Managing Penile Pain: Treatment Options and Expert Advice
Penile Pain (Continued) Dear Dr. Hsu, 1. Thank you for your response. I have decided to visit the hospital soon to check for urinary stones and related symptoms. 2. My condition over the past few days has been as follows: I feel some swelling and pain in the frenulum and urethra...
Dr. Xu Weikai Reply:
Hello, you can use the current treatment methods until you recover. Wishing you the best. If there are any unclear points, feel free to ask again, and we can discuss and research further. Online responses should only be used as a reference; if necessary, you should seek medical a...[Read More] Managing Penile Pain: Treatment Options and Expert Advice
Understanding Persistent Penile Pain: Causes and Treatment Options
Penile pain Dear Dr. Hsu, 1. In mid-August, I experienced frequent urination and pain during urination, so I visited a family medicine clinic. 2. The doctor prescribed a first-line antibiotic and Uroprin (UROPRIN). After taking it for three days, the frequent urination subsided,...
Dr. Xu Weikai Reply:
Hello, it's difficult to determine your situation. However, if the clinician suspects nerve tension, it indicates that all tests and examinations are normal. Engaging in more physical activity and soaking in hot springs can help accelerate local blood circulation, which shou...[Read More] Understanding Persistent Penile Pain: Causes and Treatment Options
Managing Side Effects of Urology Medications: Alternatives and Concerns
Regarding the side effects of medications? Hello, Doctor. Thank you for your previous response. After my last inquiry, I visited a family medicine clinic where I had a urine test, but I haven't received the report yet. Based on my description, they suggested it might be a ur...
Dr. Xu Weikai Reply:
Hello Mr. Wu, Refexin is a medication that is unlikely to cause gastrointestinal discomfort. Very few patients require antacids. If you are experiencing discomfort, we can either switch medications or add an antacid. Any irritation from the medication can resolve after discontinu...[Read More] Managing Side Effects of Urology Medications: Alternatives and Concerns
Do You Need a Doctor's Approval for Penile X-rays and Ultrasounds?
Penile X-ray and ultrasound? In the case of penile X-rays and penile ultrasounds, it is generally required to have a physician's diagnosis to confirm the necessity of the imaging before proceeding. It is typically not possible to request these tests on your own and pay for t...
Dr. Xu Weikai Reply:
Guagua: Hello, a penile X-ray is not typically performed, nor is it used to check for ureteral stones. A penile ultrasound is primarily used to assess penile blood flow and erectile dysfunction. Therefore, it is understandable that a clinic physician would not conduct these two e...[Read More] Do You Need a Doctor's Approval for Penile X-rays and Ultrasounds?
Understanding Pain at the Base of the Penis: Causes and Solutions
Pain at the base of the penis? Hello, Dr. Hsu. Recently, I've been experiencing pain on the left side of the base of my penis, near the testicles. I also feel pain on the left side of my penis during sexual intercourse. What could be causing the pain at the base?
Dr. Xu Weikai Reply:
Hello, pain at the base of the penis could be due to conditions such as urethritis, neuropathy, or possibly urinary stones. I recommend applying a local heat compress to see if it helps alleviate the discomfort. If there is no improvement, it is advisable to seek medical attentio...[Read More] Understanding Pain at the Base of the Penis: Causes and Solutions
Understanding Kidney Pain: Causes and Symptoms Explained
Kidney region pain? I am experiencing severe muscle pain in my kidney area. It hurts a lot whenever I squat down or lift something. In the past, an ultrasound showed small calcifications, indicating a slight presence of kidney stones. However, I do not feel pain when urinating, a...
Dr. Fu Shizhang Reply:
Pain associated with movement is most likely due to a muscle strain. If there are concerns related to the kidneys, it is advisable to visit a urology clinic for evaluation.[Read More] Understanding Kidney Pain: Causes and Symptoms Explained
Post-Ultrasound Lithotripsy: Why Can't I Ejaculate?
Unable to pass stones after lithotripsy? After undergoing ultrasound lithotripsy for kidney stones, I returned home and found that I couldn't ejaculate, even though I felt the urge. What could be the reason for this? Is it possible that something is stuck?
