Persistent Anal Warts: Seeking Advanced Treatment Options
The anal condyloma has not improved after three sessions of electrocautery? Hello, doctor. I have HIV and am currently undergoing stable treatment. About two years ago, I discovered multiple genital warts around my anus. I received three doses of the nine-valent vaccine followed ...
Dr. Cai Zhuorong Reply:
Please visit the colorectal surgery outpatient clinic.[Read More] Persistent Anal Warts: Seeking Advanced Treatment Options
Post-Circumcision Concerns: Healing, Stitches, and Recovery Explained
Post-operative issues after circumcision? Hello Doctor: I underwent a preputial fold surgery on January 21, and it has been 19 days since the procedure. Some of the sutures have gradually fallen out, but one area has developed a slight fissure that is oozing a tiny bit of blood. ...
Dr. Li Xinyi Reply:
Hello, this is something that should have been clarified during the outpatient visit. It's difficult to explain clearly online. I can only say that it sounds like there might be an issue with the wound, and it's best to return to the original surgeon to discuss it thoro...[Read More] Post-Circumcision Concerns: Healing, Stitches, and Recovery Explained
Post-Circumcision Pain: What to Expect and When to Heal
Pain after circumcision? Hello, Doctor. Thank you for your hard work. I underwent a circumcision surgery (minimally invasive) on January 22 and have a few questions I would like to ask. Thank you. 1. It has been about a week since the surgery, and I am still experiencing signifi...
Dr. Li Xinyi Reply:
If there is pain or swelling, especially if the swelling is severe, when the glans is exposed for the first time, it may take more than two weeks to improve. However, it is still recommended that you visit a urologist for an in-person examination to get a clear understanding of t...[Read More] Post-Circumcision Pain: What to Expect and When to Heal
Understanding Complications After Ureteral Reconstruction Surgery
Issues Following Ureteral Stricture Reconstruction During a health check-up two years ago, ureteral stenosis was discovered. In early November of last year, I underwent Da Vinci surgery (ureteral reconstruction), and the double J stent was removed on December 16. During an ultras...
Dr. Cai Zhuorong Reply:
If the ureter has been narrowed for a period of time, the renal pelvis may lose its elasticity and appear hydronephrotic. In fact, as long as there is no further obstruction after ureteral surgery, it is considered a success.[Read More] Understanding Complications After Ureteral Reconstruction Surgery
Understanding HPV Infection Risks and Vaccination After Oral Exposure
Regarding HPV virus infection? Hello, doctor! I learned yesterday that my girlfriend had a previous cervical pre-cancerous lesion and underwent surgery. I recalled that I performed oral sex on her once. I would like to ask: 1. What is the likelihood of contracting HPV through ora...
Dr. Li Xinyi Reply:
It is indeed possible to get infected. As for testing, in addition to checking the oral cavity at dental and family medicine clinics, if you want to test for viral infections, such as viral antigen tests or nucleic acid tests, you may need to consult the infectious disease depart...[Read More] Understanding HPV Infection Risks and Vaccination After Oral Exposure
Managing Left Testicular Varicocele Discomfort Without Surgery
Left testicular varicocele has recently started to feel uncomfortable. I don't want surgery; how can I alleviate or treat it? In recent days, I've been experiencing discomfort in my left testicle, which comes and goes. Sometimes the discomfort is particularly pronounced...
Dr. Li Xinyi Reply:
If surgical treatment is not an option, then medical management with medication is the alternative, although the effectiveness may not be very good. Typically, general analgesics are used, and there is also a self-paid medication called Alvolon that may have some therapeutic effe...[Read More] Managing Left Testicular Varicocele Discomfort Without Surgery
Understanding HPV and Safe Sexual Practices After Genital Warts
Cauliflower (Condylomata Acuminata) Hello, doctor. My girlfriend had a lesion in January 2020, which was treated with electrosurgery. In October of the same year, a mild lesion reappeared, and after applying a topical ointment prescribed by the doctor, it improved shortly after. ...
