Understanding Testicular Pain: Causes and Concerns in Urology
Testicular and urinary tract issues? Hello, doctor. Recently, over the past two or three days, I have noticed some pain when pressing on my left testicle, specifically near the junction of the spermatic cord and the testicle. The pain is not very pronounced and is usually only no...
Dr. Du Shixi Reply:
Hello: Based on your description, the left-sided pain could be due to nerve pain, but it may also be caused by conditions such as orchitis, epididymitis, or varicocele. Prostatitis is also a possibility, although it is less likely. After a physician's examination, several fa...[Read More] Understanding Testicular Pain: Causes and Concerns in Urology
Understanding Diagnosis and Treatment of Chronic Prostatitis: A Patient's Guide
Examination and Treatment of Prostatitis Hello, Dr. Du. I have been diagnosed with chronic prostatitis for some time, and I have some questions regarding the examinations and treatments during this process. 1. I visited an infectious disease specialist who first ordered a CT sc...
Dr. Du Shixi Reply:
Hello: Different examinations have their own advantages and disadvantages. Both CT scans and MRIs can visualize the prostate, but they focus on different aspects. However, transrectal ultrasound can also provide imaging, particularly for the assessment of the prostate and surroun...[Read More] Understanding Diagnosis and Treatment of Chronic Prostatitis: A Patient's Guide
Understanding Varicocele and Chronic Prostatitis: Exercise Guidelines
Testicular and urinary tract issues (2) Hello Doctor, I am the one who asked about left testicular pain the other day. I visited a urologist yesterday, and the doctor mentioned that I have mild varicocele. The pain in the perineum may be caused by chronic prostatitis, but he did ...
Dr. Du Shixi Reply:
Hello: It is not recommended to engage in strenuous abdominal exercises when experiencing symptoms. Wishing you good health.[Read More] Understanding Varicocele and Chronic Prostatitis: Exercise Guidelines
Unexplained Scrotal Sweating: What Tests Should You Consider?
If you are experiencing abnormal sweating and heat in the scrotum, what tests should I undergo? Hello doctor, I discovered that I often experience unexplained sweating in the scrotal and groin area around mid-last year. There was no significant discomfort, just a feeling of warmt...
Dr. Liu Mingyue Reply:
Hello: The scrotum and groin area are considered private areas, usually covered by underwear and outer clothing. If there is only localized excessive sweating, it may be important to ensure proper ventilation; wearing shorts at home could help. If the problem persists, please con...[Read More] Unexplained Scrotal Sweating: What Tests Should You Consider?
Unexplained Groin Sweating: Possible Causes and Next Steps
Excessive sweating in the scrotal and groin area? Hello Doctor, I discovered that I often experience unexplained excessive sweating in the scrotal and groin area around mid-last year. There hasn't been any significant discomfort, just a feeling of warmth in the scrotal regio...
Dr. Du Shixi Reply:
Hello: The scrotum and groin area are considered private areas, typically covered by underwear and outer pants. If there is only localized excessive sweating, it may be important to ensure proper ventilation, such as wearing shorts at home. If this does not help, please consult a...[Read More] Unexplained Groin Sweating: Possible Causes and Next Steps
Understanding Chronic Prostatitis: Symptoms, Treatments, and Management
Prostatitis Hello Doctor, I would like to ask a few questions regarding chronic prostatitis. I have undergone two semen cultures, which repeatedly showed gastrointestinal bacteria and Staphylococcus epidermidis. I have also taken three courses of quinolone antibiotics (Ciprofloxa...
Dr. Li Xinyi Reply:
Enterococcus generally exhibits strong antibiotic resistance, and bacteria are difficult to eradicate within the prostate. However, immune resistance and overall health are definitely correlated, so maintaining a positive mood, healthy diet, and regular exercise is important. As ...[Read More] Understanding Chronic Prostatitis: Symptoms, Treatments, and Management
Understanding Coccyx Pain: Is It Linked to Chronic Prostatitis?
Coccyx pain from masturbation? Hello, doctor. I am currently 19 years old and have recently experienced pain near the coccyx due to more frequent masturbation. I read online that this could be related to chronic prostatitis. Is this true, or could it just be due to poor posture? ...