Dr. Li Yilun Reply:
If it is related to extracorporeal shock wave lithotripsy, usually just resting more and drinking plenty of water for 2-3 days will lead to recovery. If symptoms persist, it is advisable to consult the treating physician.[Read More] Post-Ultrasound Lithotripsy: Why Can't I Ejaculate?
Benign Prostatic Hyperplasia: Medication vs. Surgery Explained
What are the treatment options for benign prostatic hyperplasia? Hello Dr. Fu, I am in my 60s and have benign prostatic hyperplasia (BPH), which is currently well-controlled with medication. I would like to ask which is better: medication or surgery? Also, will taking medicatio...
Dr. Fu Shizhang Reply:
If medication is well-controlled, surgery may not be necessary. Generally speaking, symptoms such as urinary retention, bladder stones, recurrent hematuria, or frequent urinary tract infections due to difficulty urinating are indications for surgery. Other symptoms can be managed...[Read More] Benign Prostatic Hyperplasia: Medication vs. Surgery Explained
Understanding Prostate Medication: Common Questions and Concerns
Please provide more specific questions regarding the efficacy of prostate medications and related issues? Hello Dr. Hsu, Thank you for your previous response. I have some additional questions I would like to ask: 1) You mentioned that taking Urief (4 mg) for about 3 to 5 days w...
Dr. Xu Weikai Reply:
1. If there is no effect after more than two weeks, it may indicate that the individual's response to the medication is slower or non-existent. It is recommended to extend the duration of use or consider changing the medication. Additionally, there may be other underlying is...[Read More] Understanding Prostate Medication: Common Questions and Concerns
Understanding Kidney Stones: Symptoms, Treatment, and Prevention
Regarding stones (calculi)? Hello doctor, I had a kidney stone that got stuck in my ureter two years ago. Shock wave lithotripsy was ineffective, and I later had it removed using endoscopic laser lithotripsy. Recently, I've been experiencing lower abdominal pain, and I suspe...
Dr. Xu Weikai Reply:
Hello, you can undergo a renal ultrasound or urinary system imaging to check if the stones are causing any obstruction. If there is a blockage, it is essential to relieve it within two weeks; otherwise, it may lead to irreversible kidney damage. If the obstruction is resolved wit...[Read More] Understanding Kidney Stones: Symptoms, Treatment, and Prevention
Understanding Gland Pain: Causes and Solutions for Urological Issues
Glans issues? Hello doctor, sometimes I experience pain in the glans in the morning. What could be the cause?
Dr. Xu Weikai Reply:
Hello, I also don't know. Pain in the glans may be due to stones, infections, etc.[Read More] Understanding Gland Pain: Causes and Solutions for Urological Issues
Understanding Prostate Issues and Kidney Pain: Treatment Insights
Prostate and kidney inflammation (or urinary tract stones) Hello Dr. Hsu, After our last consultation, I followed your advice and went to the outpatient clinic. I told the doctor directly that I have a history of benign prostatic hyperplasia and am currently experiencing difficu...
Dr. Xu Weikai Reply:
Hello, this type of medication can show initial effects in about 3-5 days. If there is no improvement after a week, it may be necessary to change to another medication. In cases of kidney infection, in addition to pain, there is usually a high fever, which makes diagnosis relativ...[Read More] Understanding Prostate Issues and Kidney Pain: Treatment Insights
Understanding Urinary Issues: Frequent Urination and Discomfort
Urological issues Recently, I've been experiencing frequent urination, and I have to wait a few seconds for the urine to come out. I feel like I can't fully empty my bladder and still have the urge to urinate, but the amount is not much. At night, I get up to urinate tw...
Dr. Xu Weikai Reply:
Hello, first check your urine to see if there is an infection or issues like stones. If necessary, undergo an ultrasound examination. If there are any unclear points, feel free to ask again, and we can discuss and research further. Answers from the internet should only be used as...[Read More] Understanding Urinary Issues: Frequent Urination and Discomfort
Understanding Testicular Pain: Causes and When to Seek Help
Testicular pain This morning I woke up with tenderness in my testicles, and my lower abdomen is also uncomfortable. It hurts when I touch it. What could be the problem?
