Post-Shockwave Lithotripsy: Why Am I Experiencing Dry Ejaculation?
Inability to ejaculate after extracorporeal shock wave lithotripsy..? A few days ago, I went to the emergency room due to severe pain in my right abdomen. After examination, it was found that I had a ureteral stone blockage. That day, I underwent shock wave lithotripsy and return...
Dr. Liu Mingyue Reply:
Hello: The information provided here is for reference only. Medications that may assist in stone passage can affect ejaculation, so please discuss this with your physician during your follow-up visit. Currently, increase your fluid intake. Wishing you good health.[Read More] Post-Shockwave Lithotripsy: Why Am I Experiencing Dry Ejaculation?
Understanding Ejaculation Issues After Kidney Stone Treatment
Inability to ejaculate? A few days ago, I went to the emergency room due to severe pain in my right abdomen. After examination, it was found that I had a ureteral stone blockage. That day, I underwent shock wave lithotripsy treatment and went home. I experienced pain for three to...
Dr. Du Shixi Reply:
Hello: The information provided here is for reference only. Medications that may assist in stone passage can affect ejaculation. Please discuss this with your physician during your follow-up visit. Currently, increase your fluid intake. Wishing you good health.[Read More] Understanding Ejaculation Issues After Kidney Stone Treatment
Understanding Hematuria: Causes, Diagnosis, and Management
Urinary occult blood issue? Hello Doctor: Since the health check in December last year, I have had urine occult blood 1+. In January, due to gastrointestinal issues, I went to the emergency room and the urine test again showed occult blood 1+. At that time, I underwent a contrast...
Dr. Du Shixi Reply:
Hello, 1) All possible tests have been conducted. 2) Imaging studies will typically reveal findings, at least raising suspicion; if there are no abnormalities in the imaging studies, the likelihood is extremely low. 3) The likelihood is extremely low; wishing you good health.[Read More] Understanding Hematuria: Causes, Diagnosis, and Management
Understanding Unexplained Urological Discomfort: Symptoms and Insights
I'm not sure where the problem lies? Hello, Doctor. Recently, I've been experiencing discomfort in my lower region, which has severely affected my sleep. I consulted a urologist, but the doctor couldn't identify a specific cause. Here are my symptoms: 1. Initiall...
Dr. Li Xinyi Reply:
Yes, the most likely condition is prostatitis, although stones are also a possibility. If it is prostatitis, in addition to obtaining medication from a urologist for a period of time, it is also advisable to practice some abstinence to allow it to rest; otherwise, recovery may be...[Read More] Understanding Unexplained Urological Discomfort: Symptoms and Insights
Understanding Double Catheter Issues After Ureteral Stone Surgery
Double-lumen catheter issues In April, I was diagnosed with urinary tract stones after experiencing severe abdominal pain. I underwent endoscopic surgery to remove the stones. Until a week ago, my attending physician was supposed to remove the catheter, but due to COVID-19, the o...
Dr. Du Shixi Reply:
Hello: 1) A double J stent may sometimes dislodge because the fixed end can slip during movement; this typically does not cause harm, but there is a concern for infection. 2) Females should not experience pain; the exposed end can be grasped and pulled out, but the patient should...[Read More] Understanding Double Catheter Issues After Ureteral Stone Surgery
Understanding Occipital Pain and Neck Stiffness After Ureteroscopy
Pain in the back of the head and neck stiffness? Hello doctor, I recently underwent a "flexible ureteroscopic lithotripsy" for kidney stones. Two days later, I experienced pure headaches and fever, which later turned into pain at the back of my head. I had a fever on th...
Dr. Cai Zongzhang Reply:
Hello, Ms. Huang! Based on the symptoms mentioned, it is recommended that you visit a neurology clinic as soon as possible.[Read More] Understanding Occipital Pain and Neck Stiffness After Ureteroscopy
Understanding Kidney Stones: Radiation Risks and Treatment Options
Kidney stones, computed tomography radiation, stone surgery? Hello Doctor, I was diagnosed with a 0.8 cm kidney stone in November 2020 (ultrasound). In December 2020, I visited a urologist who performed a KUB (Kidneys, Ureters, Bladder) X-ray and mentioned that there were multipl...
