Understanding Bladder Cancer Treatment: Family Support and Care Tips
Malignant bladder tumor Hello Doctor: My father has been diagnosed with a malignant bladder tumor, but I currently live in a different county and have no other family members who can accompany him. He is scheduled for further examinations next week, but I would like to ask the do...
Dr. Du Shixi Reply:
Hello: If it is in the early stage, it is mostly treated with endoscopic resection combined with intravesical therapy. After that, a cystoscopy is performed every three months along with regular X-ray examinations. At this time, the hospitalization for endoscopic surgery is not l...[Read More] Understanding Bladder Cancer Treatment: Family Support and Care Tips
Understanding Persistent Orgasm and Bladder Neck Surgery: A Urology Perspective
Persistent orgasmic sensation bladder neck surgery Hello Doctor: I would like to briefly summarize my past symptoms and treatments: 1. Incomplete urination, burning sensation in the urinary tract, pain and itching when pressing near the base of the penis close to the perineum, ...
Dr. Xu Wencang Reply:
Consultation is recommended for further evaluation by a physician. Bladder neck incision is irreversible and requires careful assessment. Botulinum toxin injection can also be considered as an option. It is advisable to first conduct urodynamic studies to determine if surgery may...[Read More] Understanding Persistent Orgasm and Bladder Neck Surgery: A Urology Perspective
Understanding Hematuria from Oral Chemotherapy: Risks and Treatments
Hematuria caused by oral chemotherapy agents? Hello Dr. Jian, I would like to ask you again about the cure rate for hematuria caused by cancer drugs like Aredia. Why does hematuria occur intermittently? Will the bladder return to normal, or will it undergo fibrosis? You mentioned...
Dr. Jian Weihong Reply:
1. Cure rate of hematuria: Due to the limited number of studies and patients related to hematuria caused by cancer drugs, as well as the short follow-up time, it is difficult to provide a definitive answer. 2. Why does hematuria come and go: The damage caused by the disease and...[Read More] Understanding Hematuria from Oral Chemotherapy: Risks and Treatments
Understanding Hematuria and Urinary Frequency After Cancer Chemotherapy
Oral administration of cancer medication can cause hematuria? Hello Doctor, I have a friend who has been undergoing oral chemotherapy with Capecitabine for eight months due to cancer. He developed hematuria and increased urinary frequency, prompting the doctor to immediately disc...
Dr. Jian Weihong Reply:
Frequent urination and incontinence may be caused by hematuria, which could be due to cystitis induced by cyclophosphamide. Additionally, it is important to be cautious as cyclophosphamide may also lead to bladder cancer. It is generally recommended to undergo cystoscopy for exam...[Read More] Understanding Hematuria and Urinary Frequency After Cancer Chemotherapy
Understanding Blood in Urine: Causes and Concerns for Men
Hematuria Hello doctor, I have been experiencing a problem for the past ten days. After an erection, I notice blood in my urine, along with blood clots that are soft and pass through the urethra. There have also been instances of blockage. However, after that, when the penis is i...
Dr. Cai Zhuorong Reply:
Doctor, what could be the cause of my condition? A: Blood in urine after an erection is a rare occurrence and has been reported in literature to be associated with venous engorgement of the prostate. However, given your age, the primary concern should be to rule out bladder cance...[Read More] Understanding Blood in Urine: Causes and Concerns for Men
Bladder Cancer Treatment Options: Surgery vs. Radiation and Chemotherapy
Is radiation therapy combined with chemotherapy for bladder cancer an option only in place of surgical removal? Hello Doctor, I would like to provide a brief overview of my father's condition. Since I haven't accompanied him to his appointments, some information may n...
Dr. Du Shixi Reply:
Hello: 1) Urinary tract cancers, specifically stage 1 and stage 2, refer to the presence of lesions. Since bladder cancer can be multifocal, some lesions may not have been present three years ago but have developed since then. This is why physicians recommend regular follow-ups...[Read More] Bladder Cancer Treatment Options: Surgery vs. Radiation and Chemotherapy
Understanding Hematuria: Cystitis Glandularis and Bladder Biopsy Insights
Due to the discovery of hematuria in a urinalysis, a cystoscopy was performed? 1. The biopsy report indicates a diagnosis of "glandular cystitis" in the urinary bladder neck. In English, this is referred to as "glandular cystitis." 2. You should be vigilant a...
