Understanding Blood in Semen: Causes, Tests, and What to Watch For
Hematospermia Hello Doctor: During intercourse with my wife, I noticed that the semen had a dark red color, close to brown. I underwent a urinalysis, and the result showed a trace of blood (+1). What could this condition indicate? What further tests are needed? What should I be a...
Dr. Cai Zongyou Reply:
Hello: In response to your question, what is hematospermia? Hematospermia is the presence of blood in the semen, which may appear as spots or clots, giving the semen a brown or red color. According to statistics, more than half of patients may experience recurrent episodes of hem...[Read More] Understanding Blood in Semen: Causes, Tests, and What to Watch For
Supporting a Parent Facing Elevated PSA Levels: Guidance for Families
Overwhelmed family members Hello Dr. Chen: My father is 64 years old this year, and his PSA level was found to be 5.7 during a hospital examination, which exceeds the standard value of 4. The doctor has prescribed a week's worth of medication and mentioned that if there is n...
Dr. Chen Xiuyi Reply:
Hello: PSA is currently an indicator for the early detection of prostate cancer, and a value of 5.7 does not necessarily indicate malignancy. Prostatitis and benign prostatic hyperplasia can also lead to elevated levels. For younger patients with elevated PSA, early diagnosis of ...[Read More] Supporting a Parent Facing Elevated PSA Levels: Guidance for Families
Post-Prostatectomy Urinary Incontinence: Causes and Concerns
excuse me? Why am I still experiencing urinary leakage 17 months after prostate removal, approximately 10 times a day? Is it normal for my genitalia to feel shorter?
Dr. Lin Wenxu Reply:
Based on your statement, I suspect that you might be a patient with prostate cancer who has undergone a prostatectomy. If that is the case, the likelihood of experiencing urinary incontinence post-surgery is quite high, although the severity can vary. According to textbooks, only...[Read More] Post-Prostatectomy Urinary Incontinence: Causes and Concerns
Does Masturbation Increase the Risk of Prostate Cancer?
Could you please clarify your questions regarding masturbation? Is masturbation likely to increase the risk of prostate cancer? Recently, I've noticed that I have to wait a moment before urinating, and sometimes when I stimulate the area around the base and the anus, it caus...
Dr. Chen Xiuyi Reply:
Hello: According to current literature, there is no direct relationship between masturbation and the occurrence of prostate cancer. The tingling sensation at the base and anal area after masturbation may be related to muscle contractions. Sincerely, Dr. Hsiu-Yi Chen, Urologist.[Read More] Does Masturbation Increase the Risk of Prostate Cancer?
Understanding Treatment Options for Bone Metastasis in Prostate Cancer
Treatment for bone metastases from prostate cancer? My father has been experiencing bone pain since the Lunar New Year this year. We have taken him to the hospital for various tests, but it wasn't until June 15 that he was diagnosed with "prostate cancer metastasized to...
Dr. Chen Xiuyi Reply:
Hello: The diagnosis of prostate cancer generally relies on prostate biopsy, and treatment options are determined after a pathological diagnosis is confirmed. If prostate cancer has metastasized to the bones, hormone therapy is typically used, and prostate cryosurgery may not be ...[Read More] Understanding Treatment Options for Bone Metastasis in Prostate Cancer
Understanding End-Stage Prostate Cancer: Pain Management and Life Expectancy
Urgent inquiry: Issues regarding prostate cancer in an 81-year-old man..? I would like to ask Dr. Chen: The results of my 81-year-old father's nuclear medicine examination have come out. The radiation oncologist said it is advanced prostate cancer. The cancer cells have meta...
Dr. Chen Xiuyi Reply:
Hello: If prostate cancer with bone metastasis is confirmed at clinical stage D, it is important to note that prostate cancer is one of the few types of cancer that progresses relatively slowly. Long-term clinical observations indicate that hormone therapy (oral, injection, or su...[Read More] Understanding End-Stage Prostate Cancer: Pain Management and Life Expectancy
Understanding Elevated PSA Levels: Is Prostate Cancer Always the Cause?
Regarding prostate cancer? Hello Dr. Pan, my father is 64 years old. During a routine health check, his PSA level was found to be 16.6. He went to a municipal hospital for further examination, where the doctor noted a dark spot on the ultrasound. A repeat PSA test showed a level ...
Dr. Pan Zhenqin Reply:
A PSA level of 16.6 is significantly above the normal range; however, the ultrasound-guided biopsy did not confirm the presence of cancer cells. Therefore, it is advisable to continue monitoring. Clinically, chronic prostatitis or an enlarged prostate, especially when calcificati...[Read More] Understanding Elevated PSA Levels: Is Prostate Cancer Always the Cause?
