Surgery, Urology FAQ - Page 67

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Understanding Renal Hydronephrosis and Cyst Formation During Pregnancy

Renal edema and blister issues? Hello Doctor, I was unaware of my severe hydronephrosis on the right side before pregnancy, as it did not cause any pain until I discovered it during a health check after becoming pregnant. The doctor suspected it might be caused by kidney stones. ...


Dr. Du Shixi Reply:
Hello: Some pregnant women may experience renal edema during pregnancy. If discomfort persists, it is recommended to have a thorough examination at a major hospital to determine the cause. 1) It will not happen. 2) Endoscopic examination of the bladder cannot be performed. Wishin...

[Read More] Understanding Renal Hydronephrosis and Cyst Formation During Pregnancy


Understanding Hidden Penis Syndrome: Causes, Treatments, and Costs

Penile issues I suspect that I have a hidden penis due to obesity. I have not undergone circumcision, and when I am not erect, only the foreskin is visible. During an erection, the glans does not protrude, although I can retract the skin to expose the penis; however, it quickly r...


Dr. Du Shixi Reply:
Hello: If you have a hidden penis due to obesity, surgery is not recommended; you can look it up online. The focus should be on weight loss. Currently, most circumcision surgeries are out-of-pocket expenses, ranging from 3,000 to over 10,000, depending on the hospital and the pro...

[Read More] Understanding Hidden Penis Syndrome: Causes, Treatments, and Costs


Understanding Penile Lymphatic Issues: Symptoms, Treatments, and Insights

Penile lymphatic vascular issues? Hello, Doctor: This issue has been troubling me for a long time. About two years ago, after an intense sexual encounter, my penis foreskin became abnormally swollen (without pain or itching). After the swelling subsided, I noticed a small movable...


Dr. Du Shixi Reply:
Hello: The diagnosis of penile lymphangitis is actually quite vague. It is recommended to maintain moderate exercise, consume a light diet while avoiding spicy foods, and limit beverage intake. I have not heard of any invasive treatments, and medication is rarely used. Wishing yo...

[Read More] Understanding Penile Lymphatic Issues: Symptoms, Treatments, and Insights


Understanding Penile Cancer: Symptoms, Concerns, and Next Steps

Penile cancer issues? Hello, doctor. Last Sunday (12/10), I accidentally came across information about phimosis online and learned that the normal foreskin should retract to expose the glans when not engorged. I realized that my foreskin is a bit long (though it can still be retr...


Dr. Du Shixi Reply:
Hello: This facility is unable to provide a diagnosis. For concerns regarding penile cancer and inguinal lymph nodes, a personal examination by a physician is necessary. If the foreskin can be retracted comfortably during an erection, surgery is not required. Your situation can b...

[Read More] Understanding Penile Cancer: Symptoms, Concerns, and Next Steps


Can Stroke Be Treated? Understanding Care Options and Concerns

Can a stroke be treated? My mother suddenly experienced facial drooping and weakness in her left arm and leg, and was urgently taken to the hospital. The doctor diagnosed her with a stroke and administered three doses of tissue plasminogen activator (tPA) and started an IV drip. ...


Dr. Hong Weibin Reply:
Currently, for the treatment of stroke, if a patient arrives at the hospital within 3 hours of the onset of acute stroke symptoms (calculated from the last time they were normal), thrombolytic therapy can be administered. If the patient arrives within 4 to 6 hours (and in some ca...

[Read More] Can Stroke Be Treated? Understanding Care Options and Concerns


Can Circumcision Help with Penile Retraction Issues?

Penile issues When I don't have water chestnuts, my penis is very small, but when I do have them, it's okay. When I don't have water chestnuts, it shrinks under my fat, leaving only the glans exposed while the shaft is hidden in the fat. I would like to know if cir...


Dr. Du Shixi Reply:
Hello: Personal suggestions cannot be made here; you should consult a urologist at a hospital for an examination before receiving any recommendations from a physician. Based on your description, I personally do not believe that surgery will lead to improvement. Wishing you good h...

[Read More] Can Circumcision Help with Penile Retraction Issues?


