Surgery, Urology FAQ - Page 19

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Understanding Recurrence of Penile Hemangiomas: Risks and Treatment Options

Recurrence of hemangioma after surgery? Dear Doctor, The patient is a young male. During puberty, he discovered two hemangiomas approximately the size of a grain of rice at the glans of his penis. The lesions have been slowly increasing in size over the past ten years, now reach...


Dr. Jian Weihong Reply:
Hello: Can a hemangioma grow indefinitely? --> It can grow, but it won't grow to a severe extent. Is there a possibility of it rupturing during sexual activity once it reaches its limit? --> Yes, there is a possibility. How can it be treated to eliminate it completely?...

[Read More] Understanding Recurrence of Penile Hemangiomas: Risks and Treatment Options


Concerns About Vascular Tumors: Risks and Treatment Options for Young Men

Ejaculation during sexual intercourse? Dear Doctor, The patient is a young male. During puberty, he discovered two hemangiomas approximately the size of a grain of rice located on the glans of the penis. The lesions have been slowly increasing in size over the past ten years, no...


Dr. Du Shixi Reply:
Hello: Can a hemangioma grow indefinitely? --> It can grow, but it won't grow to a severe extent. Is there a possibility of rupture during sexual activity once it reaches its limit? --> Yes, there is a possibility. What treatments can completely eliminate it? If a medi...

[Read More] Concerns About Vascular Tumors: Risks and Treatment Options for Young Men


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


Choosing Between Urology and Neurosurgery for Testicular Issues

Urology or neurosurgery examination? I went to the hospital for an examination of my right testicle, and after a urine X-ray, the doctor only prescribed B vitamins and told me to buy them outside without needing a follow-up appointment. He said there was no issue with the testicl...


Dr. Sun Hongshun Reply:
Hello, it is recommended that you undergo a testicular ultrasound to ensure there are no issues. Additionally, any injury to the penile fascia can also be related to erectile dysfunction. Of course, pain and psychological stress can contribute to problems in this area as well, an...

[Read More] Choosing Between Urology and Neurosurgery for Testicular Issues


High PSA Levels: Should You Consider Surgery or Seek a Second Opinion?

Elevated PSA levels? My father is 78 years old. His PSA levels have been consistently around 1.7 every six months, but this month it suddenly spiked to 32.5. The doctor immediately conducted a urinary tract examination and an ultrasound, but did not suggest further blood tests, m...


Dr. Cai Zhuorong Reply:
"An increase in PSA is not an indication for laser surgery. It may be beneficial to further discuss with your physician the reasons for recommending surgery and any other considerations. If a second opinion is needed, you are welcome to bring your father to our urology outpa...

[Read More] High PSA Levels: Should You Consider Surgery or Seek a Second Opinion?


Is Circumcision Necessary for Tight Foreskin Issues?

Is circumcision necessary? During an erection, the foreskin does not retract automatically and cannot be pulled back or returned while in an erect state; it can only be retracted to the coronal sulcus or returned to its original position when not fully erect. However, when fully ...


Dr. Du Shixi Reply:
Hello: Doctors often recommend surgery because being trapped can potentially cause edema of the foreskin. The opening of the foreskin may become larger, but it is important to seek medical evaluation to determine if this is the case. Wishing you good health.

[Read More] Is Circumcision Necessary for Tight Foreskin Issues?


Understanding Genital Warts and Circumcision: Treatment and Recurrence

Phimosis and circumcision? Hello, Doctor. I was diagnosed with genital warts last May and have been using the medication Aldara (imiquimod) prescribed by you for treatment. During the treatment process, I have managed to eliminate all lesions, but they have recurred after a maxim...


Dr. Du Shixi Reply:
Hello: 1. Will circumcision reduce the recurrence rate in the above situation? (Continuing to use Lede Mei post-surgery and maintaining body immunity) ---》 The chances are low. 2. Since the lesions have previously concentrated in the same location, will the virus remain in the sk...

[Read More] Understanding Genital Warts and Circumcision: Treatment and Recurrence


Post-Circumcision Concerns: How to Encourage Suture Dissolution?

Post-operative issues after circumcision? Hello doctor, I underwent a circumcision surgery one to two weeks ago. During my follow-up appointment, I was told that my recovery is going well and that I do not need to have the stitches removed. However, so far, the stitches have not ...


Dr. Du Shixi Reply:
Hello: If your physical condition is insufficient, and if it has been more than 10 days, you may gently pull on the suture ends. Some may fall off, but do not pull too hard, as this may cause bleeding. If the sutures have not fallen off after 2 weeks, please schedule a follow-up ...

[Read More] Post-Circumcision Concerns: How to Encourage Suture Dissolution?


Persistent Urethral Pain After Catheter Removal: Causes and Solutions

Experiencing tenderness at the urethral opening while sitting more than a month after catheter removal? Hello Doctor: My mother has been experiencing frequent urination for a long time. Last month, she was hospitalized for a cerebral aneurysm embolization surgery and had a urinar...


Dr. Chen Jiansheng Reply:
Please seek medical attention.

[Read More] Persistent Urethral Pain After Catheter Removal: Causes and Solutions


Understanding Beta-HCG Levels and Their Implications After Testicular Cancer Surgery

The mechanism of beta-HCG (beta-human chorionic gonadotropin) involves its role as In response to Dr. Du's question: What is the unit of beta-HCG for determining the stage post-surgery? How long has it been since the surgery? Stage IA, with all indices normal. The unit for b...


Dr. Du Shixi Reply:
Hello: Your situation may still require discussion with your attending physician regarding the possibility of recurrence or subsequent treatment that may necessitate imaging studies. Please refer to http://www.tand.org.tw/publications/into.asp?/365.html for normal values in males...

