Is a Prostate Biopsy Necessary After a Sudden PSA Spike?
Is there an immediate necessity to perform a biopsy if the PSA level is elevated? Hello Doctor: On October 15th of this year, I suddenly experienced full-body tremors and went to the emergency room. The attending physician in the infectious disease department diagnosed me with ac...
Dr. Xu Wencang Reply:
Further observation is recommended. Acute prostatitis can cause a sudden increase in PSA levels; it is advisable to monitor and recheck in three months.[Read More] Is a Prostate Biopsy Necessary After a Sudden PSA Spike?
Managing Erectile Dysfunction After Prostate Cancer Radiation Therapy
Prostate radiation therapy I underwent radiation therapy for prostate cancer two years ago, and since then I have been unable to achieve an erection. Are there any medications that can help? I have two drug-eluting stents in my heart. Thank you for your guidance.
Dr. Du Shixi Reply:
Hello: Due to your heart condition, it is not recommended to use medications like Viagra. As for the possibility of finding a treatment, the chances may be quite limited. Wishing you good health.[Read More] Managing Erectile Dysfunction After Prostate Cancer Radiation Therapy
Understanding Elevated PSA Levels: Anxiety and Prostate Health Concerns
PSA level of 11.75? My father (57 years old) experienced testicular pain when straining about a month and a half ago and sought consultation from a urologist. However, the treatment so far has not been effective, and his urinalysis results were normal and sterile. An ultrasound e...
Dr. Du Shixi Reply:
Hello: A PSA level greater than 10 indicates a possibility of 1 in 2 to 1 in 3 for prostate cancer. To confirm the diagnosis, a biopsy is necessary; however, there are some potential complications associated with the biopsy, which you can research online. It may also be beneficia...[Read More] Understanding Elevated PSA Levels: Anxiety and Prostate Health Concerns
Understanding the Effects of Masturbation on Urological Health
Effects of Masturbation Hello, doctor. I have approximately 3 to 4 years of experience with masturbation, mostly once a day, and I have some questions to ask you. 1. I have a slightly raised blue vein on the top of my penis that is quite noticeable (similar to the veins on my w...
Dr. Du Shixi Reply:
Hello: 1) Irrelevant 2) Exercise is important; avoid prolonged sitting. 3) A normal lifestyle with moderate exercise will lead to improvement. Will wiping with tissue (gently, without applying much pressure) cause injury to the urethra? --> No. 4) For young people, 2000cc is n...[Read More] Understanding the Effects of Masturbation on Urological Health
Understanding the Link Between High Cholesterol and Prostate Issues
Is there a connection between high blood lipids and prostate issues? Hello. My father underwent surgery for benign prostatic hyperplasia about a month ago. During a recent follow-up appointment, the doctor mentioned that his lipid levels are elevated. He stated that a normal leve...
Dr. Du Shixi Reply:
Hello: The prostate is divided into several regions. Surgery for benign prostatic hyperplasia addresses a portion of the prostate, but the most common sites for prostate cancer may not necessarily be in that area. Therefore, individuals who need to be proactive about screening sh...[Read More] Understanding the Link Between High Cholesterol and Prostate Issues
Understanding Bladder Discomfort: Causes and Concerns for Young Men
Bladder area discomfort or pressure? Hello Doctor: I am currently 25 years old, male, and I masturbate about once a day. For the past few years, I have felt a dull ache in the area above my genitals and around my bladder (especially on both sides) after masturbation. Sometimes, I...
Dr. Du Shixi Reply:
Hello: Your condition requires at least a visit to the hospital for a urine test to determine the cause. Kidney issues may present with proteinuria, bladder cancer can cause hematuria, and inflammation may show white blood cells. You are too young for prostate cancer; it is advis...[Read More] Understanding Bladder Discomfort: Causes and Concerns for Young Men
Understanding Elevated PSA Levels: Causes, Concerns, and Lifestyle Factors
Elevated PSA levels? Recently, I had a physical examination that included a PSA test, and the result came back greater than 5. Afterward, I went to the hospital for a re-evaluation, and the result was still the same. Three months later, I went again, and both the digital rectal e...
