Understanding Prostate Cancer: When to Consider a Biopsy
Regarding prostate cancer? Dear Dr. Hsu, I recently discovered during a physical examination that my prostate-specific antigen (PSA) level is 5.4. I visited the urology department for further evaluation within a month, and the results from the abdominal X-ray, ultrasound, and di...
Dr. Xu Weikai Reply:
Chung-Wen: Hello, you can have your blood drawn again in three months. If the PSA is higher, then a biopsy will be necessary. If it is still above 4 but lower than before, we can continue to monitor it and repeat the blood test after some time. If there are any unclear points, fe...[Read More] Understanding Prostate Cancer: When to Consider a Biopsy
Understanding Urination Issues: Prostate Health Concerns Explained
Urinary problems Hello Dr. Hsu, I am 32 years old. In recent years, I have experienced a feeling of incomplete bladder emptying, requiring several extra shakes to feel dry. My urination frequency is normal, and the flow rate seems to be normal as well. The volume of urine is also...
Dr. Xu Weikai Reply:
A-Zhe: Hello, it is not closely related to prostate enlargement. You can check the prostate to see if there are any tumors. If there are any unclear points, feel free to ask again, and we can discuss and research further. Answers from the internet should only be used as a referen...[Read More] Understanding Urination Issues: Prostate Health Concerns Explained
Understanding Residual Urine: Concerns for a 32-Year-Old Male
There may be residual urine? Hello doctor, I am 32 years old and my urination frequency is normal, although it tends to increase in colder weather. The volume and flow rate of my urine are also normal. Sometimes, when I just wake up, it takes longer for me to urinate, but I often...
Dr. Xu Weikai Reply:
Hello, phimosis does not affect residual urine. As for benign prostatic hyperplasia, it's too early to consider; it's better to think about it around the age of 60.[Read More] Understanding Residual Urine: Concerns for a 32-Year-Old Male
Understanding Prostate Cancer Risks and Necessary Tests
Residual urine, may I ask again? Dr. Hsu, do I need further tests to check for prostate tumors? Given my age, is the likelihood of prostate cancer high? Thank you.
Dr. Xu Weikai Reply:
Hello, it's okay not to feel well; just calm your mind.[Read More] Understanding Prostate Cancer Risks and Necessary Tests
Understanding Residual Urine: Causes, Concerns, and Prostate Cancer Risks at 32
Residual urine, may I ask again? By the way, I forgot to mention my residual urine condition (some urine remains in the urethra; if I don't shake it off for a while, it will slightly wet my underwear). Basically, during the initial phase of urination, both the urine volume a...
Dr. Xu Weikai Reply:
Hello, it's not a psychological factor. Cold weather, high pants that constrict the urethra, and poor urination habits (for example, being afraid of being watched, always urinating quickly, and quickly putting on pants, which often leads to incomplete emptying) can contribut...[Read More] Understanding Residual Urine: Causes, Concerns, and Prostate Cancer Risks at 32
Understanding Urinary Symptoms: When to Consider Prostate Cancer Screening
Residual urine, may I ask again? Dr. Hsu, I apologize for bothering you again. I have been researching information related to prostate cancer online, which mainly mentions that individuals over the age of 50, with a PSA level greater than 4, may experience symptoms similar to ben...
Dr. Xu Weikai Reply:
Hello, if you are truly afraid, please go for the relevant examinations. If there are any unclear points, feel free to ask again, and we can discuss and research further. Online responses can only serve as a reference; if necessary, you should seek medical attention at a healthca...[Read More] Understanding Urinary Symptoms: When to Consider Prostate Cancer Screening
Understanding Prostate Health: When to Worry About Cancer and PSA Levels
I would like to hear suggestions? Dr. Hsu, I apologize for bothering you again. I just noticed that you mentioned checking for the possibility of prostate cancer. Did you mean to reassure me that, based on your experience, my age and condition suggest that the likelihood of prost...