Dr. Du Shixi Reply:
1) Cystitis glandularis is a diagnosis based on bladder biopsy, derived from the surface of the bladder; it is sometimes referred to as glandular cystitis. 2) If there is persistent microscopic hematuria, it is recommended to undergo renal ultrasound and urine cytology every six ...[Read More] Understanding Hematuria: Cystitis Glandularis and Bladder Biopsy Insights
Understanding Blood in Urine: Insights on Bladder Cancer Concerns
Suspected bladder cancer? Hello Dr. Du: I am 151675, following up on my question regarding "morning hematuria." In mid-December 2019, one morning I woke up with a dull sensation in my lower abdomen. I went out for a brisk walk and slow jog for about 50 minutes. After re...
Dr. Du Shixi Reply:
Hello: 1) Bladder stones do not necessarily cause lower back pain; stones can also form in the bladder. If they form in the kidneys and then pass into the bladder, that is when lower back or abdominal pain may occur. 2) Yes. 3) It is possible; as long as there is no bleeding, it ...[Read More] Understanding Blood in Urine: Insights on Bladder Cancer Concerns
Understanding Morning Hematuria: Causes and Concerns for Patients
Morning hematuria? Hello Dr. Du, I woke up this morning at 6 AM with a feeling of heaviness in my lower abdomen. I went out for a brisk walk and ran for about 50 minutes. After returning home, the sensation of heaviness and swelling in my lower abdomen and genital area became mo...
Dr. Du Shixi Reply:
Hello: For individuals over 45 years old, the presence of visible hematuria requires thorough examination, as it may indicate potential issues. X-rays and cystoscopy are essential, as we need to rule out the possibility of malignancy, even though it may not necessarily be cancero...[Read More] Understanding Morning Hematuria: Causes and Concerns for Patients
Effective Strategies to Prevent Urinary Tract Infections and Bladder Issues
How to prevent? Hello, doctor. I previously had a habit of holding in my urine for a long time without feeling uncomfortable, so I didn't get checked until recently when I quit this bad habit (about 3 months ago) and went to a urologist. Initially, I had a slight kidney infe...
Dr. Li Xinyi Reply:
Cystitis typically presents with symptoms such as frequent urination and painful urination. Hematuria is also common, even if it is not visible to the naked eye; it can be detected through urinalysis. In terms of overactive bladder, traditional Chinese medicine may be effective, ...[Read More] Effective Strategies to Prevent Urinary Tract Infections and Bladder Issues
Managing Overactive Bladder: Tips for Improvement and Prevention
Urinary problems Doctor, I would like to ask, I previously had a long-standing habit of holding my urine, but I have quit for about three months now. I have been seeing a urologist, and initially, they said I had an infection and inflammation, which improved after taking antibiot...
Dr. Du Mingyi Reply:
Overactive bladder is not related to bladder cancer, so cystoscopy is not necessary. Whether or not to continue medication depends on the condition. Sometimes, adjusting mood, lifestyle, and urination habits, while avoiding excessive stress, can lead to improvement. It is essenti...[Read More] Managing Overactive Bladder: Tips for Improvement and Prevention
Understanding Intermittent Hematuria: Causes and Next Steps
Continuation #147180 Hematuria Issues Hello Doctor: I have been experiencing hematuria for two months, which occurs intermittently, about once or twice a week. I have undergone multiple urine tests, which consistently showed red blood cells >100, and once I had a white blood c...
Dr. Du Shixi Reply:
Hello: Visual inspection of urine shows red color, and urinalysis reveals significant red blood cells. Based on personal experience, if you are over 45 years old and have had hematuria without symptoms for 1-2 days, it is important to undergo thorough examination (of course, if t...[Read More] Understanding Intermittent Hematuria: Causes and Next Steps
Understanding Frequent Urination: Causes and Connections to Masturbation
Frequent urination issues? Hello Doctor: I have been experiencing frequent urination since last week. When I urinate, I only pass a small amount and then can't urinate anymore. At that moment, I don't feel much urge to go, but after leaving the restroom, I feel the need...
Dr. Cai Zhuorong Reply:
There are many causes of frequent urination, ranging from common infections and stones to diabetes and bladder cancer. Please consult a urology clinic for further evaluation.[Read More] Understanding Frequent Urination: Causes and Connections to Masturbation
Understanding Prostate Inflammation: Risks, Symptoms, and Diagnostic Methods
Prostatitis I have been experiencing frequent fevers over the past three months. During the fever, I feel swelling in the perineum and pain around the pubic area. After resting for a few days, the symptoms disappear and the fever subsides. Based on past experiences, it seems to b...
