Do I Need Surgery for My Persistent Foreskin Issue?
I would like to ask about the issue of phimosis again? Hello, Dr. Du: I apologize for bothering you. Yesterday, I asked about the issue of phimosis. You mentioned that the foreskin can retract during an erection, but I would like to clarify that my foreskin still almost completel...
Dr. Du Shixi Reply:
Hello: Congenital phimosis is generally like this, and medically, surgery is not necessary. Wishing you good health.[Read More] Do I Need Surgery for My Persistent Foreskin Issue?
Persistent Headaches After Car Accident: Next Steps for Recovery
Headache persisting for more than one month after a car accident? After a car accident while wearing a helmet, the patient suffered a head impact and was hospitalized. The resident physician indicated that a brain scan revealed small blood clots, but surgery was not necessary. Ov...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest that there has been an injury to the neck muscles due to a head impact, as well as compression of the cervical nerves leading to tingling sensations. It is recommended that you consult a rehabilitation physician to discuss examination and treatmen...[Read More] Persistent Headaches After Car Accident: Next Steps for Recovery
Understanding Groin Pain: Insights on Diagnosis and Home Care Tips
Inguinal pain has been preliminarily assessed, and a hernia has been ruled out due to the absence of any protrusion? Hello, I am a 27-year-old male who has lived in the UK since childhood. At around 17 years old, I underwent a left orchiectomy due to testicular torsion, and the r...
Dr. Li Xinyi Reply:
It could also be neuropathic pain, which can be managed with some B vitamins or medications that stabilize nerve function. There is also the possibility of a difficult-to-diagnose femoral hernia, which may require MRI or CT scans for diagnosis. Regarding testicular torsion, since...[Read More] Understanding Groin Pain: Insights on Diagnosis and Home Care Tips
Understanding Lower Back Pain: Causes, Symptoms, and Treatment Options
Lumbar issues? I used to wear high heels frequently for work, but I haven't worn any heeled shoes for almost two years now. However, I feel like I have an issue with anterior pelvic tilt. I have tried chiropractic adjustments, but they didn't seem to help much. To lose ...
Dr. Cai Zongzhang Reply:
It is recommended to consult a neurologist to check for symptoms caused by lumbar nerve compression.[Read More] Understanding Lower Back Pain: Causes, Symptoms, and Treatment Options
Understanding and Treating Pearly Penile Papules Safely
Preputial hydrocele Hello Dr. Du: My question is that I have had a bit of smegma accumulation since middle school, and it seems to have remained the same size as I got older, roughly the size of a pearl, located at the junction of the glans and the foreskin. Although it is not pa...
Dr. Du Shixi Reply:
Hello: If it does not grow larger, it can be monitored. If it gradually increases in size or if there are concerns, surgery may be necessary. It is considered a minor procedure, but there will be a scar afterward. Wishing you good health.[Read More] Understanding and Treating Pearly Penile Papules Safely
Post-Circumcision Concerns: Pain, Swelling, and When to Seek Help
Questions after circumcision surgery? Hello, doctor. I have a few questions to ask: 1. I had a complete circumcision, and now I am experiencing redness, swelling, and pain in the glans, along with a sensation of urinary leakage and slight pain while urinating. Is this normal? ...
Dr. Du Shixi Reply:
Hello: 1) If you experience symptoms every time you urinate, you should return for a follow-up, as there may be other issues. Additionally, make sure to drink water normally. 2) Post-surgery, it is common to experience swelling and pain, but it should gradually improve. 3) If the...[Read More] Post-Circumcision Concerns: Pain, Swelling, and When to Seek Help
Understanding Cauliflower-Like Infections: Urology Insights and Treatment Options
Cauliflower infection issues? I recently noticed something like this on my foreskin and would like to ask if it is genital warts, as well as recommend a treatment method.
Dr. Du Shixi Reply:
Hello: This facility cannot provide a diagnosis without an examination, and the information is for reference only. According to the following principles: 1) There is a possibility only if there has been unsafe sexual behavior. 2) If there has been unsafe sexual behavior, it could...[Read More] Understanding Cauliflower-Like Infections: Urology Insights and Treatment Options
Understanding Glans Skin Changes After Phimosis Surgery: Causes and Treatments
Glans epithelium Hello Doctor: I have had a problem with phimosis since childhood. I can normally retract my foreskin for cleaning, whether erect or not. However, during a DIY attempt, I accidentally injured the frenulum and the skin at the opening of the foreskin. I was very ner...