Dr. Li Xinyi Reply:
It may not be chronic prostatitis yet; it is likely inflammation caused by the pelvic floor muscles and tendons due to ejaculation and frequent contractions. Resting for a week should help improve the condition. If there are still issues, it is advisable to consult a urologist.[Read More] Understanding Coccyx Pain: Is It Linked to Chronic Prostatitis?
Understanding Urinary Issues: Chronic Prostatitis and Bladder Inflammation
Urinary problems Hello Doctor, I had urinary issues (frequent urination, painful urination, and a feeling of incomplete emptying) a month or two ago, so I went to a large hospital for examination. The urine test showed no inflammation, and my PSA levels were normal. The doctor di...
Dr. Liu Mingyue Reply:
Hello: 1. Is having a strong odor in urine a symptom of prostatitis? If a urinalysis is normal at this time, it may be due to insufficient hydration. If you are concerned, you can have a urinalysis done when experiencing urinary symptoms. 2. Should I continue taking medication...[Read More] Understanding Urinary Issues: Chronic Prostatitis and Bladder Inflammation
Understanding Chronic Prostatitis: Symptoms, Treatment, and Next Steps
I have chronic prostatitis? Hello Doctor, I had urinary issues (frequent urination, painful urination, and a feeling of incomplete emptying) a month or two ago, so I went to a large hospital for an examination. The urinalysis showed no inflammation, and my PSA levels were normal....
Dr. Du Shixi Reply:
Hello: 1. Is having a strong odor in urine a symptom of prostatitis? If a urinalysis is normal at this time, it may be due to insufficient hydration. If you are concerned, you can have a urinalysis done when experiencing symptoms during urination. 2. Should I continue taking m...[Read More] Understanding Chronic Prostatitis: Symptoms, Treatment, and Next Steps
Understanding Urinary Issues: Chronic Prostatitis and Bladder Inflammation
Urinary problems Hello Doctor, I have been experiencing urinary issues (frequent urination, painful urination, and a feeling of incomplete emptying) for the past couple of months, so I went to a major hospital for an examination. The urinalysis showed no signs of infection, and m...
Dr. Du Shixi Reply:
Hello: If not taking medication will affect your quality of life, then you should take the medication. Additionally, pay attention to your lifestyle. Wishing you good health.[Read More] Understanding Urinary Issues: Chronic Prostatitis and Bladder Inflammation
Managing Chronic Prostatitis: Questions on Masturbation and Sexual Health
Chronic prostatitis-related issues? 1. Given your current condition with chronic prostatitis, it is generally advisable to engage in sexual activity, including masturbation, as long as it does not exacerbate your symptoms. However, it is important to listen to your body. If you e...
Dr. Du Shixi Reply:
Hello: 1. Can I still masturbate under the current circumstances? How often should I do it? Or should I practice abstinence? -- It should not be related. 2. What is the definition of masturbation? I often watch adult films, and if I just watch them and maintain an erection wi...[Read More] Managing Chronic Prostatitis: Questions on Masturbation and Sexual Health
Is It Chronic Prostatitis? Understanding Urinary Symptoms and Diagnosis
Is it chronic prostatitis? I have seen two doctors who both diagnosed me with overactive bladder. My symptoms include a strong sensation of residual urine accompanied by a burning sensation near the prostate area, occurring less than two minutes after urination. However, if I can...
Dr. Li Xinyi Reply:
Based on your description, it does seem like there is a chronic infection in the prostate that has not been resolved. Is there any connection with the COVID-19 infection? It appears that a follow-up appointment is necessary to discuss this further with your physician.[Read More] Is It Chronic Prostatitis? Understanding Urinary Symptoms and Diagnosis
Morning Wetness: Is It Nocturnal Emission or Urinary Leakage?
After waking up in the morning, my underwear is damp (a large area), and it seems to have a urine odor? Could it be that I experienced a nocturnal emission this morning when I woke up to find my underwear damp (a large area)? However, it smells like urine, which is different from...
Dr. Li Xinyi Reply:
Medications for chronic prostatitis theoretically could lead to excessive bladder fullness at night, potentially resulting in mild incontinence; however, the likelihood of this occurring is very low. As for whether it is nocturnal emissions, that is something only the individual ...[Read More] Morning Wetness: Is It Nocturnal Emission or Urinary Leakage?
