Bladder cancer, Urology FAQ

Understanding Neobladder Surgery: Controlling Urination After Bladder Removal

Artificial bladder Hello Doctor: My father has been diagnosed with bladder cancer and needs to undergo a radical cystectomy. He is now considering whether to use a segment of his intestine to create a neobladder. I would like to ask if, after the creation of the neobladder and wi...

Dr. Du Shixi Reply:
A physician must not perform treatment, prescribe medication, or issue a diagnosis without a personal examination. Hello: If the stoma for an artificial bladder is located on the abdomen, some patients may require a urinary bag. Currently, there are procedures to create a new art...

Understanding Bladder Discomfort: Causes and Concerns for Young Men

Bladder area discomfort or pressure? Hello Doctor: I am currently 25 years old, male, and I masturbate about once a day. For the past few years, I have felt a dull ache in the area above my genitals and around my bladder (especially on both sides) after masturbation. Sometimes, I...

Dr. Du Shixi Reply:
Hello: Your condition requires at least a visit to the hospital for a urine test to determine the cause. Kidney issues may present with proteinuria, bladder cancer can cause hematuria, and inflammation may show white blood cells. You are too young for prostate cancer; it is advis...

Understanding Blood in Urine: Concerns About Cancer and Kidney Stones

I have been constantly worried that I might have cancer? Hello, Doctor. In April, I experienced hematuria once, which was quite significant (I had blood in my urine for four consecutive bathroom visits). My bladder felt slightly painful, but it wasn't severe. The next day, I...

Dr. Sun Hongshun Reply:
Hello, the four issues you mentioned are all possible, except for issue 3. If there is hematuria, the urinary system should be affected, not just the muscular tissue. It is recommended to visit a urology clinic at a teaching hospital for further examination. Wishing you good heal...

Understanding Fever Symptoms After Bladder Removal Surgery

Fever symptoms after bladder resection surgery? Dear Dr. Huang, My father underwent a bladder removal surgery due to bladder cancer in early April. Two weeks post-surgery, he began experiencing recurrent fevers (approximately 37.5 to 37.6 degrees Celsius, which then subsided). H...

Dr. Li Xinyi Reply:
Fever of unknown origin: Even during hospitalization, a physician's direct examination may not necessarily lead to a diagnosis. There are many possibilities, including drug-induced causes. I apologize for not being able to answer your question.

Understanding Hematuria: Treatment Options and When Surgery is Needed

Hematuria issues Is it easy to manage the symptoms of hematuria? Does it require surgery, or can it be treated with medication?

Dr. Xu Weikai Reply:
Xu: Hello, hematuria is just a symptom, not a disease. What needs treatment is the underlying cause of hematuria. For example, if hematuria is caused by exercise, resting for a few days may suffice. If hematuria is due to bladder cancer, treatment of the tumor is necessary. If th...

Understanding Blood in Urine: Causes and When to Seek Help

Lower abdominal discomfort and hematuria? Hello, Dr. Hsu: I have experienced several episodes of severe hematuria (resembling cranberry juice) over the past six months, which are not painful (though sometimes I do have lower back pain and dull pain in my lower abdomen). I quickly...

Dr. Xu Weikai Reply:
Hello, if you frequently experience hematuria, it is advisable to seek medical evaluation. Your symptoms are more indicative of cystitis. However, if it occurs regularly, a cystoscopy may be necessary. If the hematuria coincides with your menstrual cycle, consider the possibility...

Understanding Bladder Health: Pain, Calcium Deposits, and Cancer Risks

Questions regarding the bladder? Doctor, I have a question that I forgot to ask, and I apologize. Recently, I experienced a sudden sharp pain in my bladder (it was very painful). The next day, I went to the hospital for an examination. The doctor arranged for a urinalysis and an ...

Dr. Xu Weikai Reply:
Hope for Health: Hello! 1. If you have just finished a clinic visit, you can initially follow the recommendations of your outpatient physician. If there is no improvement after some time, you can return to the clinic. You may observe your condition and retest the quantitative mea...

Excessive Masturbation: Risks of Prostate Enlargement and Cancer

Excessive masturbation Doctor: 1. I recently read a report stating that excessive masturbation among high school students in Kaohsiung can lead to prostate enlargement, and there are claims online that prostate enlargement or inflammation can easily lead to prostate cancer. I hav...

Dr. Xu Weikai Reply:
Hope for Health: Hello, 1. Excessive masturbation does not cause irreversible prostate enlargement; it only leads to localized inflammation and swelling, which is reversible. The clinical symptoms are very similar to those of bladder cancer, which is highly unlikely. Bladder ca...

Understanding Prostate and Testicular Cancer Risks: Myths and Facts

Prostate cancer Dear Dr. Liu: 1. Does frequent masturbation in men increase the risk of prostate cancer or testicular cancer? I have been masturbating regularly (once a day for 3 to 4 years), and I am now considering moderation, but I am concerned that my previous habits may hav...

Dr. Liu Jiaju Reply:
Hello! While masturbation is a normal way for young men to relieve physiological needs, it should not be indulged in excessively. Currently, there is no evidence linking it to cancer. It is advisable to develop good lifestyle and dietary habits to prevent the occurrence of cancer...

Can Chronic Bladder Inflammation Lead to Bladder Cancer?

Cystitis Hello, Dr. Hsu. I would like to ask if chronic bladder inflammation can lead to bladder cancer. Since I started treatment for my bladder inflammation, I have had to interrupt the treatment twice due to work commitments, and I still haven't recovered. Recently, my sy...

Dr. Xu Weikai Reply:
Hello, if you frequently experience inflammation, certain bacteria or toxins may potentially trigger malignant changes. If you have concerns, it is advisable to seek medical attention nearby. If there are any unclear points, feel free to ask again, and we can further discuss and ...