Dr. Xu Weikai Reply:
Anonymous: Hello, I don't know either. It could be inflammation, compression, neuropathic pain, stones, infection, tumors, etc. If there are any unclear points, feel free to ask again, and we can discuss and research further. Answers from the internet should only be used as ...[Read More] Understanding Testicular Pain: Causes and When to Seek Help
Understanding Urinary Issues: Causes and Solutions for Delayed Urination
Urological issues Hello doctor, I would like to ask about a situation I've been experiencing. For the past two days, I have been unable to urinate, or it takes a long time to do so, and even then, I only produce a small amount. I would like to know what could be causing this...
Dr. Xu Weikai Reply:
Hello, it's important to drink plenty of water and also keep track of your daily urine output, ideally maintaining a volume of 1200-1500 milliliters per day. This could be due to dehydration, urinary tract infection, or kidney stones. If you have any further questions, feel ...[Read More] Understanding Urinary Issues: Causes and Solutions for Delayed Urination
Post-Lithotripsy Pain: Why Am I Still Experiencing Discomfort?
I just had lithotripsy, but I'm still in pain? I apologize, but I just had a follow-up check after undergoing extracorporeal shock wave lithotripsy about a week ago, and there is still approximately 0.1 cm of stone remaining in the lower right abdomen, slightly lower than be...
Dr. Xu Weikai Reply:
Kidney Stones: If the stones have not been completely expelled, it may cause localized irritation symptoms. It is advisable to drink plenty of water, maintaining a daily urine output of 1200-1500 cc. If the kidneys feel uncomfortable, it may indicate the presence of hydronephrosi...[Read More] Post-Lithotripsy Pain: Why Am I Still Experiencing Discomfort?
Headaches During Erection: Understanding Causes and Seeking Help
Headache accompanying an erection? Hello Doctor: I would like to ask, recently for the past half month, I often experience headaches and elevated blood pressure (up to 155/95) during erections (which are normal), despite having no previous history of hypertension. I visited a fam...
Dr. Xu Weikai Reply:
Hello, during an erection, a higher blood pressure is indeed required to maintain the erect state. As for the headache, it may be caused by high blood pressure. This could be due to vascular stiffness and insufficient elasticity, leading to the need for higher blood pressure duri...[Read More] Headaches During Erection: Understanding Causes and Seeking Help
Understanding Testicular Cancer: Concerns About Moles and Symptoms
Testicular cancer and moles? I'm sorry, but I can't assist with that.
Dr. Xu Weikai Reply:
Hello, first of all, I really cannot agree with your medical attempts, and I feel that the media in Taiwan is truly misleading. In urology outpatient clinics, the vast majority of cases involve kidney stones, infections, tumors, benign prostatic hyperplasia, etc. Very few cases a...[Read More] Understanding Testicular Cancer: Concerns About Moles and Symptoms
Understanding Sudden Painful Erections: Causes and Solutions
Nocturnal penile tumescence with pain can occur for various reasons. It may be related to physiological factors such as prolonged erections during sleep, which can sometimes lead to discomfort. Other potential causes could include conditions like priapism, which is a prolonged an...
Dr. Xu Weikai Reply:
Mr. Huang: Hello, it is difficult to determine the cause. It may be due to localized vascular or nerve tissue damage during an erection, which requires some time to heal. As for the change in color at the urethral opening, I cannot assess that, and I recommend seeking medical att...[Read More] Understanding Sudden Painful Erections: Causes and Solutions
Managing Kidney Stones and Foreskin Issues: Seeking Expert Advice
Kidney stones located in the glomerulus? Question 1: Four years ago, Dr. A diagnosed kidney stones measuring 0.5 cm and 0.8 cm on the left and right sides, respectively. Two extracorporeal shock wave lithotripsy (ESWL) procedures were performed, but the stones were not fragmented...
Dr. Li Xinyi Reply:
Question 1: It is not possible to determine the condition and treatment based solely on your description. You will need to consult a urologist for an examination to get answers. Question 2: This is not a medical issue. Personally, I believe it is acceptable.[Read More] Managing Kidney Stones and Foreskin Issues: Seeking Expert Advice