Dr. Xu Weikai Reply:
Hello, there are dozens of reasons that can cause an increase in PSA levels. These include: prostatitis, constipation, sexual activity within 24 hours, diarrhea, prostate embolization, and an enlarged prostate, among others. Note: If you're interested, you can look it up onl...[Read More] Understanding Prostate Health: When to Worry About Cancer and PSA Levels
Managing Urinary Incontinence After Prostate Surgery: Expert Insights
Urinary incontinence issues? Hello, Dr. Hsu: My father underwent a transurethral resection of the prostate earlier this year due to urinary retention, and he was subsequently diagnosed with prostate cancer. After the surgery, he experienced urinary incontinence. The doctor mentio...
Dr. Xu Wencang Reply:
What your father's physician mentioned is indeed a possibility, and this is a dilemma that families often face when dealing with urologists. You may want to have more discussions with your father's physician.[Read More] Managing Urinary Incontinence After Prostate Surgery: Expert Insights
Why Abstaining from Sexual Activity is Important Before PSA Testing
Why is abstinence required before undergoing a prostate-specific antigen (PSA) test? Hello, doctor: I am very interested in some medical-related information. Recently, I came across several articles about male prostate cancer, many of which mentioned that men should abstain for t...
Dr. Zhou Xinpei Reply:
Hello: Prostate-specific antigen (PSA) is a substance secreted by normal prostate tissue. Most of it is found in semen, with a smaller amount present in the blood. Prostate-specific antigen (PSA) is a tumor marker primarily used as a reference for diagnosing prostate cancer and c...[Read More] Why Abstaining from Sexual Activity is Important Before PSA Testing
Post-Prostate Surgery Edema: Causes and Management Insights
Postoperative edema after prostate surgery? Hello Dr. Lin: My father is in his seventies. Last year, he experienced urinary retention and went to a large hospital for examination, where he was diagnosed with benign prostatic hyperplasia. After catheterization and medication for o...
Dr. Lin Yiting Reply:
Edema may be caused by renal dysfunction, severe lymphatic metastasis from tumors, low albumin levels, or heart failure. It is important to consult your attending physician to identify the underlying cause.[Read More] Post-Prostate Surgery Edema: Causes and Management Insights
Managing Urinary Incontinence After Prostate Surgery: A Guide
Postoperative complications of prostate enlargement surgery? Hello Dr. Lin: My father is in his seventies. Last year, he experienced urinary retention and went to a large hospital for examination, where he was diagnosed with benign prostatic hyperplasia. After catheterization and...
Dr. Lin Yiting Reply:
Urinary incontinence is a common occurrence after prostate surgery. In cases of radical prostatectomy, incontinence may last for more than six months. There are various treatment options available, and it is recommended to consult a physician in person at a hospital for proper ev...[Read More] Managing Urinary Incontinence After Prostate Surgery: A Guide
Post-Surgery Complications of Prostate Enlargement: Incontinence and Edema
Postoperative complications of prostate enlargement surgery? Hello, Dr. Hsu: My father is 70 years old. He initially experienced very little urination, which later progressed to complete urinary retention. He went to a large hospital for examinations, including a rectal biopsy, a...
Dr. Xu Wencang Reply:
Patients with prostate cancer may indeed experience urinary difficulties or incontinence. However, the cause of bilateral leg edema may not necessarily be related to this condition; factors such as reduced physical activity, heart disease, or kidney disorders could also contribut...[Read More] Post-Surgery Complications of Prostate Enlargement: Incontinence and Edema
Understanding Urinary Retention After Laparoscopic Gallbladder Surgery
Anuria issue? I just had laparoscopic cholecystectomy two days ago. I can urinate on my own, but I have no urge to urinate. What should I do to improve this? Is it caused by general anesthesia? Thank you.
Dr. Zhou Xinpei Reply:
Hello: Some patients with benign prostatic hyperplasia may experience urinary difficulties after undergoing general anesthesia. Below are common symptoms of patients with benign prostatic hyperplasia for your reference. It is recommended that if you experience any of the followin...[Read More] Understanding Urinary Retention After Laparoscopic Gallbladder Surgery
Understanding MRI for Prostate Issues: What Does It Mean for Cancer?
Prostate MRI (Magnetic Resonance Imaging) Hello Doctor, my father has undergone prostate biopsies three times. The first two times, the doctors said to continue monitoring. Yesterday, he went to check the report from the third biopsy and came back without saying much, only mentio...
