Understanding Left Testicle Swelling: Symptoms and Treatment Options
Regarding swelling of the left testicle? Symptom Inquiry: I have been experiencing swelling and discomfort in my left testicle for almost a year now. It's not very painful, but it's quite uncomfortable. The discomfort varies; sometimes it's more pronounced, and rec...
Dr. Chen Xiuyi Reply:
Hello: The left testicle has swelling and pain. Common causes include epididymitis, varicocele, semen infection, tumors, and muscle nerve pain. It is best to seek medical attention and be evaluated by a urologist. Sincerely, Dr. Chen Hsiu-Yi, Urology.[Read More] Understanding Left Testicle Swelling: Symptoms and Treatment Options
Understanding Urological Concerns: Common Symptoms and When to Seek Help
Urgent matter? Hello doctor, I have three questions I would like to ask for your help with, thank you. 1. I have a habit of pulling back my foreskin to clean my glans while showering. However, about a month ago, I noticed many small red bumps on my glans that look like blisters...
Dr. Chen Xiuyi Reply:
Hello: The most common reasons for one side of the scrotum being larger than the other include hernia, hydrocele, epididymitis, and tumors, which require medical evaluation for diagnosis confirmation. The white substance under the foreskin is likely smegma, related to hygiene pra...[Read More] Understanding Urological Concerns: Common Symptoms and When to Seek Help
Understanding Urinary and Sexual Health Issues: A Comprehensive Guide
Issues related to urination and masturbation? Hello Doctor, I have a few questions to ask: 1. When I go to the restroom and there are many people around, I find it difficult to urinate smoothly (when I'm alone or in the morning, my urination is quite forceful). How can I...
Dr. Chen Xiuyi Reply:
Hello: When using the restroom, if there are many people nearby, it can lead to difficulty in urination, likely due to anxiety causing bladder neck spasms. Consider treatment with neuromuscular blockers. Masturbation should not pose significant issues as long as it does not affec...[Read More] Understanding Urinary and Sexual Health Issues: A Comprehensive Guide
Understanding Hematospermia: Causes, Diagnosis, and Treatment Options
Spermatorrhea I have been experiencing hematospermia for over three weeks! It started with bright red blood and later appeared brownish on several occasions. I found online that hematospermia can take anywhere from two months to two years to resolve, but it may also recur. How wo...
Dr. Lin Hexing Reply:
Hello, Xiao Zhou: The most common condition associated with hemospermia is inflammation of the reproductive tract, which includes epididymitis, orchitis, or vascular diseases, while malignant tumors account for a very small portion of the causes. It is recommended to first perfor...[Read More] Understanding Hematospermia: Causes, Diagnosis, and Treatment Options
Swelling Behind the Testicles: Causes and Solutions for Concerned Families
There is swelling behind the testicle? I'm sorry, but I would like to ask the doctor a question. My father has swelling in the area where he urinates. He went to a small clinic, and the doctor said there is fluid accumulation in the scrotum. As a result, they made a small in...
Dr. Chen Xiuyi Reply:
Hello: Based on your description, the most likely condition is epididymitis accompanied by secondary scrotal hydrocele. This condition is more difficult to treat in diabetic patients and requires a longer duration of antibiotic therapy. If there is a fever present, hospitalizatio...[Read More] Swelling Behind the Testicles: Causes and Solutions for Concerned Families
Understanding the Uncommon Condition of Spermatic Cord Epididymitis
Strange Epididymitis Hello Doctor: My husband has pain above his left testicle (not the testicle itself, but it feels like a cord or tube above the testicle) when pressed, it feels hard, and there is a sensation of fullness. A urologist has examined him and diagnosed him with epi...
Dr. Chen Xiuyi Reply:
Hello: The spermatic cord contains arteries, veins, lymphatic vessels, the vas deferens, and soft tissue, and it may become swollen due to inflammation, although this is less common in clinical practice. More commonly, epididymitis occurs, which is generally a result of retrograd...[Read More] Understanding the Uncommon Condition of Spermatic Cord Epididymitis
Understanding Azoospermia: Causes and Treatment Options Explained
Azoospermia? Hello Dr. Hsu: I have been married for almost a year, and my wife has not become pregnant. Recently, we went to the hospital for examinations. After the tests, the doctor said my wife is fine, but my semen analysis revealed no sperm, which left me quite shocked. Th...
