatment by a physician. Sincerely, Dr. Chang Cheng-yeh, Attending Physician, Urology Department, Hsinchu Hospital, Ministry of Health and Welfare.[Read More] Should You See a Doctor for a Split Urethral Opening After Masturbation?
Are the G-Spot and Orgasm Plateau the Same Location in Women?
Is the G-spot and the orgasmic platform in women the same location? Please provide the content you would like
Dr. Zhang Chengye reply Urology
Hello, Swordfish: Both are located in the same position, approximately 2 to 3 centimeters from the anterior vaginal wall. This is a response from Dr. Chang Cheng-yeh, attending physician of the Urology Department at Hsinchu Hospital, Ministry of Health and Welfare.[Read More] Are the G-Spot and Orgasm Plateau the Same Location in Women?
Do All Women Experience 'Squirting' with Continuous U-Spot Stimulation?
Is it true that every woman will experience "squirting" if the G-spot is continuously stimulated? Please provide the content you would like
Dr. Zhang Chengye reply Urology
Hello, Swordfish: I am not clear about this issue. It would be best to consult an obstetrician and gynecologist. This is a response from Dr. Chang Cheng-yeh, attending physician of the Urology Department at Hsinchu Hospital, Ministry of Health and Welfare.[Read More] Do All Women Experience 'Squirting' with Continuous U-Spot Stimulation?
Understanding Nocturia: Causes and Solutions for Nighttime Urination
Nocturia Hello, Doctor. Sometimes I experience nocturia during the night, waking up to urinate every one or two hours, and there is a considerable amount of urine each time. I haven't consumed a large amount of fluids before bed, and this is quite distressing. I'm not s...
Dr. Zhang Chengye reply Urology
Hello Echo: Sometimes poor sleep quality or insomnia can lead to changes in the secretion timing of antidiuretic hormone (ADH) from the pituitary gland (circadian rhythm disruption). As a result, the secretion timing of ADH loses its normal rhythm, causing nighttime urine product...[Read More] Understanding Nocturia: Causes and Solutions for Nighttime Urination