Understanding Erectile Dysfunction: Causes, Symptoms, and Solutions
Erectile dysfunction I have not had any sexual desire for the past two months, not even feeling anything when watching adult films, and I don't feel the urge to masturbate. Even when I do watch, I have no sexual arousal. My penis only becomes erect when I manually stimulate ...
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Understanding Erectile Dysfunction: Causes, Symptoms, and Solutions
Understanding Prostate Enlargement and Its Connection to Autonomic Nervous System Issues
Understood, the final question, Dr. Lee? Doctor's Advice: Generally speaking, if a transrectal ultrasound measures the prostate size and finds it to be greater than or equal to 30 cubic centimeters, the doctor will indicate that there is a problem with prostate enlargement. ...
Dr. Li Xinyi Reply:
Training the bladder by holding urine is something you should discuss with your physician to understand the rationale behind it. Generally, before your appointment, you need to keep a voiding diary for two to three days, recording when you urinate, the volume of urine, and instan...[Read More] Understanding Prostate Enlargement and Its Connection to Autonomic Nervous System Issues
Understanding Prostate Cancer: Managing Urinary Issues and Hormone Therapy Options
Prostate cancer Hello Doctor, my father had a PSA level of 32.5 and a prostate volume of 45 in September. He underwent a laser enucleation procedure, and the biopsy results confirmed prostate cancer. The doctor arranged for a bone scan and MRI, which showed no bone metastasis or ...
Dr. Li Minghui Reply:
Hello: 1) Postoperative urinary incontinence generally improves gradually over several months. If the amount of leakage decreases, it will continue to improve. Medication can also help, but the extent of recovery may vary. 2) Hormonal therapy is a common treatment option that sup...[Read More] Understanding Prostate Cancer: Managing Urinary Issues and Hormone Therapy Options
Understanding Prostate Cancer: Managing Incontinence and Hormone Therapy Options
Prostate cancer Hello Doctor, my father had a PSA level of 32.5 and a prostate volume of 45, and underwent a laser enucleation procedure in September. The biopsy results confirmed prostate cancer, and the doctor arranged for a bone scan and MRI, which showed no bone metastasis or...
Dr. Li Minghui Reply:
Hello: 1) Postoperative urinary incontinence generally improves gradually over a few months. If the amount of leakage decreases, it will continue to improve. Medication can also help, but the extent of recovery varies. 2) Hormonal therapy is a common treatment option that suppres...[Read More] Understanding Prostate Cancer: Managing Incontinence and Hormone Therapy Options
Managing Prostate Cancer: Addressing Urinary Incontinence and Treatment Options
Prostate cancer Hello Doctor, my father had a PSA level of 32.5 and a prostate volume of 45 in September, and he underwent a laser enucleation procedure. The biopsy results confirmed prostate cancer, and the doctor arranged for a bone scan and MRI, which showed no bone metastasis...
Dr. Li Minghui Reply:
Hello: 1) Postoperative urinary incontinence generally improves gradually over several months. If the amount of leakage decreases, it will continue to improve. Medication can also help, but the extent of recovery may vary. 2) Hormonal therapy is a common treatment option that sup...[Read More] Managing Prostate Cancer: Addressing Urinary Incontinence and Treatment Options
Understanding Prostate Cancer: Managing Urinary Incontinence and Treatment Options
Prostate cancer Hello Doctor, my father had a PSA level of 32.5 and a prostate volume of 45 in September. He underwent a minimally invasive laser enucleation procedure, and the biopsy results confirmed prostate cancer. The doctor arranged for a bone scan and MRI, which showed no ...
Dr. Du Shixi Reply:
Hello: 1) Postoperative urinary incontinence generally improves gradually over several months. If the amount of leakage decreases, it will continue to improve. Medication can also help, but the extent of recovery varies. 2) Hormonal therapy is a common treatment option that suppr...[Read More] Understanding Prostate Cancer: Managing Urinary Incontinence and Treatment Options
Understanding Prostate Health: Insights from Dr. Lee on Common Concerns
Hello, Dr. Lee has some more questions? Response from Dr. Hsin-Yi Lee, Urologist: Given your age, it is unlikely that you are experiencing true benign prostatic hyperplasia (BPH), and medications like Alfuzosin are generally not necessary. Alfuzosin does not prevent the developme...