Dr. Li Xinyi Reply:
For the virus strain that has already infected her, the vaccine is ineffective. Therefore, the vaccine does not help your girlfriend with her current infection. If the nine-valent vaccine you received covers the strain your girlfriend has, then you may be at a lower risk; however...[Read More] Understanding HPV and Safe Sexual Practices After Genital Warts
Managing Discomfort from Varicocele: Medication vs. Surgery Options
Recently, I have been experiencing discomfort in my left testicle? I would like to ask the doctor, can medication treatment improve the discomfort caused by varicocele, or is surgery the only option for persistent discomfort? I have found information about minimally invasive surg...
Dr. Li Xinyi Reply:
How effective is oral medication? You won't know until you have tested it yourself. In principle, you can be discharged one or two days after surgery. For detailed information, it's best to discuss it directly with the attending surgeon at the time.[Read More] Managing Discomfort from Varicocele: Medication vs. Surgery Options
Post-Circumcision Concerns: Understanding Swelling and Infection Risks
Post-operative issues after circumcision? Hello Doctor, I just had a circumcision three days ago, and I have been experiencing swelling since the procedure. I read online that this should gradually subside, but I am unsure if my situation is normal. There is a ring of swelling ar...
Dr. Li Xinyi Reply:
If there is significant swelling, you should find a way to position the penis upwards and secure it to the abdomen with 3M tape. If the swelling is severe, the time for it to subside will be prolonged. However, any concerns regarding this type of surgery should be addressed durin...[Read More] Post-Circumcision Concerns: Understanding Swelling and Infection Risks
Post-Surgery Urination Issues: Managing Incontinence and Bandage Care
Postoperative bowel movement? 1. After surgery, it is common to experience difficulty fully emptying the bladder, which may result in residual urine leaking out and contaminating the dressing. This could potentially lead to an infection. To manage this, it is advisable to change ...
Dr. Li Xinyi Reply:
There will be a follow-up appointment after the surgery, and it is important to ask the surgeon any questions you may have. Otherwise, I won't know what kind of surgery you had or the condition of your wound, and I cannot provide you with any advice.[Read More] Post-Surgery Urination Issues: Managing Incontinence and Bandage Care
Understanding Wound Discharge After Urological Surgery: Causes and Care
Wound exudate Last October, I underwent penile surgery due to a trauma that resulted in a hematoma, which was surgically removed. The wound was properly cared for, but in early January of this year, I engaged in sexual activity that may have caused excessive friction, leading to ...
Dr. Li Xinyi Reply:
Wound issues must be examined in person at a clinic; they cannot be adequately addressed through online inquiries.[Read More] Understanding Wound Discharge After Urological Surgery: Causes and Care
Post-Surgery Care for Laser Circumcision: Managing Bleeding and Bandage Issues
Surgical dressing Hello, I had laser circumcision surgery this morning. After the procedure, the doctor only informed me of the follow-up appointment and did not mention that I need to change the dressing daily. After dinner and taking my medication tonight, I noticed that the wo...
Dr. Li Xinyi Reply:
It is recommended to wash your hands thoroughly, disinfect your hands and the gauze wound with povidone-iodine, and then apply an oily ointment to lubricate the entire penis. After that, try to remove the adhesive bandage. If it is too painful to do so, you may need to go to the ...[Read More] Post-Surgery Care for Laser Circumcision: Managing Bleeding and Bandage Issues
Post-Circumcision Concerns: Managing Swelling and Infection Risks
Post-operative issues after circumcision? Hello doctor, I recently underwent a circumcision surgery a few days ago. Due to severe swelling, it has been very inconvenient to bandage and use the restroom. Urine often drips onto the gauze, causing me to change the gauze frequently, ...
