Understanding Testosterone Deficiency After Pituitary Surgery: Risks and Fertility
Hypogonadism due to pituitary dysfunction? Hello doctor, seven years ago I underwent surgery for a pituitary tumor, and my testosterone level was 0.8 after the operation. After using transdermal testosterone supplementation, it increased to 2.7. I have read that testosterone supp...
Dr. Fu Shizhang Reply:
1. The probability of pregnancy should be assessed based on sperm quality rather than solely on testosterone levels. 2. Generally speaking, this will not be affected.[Read More] Understanding Testosterone Deficiency After Pituitary Surgery: Risks and Fertility
Understanding Hematuria and Fever: A Guide to Urological Concerns
Hematuria with fever As soon as I noticed blood in my urine, I went directly to a large hospital for evaluation. After the doctor performed a urinalysis, they prescribed me a 5-day course of antibiotics. That night, before bed, I developed a high fever of 38.8 degrees Celsius. I ...
Dr. Du Shixi Reply:
Hello: It is most likely that you have kidney stones accompanied by a urinary tract infection, so you need to take medication and drink plenty of water. There is hydronephrosis in the left kidney, which may be due to stones (size may vary), causing a slower recovery from the infe...[Read More] Understanding Hematuria and Fever: A Guide to Urological Concerns
Understanding Testicular Issues: Treatment Options and Dietary Tips
Testicular issues? Hello doctor, I would like to ask if the fluid in the scrotum can only be removed through surgery, or can it be managed with exercise and increased water intake? Additionally, what dietary recommendations would be beneficial for addressing issues related to the...
Dr. Du Shixi Reply:
Hello: There is usually a lot of fluid, but if the amount is large enough to cause asymmetry between the testicles, a physician will evaluate whether surgery is necessary. Hydrocele in infants can sometimes resolve on its own, but in adults, it typically does not. It is mostly a ...[Read More] Understanding Testicular Issues: Treatment Options and Dietary Tips
Understanding Testicular Inflammation and Scrotal Edema: Do You Need Surgery?
Testicular issues? Hello, doctor. Recently, after a check-up at the hospital, I was diagnosed with mild testicular inflammation and scrotal swelling. Do these two conditions always require surgery? Will they resolve on their own? Would exercising more and drinking plenty of water...
Dr. Du Shixi Reply:
Hello: Testicular inflammation does not necessarily require surgery, and scrotal swelling may not need surgical intervention either. Moderate exercise and adequate hydration are sufficient, without the need for excessive measures. Wishing you good health.[Read More] Understanding Testicular Inflammation and Scrotal Edema: Do You Need Surgery?
Post-Varicocele Surgery: Understanding Abdominal Hardness and Pain
Postoperative care after varicocele surgery? Hello doctor, I underwent varicocele surgery on both sides in January 2019. A week after the surgery, I noticed two hard masses in my abdomen that are causing some pain. I would like to ask what this condition might be and how to addre...
Dr. Liu Mingyue Reply:
Hello, during varicocele surgery, the venous blood vessels are ligated and severed, which will lead to the formation of granulation tissue at the ligation site. Additionally, there may be palpable lumps of granulation tissue at the surgical incision site. It is best to return to ...[Read More] Post-Varicocele Surgery: Understanding Abdominal Hardness and Pain
Understanding Treatment and Recovery from Genital Warts: FAQs
Cauliflower (Condylomata Acuminata) Hello, Doctor. A couple of days ago, I underwent electrosurgery due to genital warts, which are located on the glans. I have a few questions I would like to ask: 1. Is it normal to have larger blisters around the wound after the electrosurger...
Dr. Du Shixi Reply:
Hello: 1) If there are no blisters from the electrocautery, it may be caused by friction or the anesthetic injection, and it should resolve on its own. Keep the area clean and dry. 2) The ointment should be applied thickly. 3) The ointment should be applied for several weeks, but...[Read More] Understanding Treatment and Recovery from Genital Warts: FAQs
Post-Cauterization Care for HPV: Do You Need Additional Treatment?
Electrocautery of cauliflower without any treatment? Hello: Recently, I underwent cryotherapy for Human Papillomavirus (HPV) type 18 and electrosurgery for genital warts. I have read a lot of information, and most sources indicate that after electrosurgery, patients are usually p...
