Understanding Your Prostate Cancer Test Results: What Do They Mean?
Could you please provide the specific test results or values related to your prostate cancer examination? Hello Dr. Hsu, on September 30, 2020, my PSA test result was 6.46, with a % free PSA of 19.1. On October 14, the PHI PSA was 7.64, with a PHI % free PSA of 16.32 and a PHI fr...
Dr. Xu Wencang Reply:
PHI 16.32 is not high. The physician will integrate the information and provide further recommendations, which may include monitoring or a biopsy.[Read More] Understanding Your Prostate Cancer Test Results: What Do They Mean?
Understanding Persistent Orgasm and Bladder Neck Surgery: A Urology Perspective
Persistent orgasmic sensation bladder neck surgery Hello Doctor: I would like to briefly summarize my past symptoms and treatments: 1. Incomplete urination, burning sensation in the urinary tract, pain and itching when pressing near the base of the penis close to the perineum, ...
Dr. Xu Wencang Reply:
Consultation is recommended for further evaluation by a physician. Bladder neck incision is irreversible and requires careful assessment. Botulinum toxin injection can also be considered as an option. It is advisable to first conduct urodynamic studies to determine if surgery may...[Read More] Understanding Persistent Orgasm and Bladder Neck Surgery: A Urology Perspective
Understanding Elevated PSA Levels: Impact of Exercise and Next Steps
Elevated PSA levels? Good afternoon, Dr. Du. I would like to ask you about my PSA level, which is 4.22. My doctor has recommended a biopsy, but I have a long-standing habit of exercising on a stationary bike. Could this affect the value? I haven't ridden in a month and a hal...
Dr. Du Shixi Reply:
Hello: If you are concerned about the side effects of the biopsy, you may consider retesting, as pressure on the perineum could potentially affect the results. Additionally, gentle exercises such as walking should still be performed. The current values are only for reference and ...[Read More] Understanding Elevated PSA Levels: Impact of Exercise and Next Steps
Understanding Surgery Risks for Prostate Tumors: A Family's Dilemma
Magnetic resonance imaging (MRI) revealed a 7 cm tumor located in the posterior superior region of the prostate. What are the success rates of surgery and the postoperative recovery process? Hello Dr. Hsu, Due to the severe pandemic situation, it is inconvenient for me to retur...
Dr. Xu Wencang Reply:
Sarcoma is primarily treated with complete surgical resection. The prognosis is related to the degree of malignancy and whether it can be completely excised. If the patient's overall condition permits, surgery is still recommended. Biopsy is not suitable for sarcoma.[Read More] Understanding Surgery Risks for Prostate Tumors: A Family's Dilemma
Understanding Involuntary Movements During Sleep: Possible Causes and Concerns
Involuntary movements during sleep? Hello Doctor, my father was recently diagnosed with prostate cancer and was hospitalized. During his hospital stay, he often experienced involuntary movements and shaking of his limbs while sleeping, occasionally talking in his sleep and waving...
Dr. Hong Weibin Reply:
Hello: I would suggest starting the investigation with paraneoplastic syndrome caused by prostate cancer, especially in patients with more severe conditions. Cancer often produces various autoimmune antibodies that may attack normal tissue cells in the body, leading to a range of...[Read More] Understanding Involuntary Movements During Sleep: Possible Causes and Concerns
Is Masturbation Considered Sinful? Understanding Healthy vs. Excessive Practices
Regarding masturbation at the age of 47... Is masturbation considered immoral? Is masturbation considered immoral? For example, what constitutes excessive masturbation versus appropriate masturbation? Why are there so many articles labeling masturbation as immoral? I'm quite...
Dr. Cai Zhuorong Reply:
Both men and women having a normal sexual drive is a healthy expression. Moderate masturbation can have positive effects on the body; for example, current medical literature suggests that ejaculation may reduce the risk of prostate cancer or help in the expulsion of ureteral ston...[Read More] Is Masturbation Considered Sinful? Understanding Healthy vs. Excessive Practices
Understanding PSA Levels: When to Worry and When to Monitor
Hello Director Du, regarding the issue of the PSA levels increasing after one year? Hello, Director Du. Last May, my PSA level was 3.65, and my free PSA was 0.24. The doctor at Beirong mentioned that my prostate was slightly enlarged (as my PSA was around 4.3 during a check-up a ...