Dr. Li Xinyi Reply:
Generally speaking, if a transrectal ultrasound measures the prostate size to be greater than or equal to 30 cubic centimeters, a doctor may indicate that there is an issue with prostate enlargement. However, it is not that straightforward; this can be related to the patient'...[Read More] Understanding Prostate Health: Insights from Dr. Lee on Common Concerns
Understanding Urinary Pain After Masturbation: Causes and Solutions
Masturbation-related urinary issues Experiencing pain during urination after masturbation could be due to several reasons, such as irritation of the urethra, a urinary tract infection (UTI), or inflammation of the prostate. It is important to monitor your symptoms. If the pain pe...
Dr. Du Shixi Reply:
Hello: If your pain occurs with multiple urinations, you should seek medical attention for an examination. If it happens only once, you can monitor it for now, and pay attention to hydration and exercise. Wishing you good health.[Read More] Understanding Urinary Pain After Masturbation: Causes and Solutions
Managing Enlarged Prostate: Insights on Medication and Lifestyle Changes
Hello, Dr. Lee? I visited a urologist due to issues with nocturia and frequent urination. Prior to that, my lifestyle was irregular, and because of the frequent urination, I wasn't drinking enough water. After undergoing a urinary tract and rectal ultrasound, blood tests, an...
Dr. Li Xinyi Reply:
Given your age, it is unlikely that you would consider having true benign prostatic hyperplasia (BPH), and medications like alfuzosin are generally not necessary, as they do not prevent prostate enlargement. If you are genuinely concerned about enlargement, it is advisable to vis...[Read More] Managing Enlarged Prostate: Insights on Medication and Lifestyle Changes
Understanding Reverse Ejaculation: Medication Effects and Prostate Health
Hello, Director Du? Recently, I asked the director a question, but now it seems to be caused by the side effects of the medication. Before taking Alfuzosin, my ejaculation during masturbation was normal. After starting the medication, I still have normal erections and can feel th...
Dr. Du Shixi Reply:
Hello: This type of medication often has such effects. If you are concerned, you can switch medications during your follow-up visit; some medications have fewer side effects. As for the duration of use, it should be evaluated by your physician. There is no need to specifically tr...[Read More] Understanding Reverse Ejaculation: Medication Effects and Prostate Health
Understanding Pain Above the Groin: Possible Causes and Next Steps
Pain in the area above the pubic triangle near the abdomen? Hello Doctor: Recently, I have noticed a pressure-like pain in the triangular area above my genitals, near my abdomen, which occurs when I bend down to stand up, stretch, or after sitting for a long time. Occasionally, I...
Dr. Du Shixi Reply:
Hello: 1. If I still feel unwell after three days, what diagnostic tests would you recommend? -- Imaging studies, blood tests. 2. Could this possibly be caused by interstitial cystitis? Or could it be related to stones or prostate issues? All are possibilities, and it is importan...[Read More] Understanding Pain Above the Groin: Possible Causes and Next Steps
Understanding Bladder Wall Thickening: CT vs. MRI Insights
CT and MRI for diagnosing bladder wall thickening concerns? Hello Doctor: In mid-August, during a routine liver ultrasound follow-up at a major medical center, a shadow was detected. Following the physician's recommendation, I underwent a CT scan, which showed no issues with...
Dr. Jian Weihong Reply:
Hello: The necessary examinations have been completed. The bladder is elastic, and it appears thinner when there is a large volume of urine. Regular follow-up is all that is needed. Wishing you good health.[Read More] Understanding Bladder Wall Thickening: CT vs. MRI Insights
Understanding Urinary Tests: What Blood and Urine Tests Reveal About Diabetes and Prostate Health
Hello, Director Du. I would like to ask what items are included in the blood and urine tests for urology? Due to nocturia affecting my sleep quality, I visited a urologist and mentioned that my sister, father, grandmother, and uncle all have a history of diabetes. The doctor advi...
Dr. Du Shixi Reply:
Hello, I would like to ask if routine blood and urine tests in urology also check for diabetes-related blood glucose levels. In urine, the presence of glucose can indicate this, but there are no specific numbers. Whether blood glucose is tested depends on the individual physician...[Read More] Understanding Urinary Tests: What Blood and Urine Tests Reveal About Diabetes and Prostate Health
Understanding STD Testing: Insights on Urology and Prostate Health
Sexually Transmitted Infection (STI) Testing Hello, doctor. Regarding the sexual disease testing you mentioned in <a href="https://adoctor.tw/article/187136">#187136</a>, you said that the tests are only for reference and that semen may not necessarily show ...
