Understanding Prostatitis: PSA Tests and Their Limitations
Prostatitis I have recently experienced a cooling sensation in my penis and scrotum, and I previously had issues with urination. Therefore, I visited a large hospital to see a urologist and expressed my desire to check for any problems or inflammation in my prostate. The doctor s...
Dr. Du Shixi Reply:
Hello: The penis and scrotum feel cold, and there were previous issues with difficulty urinating, which are not typical symptoms of chronic inflammation. Wishing you good health.[Read More] Understanding Prostatitis: PSA Tests and Their Limitations
Understanding High PSA Levels: Risks and Next Steps for Prostate Health
Elevated PSA levels? Hello, Doctor. My father visited a urologist in October due to urinary issues. The doctor diagnosed him with benign prostatic hyperplasia (BPH). However, his PSA level was later tested at 4.8, which is greater than 4. The doctor advised him to take Harnalidge...
Dr. Du Shixi Reply:
Hello: In some cases, levels may decrease, and if urination improves, some individuals may see improvement. A biopsy is merely a sampling procedure, and there is a possibility of complications occurring. Additionally, it is still possible that cancerous tissue may not be sampled,...[Read More] Understanding High PSA Levels: Risks and Next Steps for Prostate Health
Understanding Prostate Volume: Is 19g Considered Enlarged?
Prostate volume I am 26 years old (almost 27) and I would like to ask if my prostate ultrasound shows a volume of approximately 19 grams (almost 20), does this indicate benign prostatic hyperplasia? Also, can prostatitis lead to prostate enlargement as well?
Dr. Li Xinyi Reply:
Your prostate size is normal. Prostatitis can cause, but does not necessarily lead to, prostate enlargement.[Read More] Understanding Prostate Volume: Is 19g Considered Enlarged?
Understanding Post-Antibiotic Symptoms: Urology Concerns Explained
Questions regarding symptoms after taking antibiotics? Hello Dr. Du: On October 9th, I had unprotected oral sex with a woman, and two days later (October 11th), I started experiencing urethral pain, but there were no noticeable discharge symptoms. After the pain worsened, I con...
Dr. Du Shixi Reply:
Hello: 1. Is this symptom more likely to be caused by Chlamydia or Mycoplasma infection? --> Both are possible, and it could also be due to other bacteria. 2. Are those clear mucus secretions really unrelated as the doctor said, and should I just wait it out? --> Engagi...[Read More] Understanding Post-Antibiotic Symptoms: Urology Concerns Explained
Understanding Cold Genital Symptoms: Causes and When to Seek Help
Cold genitalia Hello, doctor. Recently, the weather has turned cooler, and I feel that my penis and scrotum are cold all day, without any shrinkage; it's not a case of heat expansion and cold contraction. This wasn't the case before. My sexual function is inconsistent; ...
Dr. Li Minghui Reply:
Hello: The feeling of coldness may be related to vascular circulation. It is important to pay attention to overall health, such as exercise and diet. If sexual function is not satisfactory, it is advisable to seek medical attention for necessary examinations. Wishing you good hea...[Read More] Understanding Cold Genital Symptoms: Causes and When to Seek Help
Understanding Cold Sensation in the Penis and Scrotum: Causes and Solutions
The penis and scrotum feel cold? Hello doctor, the weather has been getting cooler lately, and I feel that my penis and scrotum are cold all day long, without any shrinkage; it's not a case of heat expansion and cold contraction. This didn't happen before. My sexual fun...
Dr. Du Shixi Reply:
Hello: The sensation of coldness may be related to vascular circulation. It is important to pay attention to overall health, such as exercise and diet. If sexual function is not satisfactory, it is advisable to seek medical attention for necessary examinations. Wishing you good h...[Read More] Understanding Cold Sensation in the Penis and Scrotum: Causes and Solutions
Understanding Ejaculation Issues: Tips for Natural Lubrication
Masturbation issues? Recently, I have noticed a decrease in the frequency of ejaculation. A while ago, I would typically ejaculate 3 to 5 times a day, but now it's down to 1 to 3 times. Over the past few days, I've realized that there is no prostate fluid, which causes ...