Understanding Prostate Ultrasound Findings: What Do Black Spots Mean?
The prostate ultrasound shows hypoechoic areas..? Hello Doctor: I am 67 years old. Over ten years ago, I experienced an episode of benign prostatic hyperplasia, during which a urine test at National Taiwan University Hospital showed hematuria and my PSA level was above the normal...
Dr. Lai Ronghao Reply:
Hello: A high PSA level indicates a higher possibility of prostate cancer. Please seek medical attention as soon as possible, and a biopsy is recommended for confirmation. Thank you![Read More] Understanding Prostate Ultrasound Findings: What Do Black Spots Mean?
Understanding Kidney and Spleen Issues: Symptoms and Treatment Options
Kidney and spleen issues? Hello Dr. Yang, six months ago, the company conducted a health check, and one of the tests, an abdominal ultrasound, revealed bilateral hydronephrosis and splenomegaly. Recently, I have been experiencing frequent lower back pain, especially discomfort wh...
Dr. Yang Zhangzhi Reply:
The kidneys consist of renal parenchyma and the collecting system. After urine is formed, it drains into the collecting system and then into the ureters, ultimately entering the bladder for temporary storage. When the bladder contracts, urine is expelled from the body. If there i...[Read More] Understanding Kidney and Spleen Issues: Symptoms and Treatment Options
Understanding Laparoscopic vs. Traditional Surgery for Prostate Cancer
Prostate cancer Hello Dr. Lin: I have an elder who has been diagnosed with prostate cancer. The physician has suggested laparoscopic surgery or traditional open surgery. Could you please explain the differences between the two? Are there significant differences in terms of surgic...
Dr. Lin Wenxu Reply:
Regarding the treatment of prostate cancer, early-stage cases are still primarily recommended to undergo surgery or radiation therapy (surgery is preferred if the patient's health status is good). For advanced stages, hormone therapy is the main approach. As for traditional ...[Read More] Understanding Laparoscopic vs. Traditional Surgery for Prostate Cancer
Understanding PSA Test Results: Prostate Health Insights and Concerns
PSA test (Prostate-Specific Antigen test) Hello, Director Hsu. Thank you for answering so many people's questions. I went for a PSA prostate cancer test, and my result was less than 4, specifically 0.89. I have a few questions: 1. Does this also indicate that I do not have...
Dr. Xu Weikai Reply:
Health is the most important: The PSA level has been checked again, which is generally used for prostate cancer screening. Your value is below 1, so there should not be any issues. The semen culture is normal, which is great, indicating that there is likely no infection. Semen tr...[Read More] Understanding PSA Test Results: Prostate Health Insights and Concerns
Can Prostate Cancer Survivors Safely Use Electric Massage Chairs?
Tumors and Massage Hello: If someone has a history of prostate cancer but has undergone radiation therapy and currently has all test results within the normal range, can they use an electric massage chair? I have heard from salespeople that cancer patients should avoid using them...
Dr. Chen Xiuyi Reply:
Hello: Prostate massage can elevate the prostate-specific antigen (PSA) levels. The use of massage chairs may sometimes lead to pathological fractures in patients with bone metastases. Best regards, Dr. Chen Hsiu-Yi, Urologist.[Read More] Can Prostate Cancer Survivors Safely Use Electric Massage Chairs?
Understanding Urinary Symptoms: Concerns About Cancer and Treatment Options
excuse me? Hello Dr. Chen, I have a few questions I would like to ask. I apologize for the lengthy message. 1: A few months ago, I started experiencing symptoms of frequent urination and incomplete voiding, but there is no hematuria. Occasionally, I feel a slight pain in my low...
Dr. Chen Xiuyi Reply:
Hello: 1. The causes of frequent urination, if symptoms have improved and tests are normal, may still be psychological factors. 2. For cancer screening, prostate cancer can be assessed with a PSA test. For bladder cancer, a cystoscopy or urine cytology is generally required. P...[Read More] Understanding Urinary Symptoms: Concerns About Cancer and Treatment Options
Understanding Urinary Issues: Symptoms, Concerns, and Next Steps
I'm a bit worried... I'm sorry? Hello, Dr. Hsu. I have been experiencing frequent urination, incomplete voiding, a lot of foamy urine, and a strong odor in my urine (without hematuria) for the past few months. Sometimes, I feel a bit uncomfortable in my lower region, wi...