Dr. Du Shixi Reply:
Hello: Regarding your previous comment on sexually transmitted disease (STD) testing, you mentioned that it is merely a reference and that semen may not always yield conclusive results. Does this imply that current STD screening is somewhat meaningless? As you stated, there may b...[Read More] Understanding STD Testing: Insights on Urology and Prostate Health
Understanding Bladder Wall Thickening: Causes and Diagnostic Insights
Thickening of the anterior bladder wall? Hello Doctor: In mid-August, during a routine liver ultrasound follow-up at a major medical center, a shadow was detected. Upon the physician's recommendation, I underwent a CT scan, which showed no issues with the liver but unexpecte...
Dr. Du Shixi Reply:
Hello: The necessary examinations have been completed. The bladder is elastic, and it appears thinner when there is a lot of urine. Regular follow-up is all that is needed. Wishing you good health.[Read More] Understanding Bladder Wall Thickening: Causes and Diagnostic Insights
Understanding Chronic Prostatitis and STDs: Key Questions Answered
Chronic prostatitis, sexually transmitted diseases? Hello, doctor. I had oral sex on August 4th, and three days later, I felt a slight sting at the tip of my urethra (with no other discomfort). A week later, I went for a full sexually transmitted infection (STI) screening, and al...
Dr. Du Shixi Reply:
Hello: Chronic prostatitis can refer to http://www.shutien.org.tw/dr_doc_detail.aspx?bookid=8011. Is it true that DNA PCR can accurately detect even during the latent period? --> It depends on the equipment; you should inquire with the testing facility. 2. Is there a possibili...[Read More] Understanding Chronic Prostatitis and STDs: Key Questions Answered
Could Recurrent Chlamydia Infections Be Linked to Prostatitis?
Recurrent infections with Chlamydia may be related to prostatitis? At the end of July, I contracted a sexually transmitted infection, experiencing symptoms such as white discharge from the urethral opening and discomfort in the urethra. The doctor suggested it could be gonorrhea ...
Dr. Du Shixi Reply:
Hello: Sexually transmitted infections (STIs) have inherent diagnostic blind spots. In addition to ongoing treatment for Chlamydia infection, it is important to pay attention to lifestyle and maintain good immunity. Chlamydia infections can have a latent period, making them easil...[Read More] Could Recurrent Chlamydia Infections Be Linked to Prostatitis?
Understanding Prostate Issues: Lack of Prostate Fluid After Erection
Prostate issues Is it normal not to secrete prostatic fluid even after becoming aroused? If there is a strong desire to secrete it, are there ways to improve this?
Dr. Li Xinyi Reply:
Prostatic fluid is a component of semen, and its secretion cannot be controlled by an individual. It does not seem to indicate any disease issue. If there are concerns, it is advisable to consult a urologist for examination and discussion with a physician.[Read More] Understanding Prostate Issues: Lack of Prostate Fluid After Erection
Understanding Chlamydia Recurrent Infections: Treatment Challenges and Solutions
Relapsing of Clostridium difficile infection? In late July, I contracted a sexually transmitted infection, with symptoms including white discharge from the urethral opening and discomfort in the urethra. The doctor suggested it could be gonorrhea or chlamydia, so I was prescribed...
Dr. Li Xinyi Reply:
If the sexual partner is not treated, cross-infection can occur, leading to recurrent infections. If there is suspicion of involvement with the prostate, the treatment course should be extended. If the bacteria are resistant to antibiotics, a change in antibiotics is necessary. I...[Read More] Understanding Chlamydia Recurrent Infections: Treatment Challenges and Solutions
Understanding Urinary Difficulties: Insights on Sensation Loss and Prostate Health
Dysuria and urinary incontinence? I am a male in my 30s with a job that requires prolonged sitting. I have a few questions for the doctor: 1. Last week, I suddenly experienced a lack of sensation in my urethra while urinating. I have the urge to urinate, but I cannot feel the u...
Dr. Li Xinyi Reply:
Urinary incontinence may suggest peripheral nerve issues, possibly due to viral infections or nerve inflammation. Generally, these are benign problems that require rest and observation. Regarding urination issues, there could be a possibility of prostate problems, but tests may n...[Read More] Understanding Urinary Difficulties: Insights on Sensation Loss and Prostate Health