Understanding Prostate Cysts: Causes, Symptoms, and Treatment Options
Prostatic cysts Hello Doctor: I developed chronic prostatitis after having epididymitis five years ago. Due to pain during ejaculation, I only ejaculate once every three months. At the beginning of last year, I experienced brown blood in my semen. The clinic doctor advised agains...
Dr. Du Shixi Reply:
Hello: The vesicles you mentioned do not require special attention. To treat epididymitis and prostatitis, please note that prostatitis can be difficult to treat. Some individuals may need to take medication for an extended period, possibly several months, and should not disconti...[Read More] Understanding Prostate Cysts: Causes, Symptoms, and Treatment Options
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 Prostate Biopsy Results: What Limited Atypical Glands Mean
Questions about prostate biopsy? Hello Dr. Du, I recently had a biopsy due to elevated PSA levels, and the pathology report indicates limited atypical glands with focal loss of basal cells (confirmed by HMWCK immunostain). I researched online and found that further sampling may b...
Dr. Du Shixi Reply:
Hello: In simple terms, there are no malignant cells observed, but the biopsy only samples a small portion of tissue. Therefore, in some patients with only small lesions, this phenomenon may occur. Since the biopsy can cause damage, it is generally recommended to follow up after ...[Read More] Understanding Prostate Biopsy Results: What Limited Atypical Glands Mean
Can MRI Detect Prostate Cancer After Surgery? Understanding PSA Testing
Prostate cancer Thank you very much for Dr. Jian's response. I would like to ask if cancer cells can be detected on an unremoved prostate using MRI-PET scans. My father has undergone this examination, and the results showed no issues. After his prostate laser surgery, he fel...
Dr. Jian Weihong Reply:
Hello: MRI can be referenced, but it is generally recommended to wait for a period of time before surgery, as it may affect the interpretation even if a stent has been placed. In addition to medication, lifestyle habits should be taken into consideration. First, identify the caus...[Read More] Can MRI Detect Prostate Cancer After Surgery? Understanding PSA Testing
Understanding Prostate Issues: Symptoms and Next Steps for Concerns
Unsure if it is prostatitis? Hello doctor, I have been experiencing lower abdominal pain for about two days, and today I have been having frequent urination. There is no pain while urinating, but after I finish, I feel a slight discomfort at the tip of my penis. The color of my e...
Dr. Du Shixi Reply:
Hello: Your condition should be evaluated by a urologist at the hospital. Wishing you good health.[Read More] Understanding Prostate Issues: Symptoms and Next Steps for Concerns
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
Can MRI Detect Cancer Cells in Unremoved Prostate? Expert Insights
Continuation of Q&A #195491? I would like to ask the doctor about the Q&A <a href="https://adoctor.tw/article/195491">#195491</a>. Is it possible to determine the presence of cancer cells in the unremoved prostate using MRI with PET scanning? My fath...
Dr. Du Shixi Reply:
Hello: MRI can be referenced, but it is generally recommended to wait for a period of time before surgery, as it may affect the interpretation even if a stent is placed. In addition to medication, lifestyle habits should be taken into consideration. First, identify the causes of ...[Read More] Can MRI Detect Cancer Cells in Unremoved Prostate? Expert Insights
Understanding Diagnosis and Treatment of Chronic Prostatitis: A Patient's Guide
Examination and Treatment of Prostatitis Hello, Dr. Du. I have been diagnosed with chronic prostatitis for some time, and I have some questions regarding the examinations and treatments during this process. 1. I visited an infectious disease specialist who first ordered a CT sc...
Dr. Du Shixi Reply:
Hello: Different examinations have their own advantages and disadvantages. Both CT scans and MRIs can visualize the prostate, but they focus on different aspects. However, transrectal ultrasound can also provide imaging, particularly for the assessment of the prostate and surroun...[Read More] Understanding Diagnosis and Treatment of Chronic Prostatitis: A Patient's Guide
Understanding Elevated PSA Levels and Prostate Cancer Treatment Options
Elevated PSA Levels and Cancer Treatment Hello Doctor: My father is 70 years old. At the end of last year, he was referred to a major hospital due to elevated PSA levels and urinary difficulties detected at a clinic. The physician recommended laser surgery to treat benign prostat...
Dr. Jian Weihong Reply:
Hello: 1. The PSA level has been elevated for over two months following surgery. Although surgery and inflammation can cause an increase, it should ideally decrease. If inflammation is present, it should be well-controlled. Additionally, what is the current assessment of the tu...[Read More] Understanding Elevated PSA Levels and Prostate Cancer Treatment Options
Understanding BPH Treatment and Cancer Risks in Older Patients
Treatment for Benign Prostatic Hyperplasia (BPH) Hello Doctor: My father is 70 years old. At the end of last year, he was referred to a major hospital due to elevated PSA levels and urinary difficulties detected at a clinic. The doctor recommended laser surgery to treat benign pr...
