Options for Salvage Treatment After Failed Proton Therapy for Prostate Cancer
For prostate cancer stage 2b, if proton therapy has failed, what alternative treatments are available? 1. I am 63 years old, diagnosed with prostate cancer T2b, grade group 2 (the measurable tumor is 1.3 cm, but there are scattered cells with approximately 80% on the left side an...
Dr. Lin Wenxu Reply:
Dear Mr. Yu, 1. The benefit of radical prostatectomy (surgery) is that all the tissue is removed, allowing for a more definitive pathological report (staging), but the risks are higher. 2. High-intensity focused ultrasound (HIFU) has a lower risk, but preoperative prostate curet...[Read More] Options for Salvage Treatment After Failed Proton Therapy for Prostate Cancer
Understanding Hydrocephalus in the Elderly: Symptoms and Treatment Options
Hydrocephalus (in the elderly) Hello, Doctor. My father (83 years old) was diagnosed with hydrocephalus last year, but during the New Year period, he exhibited symptoms such as reversed sleep-wake cycles, irritability, and delusions. Could you please tell me if hydrocephalus can ...
Dr. Peng Shiwei Reply:
The clinical manifestations of normal pressure hydrocephalus, in addition to gait instability, often include mild dementia and urinary incontinence. Early diagnosis of normal pressure hydrocephalus and prompt drainage of cerebrospinal fluid can significantly improve the patient&#...[Read More] Understanding Hydrocephalus in the Elderly: Symptoms and Treatment Options
Understanding Lower Left Abdominal Pain: Causes and Next Steps
Pain in the lower left abdomen? Hello doctor, I had surgery for varicocele 20 years ago. Is there a high probability of adhesions developing after 20 years? I experience pain in the left lower abdomen, located around the groin, right on the scar from the varicocele surgery perfor...
Dr. Du Shixi Reply:
Hello: If symptoms of adhesions occur again after 20 years, and the individual has little experience with this, it may be necessary to seek treatment at a major hospital if it affects daily life. Currently, it's important to avoid excessive abdominal strain, overexertion, an...[Read More] Understanding Lower Left Abdominal Pain: Causes and Next Steps
Post-Vasectomy Care: When Can You Ejaculate After Surgery?
Post-vasectomy issues After undergoing a laser vasectomy, if it has been three days and there is no pain or swelling, it is generally recommended to wait at least seven days before resuming ejaculation. This allows adequate time for healing and reduces the risk of complications. ...
Dr. Du Shixi Reply:
Hello: I personally recommend about a week. Wishing you good health.[Read More] Post-Vasectomy Care: When Can You Ejaculate After Surgery?
Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study
Massive hemorrhagic stroke with severe coma? Hello, doctor! My father has a history of hypertension and has been a long-time smoker and drinker. A month ago, he underwent gallbladder removal surgery due to gallstones, during which arrhythmia was discovered. Two weeks after the in...
Dr. Cai Zongzhang Reply:
Hello Ms. Hsueh: 1. Brainstem hemorrhage can lead to post-hemorrhagic hydrocephalus, and ventriculostomy is a reasonable medical intervention. However, the timing of the surgery should be determined based on the patient's condition, so please collaborate with your physicia...[Read More] Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study
Post-Surgery Memory Loss: When to Seek Help After Brain Tumor Removal
Recurrent amnesia after brain tumor surgery? Hello Dr. Tsai, my older brother was diagnosed with a brain tumor in the fifth grade (he is currently 29 years old) and underwent immediate surgical resection. Post-surgery, he occasionally experienced transient amnesia and dizziness, ...
Dr. Cai Zongzhang Reply:
Hello: Post-operative residual epilepsy is a common sequela of brain tumors. The aforementioned symptoms may be attributed to seizure activity, and it is recommended to visit a neurology outpatient clinic.[Read More] Post-Surgery Memory Loss: When to Seek Help After Brain Tumor Removal
Understanding Bladder Dysfunction: When to Consider Surgery for Prostate Issues
Bladder dysfunction Due to prostate issues, the bladder has become distended and there is no sensation of fullness from the abdomen where a catheter is inserted. The doctor at Taipei Medical University Hospital mentioned that the bladder has lost its elasticity due to distension ...
