Stones, Urology FAQ - Page 39

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Can Kidney Stones Be a Sign of Cancer? Understanding the Symptoms

Can kidney stones be a sign of cancer? Hello Doctor: My father is 50 years old, and he says he has kidney stones, but he is concerned it might be cancer. I would like to ask: Do the symptoms of kidney stones and cancer resemble each other? Do the imaging results look similar as w...


Dr. Lai Ronghao Reply:
Dear Ms. Lin: The vast majority of kidney stones and urinary tract cancers are asymptomatic. However, urine tests often reveal the presence of hematuria. It is recommended that your father undergo a thorough examination at the hospital to prevent any unfortunate outcomes. Sincere...

[Read More] Can Kidney Stones Be a Sign of Cancer? Understanding the Symptoms


Understanding Kidney Stones: Treatment Options and Surgical Procedures

Kidney stones Last week, I underwent shock wave lithotripsy at Hualien Tzu Chi Hospital. A recent follow-up X-ray indicated that stone fragments are accumulating in the ureter, but I am not experiencing any pain. The doctor advised me to drink plenty of water to see if I can pass...


Dr. Lai Ronghao Reply:
Hello A-Le, Ureteroscopy can be used for stone removal or lithotripsy, with a typical hospital stay of 3 to 4 days. This procedure is covered by health insurance. Sincerely, Dr. Lai Rong-Hao, Attending Physician, Department of Urology, Hsinchu Hospital, Ministry of Health and...

[Read More] Understanding Kidney Stones: Treatment Options and Surgical Procedures


Understanding Painful Urination: Causes and Solutions

Urinary issues Hello, Dr. Lin! I experience a slight burning sensation when I first start urinating. I went to the hospital for an examination last month, but the doctor only prescribed medication for me. Initially, after finishing the medication, the issue seemed to improve, but...


Dr. Lin Hexing Reply:
Hello Mibey: Regarding your symptoms, the burning sensation while urinating, I wonder if you have any other symptoms, such as urgency, frequency, or a burning sensation in the urethra. These are primarily symptoms of bladder and urethral inflammation. However, there are other con...

[Read More] Understanding Painful Urination: Causes and Solutions


Understanding Solid Kidney Mass with Vascularity: What You Need to Know

Solid mass with vascularity in the left middle kidney? Dear Dr. Pan, I received an ultrasound lab report about two weeks ago, and they suggested that I undergo a CT urogram to investigate the solid mass with vascularity in my left kidney. I would appreciate your comments on this...


Dr. Pan Zhenqin Reply:
Dear Claire, I regret to inform you of my opinion regarding your condition. The ultrasound report indicates a hypoechoic solid mass with vascularity in the mid portion of the left kidney, which is more suggestive of renal cell carcinoma; however, a benign cyst or other benign re...

[Read More] Understanding Solid Kidney Mass with Vascularity: What You Need to Know


Understanding Erectile Issues and Urinary Symptoms in Young Men

Is this really... not acceptable? Hello doctor, when I engage in sexual activity with my girlfriend, sometimes during intense moments or when my breathing quickens, my penis inexplicably becomes flaccid before ejaculation. At times, I can perform normally, and the duration is usu...


Dr. Xu Weikai Reply:
Mr. Gu: Hello, I apologize for the delayed response due to my busy schedule. Regarding your questions, my opinions are as follows: 1. Concerning sexual function: Typically, sexual activity is a mutual endeavor, and I have always emphasized this concept. In other words, sex is n...

[Read More] Understanding Erectile Issues and Urinary Symptoms in Young Men


Understanding Chronic Back Pain and Sleep Disruption: Possible Causes

Lower back pain and discomfort preventing sleep? About two weeks ago, I noticed a feeling of fullness in a specific area on the left side of my abdomen. I can't pinpoint the exact location, but it feels like stool has been stuck there for several days. Additionally, I have e...


Dr. Lai Lunxiang Reply:
1. Suspect a muscle strain. 2. Suspect sciatica. 3. The likelihood of stones is low, but it is still possible. An X-ray and urinalysis can provide a good indication of the situation.

[Read More] Understanding Chronic Back Pain and Sleep Disruption: Possible Causes


Understanding Ureteral Stones: Symptoms and Fertility Concerns for Women

Calculus I would like to ask the doctor, what symptoms can occur in the body with urethral stones, and can women with urethral stones still conceive?