Dr. Du Shixi Reply:
Hello: Since having an FPSA of 5 at the age of 28 is uncommon, it is often associated with inflammation (medication is not necessarily required). You can consume fried foods, but limit spicy foods. Drink plenty of plain water and avoid sugary drinks and alcohol. Aim for a daily w...[Read More] Understanding Elevated PSA Levels: Causes, Concerns, and Lifestyle Factors
Nanoknife Treatment for Prostate Cancer: Current Options in Taiwan
Nanoknife for prostate cancer Doctor Hsu, is it currently possible to treat prostate cancer in Taiwan using the NanoKnife method?
Dr. Xu Wencang Reply:
The application of prostate cancer treatments has not been fully utilized yet! It is advisable to pay attention to news online.[Read More] Nanoknife Treatment for Prostate Cancer: Current Options in Taiwan
Does Benign Prostatic Hyperplasia Lead to Prostate Cancer?
Prostate issues? "Can benign prostatic hyperplasia (BPH) turn into cancer? Thank you."
Dr. Du Shixi Reply:
Hello: The prostate gland, as it ages, often undergoes enlargement, and a portion of individuals may later be diagnosed with prostate cancer (some of which are relatively mild and may not spread for many years). If you are concerned about prostate cancer, it is recommended to vis...[Read More] Does Benign Prostatic Hyperplasia Lead to Prostate Cancer?
Can Prostate Removal Cure Chronic Inflammation? Key Concerns Addressed
Can the prostate gland be surgically removed if it is inflamed? Hello Doctor, I would like to ask a few questions regarding prostatitis that has not responded to treatment. 1. Is it possible to surgically remove the prostate? 2. Will this affect fertility? (I am only 30 years o...
Dr. Fu Shizhang Reply:
In general, radical prostatectomy is considered a major surgery, indicated for localized prostate cancer, and is typically not performed due to inflammation. This is because potential complications after surgery may include urinary incontinence, erectile dysfunction, bleeding, in...[Read More] Can Prostate Removal Cure Chronic Inflammation? Key Concerns Addressed
Prostatitis or Urethritis: Understanding Your Urological Symptoms
Prostatitis or urethritis Hello Doctor, I am currently working abroad. Almost two years ago, I returned to Taiwan for a comprehensive health check-up, and my PSA level was around 12. I consulted a urologist, but at that time, I did not have any obvious symptoms such as painful ur...
Dr. Sun Hongshun Reply:
Hello: Elevated PSA levels may indicate prostate cancer or prostate infection, among other conditions. It is recommended to undergo an ultrasound or even a biopsy at an outpatient clinic. Regarding the discomfort you mentioned, it could be due to a urinary tract infection, kidney...[Read More] Prostatitis or Urethritis: Understanding Your Urological Symptoms
Does Frequent Masturbation Increase Prostate Cancer Risk?
Prostate cancer issues Hello, doctor! I would like to ask if frequent masturbation can increase the risk of developing prostate cancer. Additionally, at my age, what is the likelihood of developing prostate cancer?
Dr. Du Shixi Reply:
Hello: Don't worry, the chances are very low. If you have a family member with this cancer, it's advisable to start regular check-ups at age 45, while the general population should begin around age 50. Additionally, frequent masturbation may affect your daily life and w...[Read More] Does Frequent Masturbation Increase Prostate Cancer Risk?
Understanding Chronic Prostatitis: Symptoms, Treatment, and Management
Chronic prostatitis issue? Hello Doctor, I would like to ask you about my condition. I was diagnosed with prostatitis two years ago, and at that time, my symptoms included frequent urination and difficulty urinating. Although my symptoms have improved significantly, the bacteri...
Dr. Du Shixi Reply:
Hello: Chronic prostatitis is difficult to treat, and the symptoms you described do not seem to align with chronic prostatitis. The treatment duration is long, and it requires diligent medication adherence for several weeks. The primary symptoms include persistent pelvic pain or ...[Read More] Understanding Chronic Prostatitis: Symptoms, Treatment, and Management
Is a Rising PSA Level a Strong Indicator of Prostate Cancer Risk?
An increase of approximately 1 in PSA levels over two consecutive years raises concern for the possibility of prostate cancer, but it is not definitive. Further evaluation, including additional testing and possibly a biopsy, may be necessary to determine the underlying cause of t...
