Understanding Kidney Stones: Surgical Options and Safety Concerns
Kidney stones Hello Dr. Hsu, I previously consulted you about my father (63 years old) regarding his kidney stone issue. Thank you for your detailed response. After evaluation at the hospital, surgery is recommended, but I still have several concerns to discuss with you: He has...
Dr. Xu Weikai Reply:
Hello, I have heard about your father's treatment plan, and it aligns well with medical principles. Generally, ureteroscopy is very safe and involves no surgical incisions, which significantly reduces the risk of wound infections. A more common issue post-surgery is the plac...[Read More] Understanding Kidney Stones: Surgical Options and Safety Concerns
Can You Have Sex After Kidney Stone Treatment? Prevention Tips and Dietary Advice
Kidney stones After treatment for kidney stones, it is generally safe to engage in sexual activity, but it is advisable to consult with your healthcare provider for personalized recommendations. There is a possibility of recurrence of kidney stones, so it is important to take pre...
Dr. Li Yilun Reply:
After undergoing extracorporeal shock wave lithotripsy (ESWL) for kidney stones, it is essential to increase fluid intake and rest. If there are no discomforts, ESWL is unrelated to sexual activity. There is a chance of stone recurrence, so regular follow-up is necessary. The com...[Read More] Can You Have Sex After Kidney Stone Treatment? Prevention Tips and Dietary Advice
Effective Treatment Options for Kidney Stones and Urinary Issues in Older Adults
Calculus Hello, Dr. Hsu. My father is 63 years old and was recently diagnosed with kidney stones (larger stones) and urinary tract stones. What treatment options are currently available? I heard that there is nearly a 98% chance of recurrence after treatment; is that true? Which ...
Dr. Xu Weikai Reply:
Hello, I am not sure how large your father's kidney stone is, so could you please provide more details: size, location, and whether there are any complications (such as infection or hydronephrosis), as these factors will influence the treatment plan. Generally, for kidney st...[Read More] Effective Treatment Options for Kidney Stones and Urinary Issues in Older Adults
Understanding Persistent Left-Sided Back Discomfort: Possible Causes and Treatments
Mild tingling sensation on the left side of the back? Hello, Dr. Hsu. About six years ago, I experienced a slight tingling sensation on the left side of my back. If I don't pay attention to it, I seem to not feel it. Suspecting kidney stones, I went to the hospital for X-ray...
Dr. Xu Weikai Reply:
Hello, actually, lower back pain is not necessarily caused by kidney stones; sometimes, tension in the neuromuscular system can also lead to localized pain. The management of kidney stones typically involves extracorporeal shock wave lithotripsy, ureteroscopy, and cystoscopy, oft...[Read More] Understanding Persistent Left-Sided Back Discomfort: Possible Causes and Treatments
Understanding Lower Abdominal Pain: Possible Urological Issues
Lower abdominal pain? Hello Doctor: This morning I woke up in pain, initially thinking it was due to a urinary urgency. However, after urinating, the dull pain persisted, including aching sensations in the penis and perineum (cramping pain), and the pain in the lower right abdome...
Dr. Liu Jianting Reply:
Oh no! Since you're already at the hospital, even if you're not in pain, you should still let a doctor take a look. Otherwise, it will be difficult to identify the "culprit." Your symptoms could potentially be caused by kidney stones or a urinary tract infecti...[Read More] Understanding Lower Abdominal Pain: Possible Urological Issues
Understanding Lower Back Pain: When to See a Urologist or Nephrologist
Lower back pain and discomfort? Hello, I have been experiencing frequent lower back pain (sometimes on one side, sometimes on both sides), and occasionally I feel a sharp pain. I also have pain in my heels, and sometimes I experience itching in my back. Could this be related to k...
Dr. Chen Junji Reply:
Hello: Although low back pain is one of the symptoms of certain kidney and other urinary system diseases, such as infections, stones, tumors, and trauma, its nature is mostly dull or tenderness upon percussion, with acute pain being the most common. It is often accompanied by sym...[Read More] Understanding Lower Back Pain: When to See a Urologist or Nephrologist
Understanding Pain Between Testicles and Anus During Urination: Causes and Tests
excuse me? I experience pain between the testicles and the anus at the moment I finish urinating and need to contract my pelvic floor muscles. This occurs occasionally. What could be the possible causes? What examinations should I undergo?