Dr. Du Shixi Reply:
Hello: I don't quite understand your question. Wishing you good health.[Read More] Understanding Ejaculation Issues: Tips for Natural Lubrication
Understanding Premature Ejaculation and Prostate Fluid Release
Prostatic fluid is released immediately? Hello, doctor. I have noticed that pre-ejaculate fluid comes out immediately when I have an erection, and sometimes I even see a clear, stringy fluid when I exert pressure during a bowel movement. Is this normal? Additionally, I would like...
Dr. Du Shixi Reply:
Hello: I have noticed that prostate fluid immediately flows out during an erection, and sometimes I even see a clear, stringy fluid when I exert pressure during a bowel movement. Is this considered normal? ---> Additionally, I would like to ask the doctor about the sensitivity...[Read More] Understanding Premature Ejaculation and Prostate Fluid Release
Understanding Weak Urination: Causes, Concerns, and Solutions
Weak urinary stream and post-void residual urine? Hello doctor, I have been experiencing weak urine flow for almost nine months. I used to have a strong urge, but now it’s gone. I’m wondering if this is due to excessive masturbation causing prostate issues. Currently, my erection...
Dr. Du Shixi Reply:
Hello: 1. If I continue to masturbate every two weeks, will it lead to permanent issues? --> There is no correlation between the two. 2. Is weak urine flow related to urinary tract inflammation, or are there other factors? --> If there is no sexual activity, there is ge...[Read More] Understanding Weak Urination: Causes, Concerns, and Solutions
Understanding Urination Issues: When to Seek Medical Advice
Urinary problems Hello, doctor. My urination symptoms are a bit strange; sometimes they occur, and sometimes they are normal. I might urinate 7-8 times a day. I wake up at 7 AM and urinate once (about 200 mL). Before noon, I have a bowel movement and urinate 1-2 times (also about...
Dr. Du Shixi Reply:
Hello: The urinary situation you described is quite common; many people experience this. As long as you maintain a normal lifestyle and stay adequately hydrated, a follow-up examination in 1-2 years should be sufficient. Of course, if there are any significant changes, you should...[Read More] Understanding Urination Issues: When to Seek Medical Advice
Understanding Prostate Hardness: What Does It Mean for Your Health?
There is a hard mass in the prostate? Hello Dr. Lee, my father is 68 years old and in late September, during a health check-up at National Taiwan University Hospital, a hard mass was found in his prostate, and his PSA level was 4.3 (he has symptoms of benign prostatic hyperplasia...
Dr. Li Xinyi Reply:
I understand your concerns, and your thoughts are valid. It is indeed possible to schedule an earlier follow-up appointment to discuss with the doctor.[Read More] Understanding Prostate Hardness: What Does It Mean for Your Health?
Understanding Prostate Issues: What Does a Normal Biopsy Mean?
Prostate issues Hello Doctor, my father is 68 years old. In early October, during a health check-up, a hard mass was found in his prostate, and his PSA level was 4.3 (with symptoms of benign prostatic hyperplasia). At the end of October, the doctor arranged for a biopsy. Today, d...
Dr. Du Shixi Reply:
Hello: A PSA level greater than 4 indicates approximately a 1 in 5 to 1 in 7 chance of cancer. The presence of a lump detected during a physician's digital examination can be subjective, which is why sometimes a physician may feel it, and other times it may not be present; t...[Read More] Understanding Prostate Issues: What Does a Normal Biopsy Mean?
Post-Toilet Abdominal Pain Radiating to Chest: A Urology Concern
Pain in the lower abdomen after urination that radiates to the chest? In 2020, I was diagnosed with prostate cancer and underwent robotic-assisted laparoscopic surgery (Da Vinci surgery). However, after the surgery, I began to experience pain in my lower abdomen after using the r...
Dr. Du Shixi Reply:
Hello: If the urology urine test is normal and urination is smooth, it should not be related to the prostate. It is recommended to consult a cardiologist for a thorough examination. Your issue is quite rare, so try to relax. Wishing you good health.[Read More] Post-Toilet Abdominal Pain Radiating to Chest: A Urology Concern
Understanding Recurrent Urethritis: Symptoms, Causes, and Treatment Options
Recurrent urethritis Hello Doctor, I have a normal daily routine and drink water adequately. I only have sexual intercourse with my wife, which is not frequent (about once a week). Around August 15, I experienced acute urethritis for the first time in my life. I visited a nearby ...