Understanding Recurrent Urethritis: Symptoms, Causes, and Treatment Options
Recurrent urethritis Hello Doctor, I have a normal daily routine and drink water adequately. I only have sexual intercourse with my wife, which is not frequent (about once a week). Around August 15, I experienced acute urethritis for the first time in my life. I visited a nearby ...
Dr. Li Xinyi Reply:
It sounds like prostatitis, and the bacteria cultured may be from the feces. May I ask if there has been any anal intercourse? These bacteria could potentially have strong antibiotic resistance, and a stronger medication may be required, with treatment lasting 4 to 6 weeks. It is...[Read More] Understanding Recurrent Urethritis: Symptoms, Causes, and Treatment Options
Understanding Chronic Prostatitis and STDs: Key Questions Answered
Chronic prostatitis, sexually transmitted diseases? Hello, doctor. I had oral sex on August 4th, and three days later, I felt a slight sting at the tip of my urethra (with no other discomfort). A week later, I went for a full sexually transmitted infection (STI) screening, and al...
Dr. Du Shixi Reply:
Hello: Chronic prostatitis can refer to http://www.shutien.org.tw/dr_doc_detail.aspx?bookid=8011. Is it true that DNA PCR can accurately detect even during the latent period? --> It depends on the equipment; you should inquire with the testing facility. 2. Is there a possibili...[Read More] Understanding Chronic Prostatitis and STDs: Key Questions Answered
Understanding Chronic Prostatitis: Treatment Challenges and Solutions
Chronic prostatitis issues? Hello Doctor, I have been suffering from chronic prostatitis for a year. During this time, my semen culture has shown bacteria at times and at other times it has not. The first culture revealed Enterococcus faecalis, and I was prescribed oral Norfloxac...
Dr. Li Xinyi Reply:
Initially, it was Enterococcus faecalis. Are there any issues related to anal intercourse or sexually transmitted infections (STIs)? The pathogens of STIs are often difficult to culture and diagnose, and if risky sexual behaviors continue, the problem may not be resolved. I suspe...[Read More] Understanding Chronic Prostatitis: Treatment Challenges and Solutions
Understanding Scrotal Ultrasound Results: What Do They Mean for Your Health?
Scrotal ultrasound results? Hello Doctor: I have seen the pathological report from the scrotal ultrasound in my health record (as follows), and I am very anxious. Although I have looked up the translation, I would still like your help to understand whether everything appears norm...
Dr. Du Shixi Reply:
Hello: The report also mentioned that there is localized fluid accumulation in the right inguinal canal. Could you please explain why this might occur (such as inguinal strain, excessive pressure, or possibly due to previously diagnosed chronic prostatitis)? --> It is mostly u...[Read More] Understanding Scrotal Ultrasound Results: What Do They Mean for Your Health?
Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Management
Chronic prostatitis Two years ago, I sought medical attention for urethritis, which has recurred intermittently. At the beginning of last year, I was diagnosed with overactive bladder, experiencing frequent urination both day and night, but without pain. Towards the end of last y...
Dr. Du Shixi Reply:
Hello: This information is for reference only and cannot replace a physician's examination. Regarding the examination and tests: 1) Chronic prostatitis is a possibility. 2) This condition requires attention to lifestyle and dietary habits, as well as regular exercise, for lo...[Read More] Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Management
Understanding Groin Discomfort: Causes and Concerns in Urology
Inguinal issues? Hello Doctor: After experiencing gastroenteritis in early June this year, I noticed discomfort in my right inguinal region, scrotum, and groin area. Sometimes it feels tight, occasionally painful, and at times it feels like something is stuck (initially, sitting ...
Dr. Du Shixi Reply:
Hello: Is it possible that this could be chronic prostatitis or other related conditions? If medication has not improved the situation, shouldn't it be the case that if it were truly a strain or nerve pain issue, it could persist for nearly two months? Wishing you good healt...[Read More] Understanding Groin Discomfort: Causes and Concerns in Urology
Chronic Prostatitis Caused by Enterococcus: Treatment Challenges and Insights
Enterococcus prostatitis Hello Doctor, I have been diagnosed with chronic prostatitis (Enterococcus faecalis). I have been undergoing treatment with fosfomycin for a month, but it seems there hasn't been much improvement; the bacterial culture of my semen still shows bacteri...
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Chronic Prostatitis Caused by Enterococcus: Treatment Challenges and Insights