Dr. Xu Weikai Reply:
Hello, this is because after urination, there can be muscle strain, and sometimes if you exert yourself more, it may cause localized nerve pain. Generally, applying a warm compress to the area should help improve the condition. Occasionally experiencing this phenomenon is usually...[Read More] Understanding Pain Between Testicles and Anus During Urination: Causes and Tests
Understanding Pain During Urination: Causes, Tests, and Treatments
Question I experience a tight pain at the moment I finish urinating. I have seen similar symptoms in related discussions, and doctors have responded with the following possibilities: 1. Nerve involvement causing pain, 2. Urinary tract stones, possibly a stone in the right ureter,...
Dr. Liu Jianting Reply:
It is indeed possible, but it may also not be the case. I recommend that you visit a hospital to consult with a urologist for a thorough examination and explanation.[Read More] Understanding Pain During Urination: Causes, Tests, and Treatments
Understanding Incomplete Urination: Causes and Solutions
Urinary issues? Hello doctor, I have been experiencing incomplete urination lately. It feels like when I am about to finish, around 30% left, I suddenly have the urge to have a bowel movement, and then my urination stops abruptly. As a result, I can only fully empty my bladder wh...
Dr. Xu Weikai Reply:
Hello, your condition has many possibilities. Further examination and treatment may be necessary. Possible causes include: 1. Anxiety 2. Stones 3. Infection, among others. If there are any unclear points, feel free to ask again, and we can discuss and research further. Department...[Read More] Understanding Incomplete Urination: Causes and Solutions
Concerns About Urine Color Changes: When to Seek Medical Advice
Worry Hello, doctor. My urine used to be brown, similar to the color of oolong tea. However, one morning I noticed that my urine was cloudy white with some slight bubbles, but I didn't feel any discomfort. Since then, my urine has been close to clear, like water, without bub...
Dr. Chen Junji Reply:
GIGI: Hello! Generally speaking, the color of urine is influenced by various factors, including the foods, beverages, or medications consumed (either directly or through their metabolites containing pigments), endogenous pigments (such as hemoglobin in red blood cells and myoglob...[Read More] Concerns About Urine Color Changes: When to Seek Medical Advice
Prostate Cancer Screening: Considerations for Patients on Anticoagulants
Prostate cancer screening Dear Dr. Hsu, Thank you very much for your previous enthusiastic response. I would like to ask you again about my father, who must take anticoagulant medication long-term and cannot discontinue it. If he needs to undergo prostate-related examinations, s...
Dr. Xu Weikai Reply:
Lin: Hello, a typical urological examination includes blood tests for PSA and Free PSA, as well as ultrasound. Since these procedures do not cause significant wounds, there should be no issues with anticoagulant medication interference. During outpatient visits, it is generally i...[Read More] Prostate Cancer Screening: Considerations for Patients on Anticoagulants
Understanding Prostate Enlargement with Calcification: Key Concerns and Next Steps
Benign prostatic hyperplasia with calcification? Hello Doctor: My father has had a long-standing issue with kidney stones. Two months ago, he was diagnosed with benign prostatic hyperplasia accompanied by calcification. Since benign prostatic hyperplasia can be a precursor to can...
Dr. Xu Weikai Reply:
Lin: Hello, it is generally recommended to wait at least six months after undergoing cardiac catheterization before discussing the management of kidney stones for safety reasons. If a stone obstructs the urinary tract and causes hydronephrosis, immediate intervention is necessary...[Read More] Understanding Prostate Enlargement with Calcification: Key Concerns and Next Steps
Understanding Frequent Urination: Causes, Symptoms, and Treatment Options
Regarding the issue of frequent urination? Hello Doctor: I have been experiencing frequent urination for the past two weeks. Initially, I felt the urge to urinate a few minutes after finishing, and the volume was small. After a week, I drank three bottles of beer and noticed that...
Dr. Li Yilun Reply:
Frequent urination may be diagnosed not only as a urinary tract infection but also as a symptom of other conditions, including kidney stones. Sexually transmitted infections should also be considered. Self-medicating with over-the-counter drugs is not the best approach; seeking m...[Read More] Understanding Frequent Urination: Causes, Symptoms, and Treatment Options
Understanding Kidney Stones: When to Seek Further Medical Attention
Kidney stone inquiry? Hello Dr. Lai, I was diagnosed with kidney stones a day ago and have seen a urologist. The doctor informed me that the stones have moved to the bladder, but I still feel discomfort in my lower back and bladder the next day. Additionally, I noticed blood in m...