Dr. Li Xinyi Reply:
It sounds like prostatitis, and the bacteria cultured may be from the feces. May I ask if there has been any anal intercourse? These bacteria could potentially have strong antibiotic resistance, and a stronger medication may be required, with treatment lasting 4 to 6 weeks. It is...[Read More] Understanding Recurrent Urethritis: Symptoms, Causes, and Treatment Options
Understanding PSA Levels: Insights on Prostate Health and Lifestyle Factors
Hello Dr. Lee, I received a report after today's follow-up appointment? The PSA level is 2.96. The doctor mentioned that while this is not considered normal for my age, it is within the normal range since it is below 4, indicating that there is not much concern. I am wonderi...
Dr. Li Xinyi Reply:
Bicycling and masturbation can indeed affect PSA levels. Based on your description, it seems you have had good communication with your primary physician and have reached a consensus on monitoring your PSA levels, which is great. I don't need to add anything further. Addition...[Read More] Understanding PSA Levels: Insights on Prostate Health and Lifestyle Factors
Understanding Urology: Injury Risks, Urinary Issues, and Seasonal Changes
Follow-up Question #188232 Inquiry Consultation Dear Dr. Du, Thank you very much for your response and explanation in the inquiry consultation #188232. I have greatly benefited from it. I would like to ask you the following questions: Q1. Today, I accidentally got hit on the ri...
Dr. Du Shixi Reply:
Hello: Q1. Today, I accidentally got hit in the lower right abdomen, specifically in the bladder area and the penis, by a family member's right hand. The impact was somewhat forceful, and although I was wearing underwear and outer pants, I still felt some pain in the affecte...[Read More] Understanding Urology: Injury Risks, Urinary Issues, and Seasonal Changes
Understanding Post-Ejaculation Pain: Causes and Solutions
Experiencing pain in the perineal area after ejaculation while sleeping? I would like to ask the doctor—after engaging in sexual intercourse, there is no pain at the moment of ejaculation, but during sleep, I experience severe pain in the perineal area or possibly the anus, to th...
Dr. Li Minghui Reply:
Hello: You need to seek medical examination, as it occurs occasionally. It is recommended to see a doctor when this situation arises, as it is mostly related to prostate issues. Wishing you good health.[Read More] Understanding Post-Ejaculation Pain: Causes and Solutions
Understanding Post-Ejaculation Pain: Causes and Solutions
Experiencing pain in the perineal area after ejaculation while sleeping? I would like to ask the doctor—after engaging in sexual intercourse, there is no pain at the moment of ejaculation, but during sleep, I experience severe pain in the perineal area or possibly the anus, which...
Dr. Li Minghui Reply:
Hello: You need to seek medical examination, as it occurs occasionally. It is recommended to see a doctor when this situation arises, as it is mostly related to prostate issues. Wishing you good health.[Read More] Understanding Post-Ejaculation Pain: Causes and Solutions
Understanding Frequent Urination and Incomplete Bladder Emptying: Expert Insights
Inquiry Consultation Dear Dr. Du, Hello. I am 40 years old. I have a habit of drinking tea (both sweetened and unsweetened) with an approximate daily intake of around 600ml; additionally, I drink about 700ml of water each day. I tend to be more anxious and nervous, and a few yea...
Dr. Du Shixi Reply:
Hello: Q1. Based on Dr. Du's opinion, what possible conditions or issues could my situation indicate? (e.g., overactive bladder, prostate issues, urethral problems, or other issues) -- A thorough examination is needed for diagnosis, but it is likely intermittent and not sev...[Read More] Understanding Frequent Urination and Incomplete Bladder Emptying: Expert Insights
Understanding Perineal Pain After Sexual Activity: Causes and Solutions
There is significant pain in the perineal area? I would like to ask the doctor—after engaging in sexual intercourse, there is no pain at the moment of ejaculation, but during sleep, I experience severe pain in the perineal area or possibly the anus, which is so intense that it wa...
Dr. Du Shixi Reply:
Hello: You need to seek medical examination, as it occurs occasionally. It is recommended to see a doctor when this situation arises, as it is mostly related to prostate issues. Wishing you good health.[Read More] Understanding Perineal Pain After Sexual Activity: Causes and Solutions