Dr. Zhang Jianghu Reply:
Hello Vivian: The symptoms of urinary tract stones can vary depending on the location of the stones. Generally, they include 1. flank pain or lower abdominal pain 2. hematuria 3. a small number of cases may experience fever. It is still possible to become pregnant with stones, bu...

[Read More] Understanding Ureteral Stones: Symptoms and Fertility Concerns for Women


Understanding Kidney Stones: Symptoms and Causes of Lower Body Pain

Calculus I would like to ask the doctor, what type of stone cases can cause pain in the lower body and back pain? I have been experiencing frequent fatigue along with the above symptoms recently.


Dr. Zhang Chengye Reply:
Hello Vivian: Ureteral stones can cause severe pain in the flank and back; it is advisable to come to the hospital for an examination. Dr. Chang Cheng-yeh, Urology Department, Hsinchu Hospital, Department of Health, Executive Yuan.

[Read More] Understanding Kidney Stones: Symptoms and Causes of Lower Body Pain


Can 2cm Bladder Stones Be Treated with Extracorporeal Shock Wave Lithotripsy?

Can bladder stones be treated with extracorporeal shock wave lithotripsy? Can a stone approximately 2 cm in size be treated with extracorporeal shock wave lithotripsy?


Dr. Song Zhixian Reply:
Bladder stones can be treated using cystoscopy for fragmentation, which is a simple and cost-effective procedure.

[Read More] Can 2cm Bladder Stones Be Treated with Extracorporeal Shock Wave Lithotripsy?


Understanding Kidney Stones: Symptoms, Causes, and Treatment Options

Stone issues On the evening of November 24th, around 8 PM, I suddenly experienced pain in my left lower back (sharp and cramping pain). I immediately went to the emergency room for examination, where I underwent a urinalysis and X-ray imaging. The doctor stated, "The X-ray d...


Dr. Chen Xiuyi Reply:
Hello! Based on your reported symptoms, the most likely diagnosis is urinary tract stones accompanied by renal colic. Common symptoms of urinary stones include flank pain and hematuria. Sometimes, stones may not be visible on X-ray (KUB) imaging, and intravenous pyelography may b...

[Read More] Understanding Kidney Stones: Symptoms, Causes, and Treatment Options


Is It Really Kidney Stones? Understanding Your Back Pain and Diagnosis

Is it really a stone? Hello, recently I have been experiencing lower back pain and have visited several hospitals for consultation. I found that every urologist I saw suggested it might be kidney stones, while rehabilitation specialists indicated it could be a muscle or skeletal ...


Dr. Xu Weikai Reply:
Actually, I believe your issue may be a combination of both factors. In other words, you do have kidney stones, but these stones may be asymptomatic or cause only very mild symptoms. However, due to poor posture (such as sitting, sleeping on a mattress that is too soft, or improp...

[Read More] Is It Really Kidney Stones? Understanding Your Back Pain and Diagnosis


Is It Normal for Urination to Split? Understanding Urological Issues

Urinary tract bifurcation Is it normal for urine to split occasionally? My urine stream often looks like two streams merging into an oval shape, and I frequently feel discomfort in my urethra.


Dr. Xu Wencang Reply:
Hello: In response to your question. The normal act of urination requires the contraction of the detrusor muscle and the relaxation of the urethral sphincter to allow for the smooth expulsion of urine. Psychological stress and other unknown factors can lead to excessive contracti...

[Read More] Is It Normal for Urination to Split? Understanding Urological Issues


Understanding Urinary Issues: When Stream Splitting and Discomfort Occur

Urinary issues? Doctor, I sometimes experience a split stream when urinating, and I also feel like I can't fully empty my bladder. Additionally, there is occasional discomfort in my urethra. I have already taken antibiotics and Urinary Tract Cleanse for 2 to 3 weeks (the doc...


Dr. Xu Wencang Reply:
Hello: In response to your question. The normal act of urination requires the contraction of the detrusor muscle and the relaxation of the urethral sphincter to allow for the smooth expulsion of urine. Psychological stress and other unknown factors can lead to excessive contracti...