Dr. Du Shixi Reply:
Hello: 1. Is there still a possibility that this stone can pass on its own? Since the diagnosis, I have been drinking plenty of water every day, but it hasn't passed. --> Some stones are located in positions that are difficult to pass. 2. I occasionally experience dull...[Read More] Understanding Kidney Stones: Radiation Risks and Treatment Options
Understanding Kidney Stones: When to Seek Treatment and Home Remedies
Suspected small kidney stones? Hello Doctor: I have previously had left-sided kidney stones twice. Today, after standing for a long time, I noticed a slight stabbing pain in the left kidney area. I suspect it might be due to a small kidney stone, as the location and pain sensatio...
Dr. Du Shixi Reply:
Hello: Since kidney stones have not been confirmed, if they are indeed stones, it is advisable to drink plenty of water, stay active, and have regular follow-up appointments. The use of dilators is more effective when the stones are passing. Wishing you good health.[Read More] Understanding Kidney Stones: When to Seek Treatment and Home Remedies
Understanding Urination Issues: Possible Causes and Solutions
Urinary issues The sensation of urgency is felt in the urethra rather than the bladder, and holding urine causes pain in the inner thighs and numbness in the legs. Could this be an issue related to the ureters or possibly a vascular obstruction? Urinalysis has not shown any hemat...
Dr. Li Xinyi Reply:
Prostatitis can also affect erectile function, and based on your description, there may be an issue in this regard. Additionally, holding in urine is not advisable, as it can damage the bladder, and in severe cases, it can even impair kidney function. Misusing your body's or...[Read More] Understanding Urination Issues: Possible Causes and Solutions
Understanding Urination Issues: Causes, Symptoms, and Next Steps
Urinary issues Hello, doctor. I have a slow urinary flow and have undergone urodynamic studies and prostate examinations without any signs of inflammation. What could be the issue? I often feel an urgent need to urinate, but the amount is not much. After holding my urine, I exper...
Dr. Xu Wencang Reply:
Chronic pelvic pain syndrome requires patience and follow-up visits for treatment.[Read More] Understanding Urination Issues: Causes, Symptoms, and Next Steps
Understanding Urination Issues: When to Seek Further Medical Evaluation
Urinary problems I have a hard area in my lower right back, and I'm having difficulty urinating, needing to exert force to do so. The urge to urinate feels like it's coming from the penis rather than the bladder. Urinalysis showed no blood, and tests did not indicate an...
Dr. Du Shixi Reply:
Hello: 1) The urine tests and ultrasound you underwent have ruled out tumors or renal cysts. Wishing you good health.[Read More] Understanding Urination Issues: When to Seek Further Medical Evaluation
Understanding Ureteroscopy Lithotripsy: Insurance Coverage and Costs
Regarding ureteroscopy and stone fragmentation? Hello doctor, I previously had kidney stones detected in my ureter, and I underwent lithotripsy three times. However, I haven't noticed any significant passage of stones, and during my follow-up, there is still an issue with hy...
Dr. Du Shixi Reply:
Hello: Basic surgeries are covered by health insurance, and individuals are responsible for a portion of the costs. However, if there are specific materials used during the procedure that are not covered by insurance, patients will be asked to sign a consent form for out-of-pocke...[Read More] Understanding Ureteroscopy Lithotripsy: Insurance Coverage and Costs
Can You Have Intimacy with a Double J Stent? Expert Advice
Placement of double J stent? Hello doctor, I apologize for the interruption. I would like to ask, I went to the emergency room at the end of March due to kidney stones and after treatment, I had a double J stent placed in my ureter. It was removed at the end of April. During this...
Dr. Du Shixi Reply:
Hello: Sometimes when a catheter is placed, urination may feel strange, or there may be discomfort in the lower back, and urine may appear pink or bloody. Generally, there are no significant restrictions in daily life; it is advisable to drink plenty of water. If you feel that th...[Read More] Can You Have Intimacy with a Double J Stent? Expert Advice
Understanding Prostate Calcification: Effects of Edging and Urinary Symptoms
Masturbation without ejaculation and prostate calcification? Hello doctor, recently I have been experiencing a sharp pain in my groin, and there is a burning sensation at the glans when urinating. 1. I have been masturbating for a long time, and when I feel close to ejaculation...
