Understanding Pseudo Phimosis: Causes, Symptoms, and Treatment Options
Phimosis issue Hello doctor, when I am not erect, I can pull the foreskin down below the glans (which means I can expose the entire glans). However, when I am erect, I can only manually pull down my foreskin to expose about half of the glans, and if I try to pull it down further,...
Dr. Du Shixi Reply:
Hello: You are neither truly genuine nor completely false; you are somewhere in between. An erection that can retract is generally referred to as a false erection. As for whether surgery is necessary, it should be evaluated by a physician, as it depends on the degree of constrict...[Read More] Understanding Pseudo Phimosis: Causes, Symptoms, and Treatment Options
Comparing Treatment Options for Genital Warts: Electrocautery vs. Topical Creams
Cauliflower (Condylomata Acuminata) Hello, doctor. I would like to ask which treatment method is better, electrosurgery or topical ointment? Today, after my appointment, the doctor mentioned that the ointment reduces the size of the lesions but does not eliminate the virus; elect...
Dr. Du Shixi Reply:
Hello, I would like to ask which treatment method is better, electrocautery or topical ointment? I saw the doctor today, and he said that the ointment reduces the size of the lesions but cannot eliminate the virus; electrocautery causes tissue necrosis and allows for regrowth. Cu...[Read More] Comparing Treatment Options for Genital Warts: Electrocautery vs. Topical Creams
Understanding Urinary Incontinence After Prostate Laser Surgery: What to Expect
Prostate surgery Hello Doctor: I underwent laser surgery for my prostate one month ago, and I have been unable to urinate since then. It has been a month since the laser surgery, and it seems that my issue with urinary incontinence has not improved. Is it normal to experience uri...
Dr. Du Shixi Reply:
Hello: It is not uncommon to experience incontinence after prostate surgery, and this should be mentioned in the surgical information booklet. It typically improves gradually. If it is just a small amount of urine, it usually resolves quickly. Currently, take good care of yoursel...[Read More] Understanding Urinary Incontinence After Prostate Laser Surgery: What to Expect
Post-Circumcision Concerns: Developmental Issues and Surgical Options
Postnatal circumcision and developmental issues? Hello, doctor. I underwent a circumcision at birth, but I'm not sure if it was a dorsal slit or a complete circumcision. From my perspective, I can see that there is a connection resembling a bridge between the tip of the glan...
Dr. Du Shixi Reply:
Hello: In general hospitals, most newborns undergo circumcision. 1) The impact is minimal. 2) I can't imagine it, sorry, but it should be a minor procedure. As long as there is not too much concern about scarring, it should be fine. You can discuss it with a urologist. Wishi...[Read More] Post-Circumcision Concerns: Developmental Issues and Surgical Options
Post-Circumcision Concerns: Impact of Ointment on Healing Process
Post-operative issues after circumcision? Hello, Doctor. I apologize for asking again, but I really appreciate your previous response. It has been 6 days since my circumcision surgery. Due to the application of ointment and the natural positioning in my pants, my scrotum often ge...
Dr. Du Shixi Reply:
Hello: If you change your underwear daily and apply medication regularly, the key point is that if the wound is not red, it is mostly unaffected. You might consider placing a clean, large piece of gauze between the penis and scrotum for added comfort. Wishing you good health.[Read More] Post-Circumcision Concerns: Impact of Ointment on Healing Process
Understanding Phimosis: Symptoms, Concerns, and Treatment Options
Glans issues Hello, doctor. I have a few questions. I have a problem with phimosis, but it does not affect ejaculation or urination. Normally, the glans cannot be exposed, but it can be slightly exposed during an erection. When I masturbate, I feel that the glans is tightly const...
Dr. Du Shixi Reply:
Hello: If the foreskin cannot be fully retracted during an erection and the glans is exposed, the doctor may recommend surgery. It is advisable to have a medical examination. However, in some cases, the tightness may be mild and could gradually improve. For such foreskin conditio...[Read More] Understanding Phimosis: Symptoms, Concerns, and Treatment Options
Post-Circumcision Care: Managing Bleeding and Swelling Concerns
Post-circumcision care Hello doctor, I underwent a circumcision five days ago. Yesterday morning, when I changed the dressing, I noticed bleeding from the sutured wound, and the wound was stuck to the gauze, with a persistent sharp pain for two days. After changing the dressing a...
