Stones, Urology FAQ

Understanding Renal Hydronephrosis and Cyst Formation During Pregnancy

Renal edema and blister issues? Hello Doctor, I was unaware of my severe hydronephrosis on the right side before pregnancy, as it did not cause any pain until I discovered it during a health check after becoming pregnant. The doctor suspected it might be caused by kidney stones. ...

Dr. Du Shixi Reply:
Hello: Some pregnant women may experience renal edema during pregnancy. If discomfort persists, it is recommended to have a thorough examination at a major hospital to determine the cause. 1) It will not happen. 2) Endoscopic examination of the bladder cannot be performed. Wishin...

Can You Perform ESWL on Non-Visible Kidney Stones? A Urology Perspective

If kidney stones are not visible on X-ray due to radiolucency, is it still possible to perform extracorporeal shock wave lithotripsy? Two weeks ago, I went to the emergency department due to right renal colic. I received conservative treatment and gradually passed the stone. Sinc...

Dr. Du Shixi Reply:
Hello: Nowadays, there are few machines that use ultrasound localization for lithotripsy without X-rays. I suggest you inquire at various hospital lithotripsy centers. Wishing you good health.

Can Bilateral Kidney Stone Surgery Be Safely Performed with Endoscopy?

Bilateral renal endoscopic surgery Hello Doctor, my mother has had kidney stones for thirty years, but she has not received proper treatment for a long time. Recently, her condition has worsened, and the doctor performed extracorporeal shock wave lithotripsy as a routine procedur...

Dr. Du Shixi Reply:
Hello: It should depend on the patient's condition. Generally, good cardiopulmonary function is required to undergo longer surgeries (emergency surgeries are an exception for life-saving situations). Of course, the physician will assess the patient's status, and the ane...

Is Blood in Urine and Dizziness Normal with a Double J Stent?

Is it normal to have persistent hematuria and dizziness with a double J stent in place? Dear Doctor: Last time, I inquired about the suitability of undergoing extracorporeal shock wave lithotripsy, and I have received an answer (<a href="https://adoctor.tw/article/129900&...

Dr. Du Shixi Reply:
Hello: The likelihood of anemia caused by hematuria is very low, unless the bleeding results in a significant volume of blood clots. Additionally, the use of anticoagulants may lead to bleeding that could reach the level of anemia. The reason for placing a double J stent is to fa...

Understanding Frequent Urination and Penile Discomfort in Young Men

Penile issues and frequent urination problems? Hello Doctor, I am a 21-year-old male. It is said that my family has a hereditary tendency to develop kidney stones. I drink more than 2000 cc of water daily. I have been working out for two months, but since elementary school, I hav...

Dr. Du Shixi Reply:
Hello: 1) Masturbating early in the morning is not likely to cause issues; it may be related to a bladder problem. It is recommended to consult a urologist for examination. 2) If the erection is painful and severe, it is abnormal and medical attention should be sought.

Understanding Hematuria: Insights from Recent Urinalysis and Kidney Ultrasound

Hematuria issues Hello Dr. Du, I'm back again. Today I went to the clinic and requested my urine test and kidney ultrasound reports for your review and advice. The urine test on October 30 showed: - RBC: 2 - WBC: 0-2 - Bacteria: 0 - Epithelial cells: 1 - Crystals: 0 ...

Dr. Du Shixi Reply:
Hello: The diagnosis from the clinic should be credible; just bring the results back and continue treatment at the original hospital (you can choose to receive treatment there in the future). Wishing you good health.

Managing Kidney Stones: Can Urelife Help Women with Symptoms?

Taking Uralyt-U for kidney stones? Hello, doctor. I have a 1.3 cm kidney stone in my left kidney. I underwent extracorporeal shock wave lithotripsy a week ago, and during my follow-up examination, half of the stone fell back into the kidney while the other part is lodged near the...

Dr. Du Shixi Reply:
Hello: 1) This type of medication is effective for passing lower urinary tract stones. 2) Once the stones are expelled, the renal hydronephrosis will resolve. 3) Antispasmodics can be used to dilate the ureter. Wishing you good health.

Understanding Prostate Issues and Urinary Symptoms: A Urology Perspective

Prostate and urinary issues? Hello, doctor. I have obstructive symptoms such as a weak urine stream, difficulty urinating, incomplete voiding, and intermittent flow. A traditional Chinese medicine practitioner diagnosed me with chronic prostatitis, and I have been taking medicati...

Dr. Du Shixi Reply:
Hello: Symptoms such as weak urine flow, difficulty urinating, incomplete voiding, and intermittent urination should be evaluated by a urologist at a hospital. 1. Medication can improve and treat the condition. 2. It will not. 3. It is helpful. 4. It is possible. 5. It will not, ...

Understanding Urinary Issues: When to Consider Cystoscopy for Diagnosis

Dysuria Hello Dr. Du, I am 27 years old and have recently experienced difficulty urinating and hematuria over the past two months. I previously visited a clinic where I underwent urinalysis and ultrasound examinations. The urinalysis showed the presence of red blood cells, bact...

Dr. Du Shixi Reply:
Hello: Due to the presence of symptoms, it is possible that the stone has not been expelled, so it is essential to confirm that there is no renal hydronephrosis and that urine tests show no hematuria and no symptoms before discontinuing monitoring. As for the cystoscopy, it depen...

Understanding Back Pain and Elevated Creatinine Levels: Possible Causes

Lower back pain and creatinine? Hello Doctor: Let me explain my situation. About 10 years ago, my creatinine levels have consistently been elevated: 10 years ago it was 1.54, 5 years ago it was 1.22, 3 years ago it was 1.3, last year it was 1.3, and this year during my health che...

