Surgery, Urology FAQ

Understanding Penile Varicosities: Causes, Symptoms, and Treatment

Penile varicosity I recently noticed that the blood vessels at the base of my penis have become enlarged, and they feel firm to the touch but are not painful. Normally, there is no pain, but the vessels are noticeably thick. I have also been experiencing some difficulties with er...

Dr. Cai Zhuorong Reply:
Penile venous leakage is indeed one of the causes of erectile dysfunction. After diagnosis through a duplex penile Doppler ultrasound, penile venous ligation surgery may be considered.

Understanding Brain Arteriovenous Malformations: Risks, Detection, and Management

Cerebral arteriovenous malformation (AVM) 1. Is the likelihood of having a cerebral arteriovenous malformation (AVM) high? 2. At what age is a person more likely to develop a cerebral arteriovenous malformation? 3. Can a brain ultrasound in infants detect cerebral arterioveno...

Dr. Hong Weibin Reply:
1. Approximately 18 individuals per 100,000 people. 2. The main risks associated with arteriovenous malformations (AVMs) are intracranial hemorrhage and seizures. Generally, the older the patient, the higher the risk of bleeding. Patients with cerebral AVMs aged between 11 and ...

Post-Testicular Cancer Surgery: Is Full Body Essential Oil Massage Safe?

Post-testicular cancer surgery Can a patient who has undergone surgery for testicular cancer receive a full-body essential oil massage, including the use of dragon muscle essential oil?

Dr. Du Shixi Reply:
Hello: If it has been several weeks post-surgery, there should not be any issues. Wishing you good health.

Post-Surgery Concerns: Scrotal Swelling and Groin Pain After Hernia Repair

Postoperative scrotal swelling and sagging, along with groin pain, after inguinal hernia surgery? Hello Dr. Tsai, I would like to ask you about my condition. In mid-August, I underwent surgery for a left inguinal hernia. After the surgery, I occasionally experience pain or a sens...

Dr. Cai Zhuorong Reply:
During the process of inguinal hernia surgery, it is necessary to disrupt a portion of the cremaster muscle to access the surgical site, which may result in the affected side's testicle being positioned lower postoperatively. However, there is no need for concern.

Understanding Cognitive and Emotional Issues After a Car Accident

Issues After a Car Accident I have a family member who is a 40-45 year old female. She previously suffered a minor intracerebral hemorrhage due to a car accident, but the doctor determined that it would absorb on its own, so no surgery was performed. Additionally, she has sustain...

Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious localized hematoma, head trauma is mostly mild. However, the following conditions should prompt consideration of delayed bleeding and a visit to the emerge...

Understanding Testicular Torsion: Concerns and Long-Term Effects After Surgery

Testicular torsion Hello, doctor. I am a freshman who just started college, but on the first night of school, I experienced a left testicular torsion. After undergoing emergency surgery, I have recovered, but I have some concerns that continue to trouble me. For instance, since t...

Dr. Cai Zhuorong Reply:
My right testicle is hanging lower than before. I would like to know if this will have a significant impact on my testicles in the future. A: Not significantly. I would also like to ask the doctor about the likelihood of both testicles experiencing torsion in one person. A: Accor...

Understanding Low-Risk HPV: Implications for Men and Fertility Concerns

Low-risk HPV Hello doctor, I am a male and this year I accidentally discovered that I have genital warts and underwent electrosurgery. When I returned for a follow-up, the doctor said I have a persistent low-risk HPV type 1. 1. Does this mean I will never be able to have children...

Dr. Du Shixi Reply:
Hello: 1) HPV can recur, but there is no indication of it being persistent; please discuss this with your physician. 2) Some individuals may clear the virus, but it is unpredictable. If there are lesions, treatment is usually necessary. It is not recommended to engage in unprotec...

Understanding Low-Risk HPV: Fertility, Transmission, and Treatment Insights

Low-risk HPV warts Hello Doctor, I am a male and I recently discovered that I have genital warts. After undergoing electrosurgery, my doctor informed me that I have a persistent low-risk HPV type 1. 1. Does this mean I will never be able to have children in my lifetime? 2. I h...

Dr. Cai Zhuorong Reply:
1. Will I never be able to have children in this lifetime? A: No, there are many ways to have children. 2. I have read online that many people have completely cleared the virus from their immune system within two years. Is this true? A: It is not impossible, but scientifically ...

Post-Surgery Concerns: Healing Issues After Penile Surgery

Post-operative issues following penile surgery? Hello, doctor. 1) I underwent penile curvature correction surgery and circumcision on October 8th, and it has now been over three weeks. The sutures seem to have been fully absorbed, but today while cleaning the wound, I noticed a...

Dr. Du Shixi Reply:
Hello: 1) A diagnosis cannot be made without examination in this setting. This situation is common, as the genital area is prone to erection, and due to individual physiology, wounds may appear this way. If there are high demands for clarification, it is advisable to discuss with...

Post-Surgery Care for Genital Warts: Understanding Recovery and Risks

Postoperative care for cauliflower (condylomata acuminata) Hello doctor, I would like to ask if having no symptoms of genital warts for more than three months after treatment means I am cured. I understand that there may still be some residual virus in my body, so I want to know ...

