Understanding Urination Issues: Chronic Prostatitis and Other Factors
Urinary problems In the past, I had some issues with urination; I couldn't urinate while standing, but I could do so immediately when sitting, so I didn't seek medical attention. Recently, over the past month, I suddenly couldn't urinate while sitting either. After...
Dr. Cai Zhuorong Reply:
A 20-year-old male has rare cases of prostate enlargement, but there is still a possibility of various bladder outlet obstructions. It is recommended to undergo videourodynamic testing.[Read More] Understanding Urination Issues: Chronic Prostatitis and Other Factors
Can Chronic Prostatitis Cause Autonomic Nervous System Disorders?
Can chronic prostatitis lead to autonomic nervous system dysfunction? Hello, I have been dealing with chronic prostatitis for a long time. I have undergone blood tests, urinalysis, urinary flow rate tests, and ultrasounds at the hospital, all of which came back normal. However, t...
Dr. Xu Wencang Reply:
You can consult a neurologist or psychiatrist for further evaluation and consider trying SSRIs that are used to treat premature ejaculation or depression.[Read More] Can Chronic Prostatitis Cause Autonomic Nervous System Disorders?
Understanding Sudden Erectile Dysfunction: Causes and Solutions
Sudden erectile dysfunction? Hello Doctor: For the first three weeks, everything was normal during masturbation. However, on a Sunday (5/10), it seemed that prolonged engorgement (over an hour, with repeated engorgement) led to ejaculation while the penis was in a flaccid state. ...
Dr. Cai Zhuorong Reply:
1. Can prolonged erection lead to venous leakage? (Previously, the firmness was normal, and the erection could last around 10-20 minutes.) A: Venous leakage is mostly caused by trauma. An abnormal erection lasting more than 4 to 6 hours may lead to tissue hypoxia. 2. There is so...[Read More] Understanding Sudden Erectile Dysfunction: Causes and Solutions
Understanding Medication Interactions in Urology: Urief and Solifenacin
Drug interaction issues Hello Doctor, I have a few questions regarding my treatment. I have been diagnosed with chronic prostatitis and visited a urology clinic where I was prescribed Urief. During my last follow-up, I mentioned experiencing frequent urination, and the clinic pre...
Dr. Du Shixi Reply:
Hello: 1) The main function of the two is to be used in different areas; many physicians use them this way, and they should be considered complementary, so there’s no need to worry. 2) No, the chances of this happening are very rare; it’s more important to maintain a normal lifes...[Read More] Understanding Medication Interactions in Urology: Urief and Solifenacin
Why Does My Bladder Feel Full at Night but Produce Little Urine?
Nocturnal bladder distension with low urine output? Hello Doctor, I previously had chronic prostatitis, but it has been well controlled in recent years. However, recently this month, I have been experiencing a feeling of bladder fullness at night that wakes me up to urinate, but ...
Dr. Li Xinyi Reply:
Of course, it is important to first rule out the possibility of prostatitis, so you should see a urologist for an examination. As for your situation, it could be related to sleep issues, which may cause you to wake up easily, indicating insomnia. It could also be caused by rectal...[Read More] Why Does My Bladder Feel Full at Night but Produce Little Urine?
Understanding Skin Peeling on the Glans and Chronic Prostatitis Symptoms
Peeling of the inner foreskin of the glans and issues with prostatitis? Previously, I used the medication Acyclovir ointment for balanitis and felt better after two weeks, so I stopped the treatment. A few days later, I noticed peeling on the glans and the inner foreskin, but the...
Dr. Sun Hongshun Reply:
Hello, based on the symptoms you described, it is advisable to return to the urology clinic for further evaluation and treatment, especially to discuss whether any adjustments to your medication are necessary. I recommend discussing this with your physician.[Read More] Understanding Skin Peeling on the Glans and Chronic Prostatitis Symptoms
Understanding Urief: Managing Side Effects and Ejaculation Concerns
Side effects of Urief medication? Hello doctor, I recently visited the clinic due to chronic prostatitis and received some advice, such as avoiding spicy foods, taking warm baths, and regular ejaculation, among others. However, the clinic prescribed a medication called Urief, whi...