Understanding Epididymal Cysts: Causes, Symptoms, and Treatment Options

There are cysts in the epididymis? Hello, doctor. I am the person who asked question #130737. I have already seen a urologist, and after an ultrasound, the doctor mentioned that there is a 1 cm bubble or cyst on the right epididymis (I didn't hear clearly; does it make a dif...


Dr. Du Shixi Reply:
Hello: Since the ultrasound has been performed and the treatment for the cyst has not been very effective, you may want to monitor it to see if it increases in size. If it does grow, you can seek medical attention at that time. Many people have this condition, so there's no ...

[Read More] Understanding Epididymal Cysts: Causes, Symptoms, and Treatment Options


Understanding Treatment and Recovery from Genital Warts: Your Questions Answered

Treatment for cauliflower (cauliflower ear) Hello, Doctor: I recently discovered a white growth under the glans. When I took a photo during an erection, it looked like this: https://imgur.com/NqJLgBZ. It feels like a small bump when I touch it. A few days ago, I visited a doctor ...


Dr. Du Shixi Reply:
Hello: If there is an abnormal lump, you should seek medical attention. Regular testing is not necessary. Wishing you good health.

[Read More] Understanding Treatment and Recovery from Genital Warts: Your Questions Answered


Is My Condition Phimosis? Understanding Long Foreskin and Treatment Options

Is this considered phimosis or excessive foreskin? Hello Doctor, I would like to ask about the following: 1. When I am not erect, my foreskin completely covers the glans, and I can easily retract it behind the coronal sulcus. 2. When erect, the shaft of my penis is larger than th...


Dr. Du Shixi Reply:
Hello: In this situation, during sexual intercourse, the foreskin may slide back and forth. The foreskin may not be excessively long, but there is a section that is narrower. You can try using a topical ointment without undergoing circumcision (but it is important to have a physi...

[Read More] Is My Condition Phimosis? Understanding Long Foreskin and Treatment Options


Can Bilateral Kidney Stone Surgery Be Safely Performed with Endoscopy?

Bilateral renal endoscopic surgery Hello Doctor, my mother has had kidney stones for thirty years, but she has not received proper treatment for a long time. Recently, her condition has worsened, and the doctor performed extracorporeal shock wave lithotripsy as a routine procedur...


Dr. Du Shixi Reply:
Hello: It should depend on the patient's condition. Generally, good cardiopulmonary function is required to undergo longer surgeries (emergency surgeries are an exception for life-saving situations). Of course, the physician will assess the patient's status, and the ane...

[Read More] Can Bilateral Kidney Stone Surgery Be Safely Performed with Endoscopy?


Understanding Carotid Artery Occlusion After a Stroke: Key Concerns

What to do about carotid artery occlusion? My mother recently suffered a stroke, presenting with facial drooping, eye misalignment, drooling, and weakness in her legs. After being sent to the hospital for treatment, she was diagnosed with a cerebrovascular accident. The physician...


Dr. Jiang Junyi Reply:
Based on your description of the symptoms of generalized muscle pain, it is possible that during the magnetic resonance imaging (MRI) examination, patients are typically instructed to remain still to achieve better imaging, which can lead to muscle tension and discomfort. Your mo...

[Read More] Understanding Carotid Artery Occlusion After a Stroke: Key Concerns


Understanding Foreskin Issues: Is Surgery Necessary for Tightness?

Prepuce issues Hello doctor, I would like to ask if my foreskin can retract behind the glans when not erect, but there is some discomfort. Is this considered phimosis? Is surgery necessary? Will it affect sexual function?


Dr. Lin Wenxu Reply:
Please visit the urology outpatient clinic for a consultation with a physician to determine whether a circumcision is necessary. Phimosis does not directly affect sexual function.

[Read More] Understanding Foreskin Issues: Is Surgery Necessary for Tightness?


Do You Need Surgery for a 2.7 cm Kidney Stone Without Symptoms?

Is surgery necessary for a 3 cm kidney stone that is asymptomatic? Hello, doctor. I recently had a health check-up and underwent a CT scan, which revealed a 2.7 cm stone in my left kidney. However, I am currently not experiencing any pain or difficulty urinating. The stone is loc...


Dr. Xu Wencang Reply:
A 3 cm lesion generally requires management; it is advisable to discuss the best approach with a physician.

[Read More] Do You Need Surgery for a 2.7 cm Kidney Stone Without Symptoms?