Dr. Li Xinyi Reply:
Using cold water to extinguish the urge to ejaculate is not necessary to do repeatedly. Overdoing things can lead to problems and illness. Based on your description, symptoms have already manifested; avoid misusing this as an outlet for boredom in life. It's important to fin...[Read More] Understanding Prostate Calcification: Effects of Edging and Urinary Symptoms
Understanding Persistent RBC in Urine: Causes and Concerns
Presence of red blood cells in urine? Hello, Doctor. On December 15, the urine test showed RBC 1+ with red blood cells ranging from 6 to 9. On December 19, another urine test showed RBC 1+ with red blood cells ranging from 1 to 3. The doctor prescribed Lithosol, one packet daily,...
Dr. Du Shixi Reply:
Hello: There are many causes of hematuria, which could be due to kidney stones or other reasons. If there is a history of stones, the likelihood of stones being the cause is higher. However, urine tests should be combined with other urinalysis parameters for reference. If all oth...[Read More] Understanding Persistent RBC in Urine: Causes and Concerns
Understanding the Presence of Stones in Semen: Causes and Concerns
Stone issues Hello, doctor. This morning, I noticed two red, hard lumps about 0.1 cm in size that looked like stones on the tissue after ejaculation. Are these stones? When I squeezed them with my fingers, they broke apart. I would like to know if it is normal for stones to be ex...
Dr. Du Shixi Reply:
Hello: It should not be the case; stones are typically expelled through urine. Clinically, I have seen harder masses that do not resemble stones. Wishing you good health.[Read More] Understanding the Presence of Stones in Semen: Causes and Concerns
Chronic Prostatitis: Challenges in Antibiotic Treatment and PSA Levels
Acute or chronic prostatitis, with PSA levels above 12, shows poor sensitivity to oral antibiotics? Hello Dr. Li, I would like to describe my medical history as it has been quite distressing and painful for me. I apologize for the lengthy details. Urological History: I have a ...
Dr. Li Minghui Reply:
Hello: 1) These types of antibiotics are generally effective, but they require several months of treatment along with strict lifestyle precautions. However, if the patient does not see results, changing medications may not be certain. As for muscle-related side effects, they are ...[Read More] Chronic Prostatitis: Challenges in Antibiotic Treatment and PSA Levels
Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Chronic prostatitis Hello Doctor, I would like to share my medical history as it has been quite distressing and painful for me. I apologize for the lengthy details. Urological History: I have a history of anxiety disorder and often engage in sexual activities (either masturbat...
Dr. Du Shixi Reply:
Hello: 1) This type of antibiotic is generally effective, but it requires several months of treatment along with strict lifestyle precautions. However, since the patient has not seen results, changing medications may lead to uncertainty. As for muscle side effects, they are not c...[Read More] Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Should You Test Kidney Function After Diagnosing Urinary Issues?
Chronic Kidney Disease (CKD) Hello, doctor. I would like to ask about my previous visit to the urology department due to dark brown, cloudy urine. The physician diagnosed me with kidney stones and hydronephrosis, and my urinalysis showed hematuria but no bacterial infection. The ...
Dr. Du Shixi Reply:
Hello: Kidney function can be assessed, but the key is to identify the cause of the hydronephrosis. Antibiotics should be used to prevent infection and avoid kidney inflammation. If the hydronephrosis is caused by small stones, some may be expelled, so increasing fluid intake is ...[Read More] Should You Test Kidney Function After Diagnosing Urinary Issues?
Understanding Post-Operative Urinary Incontinence After Kidney Stone Surgery
Endoscopic surgery for kidney stones? Hello doctor, my mother underwent a self-paid endoscopic surgery to remove kidney stones on January 30. Since February 8, she has been experiencing episodes of urinary and fecal incontinence, particularly with bowel movements. Is this a norma...
Dr. Jian Weihong Reply:
Under normal circumstances, there is no direct connection between the gastrointestinal tract and the urinary tract. However, it cannot be ruled out that medications taken post-surgery could cause diarrhea, which may lead to incontinence. It is advisable to return to the surgeon&#...[Read More] Understanding Post-Operative Urinary Incontinence After Kidney Stone Surgery