Dr. Du Shixi Reply:
Hello: 1) Your condition is quite common and will improve in a few months; the discoloration will not be significant. It is not recommended to apply any products, as they may not be very helpful. Just keep the area clean and dry. 2) There is no specific name for it, at least I am...[Read More] Understanding Glans Skin Changes After Phimosis Surgery: Causes and Treatments
Post-Circumcision Care: Exercise and Sensitivity Tips
Post-operative issues after circumcision? Hello doctor, I just had a circumcision last Thursday, and my recovery is going well. I have a sports event in two weeks that will involve intense physical activity. If I follow the usual recovery timeline of two weeks, will I be able to ...
Dr. Du Shixi Reply:
Hello: 1) Generally, individuals vary, but most wounds can heal within two weeks. It's best to avoid erections during this time. Additionally, maintaining cleanliness and dryness will promote faster healing. Avoid any impact to the area as well. 2) Increased sensitivity and ...[Read More] Post-Circumcision Care: Exercise and Sensitivity Tips
Understanding Penile Plaques and Their Impact on Erectile Function
Penile fibrous plaque and folds in the corpora cavernosa? Hello, doctor. I have two hard nodules on the right side of my penile corpus cavernosum, which cause my penis to bend toward the side of the nodules during erection. The area with the nodules appears to be indented, but th...
Dr. Cai Zhuorong Reply:
1. Are there non-surgical methods to manage fibrosis? A: Some cases may resolve on their own after a period of time. Surgery is the standard treatment, while other options such as medication have limited effectiveness. 2. Will the folds in the corpus spongiosum have any adverse...[Read More] Understanding Penile Plaques and Their Impact on Erectile Function
Understanding Gonorrhea: Common Concerns and Symptoms Explained
Questions about Gonorrhea Hello, doctor. Eighteen years ago, I bought a masturbation sleeve from an adult store. Before using it, I washed it with water. Afterward, I was worried about my family finding it, so I hid it in a shared basement storage area. The next day, I used it ag...
Dr. Du Shixi Reply:
Hello: 1. Is it possible that I have a gonorrhea infection? → Your description does not indicate any unsafe sexual behavior. 2. If I have gonorrhea, will a routine urine test show abnormalities? I went to a place where I had to wait for the machine to run for 20 minutes (8 year...[Read More] Understanding Gonorrhea: Common Concerns and Symptoms Explained
Understanding Urological Concerns: Pain, Blood Flow Issues, and STD Risks
Some questions? 1) Two weeks ago, I used a metal ring to constrict the base of my penis and then attempted to fit my testicles through it. However, the ring was a bit small, and it took almost an hour to try to fit my testicles in, but I was unable to do so. Since then, I have be...
Dr. Du Shixi Reply:
Hello: 1) There shouldn't be a major issue, but it may affect circulation. Personally, I do not recommend using a metal ring. Should I see a doctor to check for issues like varicocele? --> Yes, if there is no rapid engorgement --> It is advisable to seek medical attent...[Read More] Understanding Urological Concerns: Pain, Blood Flow Issues, and STD Risks
Understanding Circumcision: Sensitivity, Frenulum, and Urinary Issues
Foreskin issues I would like to ask whether the frenulum should be removed during circumcision. I am considering the surgery, but I have heard that the frenulum is one of the sensitive areas for men. If it is removed, will it decrease sensitivity? Will there be a complete loss of...
Dr. Du Shixi Reply:
Hello: 1) It is not always necessary to perform a biopsy. 2) You can discuss with your physician. Regardless of the area of skin, any wound can potentially alter sensation, but it is unlikely to be completely insensate. 3) The separation of urine is primarily influenced by factor...[Read More] Understanding Circumcision: Sensitivity, Frenulum, and Urinary Issues
Can Scar Tissue on the Left Testicle Be Removed? Urology Insights
Is it possible to remove a scar from a previous injury on the left testicle? Hello Doctor: A few years ago, I accidentally injured my left testicle, causing a rupture of a larger blood vessel within the testicle and resulting in a hematoma. Fortunately, I did not require surgery,...