Dr. Du Shixi Reply:
Hello: Blood and urine tests are definitely insufficient. If symptoms persist, a more detailed examination by a urologist at the hospital is necessary. Generally, it is advised to drink more water (avoid beverages) and to refrain from holding urine. Urinary reflux and stones can ...

Understanding Urinary Issues: Causes and Solutions for Discomfort

Urinary abnormalities Hello doctor, I have been experiencing abnormal urination every day. I feel like I can't completely empty my bladder, and there is often residual urine at the urethral opening. Sometimes I have to exert myself to squeeze it out, or I need to walk around...

Dr. Du Shixi Reply:
Hello: There may be two issues, one related to the prostate and the other to the nervous system. It is recommended that you first visit the urology department at a medical center for an examination. If there are no issues, then consider consulting a neurologist. The specific test...

Understanding Prostate Pain and Erectile Issues: A Urology Perspective

Special Symptoms and Functions I would like to ask the doctor a few questions: I am currently 23 years old. Since high school, I have noticed that whenever I am stimulated by women (through words, texts, or physical actions) and experience the secretion of pre-seminal fluid (whic...

Dr. Li Xinyi Reply:
If there is no ejaculation, after a period of time, there may be a vague pain in the left abdomen or pain in the testicles. In some cases, even after ejaculation, individuals may still feel discomfort in the pelvic area. This does not appear to be indicative of a pathological iss...

Understanding Kidney Swelling: Causes, Symptoms, and Next Steps

Low back pain due to renal edema? On the evening of August 26, I woke up with back pain less than 10 minutes after preparing for bed. I went to the bathroom several times, and since I had a kidney stone experience over a decade ago, I immediately suspected an issue with my right ...

Dr. Du Shixi Reply:
Hello: Generally, if there are no severe symptoms, observation for a few weeks is advisable, as small stones have a high likelihood of passing on their own. Personally, if there is still swelling after 2-3 weeks, I recommend performing a renal pelvis imaging study to locate the s...

Understanding Discomfort Near the Urethral Opening: Causes and Solutions

Pain inside the urethral opening? Previously, I had a urinary tract infection and took antibiotics for a period of time. Later, the doctor said that since the tests showed no inflammation and no bacteria were cultured, I could stop the medication. An abdominal X-ray was also perf...

Dr. Du Shixi Reply:
Hello: It may be necessary to test your urine again (medication will only kill bacteria, but won't make it more severe). It could be a recurrence. Additionally, please be very cautious in your daily life. Wishing you good health.

Understanding Discomfort in the Right Testicle: Causes and Concerns

There is a dull sensation in the right testicle, but it is not painful? Hello doctor, about four days ago, I accidentally bumped into the corner of a table while moving some items. Since then, I've felt a dull sensation in my right testicle, but there is no pain. It doesn&#x...

Dr. Du Shixi Reply:
Hello: If you have been feeling unwell for several days, it is likely that there is an issue, which could be a muscle strain. If there are problems with your urine, it may also indicate the possibility of kidney stones. Wishing you good health.

Effective Ways to Pass Ureteral Stones After Shock Wave Therapy

How to Successfully Pass Kidney Stones I have a question: I underwent extracorporeal shock wave lithotripsy for ureteral stones on June 13. During my follow-up on June 20, it was reported that the stones had dropped into the bladder. At my follow-up on July 18, the stones were st...

Dr. Xu Wencang Reply:
If discomfort persists, endoscopic surgery may be considered.

Understanding Persistent Trace Blood in Urine Tests: Causes and Concerns

Urinalysis for hematuria issues? Hello, doctor. I have a question for you. 1. Previously, I consulted you about a urine test that showed trace blood (+/-). One test was done at an external lab and another at the urology department, both in May. The laboratory technician and the...

Dr. Du Shixi Reply:
Hello: Foods or beverages can potentially cause trace blood in urine tests (+/-). Regular monitoring is recommended. Wishing you good health.

Understanding Frequent Urination: Causes and Solutions for Kidney Stone Patients

Frequent urination issues? Hello, doctor! I have kidney stones that are quite small. I have seen a doctor who advised me to take medication and drink plenty of water, suggesting that the small stones would pass on their own. However, it has been almost a year, and they still have...

Dr. Du Shixi Reply:
Hello: Kidney stones typically do not present with these symptoms. If these symptoms are persistent rather than occasional urinary issues, a visit to a urologist for examination is recommended. Wishing you good health.

Living with Kidney Stones: Treatment Options and Care Tips

Kidney Stones - Latest Supplementary Questions Hello Director Du, thank you very much for taking the time to respond to my questions over the weekend. I would like to ask a few additional questions. Regarding my kidney stone, which is 0.7 cm, if this stone does not grow or move f...

Dr. Du Shixi Reply:
Hello: 1) Can coexist. 2) No need for hospitalization; some hospitals may administer pain relievers or mild anesthesia, depending on the facility. 3) You can go alone or be accompanied by family during the lithotripsy. 4) There are no medications to assist with expulsion from the...

Understanding Kidney Stones: Management Options and Success Rates

Inquiries related to kidney stones? Hello, Dr. Du. I am a 34-year-old male. Recently, I underwent ultrasound and X-ray examinations at the urology department of the hospital, where a 0.7 cm kidney stone was discovered. The urologist explained to me that since other tests appeared...

Dr. Du Shixi Reply:
Hello: A kidney stone measuring 0.7 cm can either be treated or left untreated. The chance of a 0.7 cm stone passing on its own is relatively low, depending on individual hydration and body constitution (for stones smaller than 0.5 cm, there is an 80-90% chance of passing them wi...

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