Post-Surgery Urinary Issues After Hemorrhoidectomy: Causes and Solutions
Hemorrhoid surgery issues I underwent traditional surgery for internal and external hemorrhoids on March 19. Postoperatively, aside from the expected pain, the biggest issue has been my inability to urinate on my own. After having a catheter inserted for one day, I produced a lot...
Dr. Zhang Shuhao Reply:
Urinary retention is a common complication after hemorrhoid surgery, caused by pain at the anal wound, leading to pelvic muscle tension and excessive sympathetic nervous system stimulation. Temporary catheterization, analgesics for relaxation, or medications that assist bladder c...[Read More] Post-Surgery Urinary Issues After Hemorrhoidectomy: Causes and Solutions
Understanding S2 Bilateral Cysts: Symptoms, Diagnosis, and Treatment Options
Bilateral S2 cysts Hello Dr. Lai: The MRI examination revealed cysts on both sides of S2, and I am experiencing symptoms such as perineal pain, which worsens when sitting (around the labia and urethral opening), lower back pain, pain in the buttocks on both sides of the groin, an...
Dr. Lai Zhaokang Reply:
Hello: 1. Cysts of the sacrum, predominantly affect females (85%). Most cases do not require surgery. Symptoms include pain in the corresponding lumbar, sacral, gluteal, and perineal regions, weakness, numbness, restlessness, and relief when lying flat or on the side. There may...[Read More] Understanding S2 Bilateral Cysts: Symptoms, Diagnosis, and Treatment Options
Understanding Rectal Prolapse and Hemorrhoid Ligation: Key Insights
Hemorrhoid ligation / Rectal prolapse Hello Dr. Chang, 1. I have been experiencing a protrusion of a mass during bowel movements for at least four to five years, which is a fleshy lump at least four to five centimeters in size that I have to push back in manually. It is not pai...
Dr. Zhang Shuhao Reply:
1. Based on your description, it seems more like rectal prolapse, and the severity has affected your quality of life. Surgical intervention is recommended. If there is a full-thickness bowel wall prolapse, it is not merely a hemorrhoid surgery; rather, it requires suspension or p...[Read More] Understanding Rectal Prolapse and Hemorrhoid Ligation: Key Insights
Post-Sexual Bleeding: Causes and When to Seek Medical Advice
Postcoital bleeding I would like to ask the doctor: I have an internal hemorrhoid. Since mid-last year, after having anal intercourse with my partner (we always prepare with lubrication), I did not experience any anal fissures or bleeding. However, this year, I have been experien...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. Gonorrhea typically involves infection at the urethral location, and I have not heard of cases involving anal infections. An anoscopy can be arranged by a physician, and it should be covered by health ...[Read More] Post-Sexual Bleeding: Causes and When to Seek Medical Advice
Understanding Bowel Issues: When to Seek Medical Attention
Bowel issues I initially only experienced irregular bowel movements and occasional bloating, which did not significantly affect my daily life. A long time ago, I consulted a doctor who prescribed some medications to promote gastrointestinal motility. Since I am currently preparin...
Dr. Xu Kaixi Reply:
There are many factors that can affect bowel movements, including diet and lifestyle habits. If bowel issues have led to the symptoms you described and are impacting your quality of life, it is advisable to visit a gastroenterologist for further examination and treatment.[Read More] Understanding Bowel Issues: When to Seek Medical Attention
Understanding the Connection Between Hemorrhoid Surgery and Urinary Pain
The relationship between hemorrhoid surgery and the urethra? Hello! My mother underwent surgery for internal hemorrhoids last Friday, which is generally considered a minor procedure. Therefore, we thought it would be manageable. However, due to her age, she felt uncomfortable ask...
Dr. Xu Kaixi Reply:
Postoperative pain from hemorrhoid surgery can vary depending on the location and severity of the hemorrhoids. During urination, the pelvic cavity, lower abdomen, and perineal muscle groups are engaged, and straining can inadvertently involve the muscles around the anus. As a res...[Read More] Understanding the Connection Between Hemorrhoid Surgery and Urinary Pain
Post-Surgery Complications After Lumbar Spondylolisthesis: A Patient's Experience
Postoperative Issues After Spinal Spondylolisthesis Surgery Three years ago, I underwent surgery on my lumbar spine at the L4-L5 levels. Currently, I need to wear compression stockings for support in order to walk. I also frequently experience urinary incontinence and require med...