Dr. Li Minghui Reply:
Hello: Generally, surgery is not performed at this time because the outcomes can vary significantly. If the condition is severe, it may take several months for recovery; if it is not severe, a few weeks may suffice. Overall physical condition should also be taken into considerati...[Read More] Understanding Bladder Dysfunction: When to Consider Surgery for Prostate Issues
Managing Bladder Issues Due to Prostate Problems: Surgical Options Explained
Due to prostate issues? Due to prostate issues, the bladder has become distended and there is no sensation of fullness. A doctor at Taipei Medical University Hospital mentioned that the bladder has lost its elasticity due to overdistension and that it needs to recover on its own....
Dr. Du Shixi Reply:
Hello: Generally, surgery is not performed at this time because the outcomes can vary significantly. If the condition is severe, it may take several months, while if it is not severe, a few weeks may suffice. Overall health status should also be taken into consideration. Wishing ...[Read More] Managing Bladder Issues Due to Prostate Problems: Surgical Options Explained
Post-Circumcision Swelling: Causes, Concerns, and Care Tips
After circumcision surgery, there is significant swelling at the site of the ligature? Hello, I underwent a circumcision procedure on February 6, and the bleeding was controlled with electrocautery followed by suturing. Currently, I have a significant swelling at the frenulum are...
Dr. Du Shixi Reply:
Hello: Due to the circumcision, there will often be swelling postoperatively. As long as the wound is well cared for and does not become red, the swelling will generally subside, which may take 1-2 months to gradually resolve. Applying ice or heat to the glans wound is not practi...[Read More] Post-Circumcision Swelling: Causes, Concerns, and Care Tips
Is Minimally Invasive Prostate Vaporization Safer Than Other Treatments?
Treatment for Benign Prostatic Hyperplasia (BPH) Is the minimally invasive water vapor ablation for the prostate safer compared to other prostate surgeries? What are the risks associated with water vapor ablation?
Dr. Du Shixi Reply:
Hello: In my opinion, the biggest drawback of the developing surgery is that the catheter is placed for more than a week. As for safety, there is not much difference among the various surgeries; as long as there are no issues with anesthesia, they are all quite safe. Wishing you ...[Read More] Is Minimally Invasive Prostate Vaporization Safer Than Other Treatments?
Understanding Paraphimosis: Symptoms, Causes, and Treatment Options
Paraphimosis When I was in elementary school, around fifth or sixth grade, I once pushed back my foreskin and it went back without any issues. Throughout middle school and vocational school, everything was normal with my self-exploration. However, in recent years, after prolonged...
Dr. Du Shixi Reply:
Hello: If edema forms and the foreskin can be retracted, it is not a concern. However, if it cannot be retracted, you should seek medical attention promptly. Currently, surgery is not necessary; just monitor the edema. Wishing you good health.[Read More] Understanding Paraphimosis: Symptoms, Causes, and Treatment Options
Understanding Leg Pain and Numbness After Orthognathic Surgery
Swelling and pain in the calf, numbness in the dorsum of the foot? Hello Doctor, after undergoing orthognathic surgery (under general anesthesia for over 8 hours), I woke up to discomfort in my right leg, feeling similar to a calf cramp. I have intermittently visited traditional ...
Dr. Jiang Junyi Reply:
Dear Ms. Ruby, You mentioned that "the joint of the right big toe extends diagonally to the dorsum of the ankle, and touching it causes a tingling sensation, while not touching it does not elicit any numbness, although occasionally there is a sharp, electric pain in the mid...[Read More] Understanding Leg Pain and Numbness After Orthognathic Surgery
Understanding the Impact of J-Catheter Displacement on Kidney Health
Double-lumen catheter issues (sliding down) Dear Doctor, I had a J-stent placed on January 15 due to a ureteral rupture. During my follow-up ultrasound on January 31, it was noted that my kidney was swollen. On February 6, I returned for an X-ray and was informed that the stent h...