Dr. Du Shixi Reply:
Hello: Personally, I do not recommend surgery unless there is a compelling reason to do so. It is best to avoid unnecessary intervention on the testicles. Wishing you good health.[Read More] Can Scar Tissue on the Left Testicle Be Removed? Urology Insights
Understanding Vas Deferens Issues: Painful Ejaculation and Varicocele Concerns
Vas deferens issues Hello doctor, when I was a child, I went to the hospital for an examination and found that my left testicle had ascended, making the scrotum appear empty. I then underwent surgery to bring it down. Initially, there were no issues during sexual activity, but af...
Dr. Du Shixi Reply:
Hello: 1) Pain during ejaculation is likely not related to the surgery; if it is severe, it is recommended to seek examination at a major hospital. 2) The sensation of fluid movement and itching above the left side of the penis occurs, but it resolves after ejaculation and is als...[Read More] Understanding Vas Deferens Issues: Painful Ejaculation and Varicocele Concerns
Understanding Varicocele: Symptoms, Treatment, and Medication Concerns
Varicocele and Medication Consultation Hello Doctor: I am seeking treatment for varicocele and have been taking medication for several months. Initially, I was using pain relievers, but now I am taking one Thorne capsule and half a capsule each of Ripam and Muslex. I have read on...
Dr. Sun Hongshun Reply:
Hello, since your varicocele has progressed to the point of causing pain and requiring medication, it must be quite uncomfortable for you. I wonder if you have undergone a scrotal ultrasound and semen analysis? Relying solely on medication for pain relief is not a solution. If th...[Read More] Understanding Varicocele: Symptoms, Treatment, and Medication Concerns
Understanding Post-Surgery Complications: Unusual Discharge from Circumcision Site
Issues with foreskin wounds Hello, doctor. It has been two weeks since my surgery, and I followed your instructions to start showering only after one week post-operation. Recently, I noticed some unknown discharge from the wound area. I have been cautious not to let the wound com...
Dr. Du Shixi Reply:
Hello: If there is discharge, it may indicate that the wound is separating, even if it's just a small opening. If you are certain there is no separation, it should be fine with just the ointment. If you are still concerned, you should return for a follow-up appointment. If i...[Read More] Understanding Post-Surgery Complications: Unusual Discharge from Circumcision Site
Diabetes-Related Balanitis: Surgical Options and Concerns
Diabetic balanitis Dear Doctor: I previously visited a urology clinic and was told that I have candidal balanitis caused by diabetes (I can still retract the foreskin, but it will crack if I pull too hard). I would like to ask: 1. If I need surgery, will it be covered by health i...
Dr. Du Shixi Reply:
Hello: 1) Depending on the situation, if it is not severe, there may still be a possibility for out-of-pocket expenses. 2) Blood sugar levels need to be well controlled, as poor glycemic control can affect wound healing. Wishing you good health.[Read More] Diabetes-Related Balanitis: Surgical Options and Concerns
Understanding HPV-Related Issues in Men: Diagnosis and Treatment Insights
Male HPV-related issues? Hello Doctor, about a month ago I had sexual intercourse (with a condom) and during this period, I visited a hot spring twice. Approximately two weeks after the sexual activity, I noticed a split in my urine stream and found two or three small soft warts ...
Dr. Du Shixi Reply:
Hello: 1) Most experienced physicians can handle it, but it’s better to have organizational confirmation; sometimes if it's too small, only electrosurgery or other methods can be used. 2) There are methods available. 3) Not necessarily; it is possible that the sample does no...[Read More] Understanding HPV-Related Issues in Men: Diagnosis and Treatment Insights
Is This Cauliflower (HPV)? Understanding Urology Concerns
Is this cauliflower (HPV)? The first and second images show the same area on that side. The third image indicates a slightly hard spot that bled after being scratched last night, which is why it appears red now. I have experienced similar issues 2 to 3 times over the past 1 to 2 ...
Dr. Du Shixi Reply:
Hello: 1) This platform cannot provide a diagnosis, but Figure 2 shows a possibility, although it appears somewhat large. 2) Genital warts can also be treated with electrosurgery or topical medications; both options are worth considering. You may want to visit a urology departmen...[Read More] Is This Cauliflower (HPV)? Understanding Urology Concerns