Understanding Phimosis and Premature Ejaculation: A Urology Perspective
Hello, doctor? Hello Doctor, 1. When I am not erect, I can pull down my foreskin with my hand to expose the glans, but when I am erect, I also need to use my hand to pull it down to reveal the glans. In both states, it can get stuck at the corona. However, during sexual interco...
Dr. Cai Zhuorong Reply:
1. Surgery is not necessary if there is no discomfort. 2. Consider the diagnosis of primary premature ejaculation.[Read More] Understanding Phimosis and Premature Ejaculation: A Urology Perspective
Managing Side Effects of BPH Medications: Alternatives and Insights
Side effects of medications for benign prostatic hyperplasia (BPH)? Switching medications every six weeks. There are many side effects, so the doctor has to keep changing them. The doctor mentioned that if the side effects are too severe, surgery may be the only option, but my en...
Dr. Du Shixi Reply:
Hello: The side effects of medications vary from person to person. Currently, I am using these few medications, and if the side effects are too severe, I will have to discontinue their use. As for medications that can reduce prostate size, they require long-term use to be effecti...[Read More] Managing Side Effects of BPH Medications: Alternatives and Insights
Does a Sudden Increase in Testosterone Affect PSA Levels?
A sudden increase in testosterone levels can affect PSA (prostate-specific antigen) values. Elevated testosterone may lead to an increase in PSA levels, which could potentially indicate prostate issues. It is important to monitor PSA levels in conjunction with testosterone therap...
Dr. Li Minghui Reply:
Hello: After surgery, theoretically there should be no cancer cells and no issues related to testosterone. PSA can be used to monitor treatment effectiveness, and regular check-ups are sufficient. As for why it was so low last month, it is worth considering whether hormone therap...[Read More] Does a Sudden Increase in Testosterone Affect PSA Levels?
Understanding Sudden PSA and Testosterone Level Changes After Surgery
Sudden increase in values? Hello, I have recently undergone a Da Vinci robotic surgery for prostatectomy. I would like to ask: 1. My PSA level has decreased to 0.191, but last month's level was 0.186. 2. My testosterone level is currently 231.43, which is seven times higher ...
Dr. Du Shixi Reply:
Hello: After surgery, theoretically, there should be no cancer cells and no issues related to testosterone. PSA can be used to monitor the effectiveness of treatment, and regular check-ups are sufficient. As for why it was so low last month, it may be related to whether hormone t...[Read More] Understanding Sudden PSA and Testosterone Level Changes After Surgery
Does a Sudden Increase in Testosterone Affect PSA Levels?
A sudden increase in testosterone levels can affect PSA (prostate-specific antigen) values. Elevated testosterone may lead to an increase in PSA levels, which could potentially indicate prostate issues. It is important to monitor PSA levels in conjunction with testosterone therap...
Dr. Li Minghui Reply:
Hello: After surgery, theoretically there should be no cancer cells and no issues related to testosterone. PSA can be used to monitor the effectiveness of treatment, and regular check-ups are sufficient. As for why it was so low last month, it may be related to whether hormone th...[Read More] Does a Sudden Increase in Testosterone Affect PSA Levels?
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 Arm Numbness: Possible Causes and Treatment Options
Questions about arm numbness? Hello Doctor, for the past month or so, I have been experiencing a sensation in my upper arm, specifically in the deltoid area, that feels similar to the numbness one gets after sleeping on their arm. Sometimes there is also a soreness, while other t...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned, "Are there other issues such as cubital tunnel syndrome or other neurological disorders that could produce similar symptoms? Or can we almost definitively conclude that it is a cervical spine issue?" Typically, symptoms resulting from nerve...[Read More] Understanding Arm Numbness: Possible Causes and Treatment Options
Understanding Post-Anesthesia Dizziness: Causes and Concerns
Questions about dizziness for my mother? Mother underwent general anesthesia for a bladder endoscopy and resection surgery from February 23 to February 25. After the anesthesia, she experienced mild headache for one night, which resolved the next morning upon discharge. However, ...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "lacunar infarct at the left lentiform nucleus," which refers to a small infarct in the left lentiform nucleus. This may be related to motor function. However, it is still necessary to assess the relevant neurological functions. Regarding...[Read More] Understanding Post-Anesthesia Dizziness: Causes and Concerns
Head Injury from Bathroom Fall: When to See a Neurologist?
