Chronic Prostatitis: Understanding Causes, Treatments, and Antibiotic Options
Prostatitis Hello Doctor, I have been suffering from chronic prostatitis for almost two years. During this time, I have tried many medications and consulted various doctors, but my prostate still tends to become inflamed repeatedly. I would like to ask a few questions: 1. I ha...
Dr. Li Xinyi Reply:
Both cultures showed growth, which indeed suggests a possible infection. Enterococci have strong antibiotic resistance and can easily develop resistance to quinolones. If it really doesn't work, we may need to consider hospitalization for intravenous antibiotics based on the...[Read More] Chronic Prostatitis: Understanding Causes, Treatments, and Antibiotic Options
Chronic Prostatitis: Exploring Treatment Options for Long-Term Relief
Chronic prostatitis Hello, doctor. I have been suffering from chronic prostatitis and urethritis for a long time, along with multiple episodes of epididymitis for over ten years. Now, whenever my immune system weakens, I end up with a fever and hospitalization, which has signific...
Dr. Du Shixi Reply:
Hello; your situation is complex, and I do not have similar experience. Please seek treatment at a medical center's urology department. Wishing you good health.[Read More] Chronic Prostatitis: Exploring Treatment Options for Long-Term Relief
Left Prostate Nodule Found During Exam: Is Cancer a Concern?
There is a hard mass on the left side during digital rectal examination, and the PSA level is normal? Hello doctor, I previously had aseptic prostatitis, and whenever I accidentally ate something too spicy, I would experience symptoms including a tight, heavy feeling in the perin...
Dr. Li Xinyi Reply:
Basically, it resembles a phenomenon of fibrosis following inflammation, and the likelihood of cancer is very low. However, no doctor can provide an absolute guarantee; a definitive diagnosis requires a biopsy. If a biopsy is not performed, careful monitoring in an outpatient set...[Read More] Left Prostate Nodule Found During Exam: Is Cancer a Concern?
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
Post-Surgery Hematospermia and Hematuria: Understanding Causes and Recovery
Hematospermia combined with hematuria, with persistent bleeding after surgical treatment? Several years ago, I experienced hematospermia of unknown origin, which resolved after receiving treatment at a clinic (semen analysis showed no issues). Recently, I noticed the presence of ...
Dr. Du Shixi Reply:
Hello: May I ask if the issue is due to the surgical wound not fully healing, or is it because blood in the seminal vesicles has not been expelled? -- If the blood is bright red, it indicates fresh bleeding; if it is dark, it is more likely old blood or could potentially be due t...[Read More] Post-Surgery Hematospermia and Hematuria: Understanding Causes and Recovery
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
Understanding Perineal Impact Issues: When to Seek Medical Attention
Perineal impact issues? Today, while riding as a passenger on a motorcycle, I encountered a speed bump that caused my body to slightly bounce up and then back down, resulting in a mild impact on the left side of my scrotum. I did not experience any pain, and there were no abnorma...
Dr. Du Shixi Reply:
Hello: The injury is likely to cause bruising, swelling, and pain. However, if the symptoms persist for 3-5 days, you should seek medical attention. In the meantime, please monitor the injured area for any additional symptoms. Wishing you good health.[Read More] Understanding Perineal Impact Issues: When to Seek Medical Attention
Painful Lump Near Perineum: When to See a Urologist?
There is a hard lump in the groin area? Two days ago, I accidentally discovered a small hard lump located near the perineum, close to the base of the right side of the scrotum. It hurts when I press on it while sitting or squatting, but I can't feel it when standing. It also...
Dr. Du Shixi Reply:
Hello: If the issue is in the perineum, near the anus, you should consult a colorectal surgeon. If it is in the scrotum or the perineum near the scrotum, you should see a urologist. If there is redness of the skin, seek medical attention promptly. Wishing you good health.[Read More] Painful Lump Near Perineum: When to See a Urologist?
Pain After Masturbation: Understanding Hydration and Urinary Issues
Drinking water before masturbation and experiencing pain after ejaculation when the penis becomes flaccid? Hello, doctor: After masturbation, I experience a dull pain in my penis, lower abdomen, and perineum. It feels much better after urinating frequently while squatting on the ...
Dr. Du Shixi Reply:
Hello: If there are frequent occurrences or unsafe behaviors, it is advisable to perform a urine test at a minimum. If it happens occasionally, observation may be sufficient. Wishing you good health.[Read More] Pain After Masturbation: Understanding Hydration and Urinary Issues
Understanding Testicular Pain: Causes, Concerns, and When to Seek Help
Testicular and penile cavernous pain? Hello, doctor. Sometimes when I haven't ejaculated for a while (about a few days to a week), I experience soreness in my penis, testicles, perineum, and even in the groin and lower back. After researching online, I found that this could ...
