Kidney stones, Urology FAQ

Post-Extracorporeal Shock Wave Lithotripsy: When Can You Resume Masturbation?

After undergoing extracorporeal shock wave lithotripsy (ESWL) for kidney stones, it is generally recommended to wait at least a few days to a week before engaging in sexual activities, including masturbation. This allows your body time to heal and reduces the risk of complication...

Dr. Du Shixi Reply:
Hello: 1) There should be no relation between lithotripsy and masturbation; it is possible to experience bleeding when passing stones. 2) After lithotripsy, some individuals may experience the conditions described by their physician, while others may not. However, it is essential...

Understanding Urinary Issues: Are Those Particles Signs of Infection or Stones?

Urinary issues Hello, doctor. I would like to ask, after urinating, I noticed many particles in the toilet when looking at it from the side due to the reflection, but I can't see them when looking straight down. Could this be a symptom of inflammation or kidney stones? Thank...

Dr. Cai Zhuorong Reply:
It is recommended to perform a urinalysis.

Post-Circumcision Urinary Frequency: Causes and Solutions

Post-operative frequent urination after circumcision? Hello, doctor. Four weeks ago, I underwent laser circumcision due to phimosis. Before the surgery, I did not have any issues with frequent urination, and I was masturbating an average of twice a week. However, starting from th...

Dr. Du Shixi Reply:
Hello: 1) It may be primarily observational, as the circumcision procedure is unrelated to the prostate and bladder. 2) Healing has occurred, but there may be issues with nerve and vascular recovery or complete restoration. Wishing you good health.

Understanding Right Lower Abdominal Pain: Possible Causes and Solutions

There is a feeling of bloating and pain in the lower right abdomen? Dear Dr. Du, I have been experiencing a symptom for over a year. I have a feeling of bloating and pain in my lower right abdomen, which comes and goes. The discomfort is more pronounced when sitting (due to abdo...

Dr. Du Shixi Reply:
Hello: 1) The chances are slim. 2) The chances are slim. 3) A gastrointestinal issue is more likely. However, it's not a certainty. Wishing you good health.

Understanding Hematuria and Fever: A Guide to Urological Concerns

Hematuria with fever As soon as I noticed blood in my urine, I went directly to a large hospital for evaluation. After the doctor performed a urinalysis, they prescribed me a 5-day course of antibiotics. That night, before bed, I developed a high fever of 38.8 degrees Celsius. I ...

Dr. Du Shixi Reply:
Hello: It is most likely that you have kidney stones accompanied by a urinary tract infection, so you need to take medication and drink plenty of water. There is hydronephrosis in the left kidney, which may be due to stones (size may vary), causing a slower recovery from the infe...

Is It Safe to Masturbate After Double J Stent Placement?

Issues with double-lumen catheter placement? I would like to ask, I underwent a percutaneous nephrolithotomy last Monday to remove kidney stones, and afterwards, a double J stent was placed in my ureter. I want to know if it is appropriate for me to masturbate now, or should I wa...

Dr. Du Shixi Reply:
Hello: If there is deep urine or hematuria, it is not recommended. If everything is normal, it should not be a significant concern. Wishing you good health.

Understanding Prostatitis: Can It Cause Nausea and Urgency?

Prostatitis Dear Dr. Du, Can prostatitis cause a feeling of nausea? Or which part of the urinary system, when inflamed, could lead to this sensation? I experience some nausea when I have a slight urge to urinate (which fluctuates). The more pronounced the urge, the more intense ...

Dr. Du Shixi Reply:
Hello: In my personal experience in urology, kidney stones (especially ureteral stones) are more likely to present with gastrointestinal symptoms. Prostatitis is rare and may require medical evaluation. Wishing you good health.

Understanding Ureteral Issues: Managing Kidney Stones and Narrowing

Ureteral issues Hello doctor, last Friday I suddenly experienced severe pain in my lower left abdomen. I went to the emergency room and was diagnosed with kidney stones. After that, I consulted a doctor who performed a ureteroscopy and mentioned that my ureter is too narrow, and ...

Dr. Lin Wenxu Reply:
Regarding the treatment options for ureteral stones: 1. For small stones (<0.5 cm), supportive treatment is generally recommended, attempting to allow the stone to pass on its own. 2. For larger stones (>0.5 cm) or in cases of intolerable renal colic or associated infection...

Understanding Percutaneous Nephrostomy: Pain, Swelling, and Recovery Insights

Percutaneous nephrostomy procedure Dr. Chen: Hello, my nephew was diagnosed with kidney stones in June due to kidney pain and underwent a percutaneous nephrostomy. It has been over two months since the surgery, and he experiences intermittent pain near the surgical site every day...

Dr. Chen Jiansheng Reply:
If it has been confirmed that there is no stone obstruction, the edema can be monitored further. However, for the pain, it is important to consider whether it is due to wound pain or neuropathic pain. Please return for follow-up.

Understanding Pain During Urination: Causes and Solutions

Pain during or after urination? I apologize, but I cannot provide a diagnosis. However, based on your description, it sounds like you may be experiencing symptoms related to a urinary tract issue, such as a urinary tract infection (UTI) or possibly kidney stones. The intermittent...

Dr. Lin Wenxu Reply:
I apologize, but please visit the urology clinic in person so that the physician can conduct a detailed history and physical examination to identify the exact cause of your condition.