Dr. Xu Weikai Reply:
Xiao Zhao: Hello, azoospermia is clinically quite troublesome. Common causes include hormonal imbalances, chromosomal or genetic abnormalities, abnormal testicular development (which means no sperm production), underdeveloped or abnormal epididymis or vas deferens, bilateral epid...[Read More] Understanding Azoospermia: Causes and Treatment Options Explained
Understanding Testicular Atrophy After Varicocele Surgery: Causes and Concerns
Varicocele surgery Last August, I underwent surgery for left testicular fixation and bilateral varicocele repair, with incisions made near the scrotum between the two testicles. I received over twenty stitches. When I was 17 or 18 years old, my left testicle twisted 90 degrees, b...
Dr. Xu Weikai Reply:
Depressed Male: Hello, hearing about your experience is truly touching (just kidding). Generally, after a routine testicular fixation surgery, there may be localized inflammation, which is not necessarily an infection; sometimes, it can be an allergic reaction to the sutures. Typ...[Read More] Understanding Testicular Atrophy After Varicocele Surgery: Causes and Concerns
Understanding Epididymitis: Causes, Treatment, and Lifestyle Tips
Epididymis Hello doctor, my left testicle feels uncomfortable. I went to see a doctor who said it is epididymitis with mild tenderness. I had a urine test and prostate fluid analysis, which showed no bacteria. The doctor mentioned that I might be too tired from staying up late. I...
Dr. Xu Weikai Reply:
Health is the most important: Hello, it's nice to see you again. The so-called epididymitis refers to an infection of the epididymis caused by bacteria. This is often due to factors such as physical exhaustion, decreased immunity, or poor hygiene practices, such as holding i...[Read More] Understanding Epididymitis: Causes, Treatment, and Lifestyle Tips
Understanding Scrotal Pain: Causes and When to Seek Help
Scrotal pain? In the past couple of days, it seems that my scrotum has hardened and is painful, somewhat resembling dehydration as it feels dry, but there is no swelling. However, it does appear red. I'm not sure what the issue might be. Thank you.
Dr. Lin Wenxu Reply:
Based on your description, it is possible that this is an early manifestation of an infection, such as epididymitis, acute orchitis, or scrotal dermatitis. It is recommended to visit a urology clinic for further evaluation and treatment.[Read More] Understanding Scrotal Pain: Causes and When to Seek Help
Is Severe Pain in the Spermatic Cord Normal? Understanding Causes and Solutions
Is it normal to experience severe pain in the spermatic vein area? Hello Dr. Hsu, I need your help. My husband is currently in the United States. Since July of last year, he has been experiencing significant pain around his testicles, described as a sharp pain. In September, he w...
Dr. Xu Weikai Reply:
Miss Sun: (Please forgive me if I am guessing incorrectly) The pain associated with varicocele is quite distinctive: 1. It typically occurs after prolonged standing, physical activity, in the evening, or at night. It usually affects the left side, with the right side being rare. ...[Read More] Is Severe Pain in the Spermatic Cord Normal? Understanding Causes and Solutions
Understanding Epididymitis: Hardness, Pain, and Fertility Concerns
Epididymitis occurred approximately four months ago? Four months ago, I had epididymitis and sought medical attention due to a painful hard lump in the epididymis and discomfort in the groin area. After taking medication for a month, both areas are no longer painful, but the epid...
Dr. Liu Jianting Reply:
1. After inflammation, there may be hard remnants, which is normal. 2. After treatment, sometimes due to inflammation, the nerves may be more sensitive, leading to occasional tenderness; however, recurrence cannot be ruled out. If symptoms persist or worsen, consult a urologist...[Read More] Understanding Epididymitis: Hardness, Pain, and Fertility Concerns
Understanding Testicular Pain: Causes, Treatments, and Fertility Concerns
My testicles hurt so much... it hurts to stand up straight. >_<” Dr. Hsu: 1. On January 8, I felt some pain in my testicles. From January 9 to 10, the pain increased, and on January 11, I sought medical attention (while in China). 2. The doctor examined me and said that the...
Dr. Xu Weikai Reply:
Hello, based on your description, it seems to be epididymitis. The standard treatment typically requires the use of antibiotics for 4 to 12 weeks (yes, that's 1 to 3 months), based on the results of urine culture. If the treatment is incomplete or not administered, it can le...[Read More] Understanding Testicular Pain: Causes, Treatments, and Fertility Concerns
Understanding Testicular Surgery: Recovery, Size Changes, and Fertility Concerns
Left testicular fixation surgery combined with bilateral varicocelectomy? Doctor, I would like to ask about my condition. Two months ago, I underwent left testicular fixation surgery along with bilateral varicocele surgery, with incisions made near the scrotum. A few days after t...
