Post-Surgery Treatment Options for Bladder Cancer: What to Consider
Postoperative care Hello Dr. Du, I have undergone a complete cystectomy for bladder cancer, and during my follow-up visit, the doctor suggested that immunotherapy would be a safer option. However, the cost is as high as 2 million NTD, and it's not a one-time treatment, which...
Dr. Du Shixi Reply:
Hello: After surgery, the hospital usually informs you of the stage of the disease, which helps to understand the approximate survival rate associated with that stage of treatment. You can discuss this with your physician. Currently, the use of immunotherapy statistically can ext...[Read More] Post-Surgery Treatment Options for Bladder Cancer: What to Consider
Understanding Scrotal Bumps: Causes, Concerns, and When to Seek Help
There is a lump at the bottom of the scrotum? Hello, doctor. I apologize for coming to you with a question. I would like to ask you about a small bump I found on my scrotum near the base. It feels slightly itchy occasionally but is not painful, and I usually don’t feel it at all....
Dr. Du Shixi Reply:
Hello: 1. Besides warts or molluscum contagiosum, are there other possible growths on the scrotum that can persist for a long time? --- Yes, it is possible. 2. Since the area is very private and I can't point it out easily, plus I can only feel it when I pull the skin tight,...[Read More] Understanding Scrotal Bumps: Causes, Concerns, and When to Seek Help
Can MRI Detect Prostate Cancer After Surgery? Understanding PSA Testing
Prostate cancer Thank you very much for Dr. Jian's response. I would like to ask if cancer cells can be detected on an unremoved prostate using MRI-PET scans. My father has undergone this examination, and the results showed no issues. After his prostate laser surgery, he fel...
Dr. Jian Weihong Reply:
Hello: MRI can be referenced, but it is generally recommended to wait for a period of time before surgery, as it may affect the interpretation even if a stent has been placed. In addition to medication, lifestyle habits should be taken into consideration. First, identify the caus...[Read More] Can MRI Detect Prostate Cancer After Surgery? Understanding PSA Testing
Concerns About Retained Surgical Staples After Circumcision: What to Know
The nail from the circumcision device got stuck inside the skin? Last December, I underwent a circumcision surgery. A month later, I returned to the hospital where the doctor removed several stitches. After another two weeks, I discovered that there were still some stitches left,...
Dr. Du Shixi Reply:
Hello: The physician's advice is also valid, and surgical removal can be considered. Retained hardware in the body is not a normal occurrence, but it is not very uncommon either. If the wound has healed and there are no signs of redness, swelling, pain, or infection, this si...[Read More] Concerns About Retained Surgical Staples After Circumcision: What to Know
Post-Surgery Hematospermia and Hematuria: Understanding Causes and Recovery
Hematospermia combined with hematuria, with persistent bleeding after surgical treatment? Several years ago, I experienced hematospermia of unknown origin, which resolved after receiving treatment at a clinic (semen analysis showed no issues). Recently, I noticed the presence of ...
Dr. Du Shixi Reply:
Hello: May I ask if the issue is due to the surgical wound not fully healing, or is it because blood in the seminal vesicles has not been expelled? -- If the blood is bright red, it indicates fresh bleeding; if it is dark, it is more likely old blood or could potentially be due t...[Read More] Post-Surgery Hematospermia and Hematuria: Understanding Causes and Recovery
Can MRI Detect Cancer Cells in Unremoved Prostate? Expert Insights
Continuation of Q&A #195491? I would like to ask the doctor about the Q&A <a href="https://adoctor.tw/article/195491">#195491</a>. Is it possible to determine the presence of cancer cells in the unremoved prostate using MRI with PET scanning? My fath...
Dr. Du Shixi Reply:
Hello: MRI can be referenced, but it is generally recommended to wait for a period of time before surgery, as it may affect the interpretation even if a stent is placed. In addition to medication, lifestyle habits should be taken into consideration. First, identify the causes of ...[Read More] Can MRI Detect Cancer Cells in Unremoved Prostate? Expert Insights
Chronic Lower Back Pain After Gynecological Surgery: Possible Nerve Issues?
Long-term lower back pain after gynecological surgery? Hello Doctor, I have undergone about five surgeries due to gynecological issues including chocolate cysts, fibroids, endometriosis, and uterine fibrosis. The last surgery was approximately 5-6 years ago when I had a laparosco...