Dr. Du Shixi Reply:
Hello: Cauliflower-like growths can develop, and freezing is one option for treatment. Applying ointment after treating cauliflower growths is only an adjunctive measure and not necessary; it is merely for reference. If you choose to use it, it will be out-of-pocket, and it can o...[Read More] Post-Cauterization Care for HPV: Do You Need Additional Treatment?
Managing Ureteral Reflux in Young Children: Antibiotics vs. Surgery
Ureteral reflux Hello doctor, my son is currently 2 years and 10 months old. He was hospitalized for a high fever and diagnosed with a urinary tract infection when he was 15 days old, and it was discovered that he has a problem with vesicoureteral reflux. He has been on prophylac...
Dr. Du Shixi Reply:
Hello: The differences in urinary reflux can vary significantly; some cases improve on their own, while others do not meet expectations. Therefore, the decision for further treatment should be made by the family and the attending physician based on the patient's condition. H...[Read More] Managing Ureteral Reflux in Young Children: Antibiotics vs. Surgery
Unexplained Right Groin Pain: Seeking Answers for Persistent Discomfort
Right groin pubic pain with no identifiable cause? Hello, doctor. I have been experiencing pain in my right pubic bone for three months. The pain worsens with exertion, stretching, or external pressure, and I feel a constant dull ache even when lying down. I tend to unconsciously...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest pelvic myofascial inflammation, which can manifest as pain, discomfort, and muscle stiffness. Symptoms may worsen with changes in weather and can be alleviated with stretching activities, often recurring. During acute episodes, there may be locali...[Read More] Unexplained Right Groin Pain: Seeking Answers for Persistent Discomfort
Understanding Frequent Urination, Urgency, and Painful Urination Issues
Frequent urination, urethral pain, urgency? For almost a week now, I have been experiencing a persistent urge to urinate, which I can hold back, but it is quite uncomfortable. I even wake up in the middle of the night to go to the bathroom, but I only pass a small amount of urine...
Dr. Sun Hongshun Reply:
Hello, you are still young. May I ask if you have ever had surgery or any other chronic conditions? As you mentioned, urinary tract infections and overactive bladder cannot be ruled out. We welcome you to come to our hospital for a thorough examination.[Read More] Understanding Frequent Urination, Urgency, and Painful Urination Issues
Understanding Testicular Pain: Causes, Concerns, and Treatment Options
Testicular issues Last Sunday night, I fell asleep and suddenly felt a lot of discomfort in my leg, later realizing it was actually pain in my right testicle. On Monday, I noticed that the right testicle had ascended, but I didn't pay much attention to it. By Tuesday, the pa...
Dr. Liu Mingyue Reply:
Hello, testicular swelling and pain are often due to inflammation. If torsion occurs beyond the critical time window, surgical removal is necessary. It is recommended to see a urologist for an examination as soon as possible.[Read More] Understanding Testicular Pain: Causes, Concerns, and Treatment Options
Understanding Phimosis, Paraphimosis, and Hidden Penis in Adolescents
How to differentiate between phimosis, redundant prepuce, and buried penis? I am currently a high school sophomore with an obese body type. My glans is usually covered, but during an erection, I can expose a little bit of the glans and see the urethral opening, although I cannot ...
Dr. Du Shixi Reply:
Hello: Your condition may involve both factors, but it's difficult to determine which one is more significant. Generally, if retraction is not possible, it may indicate phimosis. Being overweight can also contribute to a feeling of being short or small. It is advisable to co...[Read More] Understanding Phimosis, Paraphimosis, and Hidden Penis in Adolescents
Understanding Varicocele: Symptoms, Surgery, and Recovery Tips
Varicocele issues Hello Doctor: Last month, I experienced pain and discomfort in my left testicle and pubic area. After showering, when my scrotum was fully descended, I felt a mass of blood vessels, and it would become firm when I exerted pressure in my abdomen. It returned to n...
Dr. Du Shixi Reply:
Hello: Surgery is possible, but there is a risk of recurrence. I do not specifically advise patients on abstinence, but you should consult with the surgeon, as different doctors have different practices. You should also ask the surgeon if heavy lifting will lead to recurrence aft...[Read More] Understanding Varicocele: Symptoms, Surgery, and Recovery Tips
Do I Need Surgery for My Tight Foreskin Issue?
