Understanding Urinary Difficulties: Insights on Sensation Loss and Prostate Health
Dysuria and urinary incontinence? I am a male in my 30s with a job that requires prolonged sitting. I have a few questions for the doctor: 1. Last week, I suddenly experienced a lack of sensation in my urethra while urinating. I have the urge to urinate, but I cannot feel the u...
Dr. Li Xinyi Reply:
Urinary incontinence may suggest peripheral nerve issues, possibly due to viral infections or nerve inflammation. Generally, these are benign problems that require rest and observation. Regarding urination issues, there could be a possibility of prostate problems, but tests may n...[Read More] Understanding Urinary Difficulties: Insights on Sensation Loss and Prostate Health
Impact of Medication on Ejaculation Issues in Prostate Enlargement Patients
Abnormal ejaculation caused by medication? I have been suffering from benign prostatic hyperplasia for a long time, with a PSA level between 6 and 7. Following my doctor's advice, I have been taking dutasteride capsules. After long-term use, I have gradually experienced side...
Dr. Du Shixi Reply:
Hello: No, it may be due to the relaxation of the prostate, causing semen to flow into the bladder and being expelled during urination. Wishing you good health.[Read More] Impact of Medication on Ejaculation Issues in Prostate Enlargement Patients
Understanding Urinary Stoma Changes: What to Expect After Surgery
Urostomy Hello Doctor: My mother underwent a radical cystectomy for bladder cancer two years ago and chose to have a urinary diversion. She has been cleaning the stoma daily to manage the intestinal output. Recently, we have noticed a significant decrease in the intestinal output...
Dr. Liu Mingyue Reply:
Hello: It is normal. If you are still concerned, you can consult a doctor at the hospital again. Wishing you good health.[Read More] Understanding Urinary Stoma Changes: What to Expect After Surgery
Understanding Changes in Stoma Output After Bladder Removal Surgery
Radical cystectomy Hello Doctor: My mother underwent a radical cystectomy two years ago due to bladder cancer and subsequently chose to have a urinary diversion. She cleans the stoma daily to manage the intestinal secretions. Recently, she has noticed a significant decrease in th...
Dr. Du Shixi Reply:
Hello: It is normal. If you are still concerned, you can consult a doctor at the hospital again. Wishing you good health.[Read More] Understanding Changes in Stoma Output After Bladder Removal Surgery
Understanding Persistent Hematuria: Diagnostic Challenges and Management
Urinary occult blood has undergone intravenous pyelogram (IVP) and abdominal computed tomography (CT) scan? Hello, Doctor. Since the end of April, when I first noticed blood in my urine, I went to a general clinic and was diagnosed with right-sided hydronephrosis (ultrasound and ...
Dr. Liu Mingyue Reply:
Hello: If you ask me for a reference, the relationship between urinary tract infections and hydronephrosis is minimal. It is essential to focus on treating the urinary tract infection, and in addition to continuing medication, you must pay attention to lifestyle details as much a...[Read More] Understanding Persistent Hematuria: Diagnostic Challenges and Management
Managing Chronic Urinary Tract Infections and Kidney Hydronephrosis
Chronic urinary tract infection (UTI) Hello Doctor, since the end of April when I first noticed blood in my urine, I visited a general clinic and was diagnosed with right-sided hydronephrosis (ultrasound and X-ray did not reveal any stones at that time). I was advised to drink mo...
Dr. Du Shixi Reply:
Hello: If you ask me to provide a reference, the relationship between urinary tract infections and hydronephrosis is minimal. It is essential to focus on treating the urinary tract infection; in addition to continuing medication, attention must be paid to lifestyle details. Some ...[Read More] Managing Chronic Urinary Tract Infections and Kidney Hydronephrosis
Understanding Post-Dual J Stent Pain and Low Blood Pressure in Patients
The placement of a double J stent? My father has been experiencing persistent lower back pain since the placement of double J stents for kidney stones. Initially, he also had a low-grade fever. He went to the emergency room to confirm the position of the stents and was prescribed...
