The Relationship Between Proteinuria and Urinary Stones: Insights and Implications
The relationship between proteinuria and urinary stones? Hello Doctor: I am also studying medicine, but I do not have clinical experience. My father has hematuria due to ureteral stones, with two test tubes filled with blood, and his white blood cell count is over 9,000, along wi...
Dr. Cai Zhuorong Reply:
Hematuria caused by urinary stones is often accompanied by proteinuria, as the blood originates from damage to the urinary epithelium due to the stones. Once the stones deposit in the collecting system, they do not return to circulation or other tissues and organs. Thank you for ...[Read More] The Relationship Between Proteinuria and Urinary Stones: Insights and Implications
Managing Kidney Stones: Post-Extracorporeal Shock Wave Treatment Concerns
After extracorporeal shock wave lithotripsy (ESWL) Hello, Doctor. I would like to ask a few questions. On April 28th, I went to the urology department due to back pain and hematuria, and I was diagnosed with a kidney stone, which was noted to be less than 1 cm in size. That eveni...
Dr. Du Shixi Reply:
Hello: Currently, extracorporeal shock wave lithotripsy is the mainstream treatment for kidney stones. After the stones are fragmented, hematuria may occur, and experiencing lower back discomfort and pain is also normal. Therefore, it is important to drink plenty of water to incr...[Read More] Managing Kidney Stones: Post-Extracorporeal Shock Wave Treatment Concerns
Understanding Testicular Pain: Causes Beyond Kidney Stones
Testicular issues? Hello Doctor, about four months ago, I woke up one day and noticed a dull pain in my right testicle. After going to the hospital, the doctor performed an ultrasound and said it likely wasn't torsion. Subsequently, I underwent a series of tests including a ...
Dr. Cai Zhuorong Reply:
Chronic inflammation and varicocele are differential diagnoses for chronic testicular pain. Ureteral stones may also cause acute testicular pain. In addition to the aforementioned examinations, a computed tomography scan can assist in the diagnosis.[Read More] Understanding Testicular Pain: Causes Beyond Kidney Stones
Distinguishing Between Kidney Stones and Tumors: Expert Insights
Calculus or tumor Hello, Doctor: A few days ago, I went to the hospital due to lower back pain and had an X-ray taken. The doctor pointed to a white spot on the X-ray and told me it was a stone. Later, I also underwent extracorporeal shock wave lithotripsy. However, upon reflecti...
Dr. Du Shixi Reply:
Hello: In urology, only stones can appear white; tumors cannot be detected by X-ray. As for extracorporeal shock wave lithotripsy, it is primarily important to drink plenty of water. If there is sufficient urine output and the stones cannot be flushed out, endoscopic intervention...[Read More] Distinguishing Between Kidney Stones and Tumors: Expert Insights
Prostate Surgery Options for Patients with Poor Lung Function
Patients with poor cardiopulmonary function who require prostate surgery? Hello, Director. My father is about 90 years old and has severe chronic obstructive pulmonary disease (COPD) and benign prostatic hyperplasia (BPH). He has been using a urinary bag for nearly five months, w...
Dr. Du Shixi Reply:
Hello: Currently, only a few hospitals perform prostate artery embolization. Laser treatment still requires anesthesia, which carries less risk than traditional surgery, but it is not without risks. Older individuals often have compromised systems and may experience slower recove...[Read More] Prostate Surgery Options for Patients with Poor Lung Function
Understanding Itching and Discomfort in the Genital and Perineal Area
Itching in the perineal and genital areas? Hello, doctor. I would like to ask you about a recent issue: for some reason, I have been experiencing itching from the base of the penis to the glans, as well as in the perineal area. This itching is not superficial; it feels like a dee...
Dr. Cai Zhuorong Reply:
Based on your description, both urethritis and urethral stones are possible diagnoses. Please visit a urology clinic for further evaluation.[Read More] Understanding Itching and Discomfort in the Genital and Perineal Area
Understanding Recurrent Urinary Tract Infections and Kidney Stones at 23
Recurrent urinary tract infections (UTIs) Hello, doctor. I was diagnosed with a urinary tract infection and have a few small kidney stones in my left kidney, each less than 0.5 cm. I'm only 23 years old... 1. After the initial diagnosis of the infection, I started drinking...