Dr. Du Shixi Reply:
Hello: Ejaculation is normal; it can just occur into the bladder, which may result in varying reactions from individuals. Some may experience a decrease in volume, while others may have no semen at all. Wishing you good health.[Read More] Understanding Urief: Managing Side Effects and Ejaculation Concerns
Understanding Persistent Penile Rigidity: Causes and Concerns
The penis is firm even when not erect? Hello doctor, yesterday I felt that my penis had a sensation of blood not being able to return, resulting in a feeling of congestion. Even in a flaccid state, my penis feels somewhat engorged and hard, unable to completely soften. There has ...
Dr. Du Shixi Reply:
Hello: If you are experiencing symptoms after low-energy shockwave therapy for chronic prostatitis, you should follow up with your physician to discuss whether these symptoms may be related to the treatment. Generally, as long as you do not have an erection lasting more than a fe...[Read More] Understanding Persistent Penile Rigidity: Causes and Concerns
Understanding Chronic Urological Issues: Seeking Answers for Persistent Pain
I don't know what disease it is? Hello Doctor, since before the Lunar New Year until now, I have visited many clinics and large hospitals but have not received a conclusive diagnosis. Before the New Year, I experienced a dull pain in the glans and testicles, with the most no...
Dr. Du Mingyi Reply:
It sounds like chronic prostatitis is a challenging condition that can sometimes be difficult to cure. It may also be related to mental stress. It is advisable to relax and manage stress appropriately, drink plenty of water, and exercise regularly. You may also consider visiting ...[Read More] Understanding Chronic Urological Issues: Seeking Answers for Persistent Pain
Understanding Chronic Prostatitis: Symptoms, Treatment, and Recovery Insights
Chronic prostatitis I was diagnosed with chronic prostatitis, and I have been experiencing prolonged and variable pain in my penis, pain during ejaculation, and persistent discomfort near the perineum close to the anus. My doctor prescribed Uroflow and Colabital (out-of-pocket) f...
Dr. Du Mingyi Reply:
Chronic prostatitis is a challenging condition, and it is recommended to consult a clinic rather than attempting self-massage. As for balanitis, it is advisable not to apply medications indiscriminately; it is better to have a physician evaluate the condition before proceeding wi...[Read More] Understanding Chronic Prostatitis: Symptoms, Treatment, and Recovery Insights
Unresolved Urethral Discomfort: Seeking Answers and Diagnosis
Persistent urethral discomfort remains undiagnosed? Hello, doctor! I am the one who asked about the undiagnosed condition of Xiao Gao this morning. Over the past year and a half, I have tested for HIV and syphilis twice, both results were negative after the window period. I would...
Dr. Du Shixi Reply:
Hello: 1) Urine tests primarily for syphilis and HIV. 2) Chronic prostatitis is difficult to diagnose, prone to recurrence, and treatment may take at least several months. You can refer to http://www.shutien.org.tw/dr_doc_detail.aspx?bookid=603. Since your tests are normal, it ma...[Read More] Unresolved Urethral Discomfort: Seeking Answers and Diagnosis
Unresolved Urethral Discomfort: Seeking Answers for Persistent Symptoms
Persistent urethral discomfort remains undiagnosed? In late July 2018, I received oral sex at a massage parlor. The next day, I experienced intense itching at the urethral opening of my penis, to the extent that I constantly scratched the area. When I masturbated, I noticed a whi...
Dr. Du Shixi Reply:
Hello: 1) It is quite common to have inconclusive test results, where only symptoms are present. Sometimes, results can only be detected when symptoms first appear, and it may be even harder to detect after treatment (whether blood tests are involved, as some require blood draws)...[Read More] Unresolved Urethral Discomfort: Seeking Answers for Persistent Symptoms
Chronic Prostatitis vs. Interstitial Cystitis: Understanding Your Urological Issues
Prostatitis or cystitis I started experiencing urinary issues at the end of January this year (I had a strong urge to urinate in the morning, and by the afternoon, problems began). I have been experiencing frequent urination and nocturia (waking up at night in pain, urinating les...
Dr. Du Shixi Reply:
Hello: Chronic prostatitis is more likely, while interstitial cystitis requires cystoscopy for diagnosis. Both conditions are difficult to treat and may recur. If there are aspects of your lifestyle that can be improved, please pay attention to them. You can refer to http://www.s...[Read More] Chronic Prostatitis vs. Interstitial Cystitis: Understanding Your Urological Issues
Understanding Prostatitis: Symptoms, Treatment, and Exercise Guidelines
Prostatitis I have been experiencing a burning and stabbing sensation at the lower edge of the urethra for about two weeks, occurring one to two minutes after urination and lasting for about an hour. There is no pain during urination, but I do feel a swelling sensation in the per...