Dr. Lai Ronghao Reply:
Hello: Trust your attending physician, observe for a few days, and if you feel any discomfort, please return to the urology clinic for evaluation.[Read More] Understanding Kidney Stones: When to Seek Further Medical Attention
Understanding Testicular Pain: Causes and Concerns After Excessive Masturbation
Testicular pain Hello, Dr. Hsu. I would like to ask what results can occur from excessive masturbation. A few days ago, I masturbated twice, and about 10 minutes later (the exact time is uncertain, just an estimate), I noticed pain in my left testicle. It hurts when I touch it, a...
Dr. Xu Weikai Reply:
Ping Yun: Hello, based on your description, I believe it may not be related to masturbation. Typically, symptoms associated with erections do not last that long. Testicular pain may have coincidentally occurred at the same time. From a Western medical perspective, masturbation is...[Read More] Understanding Testicular Pain: Causes and Concerns After Excessive Masturbation
Could Your Lower Left Back Pain Indicate Kidney Issues?
Kidney disease? Recently, I've been experiencing some pain in the lower left side of my back. However, I haven't been bending over intentionally and my routine hasn't changed much. I would like to know if this could be related to kidney disease.
Dr. Chen Qiunan Reply:
Hello, Xiao He. The most common cause of back pain is related to the musculoskeletal system; however, back pain can also be associated with the kidneys. Common causes may include kidney inflammation or kidney stones. If accompanied by fever or symptoms of a urinary tract infectio...[Read More] Could Your Lower Left Back Pain Indicate Kidney Issues?
Dietary Guidelines and Fish Restrictions for Chronic Kidney Disease
Chronic Kidney Failure Hello Dr. Chen: My grandmother is 74 years old and has diabetes and hypertension. Last month, she was diagnosed with chronic kidney failure (currently not on dialysis). 1. What dietary considerations should we be aware of? 2. Are there any types of fish she...
Dr. Chen Junji Reply:
Ms. Chen: Hello! Based on your grandmother's medical history, her "chronic kidney failure" is likely a complication caused by long-term "diabetes" and/or "hypertension." How long has she been suffering from "diabetes" and "hyperte...[Read More] Dietary Guidelines and Fish Restrictions for Chronic Kidney Disease
Understanding Kidney Diverticulum Stones: Surgical Options and Risks
Renal diverticular stones If a physician diagnoses a renal diverticular stone measuring approximately 1.55 cm, what type of surgery should be performed? What are the risks and potential complications? Thank you!
Dr. Xu Weikai Reply:
Sandy: Hello, the openings of renal diverticula are generally small, and some may be almost completely obstructed. Therefore, the management of stones that occur in these cases can be more complex. If there are no symptoms, it may be ignored, or medications that are purported to ...[Read More] Understanding Kidney Diverticulum Stones: Surgical Options and Risks
Understanding Discomfort and Urgency in Urination: Possible Causes and Solutions
Abnormal urination? Experiencing discomfort in the penis, along with a sensation of urgency to urinate but being unable to do so, can be indicative of several conditions. This situation, where there is a strong urge to urinate but only a few drops are produced, along with discomf...
Dr. Xu Weikai Reply:
KK: Hello, you may be experiencing either a urinary tract infection or lower ureteral stones. It would be advisable to visit a hospital for a urinalysis and an ultrasound, which should help determine the cause. If you prefer not to seek medical attention, you can drink plenty of ...[Read More] Understanding Discomfort and Urgency in Urination: Possible Causes and Solutions
Understanding Right Lower Back Pain: Is It Related to Kidney Issues?
Right lower back pain? Hello, I would like to ask about something. Why have I been experiencing noticeable pain in my right lower back over the past couple of days? Is it related to the kidneys? The pain occurs whether I am sitting or lying down, and it only affects one side. Tha...
Dr. Li Yilun Reply:
There are many potential causes of lower back pain, and it is recommended to visit a hospital for a personal evaluation by a physician. Below are some common causes: 1. Acute pyelonephritis, often caused by urinary tract infections in women, may be accompanied by symptoms such a...[Read More] Understanding Right Lower Back Pain: Is It Related to Kidney Issues?