Understanding Left Scrotal Discomfort: Causes and Treatment Options
There is a foreign body sensation in the left scrotum? Hello Doctor, since last year, I have been experiencing a feeling of swelling and discomfort on the left side of my scrotum, along with a sensation of a foreign body. I went to the hospital for an examination, and although th...
Dr. Du Shixi Reply:
Hello: Generally speaking, prostate massage can be quite uncomfortable. If there is sexual activity, it is more likely to lead to chronic prostatitis. However, if you are not engaging in sexual activity, it does not necessarily mean you have chronic prostatitis. Chronic prostatit...[Read More] Understanding Left Scrotal Discomfort: Causes and Treatment Options
Understanding Varicocele: Symptoms, Causes, and Treatment Options
Varicocele Hello, doctor. I have some questions regarding varicocele issues: 1. About four years ago, after lifting heavy objects or wearing tight pants, I felt some pain and discomfort in the lower abdomen (which I believe is not the testicles). I thought it was a hernia, but ...
Dr. Du Shixi Reply:
Hello: 2) Heavy work, prolonged sitting, or standing can all be potential causes; many men experience this. 3) If you frequently notice pain, it is not recommended to engage in jogging, push-ups, or sit-ups. 4) If the pain is mild, it should be optional whether to perform these a...[Read More] Understanding Varicocele: Symptoms, Causes, and Treatment Options
Understanding Urethral Warts: Risks and Treatment Options
Hello, doctor? The situation is as follows: During a recent incident while urinating, my glans accidentally touched the toilet. About five months later, I noticed a few bald spots near the glans. I went to a traditional Chinese medicine practitioner, and it was confirmed that I h...
Dr. Li Xinyi Reply:
Cauliflower lesions are prone to recurrence. Once they recur, it's important to address them quickly, but the duration of healing is uncertain. It could take several years, and it varies for each individual. Maintaining good health and a strong immune system is crucial. Pers...[Read More] Understanding Urethral Warts: Risks and Treatment Options
Is It Normal to Experience Dark Red Fluid After Prostate Biopsy?
After a prostate biopsy surgery, it is normal for a few drops of dark red-brown thick fluid to be discharged from the penis during bowel movements. As for hematospermia (blood in semen), it can persist for several weeks following the procedure. If you have any concerns or if the ...
Dr. Du Shixi Reply:
Hello: 1) It is possible for this situation to occur after a biopsy; some people may experience it for a longer time, while others may have a shorter duration. 2) The presence of blood in the semen can also be caused by the biopsy; however, if it persists for too long, such as a ...[Read More] Is It Normal to Experience Dark Red Fluid After Prostate Biopsy?
Understanding Discomfort in the Glans and Foreskin After Surgery
There is some discomfort in the glans and foreskin? Hello doctor, I recently underwent a double J stent procedure. Three days after the stent was removed, I started to notice some itching around the glans and foreskin, and I observed some spots at the urethral opening. Subsequent...
Dr. Chen Jiansheng Reply:
If you are experiencing symptoms of a urinary tract infection, please seek medical evaluation. During the cleaning of the foreskin, gently retract it without force, apply soap lightly, and rinse with clean water. If you are concerned about infection or find cleaning difficult, yo...[Read More] Understanding Discomfort in the Glans and Foreskin After Surgery
Understanding Frequent Urination: Psychological vs. Physiological Causes
Frequent urination issues? Hello Doctor: Since elementary school, I have been troubled by frequent urination issues, and I am uncertain whether it is due to psychological or physiological reasons. My nocturia ranges from 0 to 2 times per night. Below is a summary of my medical hi...
Dr. Chen Jiansheng Reply:
Hello: It sounds like you are experiencing frequent urination, which based on your description, could be a case of overactive bladder. This condition is diagnosed based on symptoms and can be influenced by many factors such as emotions, temperature changes, and dietary irritants....[Read More] Understanding Frequent Urination: Psychological vs. Physiological Causes
Understanding PSA Levels: When to Consider Chemotherapy for Prostate Cancer
Could you please provide more details about your question regarding the PSA index? Hello Doctor, I am 69 years old. In August 2011, my PSA level reached 14 ng/mL, and after examination at a hospital, I was diagnosed with prostate cancer. Following surgery, it was confirmed to be ...
