Health check-up, Urology FAQ

Understanding Phimosis: Concerns and Solutions for Adult Men

Phimosis issue Hello, doctor. I measured from the pubic bone to the glans, and currently, my erect size is about 12 to 13 centimeters (approximately 7 to 8 centimeters when flaccid, also measured from the pubic bone). However, during an erection, my foreskin still completely cove...

Dr. Du Shixi Reply:
Hello: If weight loss occurs, it may appear that the penis is longer. Currently, there is no discomfort when manually pushing the foreskin down to the base of the penis, both when flaccid and erect, which means it is normal for the entire glans to be exposed. Wishing you good hea...

Essential STD Testing Guidance for Young Adults in Relationships

What tests should be conducted if there are concerns about an infection in the following situations? Hello Doctor: I would like to explain our situations. Female - 22 years old: Three years ago, I was cheated on by my first boyfriend. After a year, I got together with a girl, and...

Dr. Chen Jiansheng Reply:
1. When withdrawing the condom, it is important to hold the base to prevent any semen from spilling out or the condom from slipping off. 2. Common sexually transmitted infections (STIs) include HIV, syphilis, herpes, gonorrhea, and chlamydia. These can be detected through blood...

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...

Is It Normal to Experience Dark Red Fluid After Prostate Biopsy?

After a prostate biopsy surgery, it is normal for a few drops of dark red-brown thick fluid to be discharged from the penis during bowel movements. As for hematospermia (blood in semen), it can persist for several weeks following the procedure. If you have any concerns or if the ...

Dr. Du Shixi Reply:
Hello: 1) It is possible for this situation to occur after a biopsy; some people may experience it for a longer time, while others may have a shorter duration. 2) The presence of blood in the semen can also be caused by the biopsy; however, if it persists for too long, such as a ...

Understanding Abnormal Sperm White Blood Cell Count and Fertility

Abnormal leukocytes in semen? Hello doctor, after getting married, I underwent a health check-up as we are trying to conceive. The results indicated an abnormal white blood cell count (WBC 2 x 10^6) and sperm concentration of 28 x 10^6/ml. I would like to ask if this will pose a ...

Dr. Fu Shizhang Reply:
Generally, it has a minor impact, but it is still recommended to visit a urology clinic for examination and treatment.

Understanding Erectile Dysfunction: Causes and Remedies for Young Men

Reasons for instability or lack of firmness? I am 25 years old, with measurements of 181 cm in height, 85 kg in weight, and a waist circumference of 87 cm. After a health check-up, I found that my cholesterol and triglyceride levels are elevated, indicating a tendency towards met...

Dr. Du Shixi Reply:
Hello: Eating light and focusing on weight loss is key. It's important to engage in gentle exercise every day. Avoid consuming anything that others suggest. If you do not recover within two weeks, please consult a urologist at the hospital. Wishing you good health.

Do You Need Surgery for a 2.7 cm Kidney Stone Without Symptoms?

Is surgery necessary for a 3 cm kidney stone that is asymptomatic? Hello, doctor. I recently had a health check-up and underwent a CT scan, which revealed a 2.7 cm stone in my left kidney. However, I am currently not experiencing any pain or difficulty urinating. The stone is loc...

Dr. Xu Wencang Reply:
A 3 cm lesion generally requires management; it is advisable to discuss the best approach with a physician.

Understanding Back Pain and Elevated Creatinine Levels: Possible Causes

Lower back pain and creatinine? Hello Doctor: Let me explain my situation. About 10 years ago, my creatinine levels have consistently been elevated: 10 years ago it was 1.54, 5 years ago it was 1.22, 3 years ago it was 1.3, last year it was 1.3, and this year during my health che...

Dr. Du Shixi Reply:
Hello: Blood and urine tests are definitely insufficient. If symptoms persist, a more detailed examination by a urologist at the hospital is necessary. Generally, it is advised to drink more water (avoid beverages) and to refrain from holding urine. Urinary reflux and stones can ...

Understanding Lower Back Pain and Urinary Health: Key Insights

Lower back pain (#128855 follow-up) Hello Doctor: Thank you for your response in <a href="https://adoctor.tw/article/128855">#128855</a>. I would like to ask you a question because I will be undergoing a comprehensive health check-up in a day or two. Regardi...

Dr. Du Shixi Reply:
Hello: The lower back pain after holding urine has only been occurring in the past two to three weeks—> it may be necessary to further check for kidney issues. We should also look for other causes. A general health check-up that only includes routine blood tests and urinalysis...

Understanding Essential Tremor: Causes, Treatments, and Next Steps

Tremors in the hands, feet, and body? Hello, doctor: I would like to ask about my condition. I noticed that my left hand has been trembling since high school, and now my right hand also has slight tremors. When I extend my five fingers forward, they tremble significantly. When I ...

Dr. Jiang Junyi Reply:
Hello, essential tremor: The exact cause of the tremor cannot be determined; it may be due to a specific constitution or hereditary tremor. Typically, the tremor is more pronounced when holding objects, while some individuals may experience shaking when writing or performing spec...

Redness and Pain After Masturbation: When to See a Doctor?