Dr. Du Shixi Reply:
Hello: For prostate cancer, all tests are references, and the key point is whether to perform a biopsy for confirmation and subsequent management (although a higher index may still have normal biopsy results). The fluctuations in index levels can have many causes, such as sexual ...[Read More] Understanding PSA Levels: When to Worry and When to Monitor
Understanding PSA Levels: Assessing Prostate Cancer Risk and Next Steps
Prostate examination Hello Doctor, I would like to inquire about my health check report which indicates that PSA (<1) and Free PSA (<1) are both normal, but my 2pPSA is as high as 16, and my Prostate Health Index (PHI) is abnormal at >35. Does this indicate a high risk o...
Dr. Du Shixi Reply:
Hello: A 32-year-old with a very low risk of prostate cancer may undergo a transrectal ultrasound for screening; however, this could lead to overdiagnosis. Wishing you good health.[Read More] Understanding PSA Levels: Assessing Prostate Cancer Risk and Next Steps
Understanding Prostate Cancer: PSA Levels, MRI Results, and Treatment Insights
Prostate cancer My father’s PSA level increased to 12 after one year. The first biopsy was normal. During the second MRI, a tumor was suspected, indicating it might be in the early stages. However, the biopsy results were normal, but the PSA level rose to 12. He underwent a prost...
Dr. Xu Wencang Reply:
The biopsy involves cutting the surrounding area, and the tumor may be located near the urethra and is small, which was only discovered during the second curettage surgery. It should still be in the early stages, and generally, prostate cancer does not progress rapidly, so the ph...[Read More] Understanding Prostate Cancer: PSA Levels, MRI Results, and Treatment Insights
Understanding Hematospermia: Treatment Options and Surgical Solutions
Recurrent hematospermia Hello Doctor, I recently experienced hematospermia again. I went to the hospital for a blood test, and my prostate cancer markers were normal. The doctor only mentioned that there was E. coli in my urethra and prescribed antibiotics. However, I feel that i...
Dr. Du Shixi Reply:
Hello: I do not have personal experience in this matter, and not all hospitals have the necessary equipment, so it is likely that very few are handling this. As for whether there will be blood in the semen after surgery, it is advisable to consult a physician at Taichung Veterans...[Read More] Understanding Hematospermia: Treatment Options and Surgical Solutions
Understanding DHEA Use: Guidelines, Risks, and Monitoring for Patients
Usage of DHEA 1. You mentioned that DHEA should not be used long-term, and while some articles suggest not exceeding one year, they do not specify how long of a break is needed. Given that I have been taking it for about five months and have one month left based on my doctor'...
Dr. Du Shixi Reply:
Hello: 1) There is no specific interval; it depends on the effectiveness and whether any side effects occur. It may be necessary to have blood tests before taking the medication to check for deficiencies. 2) If there is a history of elevated PSA, it is recommended to have an annu...[Read More] Understanding DHEA Use: Guidelines, Risks, and Monitoring for Patients
Concerns About Proscar and Hair Loss Treatments: What You Need to Know
Medication issues Hello, Doctor. I am currently taking Proscar (finasteride) and applying a hair growth solution to treat male pattern baldness. However, I am cutting the 5mg Proscar into quarters or thirds to take (since the lower dose is 1mg). I would like to ask you a few ques...
Dr. Cai Zhuorong Reply:
1. Does long-term use of Proscar lead to prostate cancer? A: There is no direct correlation from a theoretical standpoint, but PSA monitoring should be conducted. 2. The instructions indicate that taking Proscar may cause infertility and reduced semen volume. If I stop taking th...[Read More] Concerns About Proscar and Hair Loss Treatments: What You Need to Know
Understanding Prostate Cancer Precursors: Risks and Next Steps
Prostatic intraepithelial neoplasia (PIN) I have undergone PSA blood tests more than ten times over the past four years, with results consistently around 4.0. On April 1 of this year, I had my first prostate biopsy, during which 12 samples were taken. The report indicated no canc...
Dr. Xu Wencang Reply:
If your prostate biopsy shows high-grade prostatic intraepithelial neoplasia (PIN), there is a higher likelihood of cancer cells being present in your prostate. Therefore, you need to be closely monitored and may require further biopsy examinations.[Read More] Understanding Prostate Cancer Precursors: Risks and Next Steps
Understanding Swollen Feet and Urinary Discomfort: Prostate Health Insights
Swelling in the legs, discomfort from not urinating, and leg pain? Hello doctor, I would like to ask you a few questions. My father is currently 61 years old and about a month or two ago, he discovered that he has swelling in his legs. At that time, he mentioned that he felt disc...
