Post-Surgery Concerns: Managing Pus After Anal Fistula Surgery
Postoperative suppuration after anal fistula surgery? Hello Dr. Hsu: About a week ago, I underwent a fistula surgery at Linkou Chang Gung Memorial Hospital (the external opening is located about 3 cm below the testicle). During the surgery, the doctor also removed hemorrhoids fro...
Dr. Xu Kaixi Reply:
Based on your description, this situation seems more like exudate from the wound healing process adhering to the wound. If you have concerns or notice any other changes, it is advisable to return to the surgical outpatient clinic for a follow-up examination of the wound healing s...[Read More] Post-Surgery Concerns: Managing Pus After Anal Fistula Surgery
Chronic Pain After Testicular Surgery: Understanding Nerve Damage
Neuropathic pain after testicular surgery? Hello, I would like to ask about my father's symptoms. Three years ago, he visited a hospital where the doctor diagnosed him with "folliculitis and cellulitis," and he was immediately scheduled for surgery. It has been ove...
Dr. Zhang Junwei Reply:
Please find a urologist![Read More] Chronic Pain After Testicular Surgery: Understanding Nerve Damage
Managing Anxiety Before Cyst Surgery: What to Expect and Recovery Tips
Waiting for sebaceous cyst surgery makes me very anxious! Hello, doctor. I recently developed a lump about 2 centimeters from my anus towards my testicles, approximately 1 centimeter in size. At that time, it was slightly raised and inflamed. After receiving medication treatment ...
Dr. Xu Kaixi Reply:
Indeed, as your physician mentioned, you don't need to worry. Local anesthesia will be administered before the surgery, so aside from a brief moment of discomfort during the injection, you should not feel any pain during the procedure. After the surgery, it should not signif...[Read More] Managing Anxiety Before Cyst Surgery: What to Expect and Recovery Tips
Understanding Blood on Toilet Paper: Causes and Solutions for Anal Pain
Blood on toilet paper after wiping can indicate several conditions, including hemorrhoids, anal fissures, or gastrointestinal issues. It is important to consult a healthcare professional for Hello Doctor: A long time ago, I occasionally noticed blood on the toilet paper after hav...
Dr. Xu Kaixi Reply:
Blood in the stool is an abnormal phenomenon. Although the likelihood of hemorrhoidal bleeding is the highest, there are many potential causes of rectal bleeding, and the entire gastrointestinal tract could be the source. To avoid unnecessary speculation and anxiety, it is recomm...[Read More] Understanding Blood on Toilet Paper: Causes and Solutions for Anal Pain
Managing Bilateral Hernias: Surgical Options and Recovery Concerns
In early February, I underwent surgery for a right-sided hernia. Today (early March), I have been diagnosed with a hernia on the left side, which is also accompanied by a varicocele? Hello, Doctor. I actually consulted you about bilateral hernias at the beginning of February, and...
Dr. Ke Fangxu Reply:
1. It's not to absolve the previous physician, but hernias often recur on the contralateral side after unilateral surgery because the contralateral side is inherently weaker; the pressure is simply redistributed from the affected side, resulting in less noticeable symptoms. ...[Read More] Managing Bilateral Hernias: Surgical Options and Recovery Concerns
Understanding Right Groin Discomfort: Seeking the Right Specialist
Right groin? Since last summer, I've been experiencing discomfort on the right side of my body. Initially, there was pain that is hard to describe, located in the area to the right of my right testicle, the right side of the perineum, and the upper right side of the anus (it...
Dr. Ke Fangxu Reply:
Chronic pain in the perineal area, aside from muscle strain, is more likely to be neuropathic pain. Older patients may experience chronic pelvic pain, while this type of pain is less common in younger individuals. In younger patients, chronic pain may be caused by issues related ...[Read More] Understanding Right Groin Discomfort: Seeking the Right Specialist
Understanding Anal Polyps: Are They Hemorrhoids?