Dr. Xu Wencang Reply:
Local recurrence can be treated with radiation therapy. Chemotherapy is considered only in cases of bone metastasis or visceral metastasis.[Read More] Understanding PSA Levels: When to Consider Chemotherapy for Prostate Cancer
Understanding Phimosis: When to Consider Surgery for Treatment
Phimosis issue It seems that my foreskin is a bit too long, and even when I am erect, I cannot retract it completely, leaving the glans exposed. If I try to force it down, it feels tight and painful. My family members have told me that it will naturally retract as I grow older, b...
Dr. Du Shixi Reply:
Hello: In your situation, there is a concern that if the glans becomes exposed during an erection, the foreskin may not retract properly and could become trapped. It mainly depends on how tight the foreskin is. Please seek medical attention for a proper examination by a physician...[Read More] Understanding Phimosis: When to Consider Surgery for Treatment
Post-Vasectomy Pain: Understanding Testicular Discomfort and Causes
After a vasectomy, the testicles may experience pain? Hello doctor, I would like to ask you about my husband. He underwent a vasectomy on December 27th of last year, and he has been experiencing more pain in his right testicle. A month later, during intercourse, he mentioned that...
Dr. Du Shixi Reply:
Hello: Since it has been 2 months, the likelihood of it being related to the surgery is low, but inflammation is a possibility. I recommend returning for a follow-up examination. Wishing you good health.[Read More] Post-Vasectomy Pain: Understanding Testicular Discomfort and Causes
Post-Surgery Concerns: Reduced Semen Volume After Varicocele and Circumcision
After undergoing varicocele surgery and circumcision, the volume of ejaculation has significantly decreased? Hello Doctor: I underwent surgery for varicocele and circumcision at the beginning of February. Prior to the surgery, I often felt like I couldn't fully empty my blad...
Dr. Du Shixi Reply:
Hello: It should not be related to the surgery; just ask the doctor during your follow-up appointment. Wishing you good health.[Read More] Post-Surgery Concerns: Reduced Semen Volume After Varicocele and Circumcision
Understanding a Small Lump on the Penis: Symptoms and Treatment Options
A small flesh-like lump on the outer side of the mid-shaft of the penis? Dear Doctor, I have a small lump located between the corpus cavernosum on the outer side of the mid-shaft of the penis and the inner surface of the foreskin (not on the skin surface of the foreskin). This ...
Dr. Du Shixi Reply:
Hello: In your case, due to its small size, it is essential to seek medical attention for confirmation, as it could potentially be just fat. Without examination in this setting, I cannot provide specific advice. It may be best to consult a urologist at a hospital first. Wishing y...[Read More] Understanding a Small Lump on the Penis: Symptoms and Treatment Options
Understanding Syphilis Treatment: Managing Symptoms and Medication Concerns
Syphilis Treatment Hello Doctor: Recently, I developed a rash on my body and after screening, I was confirmed to have syphilis with a titer of 1:64. I am currently being treated at Kaohsiung Medical University Hospital. I suspect that I contracted syphilis during a business trip ...
Dr. Du Shixi Reply:
Hello: If you have previously taken doxycycline, it is not an allergy, but the rash may still be due to the effects of syphilis itself. It is recommended to seek medical attention from an infectious disease specialist at a medical center, as they have access to PENICILLIN injecti...[Read More] Understanding Syphilis Treatment: Managing Symptoms and Medication Concerns
Understanding Side Effects After Prostate Biopsy Surgery
What are the side effects of prostate biopsy surgery? Hello Dr. Du, I previously asked you a question and received a very detailed response. My father was recently diagnosed with prostate cancer, but the stage has not yet been confirmed. Nine days after undergoing a prostate biop...
Dr. Du Shixi Reply:
Hello: It has been three weeks, so it should not be related. Additionally, what are the results of the bone scan? If there is no metastasis, you can consider consulting the rehabilitation department at the hospital. Wishing you good health.[Read More] Understanding Side Effects After Prostate Biopsy Surgery
Post-Circumcision Care: Managing Wound Healing and Complications
Foreskin issues Hello, doctor. I underwent a circumcision surgery on February 6, and it has been a week since the procedure. I have been maintaining a dressing with elastic bandages and gauze, but today I started using only gauze without the elastic bandage. I would like to ask y...