Dr. Li Xinyi Reply:
Indeed, there is a condition similar to prostatitis. However, treatment for prostatitis may require at least one month of medication, as the course of treatment is relatively long. Additionally, it is essential to clearly inform the healthcare provider about any high-risk sexual ...[Read More] Understanding Prostatitis: Symptoms, Treatment, and Exercise Guidelines
Understanding Gonorrhea Aftermath: Symptoms, Treatment, and Recovery
Complications of Gonorrhea I would like to ask about the symptoms of gonorrhea that appeared in mid-January last year, but I didn't complete treatment until around mid-May. Could there be serious long-term effects from this? Currently, I seem to be experiencing some aftereff...
Dr. Du Shixi Reply:
Hello: The tests have returned normal, but symptoms persist. It's important to pay attention to your lifestyle, as prolonged treatment may lead to some chronic effects. It is advisable to consistently visit a urology department at a hospital for treatment of urinary symptoms...[Read More] Understanding Gonorrhea Aftermath: Symptoms, Treatment, and Recovery
Understanding Lower Abdominal Discomfort: Causes and Concerns
Lower abdominal discomfort? At first, I experienced some abdominal strain for about 5 seconds during bowel movements, followed by some pain that has persisted for a while. Today, I felt a continuous dull pain that varies in intensity; sometimes it feels better, and sometimes I ca...
Dr. Li Xinyi Reply:
Indeed, excessive abdominal strain and increased intra-abdominal pressure can lead to discomfort in the lower abdomen. It is advisable to treat constipation properly and develop good dietary and bowel habits to avoid excessive abdominal exertion. If there are any concerns, it is ...[Read More] Understanding Lower Abdominal Discomfort: Causes and Concerns
Understanding Abdominal Strain-Induced Headaches: Causes and Insights
Abdominal straining causing headaches? I have stiffness in my neck and shoulders, so I notice that when I exert myself (like during bowel movements, pushing for about 5 seconds), I sometimes experience pain in the back of my head, but occasionally I also feel pain in the front of...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the most common cause is tension-type headache, rather than an issue related to intracranial pressure. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with a wide ra...[Read More] Understanding Abdominal Strain-Induced Headaches: Causes and Insights
Pain in the Anus During Ejaculation: Possible Causes and Solutions
Pain in the anus during ejaculation? Hello Doctor: I experience pain in my anus during ejaculation, which lasts about 5 seconds. I had a colonoscopy last month, and there were no issues found in the rectum. I have hemorrhoids, and I notice blood almost every time I wipe after a b...
Dr. Cai Zhuorong Reply:
Your symptoms may suggest chronic prostatitis; please consult a urologist.[Read More] Pain in the Anus During Ejaculation: Possible Causes and Solutions
Understanding Infection Risks in Urology: Hair Removal and Chronic Conditions
Infection Issues 2 Regarding the infection issue (while showering, I felt hair on the surface of the vulva that needed to be removed, and when I pulled it, I accidentally broke the skin and it bled. Will this lead to an infection?). I have a history of chronic prostatitis and arr...
Dr. Li Xinyi Reply:
Hello, the two chronic conditions you mentioned are not significantly impactful. It's important to take care of the wounds and monitor them closely. If any issues arise, you should go to the hospital for a doctor's examination.[Read More] Understanding Infection Risks in Urology: Hair Removal and Chronic Conditions
Understanding Penile Issues: Exploring Varicocele and Chronic Prostatitis
Penile issues There is a prominent green vein on the upper side of the penis that tends to disappear when lying flat, but there is also a sensation of soreness near the groin and testicles. Could this be related to varicocele? Additionally, is there any connection to chronic pros...
Dr. Li Xinyi Reply:
It is normal for veins to become prominent on the penis; however, if you have concerns, it is advisable to consult a urologist. Regarding the symptoms you mentioned, discomfort in the groin and perineal areas is often associated with conditions such as varicocele and chronic pros...[Read More] Understanding Penile Issues: Exploring Varicocele and Chronic Prostatitis