Dr. Du Shixi Reply:
Hello: Bruising and swelling are normal after surgery. It is especially important to keep the wound dry. If there is persistent drainage or blood, you should return for a follow-up. Cleaning and dressing the wound are necessary, and also avoid erections. Wishing you good health.[Read More] Post-Circumcision Care: Managing Bleeding and Swelling Concerns
Understanding Phimosis: When to Seek Treatment for Your Teen
Prepuce issues Hello, doctor. I have a 16-year-old child who has reported that he is unable to naturally retract his foreskin to expose the glans during an erection. Even when he manually tries to pull back the foreskin, he experiences pain and cannot fully expose the glans. Is t...
Dr. Du Shixi Reply:
Hello: If it is mild, you can try using topical ointments or gently pushing down when not erect, as some cases may gradually improve the narrowed area. If it is severe, the doctor may recommend surgery. Wishing you good health.[Read More] Understanding Phimosis: When to Seek Treatment for Your Teen
Can Testicular Size Return to Normal After Varicocele Surgery?
Testicular issues? Hello, I would like to ask the doctor about something. Recently, I underwent surgery for left-sided varicocele. After the surgery, the doctor mentioned that my left testicle had slightly shrunk. Today, I noticed that my left testicle is noticeably smaller than ...
Dr. Du Shixi Reply:
Hello: My left testicle is noticeably smaller than my right one. I would like to ask the doctor if, at the age of 20, my testicles still have a chance to return to normal size? --> The chances are slim. If they don't, will it affect my future fertility and development? --...[Read More] Can Testicular Size Return to Normal After Varicocele Surgery?
Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Dizziness, headache, and tightness and pain in the shoulder and cervical spine? Hello, doctor. I started experiencing severe headaches, dizziness, neck tightness and pain, and numbness in my hands and feet around July of last year. I initially thought it was due to fatigue or hea...
Dr. Jiang Junyi Reply:
Hello, Miss: In addition to your original issues, we may need to consider vascular headaches, which could be related to your menstrual cycle. Furthermore, since you mentioned a connection to posture, we should consider "intracranial hypotension headache." The primary sy...[Read More] Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Post-Circumcision Care: Do You Need to Change the Dressing?
Post-operative issues after circumcision? Hello, doctor. I just had a circumcision surgery this morning, and the dressing was applied afterward. I have a follow-up appointment in two days. I would like to ask if I need to change the dressing myself during these two days when I ca...
Dr. Du Shixi Reply:
Hello: If your doctor has mentioned or provided information, please follow the instructions of the surgeon, as each physician may have different recommendations. It is generally advised not to remove it; instead, have the dressing changed during your follow-up appointment to avoi...[Read More] Post-Circumcision Care: Do You Need to Change the Dressing?
Post-Laser Prostate Surgery: Managing Symptoms and Recovery Timeline
Symptoms after prostate laser surgery? Hello Doctor: It has been almost a month since my prostate laser surgery, but I am experiencing severe urinary urgency, and I feel like there hasn't been much improvement. Additionally, I occasionally have hematuria. Is it normal to not...
Dr. Cai Zhuorong Reply:
We specialize in laser surgery for the prostate and also address many cases of post-operative urinary incontinence from surgeries performed at other hospitals. Some patients can gradually recover with medication adjustments, but it is important to acknowledge that in some cases, ...[Read More] Post-Laser Prostate Surgery: Managing Symptoms and Recovery Timeline
Post-Varicocele Surgery: Understanding Pain and Recovery Tips
Postoperative care for varicocele surgery? Hello, I would like to ask the doctor about something. I underwent laparoscopic varicocelectomy last week, and I have heard that it may take time for the varicocele to resolve as new blood vessels develop. However, recently, when I lie d...
Dr. Li Xinyi Reply:
Based on your description, I can't say there are no issues. I still recommend returning to the original surgeon's clinic for an examination and further discussion.[Read More] Post-Varicocele Surgery: Understanding Pain and Recovery Tips
Post-Vasectomy Concerns: Understanding Pain and Recovery
After sterilization..? I would like to consult a doctor. After my wife gave birth to our third child, I decided to undergo a vasectomy. It has been a month and a half since the procedure, and I have a few questions: 1. I occasionally feel a dull ache on one side of my testicles...