Dr. Du Shixi Reply:
Hello: 1. The PSA level has been elevated for over two months due to surgery. While surgery and inflammation can cause an increase, it should generally decrease. If inflammation is present, it should be well-managed. Additionally, what is the current stage of the tumor? This is...[Read More] Understanding BPH Treatment and Cancer Risks in Older Patients
Understanding Prostate Cancer Staging: Implications of Perineural Invasion
Prostate cancer I underwent a Da Vinci radical prostatectomy for prostate cancer, and the pathology report indicates pT2N0, grade 2, Gleason 3+4, Stage IIB. However, there are additional findings of perineural invasion: Present. I preserved one side of the neurovascular bundles, ...
Dr. Jian Weihong Reply:
Hello: You have localized prostate cancer (stage T1-2 N0), which is classified as localized prostate cancer. Your pathology report indicates stage 2B. Wishing you good health.[Read More] Understanding Prostate Cancer Staging: Implications of Perineural Invasion
Understanding Prostate Cancer Staging After Da Vinci Surgery: Key Insights
Da Vinci Prostate Cancer Radical Surgery I underwent a Da Vinci radical prostatectomy for prostate cancer, and my pathology report indicates pT2N0, grade 2, Gleason score 3+4, Stage IIB. However, there are additional findings of perineural invasion: Present. I preserved one side ...
Dr. Du Shixi Reply:
Hello: You have localized prostate cancer (stage T1-2 N0), which is classified as localized prostate cancer. Your pathology report indicates a Gleason score of 2B. Wishing you good health.[Read More] Understanding Prostate Cancer Staging After Da Vinci Surgery: Key Insights
Understanding Semen Color and Penis Development Issues in Teens
Seminal fluid color and penile development issues? Hello Doctor: I am currently 14 years old, turning 15, with a height of 170 cm and a weight of 46 kg. I experienced my first ejaculation around the end of 12 years old or the beginning of 13. I masturbate 2 to 3 times a week. Cur...
Dr. Fu Shizhang Reply:
Infertility is typically evaluated only when there is a desire to conceive. If there are concerns about sperm quality, a semen analysis can be conducted at an outpatient clinic. Online consultations cannot replace an in-person evaluation and physical examination by a physician; i...[Read More] Understanding Semen Color and Penis Development Issues in Teens
Red Hard Particles in Semen: What You Need to Know
There are small dark red hard lumps in the semen? Hello Doctor: In the past three months, I have experienced a slight blockage sensation during ejaculation. Upon examination, the fluid appears normal in color and consistency, except for a small red hard object inside that is slig...
Dr. Du Shixi Reply:
Hello: Generally, it is not a concern, as long as you are over 50 years old, regular prostate examinations are sufficient. Wishing you good health.[Read More] Red Hard Particles in Semen: What You Need to Know
Understanding Prostate Issues: Symptoms and Concerns Explained
Prostate issues Hello doctor, I have a question. I have phimosis, and when I go to the bathroom, I need to retract the foreskin and pull out my penis. After that, I have to wait for about 2 to 3 seconds before I can urinate. During urination, the flow is continuous, but after fin...
Dr. Du Shixi Reply:
Hello: Generally, young people rarely experience issues with prostate enlargement; it is more often related to the bladder. It is advisable to seek medical examination at a hospital. Wishing you good health.[Read More] Understanding Prostate Issues: Symptoms and Concerns Explained
Post-Prostate Cancer Surgery: Understanding Chylous Drainage and Catheter Duration
Post-prostate cancer surgery Hello, Doctor. I would like to ask: 1. After my father underwent robotic-assisted surgery, why did the drainage tube later have a chylous-like fluid? Is this normal? 2. Also, why did the doctor say that the urinary catheter needs to be in place for 1 ...
Dr. Du Shixi Reply:
Hello: 1. Each surgery may vary depending on the patient's condition, so if you have any doubts, you can consult the surgeon during your follow-up visit. 2. It is not uncommon for a urinary catheter to be in place for two weeks, as the urethral wound requires time to heal. W...[Read More] Post-Prostate Cancer Surgery: Understanding Chylous Drainage and Catheter Duration
Understanding Non-Invasive Ultrasound for Prostate Inflammation Issues
Issues with non-invasive ultrasound examination? Hello Doctor, I previously visited a urologist who performed a non-invasive ultrasound examination. I asked the doctor if inflammation of the prostate could be detected by ultrasound, but I was too nervous to hear the doctor's...
Dr. Du Shixi Reply:
Hello: General examinations may reveal certain phenomena, but multiple tests should be combined for reference; typically, a diagnosis is not made based on a single test. Ultrasound may show enlargement, thickening, masses, cysts, or small amounts of fluid. It is important to cons...[Read More] Understanding Non-Invasive Ultrasound for Prostate Inflammation Issues
Understanding the Progression Speed of Bladder Cancer: Key Insights
The progression rate of bladder cancer? Dear Dr. Sun: I would like to inquire about the progression speed of bladder cancer from the initial discovery of painless hematuria to stage IV bladder cancer (from bladder neck metastasis to the prostate). What is the fastest time frame f...
Dr. Sun Hongshun Reply:
Hello Eric: Regarding cancer progression, the scientific and medical communities still cannot provide any definitive conclusions! It is essential to have regular health check-ups or to honestly inform your physician when you notice any abnormalities in your body (don’t be afraid ...[Read More] Understanding the Progression Speed of Bladder Cancer: Key Insights