[Read More] Understanding Urinary Issues: When Stream Splitting and Discomfort Occur


Overcoming Erectile Dysfunction: A 23-Year-Old's Struggle for Confidence

Doctor, please help me. This issue is preventing me from dating girls..? Dear Dr. Hsu Wei-Kai, I am 23 years old, weighing 172 cm and 67 kg. Regarding my previous questions: 1. If there is no sexual intercourse and no ejaculation, but there is continuous stimulation, my erectio...


Dr. Xu Weikai Reply:
Regarding your question, it sounds like a vascular issue, specifically: arterial insufficiency or venous incompetence. Of course, psychological factors such as anxiety cannot be completely ruled out. Do you experience natural erections in the morning or when your bladder is full?...

[Read More] Overcoming Erectile Dysfunction: A 23-Year-Old's Struggle for Confidence


Understanding Frequent Urination: Causes and What Counts as Normal

Frequent urination Hello, doctor. What frequency is considered frequent urination? What are the causes of frequent urination? I often wake up in the middle of the night to use the bathroom, which affects my sleep, so I would like to understand. Thank you for your answer!


Dr. Pan Zhenqin Reply:
The currently accepted definition of frequent urination is the need to urinate more than eight times a day. However, individual tolerance levels can vary significantly, depending on whether it affects one's daily activities or mood. The causes of frequent urination are diver...

[Read More] Understanding Frequent Urination: Causes and What Counts as Normal


Frequent Urination: Understanding Causes and Treatment Options

Frequent urination throughout the day? Hello doctor, I have been feeling the urge to urinate all day for the past week. Even after I finish urinating, I find myself wanting to go again within just a few minutes. I went to the hospital for a check-up, and the doctor said there is ...


Dr. Xu Wencang Reply:
Hello: In response to your question, these symptoms have recently occurred. You should first undergo a urinalysis, culture, and imaging studies to rule out the possibility of a urinary tract infection and stones. Additionally, pay attention to whether your recent lifestyle has be...

[Read More] Frequent Urination: Understanding Causes and Treatment Options


Understanding Erectile Issues at 23: Causes and Solutions

What should I do? Doctor, I am 23 years old and can achieve normal erections and ejaculation, but I often experience insufficient hardness and it softens quickly, making it difficult to penetrate during intercourse. Could this be due to a lack of exercise, excessive indulgence in...


Dr. Xu Weikai Reply:
In the past few days, I have been busy and did not check my email, so my response is delayed. To further clarify based on your description, I would like to ask you a few questions: 1. If there is no sexual intercourse and no ejaculation, how long can an erection be maintained wit...

[Read More] Understanding Erectile Issues at 23: Causes and Solutions


Understanding Hematuria: Possible Causes and Next Steps

Hematuria Your friend has been experiencing hematuria for a week and has undergone X-rays and ultrasound in the nephrology department, which showed no issues and no stones. What could be the cause? He does not have any other discomfort. Thank you, doctor.


Dr. Liu Jianting Reply:
Wow! That sounds quite alarming! In fact, there are many causes of hematuria, but it is essential to consider other symptoms to determine the underlying cause. In young individuals, hematuria is mostly caused by inflammation or kidney stones. Tumors are also a possibility, but th...

[Read More] Understanding Hematuria: Possible Causes and Next Steps


Understanding Right Testicular Pain During Prolonged Erection: Is It Normal?

Right testicular pain? Why does the right testicle feel pain (similar to being hit) during prolonged or intermittent erections, but the pain subsides after a day or some time? Is this something that every man experiences, and is it considered normal? Thank you.


Dr. Lai Ronghao Reply:
First of all, congratulations on being able to maintain an erection for an extended period. However, if the erection lasts longer than four hours, please seek medical attention immediately. There are many potential causes for testicular pain, including recent trauma, varicocele, ...

[Read More] Understanding Right Testicular Pain During Prolonged Erection: Is It Normal?


Do You Always Need Surgery for Ureteral Stones? Exploring Treatment Options

Urethral stones Do urinary stones always require surgery? Can't they be treated with extracorporeal shock wave lithotripsy (ESWL)?


Dr. Zhang Jianghu Reply:
Extracorporeal Shock Wave Lithotripsy (ESWL) must be used exclusively for kidney stones and ureteral stones.

[Read More] Do You Always Need Surgery for Ureteral Stones? Exploring Treatment Options


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