Is Circumcision Necessary for Painful Foreskin Issues?

Pulling down the foreskin causes pain? When I pull down my foreskin, there is a white ring. If I pull down the foreskin during an erection, it causes significant pain to my glans. Therefore, I usually masturbate by rubbing the foreskin. Do I need to consider circumcision?


Dr. Du Shixi Reply:
Hello: Your condition is likely to require surgery (the glans is very painful). As for whether the white substance is smegma, it may need to be evaluated by a physician. Wishing you good health.

[Read More] Is Circumcision Necessary for Painful Foreskin Issues?


Is Blood in Urine and Dizziness Normal with a Double J Stent?

Is it normal to have persistent hematuria and dizziness with a double J stent in place? Dear Doctor: Last time, I inquired about the suitability of undergoing extracorporeal shock wave lithotripsy, and I have received an answer (<a href="https://adoctor.tw/article/129900&...


Dr. Du Shixi Reply:
Hello: The likelihood of anemia caused by hematuria is very low, unless the bleeding results in a significant volume of blood clots. Additionally, the use of anticoagulants may lead to bleeding that could reach the level of anemia. The reason for placing a double J stent is to fa...

[Read More] Is Blood in Urine and Dizziness Normal with a Double J Stent?


Understanding HPV: Concerns About Growths on the Penis

Cauliflower test Hello Dr. Du, Yesterday, I noticed flesh-colored small buds and slight protrusions on my penis, slightly less than 1mm in size. They do not hurt when pressed and are not hard. The location is near where I had a circumcision ten years ago, mostly on the underside...


Dr. Du Shixi Reply:
Hello: 1. A pathological report would provide a more accurate diagnosis; therefore, the outpatient physician can only assess based on appearance and may not be able to confirm with 100% certainty whether it is genital warts. 2. If you go to a large hospital, there will likely be ...

[Read More] Understanding HPV: Concerns About Growths on the Penis


Understanding Phimosis: Do You Always Need to Retract the Foreskin?

Phimosis issues? If someone has phimosis but can see the glans opening, is it necessary to always retract the foreskin behind the glans in the future?


Dr. Du Shixi Reply:
Hello: If you are unable to push it down, do not force it. You should seek medical attention to see if surgery is necessary. If possible (it must be possible), you should retract the foreskin behind the glans.

[Read More] Understanding Phimosis: Do You Always Need to Retract the Foreskin?


Persistent Testicular Enlargement After Hernia Surgery: What to Do?

One year after hernia surgery, the testicles remain the same size? Hello Doctor, I underwent laparoscopic surgery for a right inguinal hernia in March of last year. The day after the surgery, I noticed that my left testicle had become enlarged and swollen (about twice the size of...


Dr. Du Shixi Reply:
Hello: Postoperative issues often involve some swelling. If there are still problems after more than a year, it is advisable to return for a check-up. Wishing you good health.

[Read More] Persistent Testicular Enlargement After Hernia Surgery: What to Do?


Could Head Symptoms Indicate a More Serious Condition Like a Tumor?

Is it possible that there is a more serious issue, such as a tumor? Head – When experiencing dizziness, it feels like a heavy, fleeting sensation. Sometimes there is blurred vision and intermittent headaches that are not severe, more like a throbbing pain, with a dull, tight sens...


Dr. Jiang Junyi Reply:
Hello: I'm not sure if your intraocular pressure is elevated. If there is a difference between your two eyes, it may be worth considering the possibility of glaucoma. Additionally, your symptoms cannot rule out vascular headaches such as migraines, although they are less com...

[Read More] Could Head Symptoms Indicate a More Serious Condition Like a Tumor?


Understanding Varicocele Surgery: Types, Pros, Cons, and Success Rates

Varicocele What are the different types of varicocele surgery? What are the advantages and disadvantages of each, as well as their success and recurrence rates? Thank you, doctor.


Dr. Du Shixi Reply:
Hello: Please discuss with your physician, as each doctor has 1-2 commonly used methods (from my understanding: high ligation and laparoscopic approach for inguinal varicocele). You should ask your physician about the recurrence rate. From what I know, the recurrence rate is not ...

[Read More] Understanding Varicocele Surgery: Types, Pros, Cons, and Success Rates


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