Dr. Xu Wencang Reply:
1. Due to individual constitution, some young women may have a urinary tract mucosa that is more susceptible to bacterial invasion. Lifestyle adjustments are necessary; avoid excessive fatigue. Taking cranberry tablets or vitamin C may be helpful for the prevention of urinary tra...[Read More] Understanding Recurrent Urinary Tract Infections and Kidney Stones at 23
Understanding Penile Pain During Urination: Causes and Solutions
During urination, there is pain in the penis that extends from the base to the glans? I have had benign prostatic hyperplasia for many years and have been on medication for nearly 18 years. This morning (March 27), I woke up to urinate at around 1, 4, and 6 AM, and I noticed that...
Dr. Cai Zhuorong Reply:
Based on your symptoms, acute infection, urinary retention, and stones are possible differential diagnoses. It is recommended that you visit a urology clinic for further examination and treatment.[Read More] Understanding Penile Pain During Urination: Causes and Solutions
Understanding Urinary Difficulties: Causes, Treatments, and Concerns
Dysuria Hello Doctor: Recently, I've encountered an issue where there are white spots on the glans and the inner side of the foreskin (similar to a candidiasis infection, but it doesn't hurt and is only mildly itchy most of the time). This has been present for about a w...
Dr. Du Shixi Reply:
Hello: Urinalysis shows no inflammation, so there is no need to prescribe anti-inflammatory medication (normal results can rule out stones and infection). I will not perform a digital rectal exam at this time since it may be uncomfortable; we will wait until the situation improve...[Read More] Understanding Urinary Difficulties: Causes, Treatments, and Concerns
Post-Extracorporeal Shock Wave Lithotripsy: When Can You Resume Masturbation?
After undergoing extracorporeal shock wave lithotripsy (ESWL) for kidney stones, it is generally recommended to wait at least a few days to a week before engaging in sexual activities, including masturbation. This allows your body time to heal and reduces the risk of complication...
Dr. Du Shixi Reply:
Hello: 1) There should be no relation between lithotripsy and masturbation; it is possible to experience bleeding when passing stones. 2) After lithotripsy, some individuals may experience the conditions described by their physician, while others may not. However, it is essential...[Read More] Post-Extracorporeal Shock Wave Lithotripsy: When Can You Resume Masturbation?
Understanding Urinary Issues: Are Those Particles Signs of Infection or Stones?
Urinary issues Hello, doctor. I would like to ask, after urinating, I noticed many particles in the toilet when looking at it from the side due to the reflection, but I can't see them when looking straight down. Could this be a symptom of inflammation or kidney stones? Thank...
Dr. Cai Zhuorong Reply:
It is recommended to perform a urinalysis.[Read More] Understanding Urinary Issues: Are Those Particles Signs of Infection or Stones?
Understanding Penile Curvature and Its Implications for Health
Lateral protrusion of the genital organ? Phimosis has led to years of masturbation without retracting the foreskin to expose the glans, and I have noticed that my coronal sulcus (the black ring) is asymmetrical. Normally, the upper part is closer to the body while the lower part ...
Dr. Liu Mingyue Reply:
Hello, most men's penises tend to curve to the left or right, and as long as it does not affect sexual intercourse, it is usually not a concern. However, the protrusion you mentioned should be evaluated by a physician in a clinic for a more accurate diagnosis.[Read More] Understanding Penile Curvature and Its Implications for Health
Chronic Prostatitis and Hematuria: Understanding Symptoms and Treatment
Chronic prostatitis and hematuria? Hello, doctor. Since last month, I have experienced occasional pain during urination. Initially, I thought it was a urinary tract infection and did not seek medical attention, instead opting to drink plenty of water. However, two weeks ago, I fe...
Dr. Xu Wencang Reply:
After taking the medication, follow up at the outpatient clinic.[Read More] Chronic Prostatitis and Hematuria: Understanding Symptoms and Treatment
Post-Circumcision Urinary Frequency: Causes and Solutions
Post-operative frequent urination after circumcision? Hello, doctor. Four weeks ago, I underwent laser circumcision due to phimosis. Before the surgery, I did not have any issues with frequent urination, and I was masturbating an average of twice a week. However, starting from th...