Dr. Du Shixi Reply:
Hello: The situation you described is unlikely to cause injury. If discomfort persists, it is advisable to seek medical attention. Wishing you good health.[Read More] Understanding Testicular Pain: Causes, Concerns, and When to Seek Help
Understanding Masturbation: Concerns About Premature Ejaculation and Sensitivity
Masturbation issues During masturbation, sometimes I finish in one or two minutes, while other times it takes seven or eight minutes. I use my hand at a frequency of about two strokes per second; I’m not sure if that’s too slow. My current masturbation frequency is about once eve...
Dr. Du Shixi Reply:
Hello: Masturbation and sexual intercourse are different; you cannot use DIY time to determine if there is premature ejaculation. Your situation is quite common, and each ejaculation is different, so there is no need to worry. Wishing you good health.[Read More] Understanding Masturbation: Concerns About Premature Ejaculation and Sensitivity
Understanding Post-Ejaculation Pain: Causes and Solutions
Experiencing pain in the perineal area after ejaculation while sleeping? I would like to ask the doctor—after engaging in sexual intercourse, there is no pain at the moment of ejaculation, but during sleep, I experience severe pain in the perineal area or possibly the anus, to th...
Dr. Li Minghui Reply:
Hello: You need to seek medical examination, as it occurs occasionally. It is recommended to see a doctor when this situation arises, as it is mostly related to prostate issues. Wishing you good health.[Read More] Understanding Post-Ejaculation Pain: Causes and Solutions
Understanding Post-Ejaculation Pain: Causes and Solutions
Experiencing pain in the perineal area after ejaculation while sleeping? I would like to ask the doctor—after engaging in sexual intercourse, there is no pain at the moment of ejaculation, but during sleep, I experience severe pain in the perineal area or possibly the anus, which...
Dr. Li Minghui Reply:
Hello: You need to seek medical examination, as it occurs occasionally. It is recommended to see a doctor when this situation arises, as it is mostly related to prostate issues. Wishing you good health.[Read More] Understanding Post-Ejaculation Pain: Causes and Solutions
Understanding Perineal Pain After Sexual Activity: Causes and Solutions
There is significant pain in the perineal area? I would like to ask the doctor—after engaging in sexual intercourse, there is no pain at the moment of ejaculation, but during sleep, I experience severe pain in the perineal area or possibly the anus, which is so intense that it wa...
Dr. Du Shixi Reply:
Hello: You need to seek medical examination, as it occurs occasionally. It is recommended to see a doctor when this situation arises, as it is mostly related to prostate issues. Wishing you good health.[Read More] Understanding Perineal Pain After Sexual Activity: Causes and Solutions
Understanding Sexual Dysfunction: Causes of Decreased Pleasure During Masturbation
Sexual dysfunction Hello, doctor. I would like to ask about the reasons behind the decreased pleasure during masturbation. I find that the process requires a longer time to feel any sensation, and the climax comes very slowly. When I feel close to climax, I stop, and a white flui...
Dr. Xu Wencang Reply:
You can visit the outpatient clinic for examination and evaluation.[Read More] Understanding Sexual Dysfunction: Causes of Decreased Pleasure During Masturbation
Understanding Urinary Tests: What Blood and Urine Tests Reveal About Diabetes and Prostate Health
Hello, Director Du. I would like to ask what items are included in the blood and urine tests for urology? Due to nocturia affecting my sleep quality, I visited a urologist and mentioned that my sister, father, grandmother, and uncle all have a history of diabetes. The doctor advi...
Dr. Du Shixi Reply:
Hello, I would like to ask if routine blood and urine tests in urology also check for diabetes-related blood glucose levels. In urine, the presence of glucose can indicate this, but there are no specific numbers. Whether blood glucose is tested depends on the individual physician...[Read More] Understanding Urinary Tests: What Blood and Urine Tests Reveal About Diabetes and Prostate Health
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 Saddle Area Sensory Loss: Causes and Concerns
Saddle area sensory loss or numbness? Hello, doctor. A few months ago, I strained my lower back, and since then, I've been experiencing pain in my lower back when sitting. About a month ago, I suddenly noticed a decrease in the urge to urinate and defecate, and my ability to...
Dr. Jiang Junyi Reply:
Hello Mr. Cheng, You mentioned that "lying on my right side for a few minutes causes numbness and loss of sensation in my buttocks, perineum, genitals, and adjacent thigh, with no pain even when pinched, while lying on my left side feels more normal." This may indicate...[Read More] Understanding Saddle Area Sensory Loss: Causes and Concerns
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 Genital Herpes: Symptoms, Causes, and Treatment Options
Questions related to genital herpes? Hello Dr. Chen, two weeks ago I started feeling unwell; there was unexplained swelling at the base of my penis and a burning sensation on the front side of my left thigh, as if it were on fire. I didn't think much of it at the time. Last ...
Dr. Chen Jiansheng Reply:
Shingles[Read More] Understanding Genital Herpes: Symptoms, Causes, and Treatment Options