Dr. Du Shixi Reply:
Hello: 1) If there is noticeable edema, there could be many causes. Kidney function should be checked, and blood sugar and blood pressure should also be monitored. It is recommended to consult a family medicine department at a hospital to identify the cause. 2) Regarding urinary ...[Read More] Understanding Swollen Feet and Urinary Discomfort: Prostate Health Insights
Understanding Sudden PSA Level Increase: Causes and Concerns
Sudden increase in PSA levels? Hello Doctor, I had my annual health check-up on May 17th this year. Since 2013, I have been monitoring my PSA levels, which were consistently between 2 and 2.1 until 2018. However, this year, the level suddenly increased to 8. Before the check-up, ...
Dr. Xu Wencang Reply:
Prostatitis can also cause an increase in PSA levels. The incidence of prostate cancer in a 39-year-old is very low, so close monitoring is recommended.[Read More] Understanding Sudden PSA Level Increase: Causes and Concerns
Managing Prostate Cancer: Diet Tips and Concerns for Patients
Prostate cancer I have prostate cancer stage T3, and my PSA level has stabilized at 0.03 after surgery. My attending physician advised me: 1. Avoid excessively fatty foods, 2. Do not take supplements that boost vitality, as they may increase testosterone levels. I consume about 2...
Dr. Xu Wencang Reply:
Follow the medical advice and undergo regular follow-up treatment.[Read More] Managing Prostate Cancer: Diet Tips and Concerns for Patients
Chronic Prostatitis and Hematuria: Understanding Symptoms and Treatment
Chronic prostatitis and hematuria? Hello, doctor. Since last month, I have experienced occasional pain during urination. Initially, I thought it was a urinary tract infection and did not seek medical attention, instead opting to drink plenty of water. However, two weeks ago, I fe...
Dr. Xu Wencang Reply:
After taking the medication, follow up at the outpatient clinic.[Read More] Chronic Prostatitis and Hematuria: Understanding Symptoms and Treatment
Understanding Prostate Cancer Metastasis and Treatment Options
Prostate cancer metastasis? Hello Dr. Du, my father was diagnosed with T3A prostate cancer this year and has recently undergone a Da Vinci robotic-assisted radical prostatectomy. However, he experienced urethral stricture and had to undergo another endoscopic procedure. Recently,...
Dr. Du Mingyi Reply:
1. Magnetic resonance imaging (MRI) can be used to assess lymph node metastasis, while bone metastasis is evaluated using a bone scan. 2. During surgery, there is a possibility of injuring nearby nerves; however, this is usually related to urinary incontinence and sexual functi...[Read More] Understanding Prostate Cancer Metastasis and Treatment Options
Understanding Prostate Issues: Symptoms, Diagnosis, and Treatment Concerns
Regarding prostate issues? A few weeks ago, I visited a doctor because I was experiencing pain during urination. After a digital rectal exam and a urine test (which was sent to the hospital for analysis and took a week), the doctor noted elevated white blood cells and hematuria, ...
Dr. Du Shixi Reply:
Hello: Prostate cancer is uncommon in young individuals, so it is generally not considered in cancer diagnoses. If there is uncertainty, a biopsy is necessary to confirm the diagnosis. Asterile infection is difficult to distinguish and requires complex testing. However, bacterial...[Read More] Understanding Prostate Issues: Symptoms, Diagnosis, and Treatment Concerns
Managing Urinary Issues After Prostate Cancer Surgery: A Patient's Guide
Prostate cancer-related urinary obstruction Hello Dr. Hsu, my father was diagnosed with prostate cancer T3A and underwent robotic-assisted surgery in early April. However, in early October, he had to undergo endoscopic surgery due to urethral stricture. After that, he started tak...
Dr. Xu Wencang Reply:
It is possible to record daily urine output to determine if there is nocturia, and then decide whether to perform an MRI after administering Minirin. Further examinations and treatment will be determined by a physician thereafter.[Read More] Managing Urinary Issues After Prostate Cancer Surgery: A Patient's Guide