Dr. Peng Shiwei Reply:
Hello, while it may be related to the surgery, it is difficult to provide a definitive assessment based solely on the information provided. I recommend that you consult with the physician who performed your examination for a detailed inquiry. If you wish to seek assistance from a...[Read More] Chronic Lower Back Pain After Gynecological Surgery: Possible Nerve Issues?
Understanding Elevated PSA Levels and Prostate Cancer Treatment Options
Elevated PSA Levels and Cancer Treatment Hello Doctor: My father is 70 years old. At the end of last year, he was referred to a major hospital due to elevated PSA levels and urinary difficulties detected at a clinic. The physician recommended laser surgery to treat benign prostat...
Dr. Jian Weihong Reply:
Hello: 1. The PSA level has been elevated for over two months following surgery. Although surgery and inflammation can cause an increase, it should ideally decrease. If inflammation is present, it should be well-controlled. Additionally, what is the current assessment of the tu...[Read More] Understanding Elevated PSA Levels and Prostate Cancer Treatment Options
Understanding BPH Treatment and Cancer Risks in Older Patients
Treatment for Benign Prostatic Hyperplasia (BPH) Hello Doctor: My father is 70 years old. At the end of last year, he was referred to a major hospital due to elevated PSA levels and urinary difficulties detected at a clinic. The doctor recommended laser surgery to treat benign pr...
Dr. Du Shixi Reply:
Hello: 1. The PSA level has been elevated for over two months due to surgery. While surgery and inflammation can cause an increase, it should generally decrease. If inflammation is present, it should be well-managed. Additionally, what is the current stage of the tumor? This is...[Read More] Understanding BPH Treatment and Cancer Risks in Older Patients
Post-Surgery Nerve Pain: Understanding Ankle Fracture Complications
Seven months after undergoing surgery for a fracture above the left ankle with the placement of a metal plate, there is still persistent numbness and tingling below the ankle? Hello Doctor, I am writing on behalf of my father. He is 56 years old. Last September, he had an acciden...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your father is experiencing peripheral nerve damage. If the peripheral neuropathy is caused by nerve compression, it may exhibit the following characteristics: 1. The pain is described as burning or electric-like. 2. Symptoms have a specific dermatomal d...[Read More] Post-Surgery Nerve Pain: Understanding Ankle Fracture Complications
Managing Bilateral Adrenal Tumors: Insights After Ovarian Cancer Treatment
Bilateral adrenal tumors measuring 5 centimeters each? Dear Doctor, My wife was diagnosed with stage 3c ovarian cancer over a year ago, with a tumor measuring 15 centimeters. A pre-operative CT scan also revealed a 5-centimeter tumor on each adrenal gland. However, the focus of...
Dr. Du Shixi Reply:
Hello: Some adrenal tumors are benign and do not require surgery; they only need regular blood tests, imaging assessments, and follow-up with a specialist. Wishing you good health.[Read More] Managing Bilateral Adrenal Tumors: Insights After Ovarian Cancer Treatment
Understanding Phimosis: When to Consider Surgery at 19
Phimosis issue Hello, doctor. I am currently 19 years old, and the glans does not reveal itself during an erection. However, I can pull it down with my hand, and it doesn't hurt too much, but it seems like the frenulum is too short. When I pull it down to the coronal sulcus,...
Dr. Du Shixi Reply:
Hello: Based on your description of the skin, if sexual intercourse is painful, I would personally recommend surgery. If there is no pain, then it may not be necessary. Wishing you good health.[Read More] Understanding Phimosis: When to Consider Surgery at 19
Understanding Nerve Recovery After Urological Surgery: What to Expect
Continuation of question #195353? Thank you, doctor, for your prompt response! I'm sorry, I'm a bit unclear about this point. Do you mean that this small area of nerve will gradually recover? (The area near the glans that was operated on is no longer as swollen; it has ...
Dr. Du Shixi Reply:
Hello: Based on personal experience, when the cause of a localized skin issue cannot be determined, it is best to wait for it to resolve naturally. Wishing you good health.[Read More] Understanding Nerve Recovery After Urological Surgery: What to Expect
Post-Circumcision Concerns: Sensation Loss After Surgery in Children
Postoperative issues following circumcision for concealed phimosis? Hello Doctor: In February of this year, my son (first grader) underwent circumcision due to concealed phimosis, as the foreskin could not be retracted. After evaluation, the doctor recommended the procedure. Two ...