Dr. Du Shixi Reply:
Hello: Having a double J stent can cause discomfort, urinary symptoms, and hematuria, but it should not cause a fever. If a fever persists, seek medical attention. If blood pressure is between 100-110/70-80, there is no need to increase blood pressure medication. Regarding poor a...[Read More] Understanding Post-Dual J Stent Pain and Low Blood Pressure in Patients
Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Management
Chronic prostatitis Two years ago, I sought medical attention for urethritis, which has recurred intermittently. At the beginning of last year, I was diagnosed with overactive bladder, experiencing frequent urination both day and night, but without pain. Towards the end of last y...
Dr. Du Shixi Reply:
Hello: This information is for reference only and cannot replace a physician's examination. Regarding the examination and tests: 1) Chronic prostatitis is a possibility. 2) This condition requires attention to lifestyle and dietary habits, as well as regular exercise, for lo...[Read More] Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Management
Can Ureteral Stent Removal Affect Sexual Function and Ejaculation?
Erectile dysfunction Last year, I had a double J stent placed due to urinary tract stones. I would like to know if endoscopic surgery and the removal of the stent could potentially harm sexual function, such as causing issues with ejaculation or a decrease in semen volume?
Dr. Xu Wencang Reply:
No, but if prostate treatment medications are used, it may cause such a condition.[Read More] Can Ureteral Stent Removal Affect Sexual Function and Ejaculation?
Understanding Urination Issues: Causes, Treatments, and When to Seek Help
Urinary obstruction Dear Director, I have been experiencing very weak urine flow and infrequent urination for over two months now. Initially, I thought it was due to kidney stones, as I have a history of them. I went to a traditional Chinese medicine shop to get herbs to help ex...
Dr. Li Minghui Reply:
Hello: If multiple urine tests are normal, there should be no inflammation. For abnormal urination, a consultation with a urologist is necessary. Currently, it is important to maintain normal fluid intake, hydrate evenly, engage in gentle exercise, and limit beverage consumption....[Read More] Understanding Urination Issues: Causes, Treatments, and When to Seek Help
Understanding Urination Frequency: Causes and Treatment Options
Frequency of urination Hello, I have been experiencing very low urine output and infrequent urination for over two months. Initially, I thought it was due to kidney stones, as I have a history of them. I went to a traditional Chinese medicine shop to get herbs to help pass the st...
Dr. Du Shixi Reply:
Hello: If multiple urine tests are normal, there should be no inflammation. If urination is abnormal, a consultation with a urologist is necessary. Currently, it is important to maintain normal fluid intake, hydrate evenly, engage in gentle exercise, and limit beverage consumptio...[Read More] Understanding Urination Frequency: Causes and Treatment Options
Understanding Decreased Urine Output: Causes and Solutions
Decreased urine output daily? Hello doctor, I would like to ask you something... Recently, I have noticed that my urine output has decreased. I drink about 1800 to 2000 cc of water daily, but my urine output is only around 800 to 1200 cc. In my work environment, I only sweat a li...
Dr. Du Shixi Reply:
Hello: There is typically a difference of several hundred cc between water intake and urine output. If there is excessive fluid retention in the body, edema may occur. If there is no edema, there is generally no need for medication. Wishing you good health.[Read More] Understanding Decreased Urine Output: Causes and Solutions
Understanding Recurrent Bladder Infections: Causes and Solutions
About cystitis? Hello Doctor: My mother has recently been diagnosed with cystitis (combined with vaginitis). After taking antibiotics for a week, she returned for a follow-up appointment at the Urology Department of Chung Shan Medical University Hospital, where the doctor said he...
Dr. Cai Zhuorong Reply:
Recurrent infections may be due to antibiotic-resistant bacteria that cannot be eradicated. Additionally, other common urinary tract conditions, such as urinary retention and stones, may also be contributing factors. It is recommended that you continue treatment with the same uro...[Read More] Understanding Recurrent Bladder Infections: Causes and Solutions
Will Kidney Function and Protein Levels Normalize After Passing a Stone?
Will creatinine, glomerular filtration rate, and urinary protein gradually return to normal after the stone passes? During extracorporeal shock wave lithotripsy, the creatinine level was 1.7, and the glomerular filtration rate (GFR) was 43. There was foamy urine. Could you please...