Dr. Du Shixi Reply:
Hello: The double J stent will assist in draining urine, and most damaged ureters can recover in a short period. The physician is concerned that slippage may affect the drainage function and may suggest repositioning the double J stent while also checking the recovery status. Bas...[Read More] Understanding the Impact of J-Catheter Displacement on Kidney Health
Understanding Intracerebral Hemorrhage and Venous Infarction After Surgery
Regarding cerebral hemorrhage and cerebral infarction? Hello, a family member recently underwent tumor resection surgery, during which there was intracranial bleeding. The CT scans on the day of and the day after the surgery indicated intracerebral hemorrhage (ICH). This informat...
Dr. Wu Mukhan Reply:
Hello, strokes can generally be classified into ischemic strokes and hemorrhagic strokes; however, ischemic strokes can also be complicated by bleeding. Ischemia in brain tissue can lead to damage to the blood-brain barrier, and if there is unstable blood pressure, the use of ant...[Read More] Understanding Intracerebral Hemorrhage and Venous Infarction After Surgery
Understanding Left Lower Abdomen Pain: When to See a Specialist
Mild pain in the lower left abdomen? Hello Doctor: I would like to ask which specialty I should consult. I have pain about three fingerbreadths below my navel, approximately 10 centimeters to the left. This pain occurs when I sit and then stand up, but it goes away once I stand u...
Dr. Du Shixi Reply:
Hello: If various specialties have been consulted and it is mostly neuromuscular pain, you can monitor your lifestyle for a period of time, such as avoiding prolonged sitting or standing, maintaining a balanced diet, and ensuring regular bowel movements. If symptoms persist, seek...[Read More] Understanding Left Lower Abdomen Pain: When to See a Specialist
Understanding Jaw Numbness: Causes and Concerns in Neurology
Jaw issues? Hello, doctor. My chin suddenly feels a bit numb, but I haven't had orthognathic surgery, tooth extraction, or dental implants. I just suddenly feel some numbness in my chin, and recently I've also been experiencing issues with Eustachian tube dysfunction an...
Dr. Peng Shiwei Reply:
It is recommended that you seek medical treatment in the appropriate specialty department based on your discomfort. Thank you.[Read More] Understanding Jaw Numbness: Causes and Concerns in Neurology
Understanding Urethral Stricture: Causes, Symptoms, and Treatment Options
Urethral stricture Hello, Doctor! I had urethritis last June, and due to work requirements, I had to hold my urine for long periods, which made it difficult for me to recover. It wasn't until August that I finally healed. However, after recovery, I occasionally experience pa...
Dr. Du Shixi Reply:
Hello: What you described is very mild and generally does not affect daily life, so surgery is not necessary. Wishing you good health.[Read More] Understanding Urethral Stricture: Causes, Symptoms, and Treatment Options
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left back of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai: "Regarding your question about headaches, which specialty should I consult to find out the cause... I have pulsating pain in the left posterior part of my head for a few seconds." Pulsatile headaches may initially suggest a vascular headache, particularl...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Post-Ureteroscopy Pain: Is It a Normal Reaction After Surgery?
Post-operative abdominal pain after ureterolithotripsy? Yesterday, I underwent ureteral lithotripsy. Initially, I experienced abdominal pain and vomiting, but after taking pain medication, I felt much better. However, after eating today, I suddenly experienced severe abdominal pa...
Dr. Du Shixi Reply:
Hello: After ureteroscopy and stone fragmentation, it is common to experience stone passage. If there is a temporary stent in place, some symptoms may also occur. If there is no fever, generally, taking medication, drinking plenty of water, and returning for follow-up appointment...[Read More] Post-Ureteroscopy Pain: Is It a Normal Reaction After Surgery?
Exploring the Link Between Mitochondrial Diseases and Myasthenia Gravis
The relationship between mitochondrial diseases and myasthenia gravis? In April 2021, I noticed that my right eye had unilateral esotropia. After an ophthalmological examination, the doctor referred me to the neurology department for further evaluation. Since then, I have been re...
Dr. Peng Shiwei Reply:
You should discuss your concerns directly with your attending physician. If necessary, you can also bring a family member along for the medical evaluation. Thank you.[Read More] Exploring the Link Between Mitochondrial Diseases and Myasthenia Gravis