I fell in the bathroom around noon and hit the back of my right head? Hello Doctor: I slipped and hit my head in the bathroom around noon. Since the bathroom is small, I didn't fall flat on my back; instead, my head struck the wall behind me at a nearly vertical angle. I ins...
Dr. Jiang Junyi Reply:
Dear Miss Emma, You mentioned experiencing "chest tightness that feels better with deep breaths, and mild swelling in your right hand. I would like to ask if you need to visit the neurology or surgery outpatient clinic tomorrow?" Generally speaking, if there is no loss...[Read More] Head Injury from Bathroom Fall: When to See a Neurologist?
Is Darkening of the Glans Normal After Circumcision?
After circumcision, the glans may appear darker? Hello, I recently underwent a circumcision surgery, and it has been 7 days since the procedure. However, I have noticed that the area beneath the glans is "severely darkened." I would like to consult whether this is a nor...
Dr. Du Shixi Reply:
Hello: It may be due to post-ecchymosis or the formation of a hematoma. The physician should pay attention to this during the follow-up visit. Such conditions are usually monitored, and it is important to keep the area clean and dry. Wishing you good health.[Read More] Is Darkening of the Glans Normal After Circumcision?
Understanding Penile Discomfort: Causes and Treatment Options
Penile discomfort? Hello doctor, here's the situation: about six months ago, I started experiencing pain after ejaculation, along with a feeling of heat and tingling in my penis. I visited clinics and hospitals where I was diagnosed with calcification of the prostate and was...
Dr. Du Shixi Reply:
Hello: Pelvic inflammation or prostatitis can be difficult to treat. It's important to pay attention to lifestyle and diet. If symptoms persist, it is recommended to visit a medical center for outpatient care. Wishing you good health.[Read More] Understanding Penile Discomfort: Causes and Treatment Options
Persistent Itching After Circumcision: Causes and Solutions
Itching more than a month after circumcision? Hello, doctor. I underwent a circumcision procedure at the end of January this year. The process went smoothly, and after the stitches fell out, the doctor examined the wound and said it was healing well. However, I occasionally exper...
Dr. Du Shixi Reply:
Hello: After surgery, it is important to keep the area clean and dry. If the foreskin is clean, it is less likely to become inflamed. Some swelling and itching are normal after the procedure, as long as there is no redness, there is no cause for concern. Wishing you good health.[Read More] Persistent Itching After Circumcision: Causes and Solutions
Persistent Leg Cramps After Surgery: Seeking Solutions for Nerve Issues
The right foot is experiencing continuous cramps, indicating a possible neurological issue? I am inquiring on behalf of my mother. She has been experiencing lumbar pain and was advised to undergo surgery in December 2020. About three months post-surgery, she frequently feels cram...
Dr. Jiang Junyi Reply:
Dear Mr. Xiao Wu, You mentioned that "since April 2021, the situation has been the same every day without improvement, and the cramping in the sole of my right foot has not changed, but has instead intensified." If you are experiencing abnormal sensations, it may be ne...[Read More] Persistent Leg Cramps After Surgery: Seeking Solutions for Nerve Issues
Is Your Nerve Healing Properly After Surgery? Understanding Recovery Challenges
The nerves did not grow in the correct position? Hello Doctor, I underwent ulnar nerve decompression injection on my right arm in mid-August last year. The next day, I noticed pain in the skin on the ulnar side of my forearm near the elbow when performing movements such as raisin...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the discovery of diminished touch sensation in the surrounding skin seems to induce a feeling of recovery, as if the nerves are not growing in the correct position. Currently, that area of skin still has abnormal sensations and numbness... but...[Read More] Is Your Nerve Healing Properly After Surgery? Understanding Recovery Challenges
Understanding Penile Issues: Tight Foreskin and Scrotal Eczema Solutions
Penile issues Hello, Doctor Du. I have two questions I would like to ask. Thank you. 1. It has been 10 years since I had a circumcision, and I have been experiencing tightness on the right side of the remaining foreskin, especially during erections. Usually, I only feel discomfo...