Dr. Liu Jiaju Reply:
Generally, when prostate-specific antigen (PSA) levels are abnormal or there are irregularities found during a digital rectal exam, there is a suspicion of prostate cancer. At this point, the physician will recommend a biopsy for further confirmation. If the biopsy results indica...[Read More] Understanding MRI for Prostate Issues: What Does It Mean for Cancer?
Managing Benign Prostatic Hyperplasia: Dietary Tips and Lifestyle Changes
Benign Prostatic Hyperplasia (BPH) Hello, doctor. I would like to ask what special precautions I should take in daily life regarding benign prostatic hyperplasia (BPH). Are there any dietary restrictions I should be aware of? Or are there any foods I should eat more of? Thank you...
Dr. Liu Jiaju Reply:
Benign prostatic hyperplasia (BPH) is a common condition among men as they age, with the likelihood of occurrence increasing with age. It is recommended to avoid holding in urine, maintain adequate hydration, and engage in regular physical activity. Dietary recommendations includ...[Read More] Managing Benign Prostatic Hyperplasia: Dietary Tips and Lifestyle Changes
Understanding Second-Line Hormonal Treatments for Advanced Prostate Cancer
Please ask your questions regarding second-line hormones? Dear Director Hsu, I admire your dedication in responding to inquiries from netizens amidst your busy schedule at Taiwan e-Hospital. My father-in-law is a terminal prostate cancer patient who has been undergoing hormone i...
Dr. Xu Weikai Reply:
Jasmine: Hello, I personally do not have much experience with second-line hormone therapy, and I cannot provide you with extensive information. It may be more appropriate to consult directly with your attending physician for detailed advice. Additionally, if the treatment is inef...[Read More] Understanding Second-Line Hormonal Treatments for Advanced Prostate Cancer
Understanding Elevated PSA Levels: Risks and Early Detection of Prostate Cancer
Elevated PSA levels? Dear Director Hsu, Thank you for your response. I have one more question I would like to ask you. As you mentioned in the previous clinical case, "six biopsies were performed across three hospitals before a malignant prostate tumor was identified in the...
Dr. Xu Weikai Reply:
Mr. Wu: Hello. 1. The patient is in the early stage and has no metastasis. 2. Generally, if there is regular follow-up (ultrasound + digital rectal examination) and the PSA levels are not rapidly increasing, it is usually in stages I or II. 3. For prostate cancer, there are repor...[Read More] Understanding Elevated PSA Levels: Risks and Early Detection of Prostate Cancer
Understanding Elevated PSA Levels: Infection vs. Prostate Cancer Risks
Regarding prostate issues? Hello Dr. Hsu: The serum prostate-specific antigen (PSA) level is 10.1, which usually indicates a high possibility of prostate cancer. Could an infection also cause the above level to be elevated?
Dr. Xu Wencang Reply:
Hello: In response to your question, yes, an infection can also cause elevated levels. It is recommended that you continue to monitor the situation, and if the levels remain high, a prostate biopsy may be necessary.[Read More] Understanding Elevated PSA Levels: Infection vs. Prostate Cancer Risks
Frequent Ejaculation: Benefits and Risks for Men's Health
Frequent ejaculation Doctor, may I ask what conditions may arise from daily ejaculation, excluding age-related issues? I have read reports that frequent ejaculation can help prevent prostate cancer. However, if this continues long-term, could it lead to desensitization of the pen...
Dr. Xu Weikai Reply:
Jack: Hello, Western medicine does not have the concept of using sexual activity for health maintenance. Therefore, as long as the body is capable, frequent ejaculation does not have significant negative effects. Of course, Traditional Chinese Medicine strongly disagrees with thi...[Read More] Frequent Ejaculation: Benefits and Risks for Men's Health
Understanding Hematospermia: Causes and Treatment Options
The treatment for hematospermia (blood in semen) depends on the underlying cause. It may include: 1. **Observation**: If the condition is mild and resolves Having blood in the sperm (hematospermia) for the past month can be concerning. There are several potential causes, includi...
Dr. Xu Wencang Reply:
Hello: In response to your question, in young individuals, the bleeding is generally caused by inflammation of the seminal vesicles, and prostate cancer is unlikely. Generally, resting more and maintaining a normal lifestyle will lead to improvement. The color will usually gradua...[Read More] Understanding Hematospermia: Causes and Treatment Options