Dr. Du Shixi Reply:
Hello: Personally, I have not encountered this issue. If there is nerve damage or injury, clinically, it is unlikely to have a complete loss of sensation. Small areas of skin will need to wait for natural recovery. Wishing you good health.[Read More] Post-Circumcision Concerns: Sensation Loss After Surgery in Children
Post-Circumcision Swelling: Is It Normal After Anesthesia?
Post-circumcision care I had traditional circumcision surgery yesterday, and today the area around my testicles and the base of my penis is swollen. Is this due to the anesthesia wearing off?
Dr. Du Shixi Reply:
Hello: If there is redness and it is painful when pressed, it may indicate inflammation. If the color is dark, it could be a hematoma. If there is not much difference in color, it may simply be related to poor circulation after surgery. Wishing you good health.[Read More] Post-Circumcision Swelling: Is It Normal After Anesthesia?
Understanding Prostate Cancer Staging After Da Vinci Surgery: Key Insights
Da Vinci Prostate Cancer Radical Surgery I underwent a Da Vinci radical prostatectomy for prostate cancer, and my pathology report indicates pT2N0, grade 2, Gleason score 3+4, Stage IIB. However, there are additional findings of perineural invasion: Present. I preserved one side ...
Dr. Du Shixi Reply:
Hello: You have localized prostate cancer (stage T1-2 N0), which is classified as localized prostate cancer. Your pathology report indicates a Gleason score of 2B. Wishing you good health.[Read More] Understanding Prostate Cancer Staging After Da Vinci Surgery: Key Insights
Understanding Epididymitis: Symptoms, Treatment, and When to Seek Help
I would like to ask the doctor about epididymitis? Hello Doctor, I would like to ask you about a situation I experienced. A week ago, I suddenly had pain and swelling in my epididymis. I went to a large hospital and saw a urologist, who prescribed a week of antibiotics (half gree...
Dr. Jian Weihong Reply:
Hello: I currently have a thickened scrotum that feels swollen, with a hard area at the bottom while the rest is soft. In this situation, would you recommend seeing a different hospital for consultation, or should I continue taking antibiotics for improvement? -- It may take some...[Read More] Understanding Epididymitis: Symptoms, Treatment, and When to Seek Help
Traveling by Plane After a Stroke: Safety Tips for Patients
Flying After a Stroke Hello Doctor, my father is 58 years old. He had a mild stroke in early November 2021 (at that time, he was unable to speak, had complete weakness in his limbs, and was unable to manage his bowel and bladder functions, so he could only lie in bed). He has sin...
Dr. Jiang Junyi Reply:
Dear Mr. Hua, You mentioned that your father "had a stroke in 2021... has been undergoing dialysis since 2018, and underwent coronary artery bypass surgery at the end of 2018." Generally, for stroke patients, it is recommended to wait at least 2-4 weeks after the strok...[Read More] Traveling by Plane After a Stroke: Safety Tips for Patients
Understanding Epididymitis: Symptoms, Treatment, and When to Seek Help
Inflammation of the epididymis? Hello Doctor, I would like to ask about my condition. A week ago, I suddenly experienced pain and swelling in my epididymis. I went to a large hospital and consulted a urologist, who prescribed a week of antibiotics (half green and half white capsu...
Dr. Du Shixi Reply:
Hello: I currently have a thickened scrotum with a swollen feeling, and the lower part feels hard while the other areas are soft. In this situation, would you recommend seeing a different hospital, or should I continue taking antibiotics until it improves? It may take some time, ...[Read More] Understanding Epididymitis: Symptoms, Treatment, and When to Seek Help
Understanding Painful Erections and Sensitivity Issues: A Urology Perspective
Erectile pain Hello, Doctor: 1. Is it normal to experience pain in the penis after ejaculation, which resolves by the next day? I typically masturbate 2 to 3 times a week, and I find that after ejaculation, I need to wait until the next day for the pain to subside, making it di...
Dr. Du Shixi Reply:
Hello: 1. Is it normal for the penis to hurt after ejaculation, but then feel better the next day? --> This is not normal. I usually masturbate 2 to 3 times a week, and after ejaculation, I have to wait until the next day for the pain to subside, so I can't masturbate t...[Read More] Understanding Painful Erections and Sensitivity Issues: A Urology Perspective