Dr. Li Xinyi Reply:
If the swelling is severe, it is recommended to position the penis upwards and secure it with 3M tape. Before changing the dressing, apply ointment to the wound, then cover it with gauze; this will help reduce pain during dressing changes. Generally, the gauze should be changed w...[Read More] Post-Circumcision Concerns: Managing Swelling and Infection Risks
Does Constantly Retracting Foreskin Loosen It Over Time?
Foreskin issues Excuse me, doctor. I haven't had a circumcision. If I frequently retract my foreskin behind the coronal sulcus for an entire day, will this cause my foreskin to become loose?
Dr. Xu Wencang Reply:
If it gets stuck and feels uncomfortable, it is still necessary to undergo surgery. Please have a physician evaluate the situation.[Read More] Does Constantly Retracting Foreskin Loosen It Over Time?
Understanding the Effects of Occipital Impact: What to Expect After a Fall
Occipital impact? While playing basketball, I tripped and fell, landing on my buttocks, back, and the back of my head. It hurt a lot at the moment and immediately swelled up. I heard a loud sound when my head hit the ground. I applied ice afterward, and by the next day, the swell...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, no use of anticoagulants, or obvious localized hematomas, head trauma is mostly mild. However, the following situations should prompt consideration of delayed bleeding, and you should seek...[Read More] Understanding the Effects of Occipital Impact: What to Expect After a Fall
Can You Masturbate with Varicocele? Tips and Considerations
Varicocele Can I masturbate if I have a varicocele? Is there a relationship with cold weather? Would wearing tighter underwear for support be better for the scrotum? What else should I be aware of?
Dr. Li Xinyi Reply:
You still need to see a urologist for an examination and discuss with the doctor, as surgery may be required in severe cases. Avoid prolonged sitting or standing, and regular follow-up is recommended.[Read More] Can You Masturbate with Varicocele? Tips and Considerations
Post-Circumcision Pain: Understanding Duration and Management
Severe pain in the glans after circumcision? Hello, Doctor. I had a circumcision yesterday. The surgery itself went smoothly, and I didn't feel much pain. About an hour and a half after getting home, everything was fine until I tried to urinate for the first time. I noticed ...
Dr. Li Xinyi Reply:
Apply an oily antibiotic ointment thoroughly, then cover it with gauze to protect the area. This helps reduce friction and irritation. You should also consider other methods to manage the situation.[Read More] Post-Circumcision Pain: Understanding Duration and Management
Understanding Glans Sensitivity and Erection Issues: Common Concerns
Glans issues Hello Doctor, 1. Is it normal to experience a stinging sensation when cleaning the glans? There are white flakes on the glans. 2. I've noticed that during an erection, I seem unable to expose the glans, although I can do so when not erect, it feels a bit tigh...
Dr. Cai Zhuorong Reply:
Your condition may be phimosis; you might consider seeking medical evaluation to determine if surgery is necessary.[Read More] Understanding Glans Sensitivity and Erection Issues: Common Concerns
Understanding Pseudophimosis: When to Consider Circumcision
Pseudophimosis Hello doctor, my situation is that when I'm not erect, sometimes the foreskin completely covers the glans, and other times it can expose about one-fifth of it. If I manually push it back, it can fully retract (with a ring of skin accumulating at the coronal su...
Dr. Cai Zhuorong Reply:
If the glans is fully exposed, surgery is generally not required.[Read More] Understanding Pseudophimosis: When to Consider Circumcision
Understanding Post-Surgery Hematoma Under the Glans: Is It Normal?
Hemorrhage under the glans penis? I would like to ask that I am currently three days post-surgery, but there is a hematoma under the glans, which is about twice the size of the glans and appears swollen. I would like to know if this is normal. The surface has a dark purple color,...
Dr. Li Xinyi Reply:
This type of issue should primarily be addressed by consulting the attending surgeon. Alternatively, a visit to a urologist for an in-person examination is also necessary.[Read More] Understanding Post-Surgery Hematoma Under the Glans: Is It Normal?