Dr. Du Shixi Reply:
Hello: The prostate index is a reference and should not be solely relied upon for diagnosis. Additionally, clinically, the index may fluctuate slightly depending on certain conditions of the prostate. You mentioned that these are numbers from a health check; if possible, I recomm...[Read More] Is a Rising PSA Level a Strong Indicator of Prostate Cancer Risk?
Understanding Elevated PSA Levels: Concerns and Next Steps
Elevated PSA levels? Hello Doctor: A few months ago, while I was in the military, I experienced a burning sensation during urination, frequent urination, and urgency. However, my condition gradually improved after leaving the military. Recently, my company conducted a PSA test, a...
Dr. Sun Hongshun Reply:
Based on what you said, it seems to be acute prostatitis. You are welcome to visit my clinic for a detailed examination.[Read More] Understanding Elevated PSA Levels: Concerns and Next Steps
Understanding PSA Levels: Accurate Testing for Prostate Cancer Risk
Prostate PSA Issues Hello Dr. Lee, I have a history of prostatitis, during which my PSA level was 5.6. After two weeks of antibiotic treatment, I was re-evaluated and found to be free of inflammation. However, over the past year, my PSA levels have fluctuated, rising from 6 to 9,...
Dr. Li Xinyi Reply:
Monitoring PSA levels, digital rectal examination, and multi-parametric prostate MRI at certain medical centers may be beneficial.[Read More] Understanding PSA Levels: Accurate Testing for Prostate Cancer Risk
Navigating Healthcare Under the DRG System: A Patient's Guide
What should patients do under the DRG system? Hello, doctor. My grandfather previously had prostate cancer, and his hospitalization was very long and difficult. Not only did our relatives have to take turns caring for him, but the medical staff also worked diligently, fearing the...
Dr. Xu Weikai Reply:
Zhihao: Hello, it's quite frustrating... This is a systemic issue. The reason for implementing DRG (Diagnosis-Related Groups) is essentially to reduce healthcare costs. Why reduce healthcare costs? Simply put, it's because Taiwan's National Health Insurance premium...[Read More] Navigating Healthcare Under the DRG System: A Patient's Guide
Managing Sexual Function Issues: Reducing Desire and Medication Use
Sexual dysfunction issues Masturbating 5 to 6 times a week is quite common. If you're looking to reduce this desire, there are several strategies you can consider, such as engaging in physical activities, pursuing hobbies, or practicing mindfulness techniques. As for takin...
Dr. Liu Jiaju Reply:
Masturbation is a normal physiological outlet, and as long as it does not interfere with daily life, there is no need for intentional restriction. While the use of anti-androgens can indeed reduce libido, they are primarily used in the treatment of prostate cancer, so their use i...[Read More] Managing Sexual Function Issues: Reducing Desire and Medication Use
Excessive Masturbation: Risks of Prostate Enlargement and Cancer
Excessive masturbation Doctor: 1. I recently read a report stating that excessive masturbation among high school students in Kaohsiung can lead to prostate enlargement, and there are claims online that prostate enlargement or inflammation can easily lead to prostate cancer. I hav...
Dr. Xu Weikai Reply:
Hope for Health: Hello, 1. Excessive masturbation does not cause irreversible prostate enlargement; it only leads to localized inflammation and swelling, which is reversible. The clinical symptoms are very similar to those of bladder cancer, which is highly unlikely. Bladder ca...[Read More] Excessive Masturbation: Risks of Prostate Enlargement and Cancer
Prostate Calcification: Impact on Ejaculation and Sexual Health
Prostate calcification! Does it affect ejaculation? Last year during a company health check, an ultrasound examination revealed "suspected prostatic calcification of 0.4 cm (recommended serum PSA test)." This year, during another health check, the prostatic calcificatio...
Dr. Xu Weikai Reply:
Hello, prostate calcification is quite common. Unless it is located near the urethra or is very large, it typically does not cause urinary problems and is unrelated to ejaculation. Calcification usually indicates tissue fibrosis, which may result from injury, infection, or inflam...[Read More] Prostate Calcification: Impact on Ejaculation and Sexual Health