Common Urological Concerns: Questions About Kidney Health and More

Regarding urinary issues? Hello Dr. Hsu: I have several questions regarding urological issues and hope you can help me answer them! 1. I drink 3000cc to 5000cc of water daily. I read online that this could be harmful to the kidneys. Is that true? What is the normal amount of wat...

Dr. Xu Weikai Reply:
Hope you are happy every day: 1. Maintain a daily urine output of 1200-1500 milliliters. 2. There are no reports from Western medicine regarding this matter. 3. It is best to undergo an examination, as certainty cannot be established otherwise. 4. Frequent infections may lea...

Understanding Semen Issues and Safe Masturbation Practices

Issues Related to Semen in Masturbation Dear Doctor: I have some physical concerns that I would like to consult a professional about. 1. I have been engaging in long-term masturbation for about 3.4 years (almost once a day). Will this cause any health issues, such as prostate c...

Dr. Fu Shizhang Reply:
1. No 2. Normal 3. No special regulations

Understanding Urethritis: Symptoms, Risks, and When to Seek Help

Urethritis Hello, Dr. Hsu! About a year or two ago, I experienced symptoms of urgency, frequency, and a feeling of incomplete bladder emptying (about half an hour after drinking water). However, I recently noticed that these symptoms seem to be getting worse. I went to the hospit...

Dr. Xu Weikai Reply:
Hello, bacterial infections rarely cause cancer. Unless there are frequent infections and inflammation that continuously stimulate the cells, it is possible for cellular mutations to occur, leading to the transformation into cancer cells. I hope this answer is helpful to you. If ...

Understanding Urinalysis: What Your Results Might Indicate

Urinalysis Hello, I went for a urine test after school to monitor protein levels and found 28 red blood cells along with proteinuria ++. Since I have had intermittent proteinuria in the past, my doctor recommended ongoing monitoring. This was the first time I tested positive for ...

Dr. Xu Weikai Reply:
Xiao Xi: Hello, I think that being young, one is unlikely to have cancer. Additionally, prior to a urine test, excessive exercise or holding in urine can cause blood to appear in the urine. Therefore, for the next urine test, please avoid holding in urine and refrain from vigorou...

Understanding Interstitial Cystitis: Symptoms, Diagnosis, and Support

Response regarding interstitial cystitis issues? Thank you, Dr. Hsu, for your response. I hope this message finds you well! My symptoms are quite unusual. So far, I have only undergone an ultrasound and a bladder function test. During the bladder function test, potassium chloride...

Dr. Xu Weikai Reply:
David: Hello. 1. A cystoscopy can visualize the prostate. 2. Bladder distension requires a certain amount of pressure and time, and it will be closely monitored. The chance of rupture is extremely low. However, due to the distension, minor injuries may still occur. Postoperativel...

Understanding Bladder Pain: Stones or Tumors at 23?

I'm not sure if it's a stone? I am 23 years old and three weeks ago, I had a 0.4 cm stone in my bladder, which caused hematuria. I consulted a doctor who advised me to drink more water and prescribed medication, but I have been feeling uncomfortable in my bladder for th...

Dr. Xu Weikai Reply:
Mr. Zheng: Hello, regarding lesions in the bladder, including tumors or stones, the most accurate method is to perform a cystoscopy. During a cystoscopy, if small stones are observed, they can be removed at the same time; if a suspected tumor is seen, it can also be excised. Note...

Does Hair Dye Increase Bladder Cancer Risk? Expert Insights and Tips

The relationship between hair dyeing and the risk of bladder cancer? Hello, Doctor: I am considering dyeing my hair, but I have come across many news articles stating that hair dyeing may increase the risk of bladder cancer. I would like to ask for your opinion. If I only dye my ...

Dr. Jiang Yini Reply:
The development of cancer is related to many factors, including family history, physical condition, psychological state, and the environment one is exposed to. There is a possibility of developing cancer as long as one is exposed to a carcinogenic environment; therefore, the risk...

Understanding the Pros and Cons of Chemotherapy for Superficial Bladder Cancer

Regarding bladder epithelial tissue cancer? Hello Dr. Lai: I would like to ask about a superficial and small bladder urothelial carcinoma that was removed via endoscopic electrosurgery (today, June 16). The physician recommended chemotherapy as a better option. My concern is that...

Dr. Lai Ronghao Reply:
Dear Miss Anna, regarding your inquiry, it is best to consult your attending physician, as providing answers without understanding the patient's condition may lead to incorrect information. Intravesical chemotherapy does not indiscriminately kill both good and bad cells; its...

Managing Bladder Complications and Stroke Risks in Elderly Patients

Bladder necrosis + cerebral thrombosis (stroke) Dear Director Liu, My mother had bladder cancer over ten years ago and underwent cobalt-60 radiation therapy at that time. Last August (97), she was hospitalized due to a stroke caused by a cerebral vascular embolism. After treatme...

Dr. Liu Jianting Reply:
It's better to remain still than to move unnecessarily; please avoid considering such a major surgery unless absolutely necessary. Currently, it seems that the urologist's management is quite good! Moreover, everything that needs to be done has been done, so please coop...

Understanding Artificial Bladders: Surgical Options for Urinary Retention

Artificial bladder Hello, I would like to ask about my condition. I have been experiencing urinary retention for about ten years and have been unable to urinate on my own, so I have been using a catheter. Due to frequent infections, I experience inflammation every 2-3 months, and...

Dr. Xu Weikai Reply:
Hello, due to the complexity of your question, I took a few days to consider a way to respond that you can understand. An artificial bladder is typically created using a portion of the small intestine (approximately 40-60 centimeters), which is surgically shaped and connected to ...

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