Dr. Du Shixi Reply:
Hello: If kidney function is normal before the presence of stones, it usually recovers after treatment. However, if kidney function was already impaired prior to the formation of stones, it is likely to remain compromised. The presence of foamy urine and confirmation of proteinur...[Read More] Will Kidney Function and Protein Levels Normalize After Passing a Stone?
Understanding Left Lower Abdominal Pain: A Journey Through Urology and Gastroenterology
Left lower abdominal pain? (4/17) Abdominal pain ➡️ Emergency department: X-ray suspected left kidney stone, received pain relief injection + medication, scheduled urology follow-up on 4/18. (4/18) Urology outpatient: The doctor explained the X-ray showed a small stone in the lef...
Dr. Du Shixi Reply:
Hello: Gallstones cause pain in the right upper abdomen, while urinary tract stones can cause pain in the left or right flank, and may also lead to lower abdominal pain. Additionally, urinary tract stones may present with symptoms such as frequent urination. If the source of the ...[Read More] Understanding Left Lower Abdominal Pain: A Journey Through Urology and Gastroenterology
Is Excessive Masturbation Causing Urethral Discomfort?
Does excessive indulgence lead to feelings of soreness? Hello, Director Du: I have obsessive-compulsive disorder, and I basically masturbate every day, occasionally twice. On Friday, I did it once, on Saturday twice, and on Sunday once. On Monday, I couldn't resist and eng...
Dr. Du Shixi Reply:
Hello: 1. I would like to ask the doctor if this could be due to excessive indulgence causing some injury? (In the past, when I engaged in excessive activities, I would notice slight redness and swelling at the tip of the penis when not erect, but now there is none) --> It...[Read More] Is Excessive Masturbation Causing Urethral Discomfort?
Understanding Hematospermia and Hematuria: Causes and Concerns
Hematospermia and hematuria? Hello Doctor: Earlier this year, I went to the hospital for an examination due to hematospermia and was found to have some prostatic calcifications. Later, I underwent a seminal vesiculoscopy and stones were discovered at the ejaculatory duct, which t...
Dr. Du Shixi Reply:
Hello: Hematospermia and visible hematuria should be carefully examined, as hematospermia can easily recur. It is recommended to return for a follow-up if symptoms occur. Wishing you good health.[Read More] Understanding Hematospermia and Hematuria: Causes and Concerns
Understanding Urinary Hematuria: Causes and When to Seek Further Testing
Urinary occult blood issue? Hello Doctor, I had a urine test in early September last year that showed a trace of hematuria (1+) with red blood cells at 3-5, while all other parameters were normal. Later, I underwent an intravenous pyelogram (IVP), and the doctor said everything w...
Dr. Du Shixi Reply:
Hello: 1. Is there a need for another IVP, or is it sufficient to just observe? --> No need for another IVP unless there are symptoms, such as unilateral flank pain or visible hematuria. 2. Are there other factors that can cause urine occult blood reactions? For example, holdi...[Read More] Understanding Urinary Hematuria: Causes and When to Seek Further Testing
Understanding Kidney Stones: Ultrasound Surgery and PCR Testing FAQs
Kidney stone issues? Hello Dr. Du! I would like to ask if a PCR test is required before undergoing lithotripsy at your hospital? What is the minimum size of a kidney stone that qualifies for this procedure?
Dr. Du Shixi Reply:
Hello: For outpatient services, no testing is required. According to health insurance regulations, extracorporeal shock wave lithotripsy for kidney stones must have a size greater than 0.5 cm under X-ray. Wishing you good health.[Read More] Understanding Kidney Stones: Ultrasound Surgery and PCR Testing FAQs
Understanding Urinary Pain: Infection or Stone? A Comprehensive Guide
Urinalysis Doctor, I recently visited a physician because I experienced pain in my urethra during urination. The pain mainly occurs when I exert myself to urinate due to a feeling of incomplete bladder emptying, and also after exercising. The doctor did not perform a urinalysis i...
Dr. Chen Jiansheng Reply:
Let's take a look with an ultrasound.[Read More] Understanding Urinary Pain: Infection or Stone? A Comprehensive Guide