Dr. Du Shixi Reply:
Hello: 1. The elasticity of the foreskin in your case is likely caused by scarring; please seek medical evaluation. 2. Scrotal skin infections are prone to recurrence, so it is essential to keep the area dry and clean, wear breathable underwear, and use ointments only after consu...[Read More] Understanding Penile Issues: Tight Foreskin and Scrotal Eczema Solutions
Post-Circumcision Care: Understanding Swelling and Recovery Timeline
Post-circumcision care Hello doctor, it has been 26 days since my circumcision surgery, and the sutures completely fell off yesterday. I would like to ask two questions: 1. Is it normal to have a ring of swelling? 2. When can I start doing DIY activities?
Dr. Du Shixi Reply:
Hello: 1. Is it normal to have a ring of swelling? --> It should gradually subside; you may experience more swelling after the surgery. 2. When can I start DIY? --> You can start once the wound is confirmed to be healed, but avoid applying too much force at the beginning. W...[Read More] Post-Circumcision Care: Understanding Swelling and Recovery Timeline
Non-Surgical Solutions for Phimosis: Managing Foreskin Issues During Erection
Penile issues If the foreskin cannot retract automatically during an erection but can be retracted manually, is there a non-surgical method to allow the foreskin to retract automatically during an erection?
Dr. Du Shixi Reply:
Hello: It's unlikely, unless surgery is performed to shorten it. Wishing you good health.[Read More] Non-Surgical Solutions for Phimosis: Managing Foreskin Issues During Erection
Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Muscle fasciculations and muscle soreness with weakness? Since 2019, I have experienced occasional muscle soreness in my limbs (about once every 3 to 6 months, lasting approximately 1.5 weeks). My hand strength has decreased, and when I go shopping and lift items weighing 2 to 5 ...
Dr. Hong Weibin Reply:
Hello: Based on your symptoms, it is recommended that you seek assistance from a neurologist specializing in neuromuscular diseases at a major hospital. They may arrange for blood tests, electromyography (EMG), and other evaluations. Cervical spine compression or myasthenia gravi...[Read More] Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Post-Varicocele Surgery: Is Abstinence Necessary for Recovery?
Postoperative abstinence after varicocele surgery? Hello, Doctor. I underwent a microscopic surgery for varicocele under the inguinal ring last Saturday. However, five to six days post-surgery, I sometimes find it hard to resist looking at adult comics online, which may lead to p...
Dr. Du Shixi Reply:
Hello: Due to the high recurrence rate of varicocele, it is advisable to reduce activities that involve straining the abdominal area to prevent recurrence. Take good care of yourself. Wishing you good health.[Read More] Post-Varicocele Surgery: Is Abstinence Necessary for Recovery?
Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients
Coma scale score of 4? My mother is 86 years old. After a nap on January 8, she could not be awakened. That evening, her blood sugar was measured at 183, her blood oxygen level was 89, and her blood pressure was normal. On January 19, she still could not be awakened in the mornin...
Dr. Jiang Junyi Reply:
Dear Ms. Vicky, You mentioned, "Doctors only treat infections with antibiotics. I really want to ask, for a comatose patient like this, do we just have to wait aside from antibiotic treatment? Are there no more aggressive treatment options?" In clinical practice, the m...[Read More] Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients