Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms
Can an anal fistula infect the perineal nerves? Health insurance card number 0000-2190-0544. ID number A129354275. Hello, doctor. I am now three months post-operative from anal fistula surgery. On July 17, I returned for a follow-up regarding a small abrasion near the anus, and I...
Dr. Zhang Shuhao Reply:
Anal fistula surgery may involve partial sphincterotomy, which can lead to the contraction pain you described before healing is complete. Recurrence of the fistula or deeper inflammation and abscess formation may also cause similar symptoms. It is advisable to return to the origi...[Read More] Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms
Post-Surgery Concerns: Understanding Pain After Anal Fistula Repair
Post-anal fistula surgery Hello, Director: I had surgery for an anal fistula over two months ago. However, the doctor I saw only instructed me to take warm sitz baths with Betadine daily, without specifying for how long. I have been doing this until the wound heals, which has bee...
Dr. Ke Fangxu Reply:
Whether it is a recurrence of a fistula can only be determined through a physical examination, as online consultations cannot provide a diagnosis. However, based on your description, it seems less likely to be a recurrence. I recommend that you consult your surgeon for a further ...[Read More] Post-Surgery Concerns: Understanding Pain After Anal Fistula Repair
Understanding Hydrocele in Infants: When to Seek Medical Advice
Scrotal edema Hello, doctor. My son was diagnosed with a hydrocele when he was two months old, and we were advised to monitor it until he turns two. Up until recently, there were no issues, but now at two years and two months, I occasionally notice a distinct round mass above the...
Dr. Yu Mingchang Reply:
There is a higher possibility of a hernia; when you have time, take her to see a pediatric surgeon.[Read More] Understanding Hydrocele in Infants: When to Seek Medical Advice
Can a Fistula Heal After Swelling Reduces? Expert Insights
Will the necrotic tissue regenerate after the fistula has reduced in size? Hello, Doctor. My abscess started to appear in mid-January and has now developed into a fistula. During this time, I initially managed to reduce it with medication, but in March, I switched to taking cold ...
Dr. Xu Kaixi Reply:
The "fistula" you mentioned "affecting" other bodily structures or tissues refers to the damage caused by the extension and spread of the fistula. Theoretically, if a fistula becomes severely infected and is left untreated, along with a decline in the body...[Read More] Can a Fistula Heal After Swelling Reduces? Expert Insights
Understanding Wounds Near the Anus: Causes and Treatment Options
Wound near the anus? Hello Doctor, I have a wound in my groin area located towards the direction of my testicles from the anus, very close to the anal opening (but not in the anal folds). It has not healed for about two weeks, and I suspect it might be an anal fistula. I visited ...
Dr. Zhang Shuhao Reply:
The occurrence of anal fistula can present with symptoms such as redness, swelling, heat, and pain, resembling an open wound. It is recommended to rinse the area with clean water after using the restroom to reduce friction and irritation. Wear loose and breathable clothing, and a...[Read More] Understanding Wounds Near the Anus: Causes and Treatment Options
Understanding Sudden Testicular and Rectal Area Lumps: Causes and Concerns
Sudden onset of a lump? Hello doctor, yesterday while I was showering, I felt a lump between my left testicle and anus, closer to the testicle. It is hard and does not move. I am not sure what could be causing it, but recently I have been experiencing bleeding during bowel moveme...
Dr. Zhang Shuhao Reply:
If there is a hard lump in the perineum, first check if it is painful. If it is painful, it is more likely related to inflammation, which may include sebaceous gland inflammation, epididymitis, lymphadenitis, anal abscess, or fistula. If the symptoms are significant and there is ...[Read More] Understanding Sudden Testicular and Rectal Area Lumps: Causes and Concerns
Post-Hernia Surgery: Concerns About Enlarged Testicle and Next Steps
Post-Hernia Surgery Four years after hernia surgery, the left testicle has become the size of a duck egg, but it is not painful. The doctor initially said it would gradually return to its original size, but it has not. Will this condition lead to any complications in the long ter...
Dr. Xu Kaixi Reply:
If there has been no improvement after 4 years, it is recommended to return to the original surgeon's clinic for follow-up examinations.[Read More] Post-Hernia Surgery: Concerns About Enlarged Testicle and Next Steps
Understanding HPV, Warts, and Fistula Surgery: Your Questions Answered
Cauliflower and fistula? Hello Doctor, I have developed genital warts and have been actively applying medication for treatment. I also received the HPV vaccine immediately to prevent reinfection. However, I may not have applied the medication properly, which led to significant sk...
Dr. Ke Fangxu Reply:
Based on the photo, it appears that excessive application of the ointment has caused skin ulceration. I recommend temporarily discontinuing the use of Lede Mei and applying an antibiotic ointment instead. If the perineum is very painful, you should consult a physician to determin...[Read More] Understanding HPV, Warts, and Fistula Surgery: Your Questions Answered
Managing Hemorrhoids and Warts: Effective Treatment Strategies
Hemorrhoids and cauliflower issues? Recently, I visited a proctology clinic and was diagnosed with a grade III external hemorrhoid and genital warts. The doctor prescribed me to apply wart cream, while for the hemorrhoid issue, I was given suppositories and pain relief capsules. ...
Dr. Ke Fangxu Reply:
The area below the testicles is likely the location of the prostate, and an anal abscess could also be a possibility, as well as swollen internal hemorrhoids. It is essential to consult a physician for a definitive diagnosis. The application sites for imiquimod cream and topical ...[Read More] Managing Hemorrhoids and Warts: Effective Treatment Strategies
Post-Hernia Surgery: Addressing Testicular Displacement Concerns
Testicular displacement after hernia surgery? Hello, I would like to ask a question! I just underwent surgery for an inguinal hernia in my right lower abdomen. Five days later, I noticed that my right testicle has moved up into my abdominal area and cannot descend. The doctor sai...
Dr. Chen Jiaming Reply:
Since you just had hernia surgery, it is recommended that you discuss this situation with your original surgeon and explore any possible solutions. As for whether the surgery caused this issue, only you are aware of your condition prior to the operation.[Read More] Post-Hernia Surgery: Addressing Testicular Displacement Concerns
Post-Surgery Discomfort After Inguinal Hernia Repair: Is It Normal?
Occasional discomfort after inguinal hernia surgery? Hello Doctor: I have a hernia where my intestine descended into the right testicle. I discovered it seven years ago and underwent surgery this February. Since then, I have been very careful with my recovery; I only started lift...
Dr. Chen Jiaming Reply:
Because there was a considerable time interval between the discovery of your hernia and the actual surgery, based on your description of the hernia descending into the testicle (which should refer to the scrotum), it indicates that your hernia sac likely extended into the scrotal...[Read More] Post-Surgery Discomfort After Inguinal Hernia Repair: Is It Normal?
Understanding Soft Mass Behind Left Testicle: Symptoms and Diagnosis
What are the symptoms? There is a soft lump behind the left testicle when standing, which diminishes when lying down. The lump is not large, approximately the size of a fingertip. There is no swelling in the abdomen, and it is not painful. I am unsure if it is a psychological fac...
Dr. Yu Mingchang Reply:
I have consulted with a urologist.[Read More] Understanding Soft Mass Behind Left Testicle: Symptoms and Diagnosis
Understanding Painful Lumps: What Could Be Causing Your Groin Swelling?
There is a painful small lump? I have suddenly developed a small lump on the skin at the junction of my right groin and thigh, next to my right testicle. It feels soft and squishy to the touch, and there is a red circle around it that looks like an inflamed pimple. It is painful ...
Dr. Xu Kaixi Reply:
Based on your description, this lump is more likely to be a sebaceous cyst (subcutaneous cyst). To confirm, I recommend that you visit a surgical outpatient clinic for an examination.[Read More] Understanding Painful Lumps: What Could Be Causing Your Groin Swelling?
Understanding Anal Masses: Causes and When to Seek Help
Perianal mass Hello, I would like to ask about a small lump I noticed today above the anus (not near the testicles). It doesn't appear particularly red or swollen, and the texture and pain feel somewhat similar to the sensation of lymph nodes swelling for a day or two. Could...
Dr. Ke Fangxu Reply:
Answer: It is impossible to make an accurate diagnosis without a physician's personal examination. Conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts could all be potential issues, although the likelihood of thrombosed external hemorrhoids...[Read More] Understanding Anal Masses: Causes and When to Seek Help
Wound Between Anus and Testicles: Causes and Concerns
A wound has appeared between the anus and the scrotum? The wound is located in the area between the anus and the scrotum, measuring less than 1 centimeter. I would like to inquire about the possible causes of the skin breakdown in that area. Could it potentially be a sexually tra...
Dr. Li Zhonghuai Reply:
Hello! "Could it be a sexually transmitted infection (STI)?" Have there been any unsafe sexual practices? It is recommended to consult a urologist. Take care! Changhua Hospital cares about you![Read More] Wound Between Anus and Testicles: Causes and Concerns
Post-Surgery Complications After Hernia Repair: Seeking Guidance
Questions regarding the complications after hernia surgery, please provide a response. Thank you! Dear Dr. Hsu, Hello! I underwent emergency surgery in mid-June this year due to an acute severe right inguinal hernia, during which a synthetic mesh was implanted. After five days o...
Dr. Xu Kaixi Reply:
Inguinal hernia emergency surgery is often accompanied by significant inflammation, which can lead to temporary postoperative edema and fibrosis, as well as fluid accumulation. These conditions typically improve over time, with recovery duration varying based on the severity of t...[Read More] Post-Surgery Complications After Hernia Repair: Seeking Guidance
Understanding Gender Confirmation Surgery: Key Considerations and Insights
I purely want to understand gender-affirming surgery? Hello, Doctor: I have the intention to undergo gender-affirming surgery, but please disregard my psychological state and focus solely on the surgical aspects. Thank you. First, I would like to ask whether every procedure is ...
Dr. Zhou Hongzhang Reply:
1. If there is no sexual activity, one may consider removing only the testicles or penis without performing vaginal surgery. 2. Currently, in Taiwan, it seems that only two hospitals (National Taiwan University Hospital and Veterans General Hospital) are capable of performing g...[Read More] Understanding Gender Confirmation Surgery: Key Considerations and Insights
Understanding Hernia Recurrence and Testicular Pain After Surgery
Hernia recurrence and testicular pain? Hello doctor, I previously had a hernia on the left side with one testicle larger than the other. I underwent surgery in June last year for "tension-free repair using autologous tissue." After the surgery, my left testicle has been...
Dr. Cai Xingzhi Reply:
Dear Mr. Hou: 1. If you still have a hernia with intestinal protrusion, please consult a nearby surgeon. 2. If there is a size discrepancy between the testicles, it may indicate a possible intestinal issue; please have a doctor evaluate the treatment options. The Hualien Hos...[Read More] Understanding Hernia Recurrence and Testicular Pain After Surgery
Post-Surgery Pain and Discomfort: Understanding Sutures and Healing
The surgical incision site often feels painful and burning? Hello Dr. Ke: My original fistula opening was located about 3 centimeters below the testicle. I underwent fistula excision surgery on May 12, and it has been 4 months since then. During my follow-up appointment on August...
Dr. Ke Fangxu Reply:
Complex fistulas have larger surgical wounds, resulting in a longer recovery time. Most patients will experience some degree of sharp pain at the surgical site. It is generally recommended to use ointments and suppositories for a period of time, and then monitor the wound for sig...[Read More] Post-Surgery Pain and Discomfort: Understanding Sutures and Healing
Understanding Subcutaneous Cysts: Symptoms and When to Seek Help
Subcutaneous cyst Hello doctor, I have small hard lumps on the inner thigh, waist, and groin area near the testicles. They are painful when pressed firmly and can move slightly with the skin. What could this condition be? Which specialty should I see for medical consultation?
Dr. Li Zhonghuai Reply:
Hello! An ultrasound is needed for further evaluation, please visit the general surgery department. Take care! Changhua Hospital cares about you![Read More] Understanding Subcutaneous Cysts: Symptoms and When to Seek Help