Dr. Du Shixi Reply:
Hello: 1) If there is still drainage, please return for a follow-up until the wound is no longer draining. Either type of dressing is acceptable, and changing the dressing 2-3 times a day is ideal. 2) If there is drainage, do not soak in water; I also do not recommend heat therap...[Read More] Post-Circumcision Care: Managing Wound Healing and Complications
Can You Still Get Balanitis After Circumcision? Understanding Post-Op Care
Can one still develop balanitis after circumcision? Due to recurrent inflammation from phimosis, I followed my doctor's advice to undergo a circumcision. The surgeon preserved a small amount of skin on the left side to prevent tightness during erections. However, this extra ...
Dr. Du Shixi Reply:
Hello: It is mostly temporary, and no further surgery is needed. However, if it occurs frequently, it is advisable to check fasting blood sugar levels, as individuals with high blood sugar are more prone to balanitis. Additionally, if the foreskin is damp after urination, it is r...[Read More] Can You Still Get Balanitis After Circumcision? Understanding Post-Op Care
Should I Get Circumcision or Frenulum Surgery for My Long Foreskin?
Foreskin issues I can fully retract my foreskin, but it feels too long because it completely covers the glans when not erect. Recently, I injured the frenulum, and I experience pain during erections. I have researched the possible causes and it may be due to excessive foreskin. S...
Dr. Du Shixi Reply:
Hello: This issue requires examination to understand fully. However, if the frenulum is frequently injured, it is often caused by pulling due to phimosis. A circumcision may be a more ideal solution. Best wishes.[Read More] Should I Get Circumcision or Frenulum Surgery for My Long Foreskin?
Concerns About HPV Transmission After Year of No Recurrence
I have not had a recurrence of cauliflower for a year, but I am worried about transmitting it to my girlfriend? Hello, doctor. I have a lengthy message, and I appreciate your patience in reviewing my condition: In early March last year, I went to a large hospital for examination ...
Dr. Du Shixi Reply:
Hello: 1. Does my girlfriend have genital warts? She needs to see a gynecologist for a diagnosis. 2. Can female urethritis and hematuria be early signs of a genital wart infection? -- No, it is not. She may have been recently infected or could have contracted it the first time...[Read More] Concerns About HPV Transmission After Year of No Recurrence
Post-Circumcision Pain: Solutions for Discomfort After Surgery
Circumcision issues? Ten days after circumcision, the doctor said the bandage could be removed on the eighth day and that it was okay to get it wet on the tenth day. However, I'm unsure if the stitches are too tight and causing discomfort or if the sensitivity of the area is...
Dr. Du Shixi Reply:
Hello: If the wound is not too swollen and is oozing fluid, you can soak it in warm water to soften the sutures, then pat it dry. If you have an ointment, you can apply it. If it doesn't improve, you should return for a follow-up appointment. Wishing you good health. Avoid u...[Read More] Post-Circumcision Pain: Solutions for Discomfort After Surgery
Managing Prostate Cancer Pain: Treatment Options and Next Steps
Prostate cancer Hello Dr. Du, my father was recently diagnosed with prostate cancer at the age of 70, with a PSA level of 26.6. He has already undergone a biopsy, but the doctor mentioned that further bone scans and MRI are necessary before discussing treatment options. However, ...
Dr. Du Shixi Reply:
Hello: The biopsy for prostate cancer treatment is just the first step. It is necessary to confirm whether there are bone metastases and surrounding tissue involvement through bone scans and magnetic resonance imaging (MRI). The treatment effectiveness should also be assessed bas...[Read More] Managing Prostate Cancer Pain: Treatment Options and Next Steps
Understanding Prostate Cancer: Bone Pain, Metastasis, and Treatment Options
Prostate cancer Hello Dr. Du, thank you for your response. I would like to ask if bone pain is equivalent to metastasis? Does bone metastasis indicate late-stage cancer? Additionally, when you mentioned total removal, are you referring to prostatectomy (Da Vinci surgery)? Is it a...
Dr. Du Shixi Reply:
Hello: Bone pain does not necessarily indicate metastasis. If examinations reveal bone metastasis, it is considered advanced stage. Both prostatectomy and hormone therapy (such as androgen deprivation therapy) can be options for treating prostate cancer, but there is a possibilit...[Read More] Understanding Prostate Cancer: Bone Pain, Metastasis, and Treatment Options