Dr. Du Shixi Reply:
Hello: 1) It may be primarily observational, as the circumcision procedure is unrelated to the prostate and bladder. 2) Healing has occurred, but there may be issues with nerve and vascular recovery or complete restoration. Wishing you good health.[Read More] Post-Circumcision Urinary Frequency: Causes and Solutions
Understanding Right Lower Abdominal Pain: Possible Causes and Solutions
There is a feeling of bloating and pain in the lower right abdomen? Dear Dr. Du, I have been experiencing a symptom for over a year. I have a feeling of bloating and pain in my lower right abdomen, which comes and goes. The discomfort is more pronounced when sitting (due to abdo...
Dr. Du Shixi Reply:
Hello: 1) The chances are slim. 2) The chances are slim. 3) A gastrointestinal issue is more likely. However, it's not a certainty. Wishing you good health.[Read More] Understanding Right Lower Abdominal Pain: Possible Causes and Solutions
Do I Need to See a Doctor for a 0.4 cm Kidney Stone?
Kidney problems Doctor, I had an ultrasound during my company's health check-up, and it showed a 0.4 cm stone in my right kidney. Do I need to seek medical attention? Sometimes I feel a slight ache in my lower back, and my right testicle occasionally feels like it's bee...
Dr. Du Shixi Reply:
Hello: Most stones measuring 0.4 cm are not visible on X-rays but can be detected via ultrasound. However, you may experience some symptoms when the stones move. It is important to drink plenty of water, avoid sugary drinks, and refrain from sitting for long periods. Follow-up sh...[Read More] Do I Need to See a Doctor for a 0.4 cm Kidney Stone?
Understanding Hematuria and Fever: A Guide to Urological Concerns
Hematuria with fever As soon as I noticed blood in my urine, I went directly to a large hospital for evaluation. After the doctor performed a urinalysis, they prescribed me a 5-day course of antibiotics. That night, before bed, I developed a high fever of 38.8 degrees Celsius. I ...
Dr. Du Shixi Reply:
Hello: It is most likely that you have kidney stones accompanied by a urinary tract infection, so you need to take medication and drink plenty of water. There is hydronephrosis in the left kidney, which may be due to stones (size may vary), causing a slower recovery from the infe...[Read More] Understanding Hematuria and Fever: A Guide to Urological Concerns
Understanding Ureteral Stones: Diagnosis, Treatment, and Concerns
Ureteral stones related? Hello, doctor. I was diagnosed with lower urinary tract stones on December 20, and an ultrasound showed hydronephrosis. I underwent extracorporeal shock wave lithotripsy, during which the doctor informed me that it might fail. At my follow-up appointment ...
Dr. Du Shixi Reply:
Hello: Some stones may be difficult to identify when they overlap with intestinal gas or bones, so intravenous contrast imaging is performed. Your CT scan results can only be considered as a reference. If the stone is smaller than 0.5 cm, it may not be visible because the edema h...[Read More] Understanding Ureteral Stones: Diagnosis, Treatment, and Concerns
Understanding Overactive Bladder: Symptoms, Causes, and Diagnosis
Does this qualify as overactive bladder syndrome? Hello, Doctor. Last year on October 15, I experienced hematuria for the first time, and it recurred on December 17. I took antibiotics for six days each time. I would like to ask: 1. I am quite attentive to hygiene, and I always w...
Dr. Du Shixi Reply:
Hello: Overactive bladder syndrome needs to rule out other diseases. After examination, if no other conditions are found, you can refer to the scoring chart at http://www.pfizer.com.tw/mediacalinfo/2010/06/Page05.asp. If the score exceeds the standard, it may indicate overactive ...[Read More] Understanding Overactive Bladder: Symptoms, Causes, and Diagnosis
Understanding Overactive Bladder: Causes, Symptoms, and Diagnosis
Overactive bladder (OAB) Hello, Doctor. I experienced cystitis on 10/25 and 11/17, both times feeling frequent urination followed by hematuria within 2-3 hours. The two episodes occurred less than two months apart. 1. I am generally very clean and always wash and urinate before...
Dr. Du Shixi Reply:
Hello: 1) If there are microvessels in the inflamed area, it is prone to bleeding. 2) It may be necessary to check the urine to see if it is completely clear before discontinuing medication. 3) Eight times refers to the entire day (however, if one consumes more than 2500 ml of fl...[Read More] Understanding Overactive Bladder: Causes, Symptoms, and Diagnosis