Post-Hernia Surgery: Understanding Pain and Discomfort After 18 Months
One and a half years after right inguinal hernia surgery, there are occasional sensations of soreness and pain? Hello Dr. Lee, I underwent laparoscopic surgery for a right inguinal hernia in May 2022, during which a piece of mesh and three fixation screws were placed. Post-surger...
Dr. Li Xinyi Reply:
It sounds like it may be related to weight training, and there could be signs of a potential recurrence. It is indeed advisable to take a break for a while and to protect the affected side during weight training. If there are any issues, you should go to the hospital where a doct...[Read More] Post-Hernia Surgery: Understanding Pain and Discomfort After 18 Months
Understanding Left Abdominal Pain After Kidney Surgery: Causes and Solutions
Pain to the left of the navel? Hello, I underwent a traditional right nephrectomy for kidney cancer at the end of June. I often experience pain near the incision, to the left of my belly button, and it hurts when I press on it. I consulted my doctor, and a CT scan showed no issue...
Dr. Li Minghui Reply:
Hello: It may be necessary to investigate other causes. If you have pain after surgery that has not improved for six months, please return for a follow-up and discuss this with your physician. Wishing you good health.[Read More] Understanding Left Abdominal Pain After Kidney Surgery: Causes and Solutions
Understanding Pain Near the Belly Button After Kidney Surgery
Pain upon palpation of the umbilicus? Hello, I underwent a traditional right nephrectomy for kidney cancer at the end of June. I frequently experience pain near the incision, specifically to the left of my navel, and it also hurts when I press on it. I consulted my doctor, and a ...
Dr. Du Shixi Reply:
Hello: It may be necessary to investigate other causes. If you are experiencing pain post-surgery that has not improved after six months, please return for a follow-up appointment and discuss this with your physician. Wishing you good health.[Read More] Understanding Pain Near the Belly Button After Kidney Surgery
Understanding Frenulum Tightness and Adhesion Issues After Circumcision
Frenulum and adhesion issues? Hello Doctor, I have diabetes and my HbA1c is currently around 7.5. I underwent a circumcision due to balanitis in the past, which allows the glans to be exposed, but the remaining foreskin does not stay below the coronal sulcus. After recovery, I ha...
Dr. Du Shixi Reply:
Hello: 1. Is surgery necessary to address the tethering? -- Generally not required; just keep the area clean and dry. 2. What methods can be used to treat adhesions in the coronal sulcus? -- If the area is large, topical medication may not be sufficient; it may be necessary to ha...[Read More] Understanding Frenulum Tightness and Adhesion Issues After Circumcision
Managing Varicocele: Symptoms, Treatment Options, and Relief Strategies
Varicocele Hello Doctor, I have been experiencing varicocele for about two years. Recently, I had an examination, and the doctor stated that "surgery is not necessary," but on that day, the varicocele was less pronounced due to the cold weather. Normally, the left side ...
Dr. Du Shixi Reply:
Hello: Please take care of your lifestyle and avoid excessive abdominal strain for prolonged periods, as neglecting this after surgery can increase the risk of recurrence. It is advisable to have regular follow-ups at a major hospital. Wishing you good health.[Read More] Managing Varicocele: Symptoms, Treatment Options, and Relief Strategies
Post-Varicocele Surgery: Is Numbness and Swelling Normal?
Postoperative non-viability of varicocele repair? Hello Doctor, I recently underwent microscopic varicocele surgery. The doctor diagnosed that there was varicosity on both sides, so surgery was performed on both sides. Today is the second day after the surgery. I am experiencing ...
Dr. Du Shixi Reply:
Hello: These are common symptoms, but if there is increasing swelling of the testicles, redness of the scrotal skin, or symptoms such as urinary issues and fever, medical attention should be sought.[Read More] Post-Varicocele Surgery: Is Numbness and Swelling Normal?
Understanding Post-Surgery Pain and Skin Issues After Circumcision
Frenulum tear Hello Doctor, I underwent a circumcision procedure on November 15th, and everything seemed normal initially. However, after the surgeon advised me to start showering on November 20th, I took my first shower and maintained proper hygiene and dressing changes. The nex...