Is surgery necessary? Hello Doctor: I would like to ask, when I am not erect, I can easily retract my foreskin, but when I am erect, although I can still retract it, there is a feeling of tightness, and there is a lump of tissue that gets caught at the base of the glans. Do I nee...
Dr. Du Shixi Reply:
Hello: If there is no risk of blockage and it is just a sensation as you mentioned, surgery is not necessary from a medical standpoint. As for the opening of the foreskin, a topical ointment can be used, but it will take at least some time; 1-2 weeks may not be sufficient. Wishin...[Read More] Do I Need Surgery for My Tight Foreskin Issue?
Understanding Recurrence of Genital Warts: Questions and Concerns
Cauliflower recurrence Dear Doctor, I discovered genital warts 12 months ago and underwent electrosurgery on the day of my consultation. I later received three doses of the Gardasil vaccine and observed no issues for six months, which gave me the confidence to start a new relatio...
Dr. Du Shixi Reply:
Hello: 1) Cauliflower is quite special, as it can last for over a year. I can only say that the chances of it lasting more than a few months are low. 2) There is only the observation method; there are over a hundred types of cauliflower, and vaccines can only target a few common ...[Read More] Understanding Recurrence of Genital Warts: Questions and Concerns
Understanding Chronic Right Groin Pain: Causes and Diagnostic Approaches
Causes and Examination Methods for Chronic Right Groin Pain Hello, doctor. I am a 22-year-old male. First, I would like to explain that I underwent traditional hernia surgery (Chen's hernia repair method at Taichung Boai Hospital) about 4.5 years ago, with a one-year interva...
Dr. Du Shixi Reply:
Hello: I believe there could be two possibilities: one is a recurrence of a hernia, and the other is related to nerves. You should first visit a urologist to determine if there is a recurrence. Recently, avoid straining your abdomen. I don't have experience in orthopedics, s...[Read More] Understanding Chronic Right Groin Pain: Causes and Diagnostic Approaches
Understanding Circumcision: Effects on Sexual Function and Recovery
Circumcision surgery I apologize, but I would like to ask: 1) Is there evidence that circumcision affects sexual function? 2) Will there be scarring after the surgery? 3) Generally, will the glans be fully exposed after the procedure? 4) When I pull back the foreskin while not er...
Dr. Du Shixi Reply:
Hello: 1) There will be no impact, mostly it's a psychological effect. 2) There will definitely be an effect. 3) You can request the physician to make adjustments, but due to the elasticity of the genitalia, it can only be done to the best extent possible. 4) Surgery is reco...[Read More] Understanding Circumcision: Effects on Sexual Function and Recovery
Understanding Penis Size: Is Yours Normal and What to Do?
Penile issues: Is this length considered problematic? Hello Doctor, I am a 20-year-old college student, 180 cm tall and weighing 75 kg. I would like to ask about my situation: when my penis is flaccid, it measures only 2 to 3 cm, and the foreskin covers the glans. When erect, it ...
Dr. Du Shixi Reply:
Hello: The length is okay, it doesn't increase much. For lengthening surgery, you should consult a plastic surgeon. Of course, it's possible to not undergo surgery. Wishing you good health.[Read More] Understanding Penis Size: Is Yours Normal and What to Do?
Understanding Erectile Dysfunction: Causes, Treatments, and Concerns
Erectile dysfunction Hello Doctor: I have had a long-term habit of masturbation, averaging once a day for about ten years. Recently, I have noticed significant issues with my erectile function. The hardness is insufficient, especially at the base, which remains flaccid even after...
Dr. Du Mingyi Reply:
First, changing the habit of excessive masturbation and watching pornography usually leads to recovery. If there are still issues, then seeking consultation at a urology clinic is advisable.[Read More] Understanding Erectile Dysfunction: Causes, Treatments, and Concerns
Understanding Stroke and Decompressive Surgery: What to Expect
Cerebral stroke, craniotomy? Hello, doctor. A few days ago, my grandmother fainted at home. After being taken to the hospital, it was discovered that she had a stroke and missed the critical treatment window. A CT scan revealed that two-thirds of the major artery in her right bra...
Dr. Jiang Junyi Reply:
Hello: An acute cerebral infarction occurring in the major blood vessels of the brain can lead to significant neuronal cell death. During the third to fifth day, brain swelling may become severe, and if the swelling compresses the brainstem, it could result in the loss of vital f...[Read More] Understanding Stroke and Decompressive Surgery: What to Expect