After friction on the glans, redness appears? After masturbation, I experienced some pain. The next day, while showering with soap, it turned into a stinging sensation. After washing, I noticed two red areas, and washing with water is painful. When I dried off with tissue, I coul...

Dr. Fu Shizhang Reply:
It may be glans and foreskin inflammation. If symptoms persist, it is recommended to consult a urologist. Online consultations cannot replace an in-person examination and physical assessment by a physician. If there is an illness, it is still advisable to seek medical care at a h...

Understanding Positive Urine Protein and Blood: Should You Be Concerned?

Positive urine protein and positive urine occult blood? Dear Doctor, I had a health check-up two years ago, during which I tested positive for urine occult blood and urine protein. However, I didn't pay attention to it at the time, and I only recently noticed it when I rev...

Dr. Du Shixi Reply:
Hello: Urinary occult blood and protein may not appear every time. If there are positive results every six months or if there is visible hematuria, it is important to be vigilant. If there is only one positive result, the degree of positivity should also be considered. If necessa...

Understanding Urine Test Results: Microalbumin and Kidney Function Explained

Health Check Report Hello, Doctor. Last month, I had a health check-up, and there were a few issues with my urine test that I would like to discuss. Below are the highlighted results: microalbumin 36.51 and glomerular filtration rate (GFR) 91.56. Could you please evaluate whether...

Dr. Du Shixi Reply:
Hello: Everything is fine. As for proteinuria in urine, it can vary depending on the body's condition (diet, exercise, etc.), so one instance should be taken as a reference. Wishing you good health.

Is There a Link Between Proteinuria and Masturbation?

Is there a direct relationship between proteinuria and masturbation? Last October, due to work-related reasons, I needed a health check-up! After the check-up, it was found that I had mild proteinuria and low high-density lipoprotein levels, so I was advised to follow up. Therefo...

Dr. Xu Wencang Reply:
Proteinuria is unrelated to masturbation; ongoing follow-up in nephrology outpatient clinic is necessary.

Understanding Who Should Avoid Erectile Dysfunction Medications

Continuing from yesterday's questions regarding medications for erectile dysfunction? Thank you, Dr. Du, for your prompt response. I will consult a urologist this week, but before making an appointment, I would like to ask you what types of conditions or body types may not b...

Dr. Du Shixi Reply:
Hello: Patients with heart disease and hypertension should be cautious. The medication insert specifies that individuals with known allergies to this drug should not use it (of course, it is difficult to know if one is allergic if they have never used it before).

Understanding Abnormal Semen Analysis: Impact on Fertility and Pregnancy

Pre-marital examination semen analysis report My wife and I are planning to have a baby, so we went for a health check-up. However, the test results showed abnormalities in the semen analysis, as follows: - Amount: 3 mL (Reference value: >2 mL) - Color: Grayish-white (Refere...

Dr. Du Shixi Reply:
Hello: There may have been contamination during the semen collection, so I recommend you check again. The other numbers are fine and not affected. If you are trying to conceive, it is advisable to maintain a regular schedule, avoid smoking, and wear loose-fitting pants. Thank you...

Understanding Kidney Imaging Tests: Necessity and Safety Concerns

Renal imaging examination? Hello, doctor. During my previous health check-up, my urine test showed a trace positive for hematuria (+/-). I subsequently underwent two follow-up tests, which also returned as +/- results. The doctor mentioned that I need to undergo a renal imaging s...

Dr. Du Shixi Reply:
Hello: If your examination reports are consistently like this, you may consider undergoing a renal imaging study. If the results are normal, you can continue with regular urine tests and ultrasounds, and be vigilant for any red or dark-colored urine, which would require a follow-...

Essential Guidelines for Sexual Health Check-Ups After Risky Encounters

Gender examination It is recommended to wait about 2 to 4 weeks after engaging in high-risk sexual behavior before getting tested for sexually transmitted infections (STIs), as this allows enough time for most infections to become detectable. During this waiting period, it is i...

Dr. Du Shixi Reply:
Hello: When engaging in unprotected oral sex and protected vaginal intercourse, it is important to be aware of conditions such as genital warts and balanitis, urinary tract infections, and herpes. Blood tests should be conducted every 4-6 weeks. If there are any raised areas, red...

Managing Yeast Infection in Urinary Health: A Guide for Patients

Fungal infection Hello, doctor. During a health check-up, yeast was found in the urine, and the blood glucose level was 78 mg/dL, with no sexually transmitted infections. How should this be managed?

Dr. Du Shixi Reply:
Hello: It is recommended to retest, as this situation is uncommon. Additionally, consider whether balanitis may have contaminated the urine sample collection. Thank you for your inquiry.

Muscle Cramps and Dizziness: Understanding the Connection

Dizziness after a muscle cramp? A few days ago, while exercising, I experienced a cramp in the area just below my buttocks near my thigh. After standing and resting for a few minutes, I felt dizzy, and eventually, I became so dizzy that I couldn't stand. It wasn't until...

Dr. Jiang Junyi Reply:
Hello, the reasons you mentioned for experiencing dizziness and nearly fainting may include: 1. A decrease in peripheral vascular tone due to neural reflexes, leading to blood pooling in peripheral tissues and insufficient blood flow to the brain (this is the more likely cause). ...

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