Dr. Lai Zhaokang Reply:
Hello: Although you have worked hard to write a lot, I need more information for evaluation and reasoning. Since I cannot see the patient or the imaging directly, I can only suggest that you return for a follow-up appointment with the original surgeon to discuss your concerns. If...[Read More] Post-Surgery Complications After Lumbar Spondylolisthesis: A Patient's Experience
How to Diagnose and Treat Rectal Gonorrhea: A Comprehensive Guide
How to treat rectal gonorrhea? Doctor, I recently had anal intercourse with someone and ended up with a urethral infection from gonorrhea. The other person's genitals also penetrated my anus. Since then, I've noticed that my stools seem to have a layer of film on them, ...
Dr. Chen Jiaming Reply:
I apologize, but gonorrhea is not within my area of expertise.[Read More] How to Diagnose and Treat Rectal Gonorrhea: A Comprehensive Guide
Understanding Anal Fissures: Symptoms, Treatment, and When to Seek Help
The issue of anal fissures? Hello, Doctor: Recently, I had sexual intercourse with a male partner (with a condom), and due to insufficient lubrication, my anus was injured. The same day and the next day were fine; urination and bowel movements were relatively normal and not very ...
Dr. Ke Fangxu Reply:
Based on your description, it seems to be a typical symptom of anal fissure, which is characterized by pain during bowel movements accompanied by slight bleeding. If there is concurrent bleeding from hemorrhoids, the amount of blood may be greater. Severe anal fissures or those a...[Read More] Understanding Anal Fissures: Symptoms, Treatment, and When to Seek Help
Post-Appendicitis Concerns: Bubbles in Urine After Peritonitis Surgery
Bubbles in urine after peritonitis? I apologize for bothering you again, Director Ke. Initially, I had appendicitis which progressed to peritonitis, requiring an emergency surgery where a 19 cm incision was made in my abdomen, along with another incision for a drainage tube. The ...
Dr. Ke Fangxu Reply:
Hello: The appendix is located in the lower right quadrant of the abdominal cavity. If it becomes inflamed and ruptures, pus can flow down to the lowest part of the abdominal cavity, which is the pelvis. This is a completely reasonable process and can lead to the formation of a c...[Read More] Post-Appendicitis Concerns: Bubbles in Urine After Peritonitis Surgery
Understanding Peritonitis: Causes, Complications, and Treatment Options
Peritonitis Doctor: Hello, my wife developed peritonitis 33 years ago due to surgery. She did not undergo surgery for retroperitoneal inflammation due to the severity of her condition; instead, a funnel was placed in her lower abdomen to allow pus from the peritoneal cavity to dr...
Dr. Xu Kaixi Reply:
Based on your description, the systemic inflammatory response (including the splenic inflammation you mentioned) is caused by peritonitis. The primary treatment typically involves antibiotics, and if there is an intra-abdominal abscess, percutaneous drainage or surgical drainage ...[Read More] Understanding Peritonitis: Causes, Complications, and Treatment Options
Understanding Hypospadias: Concerns and Treatment Options for Your Child
Hypospadias and Urethral Stricture My 3.5-year-old son has a small hole below the glans of his penis. The doctor said it is mild, with a success rate of over 95%. However, after two surgeries, he still experiences urinary leakage, and the urethral opening, which was already small...
Dr. Huang Yuanhui Reply:
Hypospadias surgery has a relatively low success rate, with an average success rate of only 60% for the first surgery, and the best success rate being around 80%. The success rate for subsequent surgeries gradually declines, with the best outcomes being approximately 50% of patie...[Read More] Understanding Hypospadias: Concerns and Treatment Options for Your Child
Is Laser Polyp Removal Covered by Health Insurance in Taiwan?
Is laser polypectomy covered by health insurance? In the past year or two, I have noticed a polyp near my anus (close to the urethral opening) that has been gradually increasing in size. Recently, I visited a specialized clinic covered by health insurance, where the doctor inform...
Dr. Hou Yongji Reply:
1. Currently, laser surgery for hemorrhoids primarily focuses on the treatment of internal hemorrhoids. However, the use of cutting or coagulation tools during the procedure is considered excessive and only increases medical costs without providing significant benefits. 2. For in...[Read More] Is Laser Polyp Removal Covered by Health Insurance in Taiwan?