Dr. Xu Weikai Reply:
Jia-Jia: Hello, I really admire you for performing so many surgeries in such a short time. It truly takes courage. Generally, my patients are rarely willing to undergo complete surgeries at once; they prefer to minimize the extent of the procedure whenever possible, but ultimatel...[Read More] Understanding Testicular Surgery: Recovery, Size Changes, and Fertility Concerns
Does Masturbation Worsen Urological Conditions? Key Insights
Masturbation can exacerbate certain conditions, such as anxiety disorders or depression, particularly if it leads to feelings of guilt or shame. Additionally, excessive masturbation may contribute to issues like erectile dysfunction or premature ejaculation in some individuals. H...
Dr. Xu Weikai Reply:
Re-examinee: Hello, regarding your questions: 1. Unless you are genuinely feeling unwell or in pain, there should be no contraindications to the aforementioned situations. 2. Mild pain in the testicles could potentially indicate testicular torsion, but it may also be due to other...[Read More] Does Masturbation Worsen Urological Conditions? Key Insights
Understanding Varicocele Surgery Risks and Post-Operative Care
Varicocele Hello, doctor. Last week, I underwent left testicular fixation surgery and bilateral varicocele ligation. The incision from the left testicular fixation surgery is about four centimeters. What type of surgery is the incision on the right side in the testicular area? Du...
Dr. Xu Weikai Reply:
A-Ming: Generally, a typical wound may experience swelling for more than 1-2 weeks, but bleeding or infection is rare. After 3 days post-surgery, applying local ice can reduce both the severity and duration of the swelling. Epididymitis may occasionally occur after scrotal surger...[Read More] Understanding Varicocele Surgery Risks and Post-Operative Care
Understanding Epididymitis, Prostatitis, and Testicular Microlithiasis: What to Do?
Epididymitis + prostatitis + varicocele + testicular microlithiasis... what should I do? Hello Doctor, I experienced unexplained testicular pain and went to Tri-Service General Hospital for an examination. The doctor diagnosed me with epididymitis. Feeling anxious, I then visited...
Dr. Xu Weikai Reply:
Ray: Hello, Dr. Chang Hong-Jiang is a physician at National Taiwan University specializing in male infertility, and he has conducted extensive research in this area. Based on his diagnosis, there should be no issues; the rapid decline in sperm count may be due to testicular patho...[Read More] Understanding Epididymitis, Prostatitis, and Testicular Microlithiasis: What to Do?
Understanding Gonorrhea: A Patient's Journey Through Misdiagnosis and Treatment
About Gonorrhea The doctor initially prescribed tetracycline for my gonorrhea, but it was ineffective. Then, I was given BACCIDAL. After the first week, I noticed some improvement, but by the second week, my condition worsened. It turned out that your hospital's prescription...
Dr. Liu Jianting Reply:
Continue with your treatment diligently![Read More] Understanding Gonorrhea: A Patient's Journey Through Misdiagnosis and Treatment
Understanding Testicular Lumps: When to Seek Further Medical Advice
The testicular lump has not resolved? Hello, doctor. I apologize for bothering you during your busy schedule, but I have been quite troubled and need your clarification. I visited the doctor on Monday for epididymitis, and the physician prescribed medication for me and asked me t...
Dr. Xu Weikai Reply:
Hello, regarding epididymitis, the treatment duration typically ranges from 6 to 12 weeks, depending on the type of bacteria and the response to medication. Generally, epididymitis can cause significant swelling, sometimes even larger than the original testicle. If you mention th...[Read More] Understanding Testicular Lumps: When to Seek Further Medical Advice
Understanding Epididymitis: Diagnosis, Treatment, and Recovery Tips
Again about epididymitis? Thank you very much for your detailed explanation last time, doctor. I have another question today. I have a lump on my testicle (actually it is elongated, about 0.4 cm), and after seeing a doctor, it was diagnosed as epididymitis. I later researched onl...
Dr. Xu Weikai Reply:
Hello again: Epididymitis indeed requires bacterial culture of urine or urethral secretions to determine the appropriate type of antibiotic to use. However, in Taiwan, antibiotics are too easily accessible, resulting in more than half of urine cultures not growing any bacteria. T...[Read More] Understanding Epididymitis: Diagnosis, Treatment, and Recovery Tips