[Read More] Understanding Beta-HCG Levels and Their Implications After Testicular Cancer Surgery


Understanding Renal Cyst Calcifications: What You Need to Know

Calcified nodules in the left renal cyst? On August 11, I underwent an abdominal ultrasound, which showed that my gallbladder polyp is small and my fatty liver has decreased to a mild level. However, the doctor mentioned that there are calcifications in my left renal cyst. When I...


Dr. Du Shixi Reply:
Hello: A urological examination usually reveals no significant issues. Wishing you good health.

[Read More] Understanding Renal Cyst Calcifications: What You Need to Know


Understanding Beta-HCG Fluctuations in Testicular Cancer Patients

The mechanism of beta-HCG (beta-human chorionic gonadotropin) involves its role as Hello, I am a patient with testicular cancer, specifically embryonal carcinoma, and I have undergone surgical resection. Recently, my beta-HCG levels have shown an upward trend, fluctuating from in...


Dr. Du Shixi Reply:
Hello, could you please tell me what the unit of measurement for beta-HCG is when determining the stage after surgery? How much time has passed since the surgery? Wishing you good health.

[Read More] Understanding Beta-HCG Fluctuations in Testicular Cancer Patients


Understanding Varicocele: Symptoms, Concerns, and When to Seek Help

Varicocele Hello Doctor, recently I have started to feel a noticeable structure at the junction between my testicles and penis. I'm not sure what it is, but I can feel a difference between the left and right sides, so I suspect it might be a blood vessel. I was diagnosed wit...


Dr. Liu Mingyue Reply:
Hello: Many people have varicose veins, and if there are no symptoms, it can be monitored. It is not caused by sexual activity. Wishing you good health.

[Read More] Understanding Varicocele: Symptoms, Concerns, and When to Seek Help


Does Masturbation After Penile Curvature Surgery Affect Healing?

Will self-stimulation and ejaculation after penile curvature correction surgery affect wound healing? The doctor advised that I could engage in sexual activity after 1.5 months post-surgery, and I have strictly adhered to this guideline. However, I am currently struggling during ...


Dr. Du Shixi Reply:
Hello: Please discuss your condition with the physician during your follow-up visit. Wishing you good health.

[Read More] Does Masturbation After Penile Curvature Surgery Affect Healing?


Understanding Varicocele: Symptoms, Concerns, and When to Seek Help

The phenomenon of varicocele? Hello doctor, recently I have started to feel a noticeable structure at the junction between my testicles and penis. I'm not sure what it is, but I can feel a difference between the left and right sides, so I suspect it might be a blood vessel. ...


Dr. Du Shixi Reply:
Hello: Many people have varicose veins, and if there are no symptoms, it is advisable to monitor them. They are not caused by sexual activity. Wishing you good health.

[Read More] Understanding Varicocele: Symptoms, Concerns, and When to Seek Help


Understanding Epididymal Cysts: Post-Surgery Recovery and Concerns

Epididymal head cyst Hello, doctor. Last month, I discovered a cyst in the head of the left epididymis, and I underwent surgery to remove the affected area in mid-July. I would like to ask the following questions: 1. After the surgery, the affected testicle feels noticeably lar...


Dr. Li Xinyi Reply:
The recovery speed of the epididymis is indeed slower, possibly taking at least two weeks. It is recommended to wait the same amount of time before resuming sexual activity, but it is still advisable to consult the original treating physician, as this is related to the circumstan...

[Read More] Understanding Epididymal Cysts: Post-Surgery Recovery and Concerns


Understanding Hydrocele: Surgery, Recovery, and Care FAQs

Hydrocele Hello Dr. Du, I have one side of my scrotum that is larger than the other due to fluid accumulation. I have seen a doctor, and the recommendation is traditional surgical treatment. The details were not very clear, so I would like to ask you a few questions: 1. What typ...


Dr. Du Shixi Reply:
Hello: Please confirm with the surgeon, as recommendations may vary. 1. What type of anesthesia is typically used for this surgery? --> Regional anesthesia. 2. How many days will I need to stay in the hospital? --> 1-2 days. 3. How should I care for the surgical wound p...

[Read More] Understanding Hydrocele: Surgery, Recovery, and Care FAQs


Post-Operative Care for Scrotal Hydrocele Surgery: Key Guidelines

Post-operative care for scrotal edema surgery? Hello Dr. Lin, I am planning to undergo a scrotal hydrocele excision. How many days should I change the dressing after the surgery? When can I get the wound wet and take a normal shower? Additionally, how long after the surgery can I...


Dr. Lin Wenxu Reply:
Hello: 1. A typical wound usually heals in about one week. 2. Post-operative wounds can be showered, but soaking in a bath is not allowed; after showering, you can proceed with wound care. 3. The timeline for resuming normal (general) exercise depends on each individual's re...

[Read More] Post-Operative Care for Scrotal Hydrocele Surgery: Key Guidelines


Medication Consultation for Neurological Recovery After Brain Surgery

Medication consultation Hello Dr. Jiang, after my brain surgery last year, I have developed various neurological sequelae on my face and facial area. The surgeon only prescribed B12 and folic acid for "treatment" during follow-up visits. I would like to know if the bloo...


Dr. Jiang Junyi Reply:
Dear Mr. Zolt, You mentioned whether the "blood-brain barrier" might also reduce the absorption and efficacy of water-soluble vitamins. Vitamins need to bind to proteins to cross the blood-brain barrier, and it seems that Vitamin B12 can pass through. To enhance absorp...

[Read More] Medication Consultation for Neurological Recovery After Brain Surgery


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