Dr. Du Shixi Reply:
Hello: Your situation is not uncommon; some individuals are more sensitive and may find it more bothersome. Generally, it will improve over a few weeks. As for epididymitis, it can cause swelling and pain, which may worsen. Typically, any changes are mostly related to scarring an...[Read More] Post-Vasectomy Concerns: Understanding Pain and Recovery
Understanding Urological Issues Related to Uterine Health
Uterine connection to urology The patient has a history of urinary issues and underwent bladder neck incision surgery over a year ago due to urinary retention. Currently, they experience a sensation in the lower back that prompts urgency to urinate. Additionally, their menstrual ...
Dr. Liu Mingyue Reply:
Hello: If the medication is taken long-term, it should not have a significant impact. However, if there has been an increase or change in medication in the previous 1-2 days, it could potentially have an effect. For your reference, wishing you good health.[Read More] Understanding Urological Issues Related to Uterine Health
Understanding Urinary Issues: Bladder Surgery and Menstrual Irregularities
Inability to urinate? The patient has a history of urinary issues and underwent bladder neck incision surgery over a year ago due to urinary retention. Currently, they experience a sensation in the lower back that prompts urgency to urinate. Additionally, the patient reports irre...
Dr. Du Shixi Reply:
Hello: If a medication is taken long-term, it should not have a significant impact. However, if there has been an increase in dosage or a change in medication in the previous 1-2 days, it may have an effect. For your reference, wishing you good health.[Read More] Understanding Urinary Issues: Bladder Surgery and Menstrual Irregularities
Can Prostate Massage Benefit Patients with Advanced Prostate Cancer?
Can prostate cancer patients undergo prostate massage? Dear Director: I am a patient with T3b prostate cancer, which has spread to the seminal vesicles, with a Gleason score of 4+3. I underwent radiation therapy a year ago and am currently receiving hormone therapy, which my doct...
Dr. Li Minghui Reply:
Hello: The treatment for prostate cancer, including surgery and radiation therapy, has the potential to be curative, but it is important to discuss this with your treating physician. As for average life expectancy, you can refer to https://www.canceraway.org.tw/cancerinfo.asp?id=...[Read More] Can Prostate Massage Benefit Patients with Advanced Prostate Cancer?
Understanding T3b Prostate Cancer: Treatment, Prognosis, and Care
Prostate cancer patient Hello: I am a T3b prostate cancer patient, which has spread to the seminal vesicles, with a Gleason score of 4+3. I underwent radiation therapy a year ago and am currently receiving hormone therapy, which my doctor said will last for 2 years. I have just c...
Dr. Du Shixi Reply:
Hello: The treatment for prostate cancer, including surgery and radiation therapy, has the potential for cure, but it is important to discuss this with your attending physician. As for average life expectancy, you can refer to the prognosis section at https://www.canceraway.org.t...[Read More] Understanding T3b Prostate Cancer: Treatment, Prognosis, and Care
Post-Extracorporeal Shock Wave Lithotripsy: Understanding Pain and Recovery
Post-extracorporeal shock wave therapy (ESWT) I underwent extracorporeal shock wave lithotripsy on June 5th of this year. Recently, during a follow-up ultrasound, the doctor mentioned that there is only a small white spot (0.38 cm) remaining, which should be able to pass out with...
Dr. Du Shixi Reply:
Hello: After lithotripsy, there shouldn't be too many side effects. If you experience painful urination, it may be due to the passage of stone fragments. Drinking plenty of water can help, as it may expedite their expulsion. Wishing you good health.[Read More] Post-Extracorporeal Shock Wave Lithotripsy: Understanding Pain and Recovery
Understanding Urination Issues After Circumcision: When to Seek Help
Urinary problems Hello, doctor. I underwent a circumcision surgery at the beginning of this year, and my recovery has been good. However, when I urinate, the urine initially splits into two streams but quickly returns to one. I do not feel any discomfort in the urethra. Should I ...
Dr. Du Shixi Reply:
Hello: If urination is painless and comfortable, and the urine color is normal, no special examination is needed. Wishing you good health.[Read More] Understanding Urination Issues After Circumcision: When to Seek Help