Hello, Dr. Ke? Dr. Ke: It seems that I have a small polyp near my anus. I usually don't feel much itching, but whenever I touch or press on it, it becomes very itchy and I feel the urge to scratch it. Could this be hemorrhoids? *The area is towards the testicles from the ant...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the polyps at the anal opening are mostly external hemorrhoids. Anal itching is also a common issue during winter. However, based on the limited information you provided, it is difficult to make a definitive assessment. If the itching is sever...[Read More] Understanding Anal Polyps: Are They Hemorrhoids?
Understanding Ultrasound Findings: Bright Spots on Testes in Children
Ultrasound examination revealed multiple echogenic foci in the testis? Dear Dr. Huang, Thank you for taking the time to respond amidst your busy schedule. I would like to inquire about my first-grade child, who was found to possibly have a hernia during a school health check. An...
Dr. Huang Yuanhui Reply:
The presence of bright spots on ultrasound indicates that the tissue has a stronger acoustic reflection. In the case of a 7-year-old boy's testicular tissue, a common reason for this is underdeveloped testicular tissue, which is denser compared to other tissues and reflects ...[Read More] Understanding Ultrasound Findings: Bright Spots on Testes in Children
Understanding Anal Fistulas: Surgical Options and Care Tips
Issues related to anal fistulas? **Question:** Asking person: Ah Xiang / Male / 29 Hello, doctor: Sometimes when I have a bowel movement, I notice blood when I wipe with toilet paper, and sometimes I don’t. I thought it was hemorrhoids, and I also experience itching at times....
Dr. Ke Fangxu Reply:
Hello, in response to your question: If an anal fistula is left untreated, it may lead to a bacterial infection, resulting in the formation of an abscess, which can cause swelling and pain. In such cases, an incision and drainage procedure is necessary, which is considered an out...[Read More] Understanding Anal Fistulas: Surgical Options and Care Tips
Concerns About Enlarged Testicular Lump: What You Need to Know
There is a hard lump (nodule) in the testicle? Hello Dr. Hsu, my question is about a hard lump on the surface of my testicle. I have had similar lumps in the past, but they usually resolved on their own. This time, however, the lump has grown larger, about the size of a peanut, a...
Dr. Xu Kaixi Reply:
Dear Akang, This is Dr. Hsu Kai-Hsi, Chief of Surgery at Tainan Hospital, Department of Health and Welfare. Based on your description, these hard lumps are located on the surface of the testicles and are likely to resolve on their own. The most probable diagnoses are epidermoid ...[Read More] Concerns About Enlarged Testicular Lump: What You Need to Know
Knee Nerve Pain and Its Connection to Male Reproductive Health
Nerves in the knee and sexual function? I have been experiencing pain in the nerves of my left knee for the past few days. When I was a child, I had a similar issue and consulted a traditional Chinese medicine practitioner, who suggested it was related to my reproductive organs. ...
Dr. Xu Kaixi Reply:
Dear Mr. Pang, Greetings from Dr. Hsu Kai-Hsi of the Surgical Department at Tainan Hospital, Ministry of Health and Welfare. Inguinal hernias can indeed present with such phenomena, where abdominal organs may protrude through the hernial sac into the scrotum, varying in size d...[Read More] Knee Nerve Pain and Its Connection to Male Reproductive Health
Post-Hemorrhoid Surgery Concerns: Pain and Recovery Insights
Postoperative issues after hemorrhoid surgery? My husband underwent a hemorrhoidectomy for his hemorrhoids. Compared to traditional methods, the surgery time was shorter, there was less blood loss, and it was less painful. However, five days post-surgery, he is still experiencing...
Dr. Hou Yongji Reply:
1. The use of circular resection surgery is generally limited, especially if there are external complications involved, as this may cause pain. 2. Based on your description, a proper assessment cannot be made. Therefore, please seek consultation from a colorectal surgeon as soon...[Read More] Post-Hemorrhoid Surgery Concerns: Pain and Recovery Insights
Understanding Testicular Inflammation: Healing Time and What to Expect
Orchitis I would like to ask if my left testicle has inflammation and after seeing a doctor, receiving an injection, and taking medication, it is no longer as painful. However, it seems to have a phenomenon of swelling and hardening. Is this a normal part of the medical process? ...
Dr. Huang Junxiong Reply:
Hello: Your question has been referred to a urologist for a response. Wishing you good health![Read More] Understanding Testicular Inflammation: Healing Time and What to Expect
Understanding Testicular Asymmetry: Causes and Concerns
The issue of one testicle being higher than the other? At birth, there was scrotal swelling. During a follow-up at one month, it was reported to be fine. At the age of four, surgery was performed for a hernia. Currently, one testicle is positioned higher than the other. The indiv...
Dr. Huang Yuanhui Reply:
Hello: Patients with anal atresia not only have underdeveloped anal structures, but the nerves that control bowel movements may also be poorly developed, leading to an inability to effectively sense stool accumulation and to evacuate the bowels completely. So far, the most effect...[Read More] Understanding Testicular Asymmetry: Causes and Concerns
Understanding Recurrence of Inguinal Hernia in Elderly Patients
Recurrent Hernia in the Elderly Hello Dr. Lin; my father-in-law is 67 years old. Two years ago, he accidentally developed an inguinal hernia while participating in a community tug-of-war competition, which caused his intestines to descend into the abdominal cavity. He underwent s...
Dr. Lin Zhemin Reply:
Elderly individuals are more prone to hernias due to thinner abdominal wall muscles. The recurrence rate is related to age and the condition of the abdominal wall muscles. Although hernias may not be painful, it is important to monitor for the possibility of incarceration. An inc...[Read More] Understanding Recurrence of Inguinal Hernia in Elderly Patients
Understanding Hernias in Infants: When to Consider Surgery
Hernia Hello doctor, my child developed a hernia due to crying when he was one month old. We took him to the hospital for a consultation, and the doctor recommended performing hernia surgery when he turns three months old. However, after he stopped crying forcefully, the conditio...
Dr. Huang Yuanhui Reply:
Dear Parent, 1. If a bulge from a hernia has appeared more than once, it indicates that the pathway through which the testicle descended has not yet closed. Regardless of whether the bulge reappears, surgery is necessary to close this pathway; otherwise, hernia symptoms may recu...[Read More] Understanding Hernias in Infants: When to Consider Surgery
Understanding Gynecomastia: Symptoms, Diagnosis, and Treatment Options
Gynecomastia Hello Doctor, I would like to inquire about the symptoms of gynecomastia in males. I have noticed a noticeable protrusion in my chest, especially around the area of the nipples. During my military service, my peers jokingly referred to me as having an A-cup size! W...
Dr. Luo Qihua Reply:
Gynecomastia in males is caused by the excessive proliferation of glandular or surrounding adipose tissue, rather than muscle hypertrophy. Therefore, if the enlargement is due to muscle training resulting in pectoral muscle hypertrophy, it is not considered gynecomastia. As for t...[Read More] Understanding Gynecomastia: Symptoms, Diagnosis, and Treatment Options
Understanding Testicular Pain: Causes and When to Seek Help
Testicular pain Hello! I would like to ask about something. Occasionally, after walking for a while, I feel some pain in my testicles. What could be the reason for this? Is it because my underwear is too loose, or am I walking too fast? I remember during my military physical exam...
Dr. Lin Zhemin Reply:
Based on your description, it seems more like a varicocele, which is unrelated to underwear or walking too fast. Surgical intervention can resolve this issue, and you can consult either a urologist or a general surgeon.[Read More] Understanding Testicular Pain: Causes and When to Seek Help
Understanding Varicocele: Symptoms, Risks, and Treatment Options
Varicocele During my enlistment medical examination, the examining doctor told me that I have a varicocele. I didn't have time to ask him, so could you please tell me what I should do, what potential complications or symptoms I might experience, and how it can be treated? Th...
Dr. Zhang Zhenxiang Reply:
Varicocele occurs in about 1 in 5 young males, often discovered during school or military entrance examinations, so there is no need for immediate concern. This condition primarily results from poor venous return in the internal spermatic vein, leading to blood pooling on the pos...[Read More] Understanding Varicocele: Symptoms, Risks, and Treatment Options