Dr. Cai Zhuorong Reply:
Basically, when there are no lesions, the infectiousness is low, but there is still a chance of recurrence. Regardless of the duration, it cannot be guaranteed that transmission will not occur during intercourse with a partner.

Post-Epididymitis Surgery: Recovery Tips and Concerns for Patients

Post-operative care after epididymitis surgery? Hello, Dr. Hsu. Last Saturday, I went to the emergency room due to pain in the inner thigh and lower abdomen on the left side. The doctor admitted me for further investigation, and during the examination of my left testicle, it was ...

Dr. Xu Wencang Reply:
If one side is normal and does not affect fertility, a semen analysis can be performed. Other factors are not affected; if pain persists, seek medical attention again.

Managing Post-Surgery Swelling of the Foreskin: Expert Advice

Phimosis with redness and swelling of the foreskin? Hello Doctor, I had surgery at a surgical clinic in mid-August. I have a narrow opening of the foreskin (I can retract the foreskin when not erect, but it gets stuck when erect). After discussing with the doctor, the surgical pr...

Dr. Du Shixi Reply:
Hello: If it has been one month since the surgery and the wound is healing normally, swelling can be managed by gently squeezing. This is mostly related to circulation. You can make a fist for a few minutes, but avoid sitting or standing for long periods; it's important to k...

Does Surgery for Abdominal Testicle Affect the Healthy One?

Will surgery on one testicle in the abdomen affect the other normal testicle? I am currently 24 years old, and one of my testicles is still located in my abdomen. I am planning to go to the hospital for an examination. Will I need surgery? I have read online that the risk of canc...

Dr. Cai Zhuorong Reply:
In most cases, surgery does not affect the contralateral testis; however, the actual situation should be discussed with the surgeon.

Does Surgery for Abdominal Testicle Affect the Healthy One?

Dr. Cai Zhuorong Reply:
In most cases, surgery does not affect the contralateral testis; however, the actual situation should be discussed with the surgeon.

Understanding Hydronephrosis and Ureteral Stones: Treatment Options

Renal hydronephrosis due to ureteral stones? Hello Doctor: Recently, I went to the hospital for abdominal pain and was diagnosed with right-sided hydronephrosis and a stone obstructing the right ureter. The hospital physician immediately arranged for extracorporeal shock wave lit...

Dr. Wu Shuyu Reply:
Hydronephrosis is caused by stones, and it will improve only after the stones are treated, allowing kidney function to recover. It is advisable to consult your attending physician regarding the surgical costs.

Understanding Nighttime Headaches: Causes and Solutions

Sleep-related headache Hello, doctor. I would like to ask about my father. Since September, he has been experiencing sudden headaches while sleeping, but he feels fine during the day. The headaches only occur at night while he is asleep. My father is a smoker and underwent cardia...

Dr. Jiang Junyi Reply:
Hello: Based on your description, the primary reason for the headache at night is likely due to respiratory issues during sleep, leading to carbon dioxide accumulation, which in turn increases cerebral blood flow and intracranial pressure. Given that your father has risk factors ...

Post-Varicocele Surgery: Testosterone Levels and Hair Growth Explained

Varicocele surgery Hello Doctor, a few days ago I underwent surgery for varicocele. I found a lot of information online stating that varicocele can affect the secretion of male hormones, specifically testosterone. I would like to ask: 1. Will testosterone levels return to normal ...

Dr. Xu Wencang Reply:
The impact is minimal; you can go to the outpatient clinic for testing.

Understanding Kidney Tumors: Surgical Decisions and Procedures Explained

Renal tumor Hello, doctor. My father has been experiencing hematuria and underwent examination at the hospital, where a tumor approximately 1 centimeter in size was found in the middle part of his kidney. The doctor recommended immediate surgery, stating that otherwise, the tumor...

Dr. Li Xinyi Reply:
It is indeed challenging to achieve a definitive diagnosis preoperatively, as biopsy results are often unreliable, and the biopsy process itself may potentially lead to tumor dissemination. Therefore, performing an intraoperative pathological examination tends to be more accurate...

Understanding Prostate Cancer: PSA Levels, MRI Results, and Treatment Insights

Prostate cancer My father’s PSA level increased to 12 after one year. The first biopsy was normal. During the second MRI, a tumor was suspected, indicating it might be in the early stages. However, the biopsy results were normal, but the PSA level rose to 12. He underwent a prost...

Dr. Xu Wencang Reply:
The biopsy involves cutting the surrounding area, and the tumor may be located near the urethra and is small, which was only discovered during the second curettage surgery. It should still be in the early stages, and generally, prostate cancer does not progress rapidly, so the ph...

Understanding the Risks of HPV and Sexual Activity After Treatment

Questions related to cauliflower transmission? Hello, Doctor. I have a few questions regarding genital warts. 1. If my partner has had genital warts and has undergone electrosurgery, is there still a risk of me contracting the virus if we engage in genital rubbing through under...

Dr. Du Shixi Reply:
Hello: 1) No. 2) The longer the time passes, the lower the risk. However, women may develop issues in the vagina, so it is important to confirm with a gynecologist through an internal examination. Therefore, I personally do not recommend engaging in unsafe sexual practices. Wishi...

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