Can You Engage in Light Activities After Ureteroscopy for Kidney Stones?

Ureteroscopic lithotripsy? Hello doctor, may I ask if it's okay to engage in light sexual activity or masturbation after undergoing lithotripsy, considering that the internal stent has not yet been removed?

Dr. Du Shixi Reply:
Hello: Drink plenty of water, urination is painless, and there is no visible blood in the urine, so everything should be normal and without any issues. Wishing you good health.

Understanding Blood in Urine: Causes and Concerns for Urological Health

Hematuria, with one or two drops of bright red urine during urination? Today, I noticed a few drops of bright red urine during urination, but subsequent urinations were normal. I've also been experiencing lower back pain for a while after getting up, specifically in the area...

Dr. Du Shixi Reply:
Hello: Generally, the most likely causes of visible hematuria are stones and inflammation. However, if stones cannot be found or confirmed to have been passed, and considering you are already 47 years old, it is advisable to undergo some tests to rule out certain rare causes. If ...

Understanding Kidney Stones: Causes of Back Pain and Symptoms Explained

Following the previous question, hematuria and lower back pain? Hello, doctor. I would like to ask further about the location of back pain caused by kidney stones. Is the pain usually persistent? As I mentioned in question #138104, I experience soreness in my lumbar spine, specif...

Dr. Du Shixi Reply:
Hello: The symptoms of kidney stones can vary widely. Some individuals may experience gastrointestinal issues, while the typical symptoms include flank pain, abdominal pain, hematuria, and frequent urination. These symptoms can be continuous or intermittent. It is not uncommon to...

Understanding Urinary Pain: Causes and Remedies for Women

Urinary issues I am a female and today I started feeling pain at the urethral opening when urinating. It hurts when I exert myself, and it also hurts while sitting, but it hurts more at the urethral opening when I exert myself. Could this be due to a stone lodged in the urethra? ...

Dr. Du Shixi Reply:
You may need to start with a urine test to check for normalcy, which can help differentiate between kidney stones or inflammation, both of which have medications for treatment. In the meantime, make sure to drink plenty of water. Wishing you good health.

Understanding Urinary Symptoms: When to See a Urologist or Nephrologist

Lower back pain, fever, and urine color? Hello Doctor, I am inquiring on behalf of my family. My mother has recently had urine that is a light syrup color, but she does not experience any pain while urinating. Today, her urine color has returned to clear, and we are unsure if the...

Dr. Du Shixi Reply:
Hello: I sincerely recommend that you take your mother for a check-up, as it is safer. If there are any issues, it's important to investigate the cause; if the tests are normal, you won't need to worry anymore. If there are significant problems, they need to be addresse...

Persistent Hematuria in Women After Taking BPH Medication: Causes and Concerns

Women experiencing persistent hematuria after taking medication for benign prostatic hyperplasia? I am a female with a 1 cm kidney stone, and in mid-June of this year, I underwent extracorporeal shock wave lithotripsy at a hospital. After one week, I returned for a follow-up appo...

Dr. Du Shixi Reply:
Hello: It is likely not caused by medication, but rather by the passage of kidney stones. Medications for benign prostatic hyperplasia can help facilitate the expulsion of stones near the bladder, which is why some doctors may prescribe them. Hematuria may also be caused by stone...

Understanding Kidney Stones and Urinary Issues After Liver Transplant

Kidney urination issues? Hello doctor, I have previously undergone a liver transplant and have had at least two regular ultrasound examinations each year, all of which have been normal. Two years ago, during a check-up, the doctor mentioned that I had two stones in my bile duct a...

Dr. Xu Wencang Reply:
Return to the outpatient clinic for a detailed discussion with the physician.

Understanding Kidney Stones: Do They Always Cause Blood in Urine?

Regarding stone issues? Hello, earlier this year, I went to the emergency room due to severe pain in my left flank. I underwent urinalysis and X-ray examinations, which showed no abnormalities, but I had hematuria. The emergency physician diagnosed the pain as being caused by kid...

Dr. Du Shixi Reply:
Hello: Hematuria is not always present with kidney stones; if the stone is very small, it may not cause any bleeding (no damage). However, a single normal urinalysis does not guarantee that there are no issues, as the likelihood of stones remains significant. If there is a histor...

Brown Sediment in Urine: Should You Be Concerned?

Brown sediment in urine? Hello Dr. Du, I have a question again. My last visit to the urologist was on April 30, and the urinalysis results were normal, with a post-void residual volume of 57 mL. The doctor advised me to return for a follow-up in six months and to undergo an ultra...

Dr. Du Shixi Reply:
Hello: Given your age and the presence of foreign objects in your urine, it is important to follow up with a medical appointment. You mentioned that it could possibly be small kidney stones, which is a significant possibility, but other causes cannot be ruled out. Wishing you goo...

Diabetes-Related Urological Issues: Circumcision and Health Insurance Concerns

Caused by diabetes mellitus? Good morning, doctor. I apologize for disturbing you and taking up your valuable time to seek your professional opinion. Here’s the situation: I started experiencing symptoms of cracked and bleeding skin on my genitalia, diagnosed as balanitis, at the...

Dr. Du Shixi Reply:
Hello: The coverage provided by health insurance is regulated, and since there are only a few specified items, many circumcision surgeries are out-of-pocket expenses. Of course, you can consult several hospitals to see if the procedure can be covered by insurance. As for diabetes...

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