Dr. Du Shixi Reply:
Hello: 1) No 2) No 3) Most likely it will increase; however, I personally do not recommend performing a digital rectal exam during inflammation, as it may prolong the healing process. 4) It is mostly due to hematuria or poorly treated inflammation; a definitive diagnosis requires...[Read More] Understanding Prostate Inflammation: Risks, Symptoms, and Diagnostic Methods
Understanding Bladder Cancer Risks and MRI Findings: Expert Insights
Inquiry about bladder cancer issues? Hello Dr. Du, I underwent an MRI during my health check-up, which inadvertently revealed a suspected bladder cancer, indicating invasion into the bladder's fat layer. My urine tests showed no microscopic hematuria, and a follow-up urine t...
Dr. Du Shixi Reply:
Hello: Bladder cancer requires diagnosis through cystoscopy and pathology. Please visit the urology department at a medical center for examination, and bring your MRI films for the physician's reference. Although bladder cancer can present with hematuria, it is not always de...[Read More] Understanding Bladder Cancer Risks and MRI Findings: Expert Insights
Understanding Persistent Urinary Symptoms: What You Need to Know
Abnormal urination? Hello, Doctor. I am a male and previously experienced burning during urination. I was checked for gonorrhea, and despite receiving injections and medication, my condition did not improve upon follow-up. The doctor mentioned that repeated infections might cause...
Dr. Du Shixi Reply:
Hello: Treatment for urethritis typically takes about two weeks, and most patients notice an improvement in symptoms within three days, with resolution usually occurring within seven days. However, a small portion of individuals may have difficulty recovering, often due to not fu...[Read More] Understanding Persistent Urinary Symptoms: What You Need to Know
Understanding Bladder Cancer Follow-Up: Accuracy of Cystoscopy and Other Tests
Regular follow-up for bladder cancer? Hello Dr. Du, my father has stage 1 bladder cancer. He previously underwent surgery for tumor resection. Currently, he is being monitored with cystoscopy every three months. I would like to ask if cystoscopy is accurate? Is there a need for i...
Dr. Du Shixi Reply:
Hello: A cystoscopy follow-up for bladder cancer is essential every three months (it is the most important and accurate). Other tests will also be required every six months to a year, including blood tests, urinalysis, ultrasound, X-rays, and CT scans, although these may not be p...[Read More] Understanding Bladder Cancer Follow-Up: Accuracy of Cystoscopy and Other Tests
Should You Get Further Tests for Hematuria and WBC in Urine?
If a health check reveals the presence of hematuria (blood in urine) and elevated white blood cells (WBCs) in the urine, further evaluation is typically recommended. This may include additional urine tests, imaging studies, or a referral to a urologist to determine the underlying...
Dr. Du Shixi Reply:
Hello: There may be an issue with the way you are collecting urine. It is recommended that you collect a midstream urine sample, or there may be chronic inflammation. Additionally, you should pay attention to any visible blood in your urine; if the urine appears red, seek medical...[Read More] Should You Get Further Tests for Hematuria and WBC in Urine?
Understanding Bladder Cancer Metastasis and Lung Tumor Diagnosis
Regarding bladder cancer metastasis? My father was diagnosed with stage 1 bladder cancer two years ago and immediately underwent intravesical therapy. During the treatment, there were two instances where the cancer recurred just before the completion of the therapy. Recently, sev...
Dr. Du Shixi Reply:
Hello: It is possible that this is a second type of cancer (the likelihood of developing lung cancer is also very high now). If the oncology department can confirm that it is not metastatic (through a lung biopsy pathology examination to determine if it is of the same tissue type...[Read More] Understanding Bladder Cancer Metastasis and Lung Tumor Diagnosis
Understanding Bladder Cancer Complications: Seeking Answers for Sleepiness and Hematuria
Issues related to bladder cancer? Hello, my mother has bladder cancer and is undergoing chemotherapy and radiation therapy. She was hospitalized on May 1 due to a drop in electrolytes and has since been in a state of excessive sleepiness and unable to speak. Additionally, the iss...
Dr. Chen Jiansheng Reply:
It is advisable to communicate with the primary physician and discuss the concerns you have. If they are unable to address your issues or if their suggested approach is unacceptable to you, then consider transferring to another hospital. Wishing you all the best.[Read More] Understanding Bladder Cancer Complications: Seeking Answers for Sleepiness and Hematuria