Dr. Xu Weikai Reply:
Dear Worried One: It's perfectly normal to be concerned about your health; it shows that you care about yourself. However, excessive worry can lead to unnecessary anxiety! A cholesteatoma is a type of normal gland that every healthy male has. I hope you understand my point! ...[Read More] Understanding Urinary Issues: Symptoms, Concerns, and Next Steps
Does Masturbation Cause Prostate Cancer or Urinary Tract Infections?
Does masturbation lead to prostate cancer, bladder pain, kidney inflammation, or bladder inflammation? If there is inflammation, will it heal on its own without seeing a doctor?
Dr. Lin Hexing Reply:
Hello, Xiaolin: Masturbation generally does not cause the diseases or symptoms you are concerned about, unless improper technique leads to mechanical injury of the penile skin and foreskin, resulting in inflammation. If not managed properly, this could potentially lead to urinary...[Read More] Does Masturbation Cause Prostate Cancer or Urinary Tract Infections?
Understanding Prostate Cancer Treatment Options and Their Effects
Prostate cancer Hello Dr. Pan: For prostate cancer, after a comprehensive examination at the hospital, it was found to be located only in the urethra. The treatment options include: 1. Surgery 2. Chemotherapy 3. Medication. Which of these methods is the best? What are the effects...
Dr. Pan Zhenqin Reply:
If prostate cancer is confined to the prostate gland, specifically within stage B, and considering a patient who is 60 years old, undergoing radical prostatectomy yields better follow-up results. At this stage, chemotherapy is not required. Hormonal therapy is utilized for patien...[Read More] Understanding Prostate Cancer Treatment Options and Their Effects
Understanding Prostate Cancer Treatment Options and Their Effects
Prostate cancer Hello Dr. Liu: For prostate cancer, after a comprehensive examination at the hospital, it was found to be located only in the urethra. The treatment options include: 1. Surgery 2. Chemotherapy 3. Medication. Which of these methods is the best? What are the effects...
Dr. Liu Jianting Reply:
Is it true? Can the pathology report confirm cancer? The management approach should be determined based on factors such as age, overall health, the size and location of the cancer, and whether it has invaded other tissues or metastasized. Therefore, it is recommended that you dis...[Read More] Understanding Prostate Cancer Treatment Options and Their Effects
Understanding Prostate Health: Common Concerns and Questions
Prostate 1. Does holding urine lead to prostatitis? Is the risk of developing prostate cancer higher than that of the general population? 2. Can internal hemorrhoids cause prostate disease? 3. Is benign prostatic hyperplasia (BPH) incurable and can only be managed with medica...
Dr. Xu Wencang Reply:
Hello: In response to your questions. 1. Holding in urine can easily lead to urinary tract infections, but it does not increase the risk of prostate cancer. Internal hemorrhoids also do not cause prostate pathology. 2. The cause of benign prostatic hyperplasia (BPH) is unknown, b...[Read More] Understanding Prostate Health: Common Concerns and Questions
Understanding Leg Numbness: Is It Related to Interstitial Cystitis?
Bladder issues affecting lower limb numbness? Hello Doctor: I have interstitial cystitis, and for the past few months, I have been experiencing numbness in my lower limbs (from the calves to the toes). When I visited the hospital, I mentioned to the doctor whether this could be r...
Dr. Zhang Chengye Reply:
Hello, Xiao Ke: Interstitial cystitis is difficult to diagnose and requires a urological cystoscopy to rule out other causes before a diagnosis can be made. Lower limb numbness is generally unrelated to this condition. Sincerely, Dr. Chang Cheng-yeh, Attending Physician, Urology ...[Read More] Understanding Leg Numbness: Is It Related to Interstitial Cystitis?
Understanding Elevated PSA Levels: Implications and Next Steps for Prostate Health
PSA (Prostate Dear Dr. Lai, Hello. My father, who is 63 years old, was diagnosed by a physician with moderate benign prostatic hyperplasia, but he has not experienced any discomfort. Recently, he was hospitalized for 4 days due to prostatitis, and 5 days after discharge, his fol...
Dr. Lai Ronghao Reply:
Hello Jon: 1. If PSA > 4, it is essential to consider the possibility of malignancy! The higher the value, the greater the likelihood. 2. Your father has just been discharged after treatment for prostatitis. It is recommended to check PSA and perform a prostate ultrasound in 2...[Read More] Understanding Elevated PSA Levels: Implications and Next Steps for Prostate Health