Dr. Jian Weihong Reply:
Hello: Your condition requires clinical judgment. If it is friction-related, it should occur gradually. Initially, if there is a wound, it will be painful. Wishing you good health.[Read More] Understanding Post-Surgery Pain and Skin Issues After Circumcision
Managing Post-Circumcision Adhesions: Solutions and Options
Post-circumcision care Hello Doctor: About three years ago, I underwent a circumcision. After the surgery, the skin remained attached to about half of the glans. Once the wound healed, I attempted to retract it but have not been successful. Currently, the foreskin is adhered to h...
Dr. Du Shixi Reply:
Hello: It seems that another minor surgery is needed to separate adhesions. Wishing you good health.[Read More] Managing Post-Circumcision Adhesions: Solutions and Options
Understanding Pituitary Tumors: Risks, Symptoms, and Treatment Options
Pituitary gland Dear Dr. Jiang, I am Xin from case 202879. First of all, I would like to thank you for your prompt response despite your busy schedule. I would like to ask you again: what do you mean by saying that there are many uncertainties regarding the surgery? Are these un...
Dr. Jiang Junyi Reply:
Dear Mr. Xin, If your finances allow, would you consider undergoing another MRI of the brain on a self-pay basis in a month? Thank you for your inquiry, and if you have any related questions, feel free to discuss further! Wishing you and your wife good health, safety, and happi...[Read More] Understanding Pituitary Tumors: Risks, Symptoms, and Treatment Options
Understanding Retrograde Ejaculation After Urief 4mg Use: Recovery and Concerns
Urief 4mg / Duration of retrograde ejaculation Last week, I underwent extracorporeal shock wave lithotripsy due to ureteral stones. After the procedure, the doctor prescribed Urief/4mg, Rowapraxin/10mg, Transamin/250mg, and Tonlief/100mg. I took a dose at home, but on the same da...
Dr. Du Shixi Reply:
Hello: 1. Urief/4mg can cause retrograde ejaculation symptoms. After stopping the medication, how long might it take to recover? -- It is possible to experience either a lack of sperm or a decrease in semen volume, but since it was taken only once and still had effects three da...[Read More] Understanding Retrograde Ejaculation After Urief 4mg Use: Recovery and Concerns
Understanding HPV and Warts: Your Questions Answered
Regarding HPV and genital warts? Hello, Doctor: I would like to ask a question. While showering, I noticed a lump near my anus. After one or two months, I decided to see a colorectal surgeon to confirm whether it was something like genital warts. During my appointment on November...
Dr. Du Shixi Reply:
Hello: It is possible to contract genital warts even without sexual intercourse. If there has been no sexual activity, you may consider visiting another major hospital for a consultation. As for blood tests, if it's a large hospital, the results are usually available within ...[Read More] Understanding HPV and Warts: Your Questions Answered
Managing Pituitary Prolactinoma: When to Consider Surgery?
Pituitary prolactinoma stroke Hello Doctor: My wife has a 0.3 cm prolactinoma that has been managed with medication for a long time. In August of this year, her blood test showed a PRL level of 68, and a follow-up MRI revealed a hemorrhagic stroke with a fluid level measuring 1.5...
Dr. Jiang Junyi Reply:
Dear Mr. Xin, You mentioned, "Is it possible that the tumor bleeding will slow down and be absorbed on its own if we continue to observe without surgery? (Three years ago, there was a bleeding episode when it was 0.9 cm, and it later resolved)." Essentially, pituitary ...[Read More] Managing Pituitary Prolactinoma: When to Consider Surgery?
Is It Normal to Have Genital Warts with Negative HPV Test Results?
Having cauliflower-like lesions with a negative HPV test result is not uncommon. It is possible for such lesions to be caused by factors other than HPV, such as other infections or skin conditions. However, it is important to consult a healthcare professional for a thorough evalu...
Dr. Du Shixi Reply:
Hello: 1. Is it possible to have warts without HPV virus? --> It is possible that it was not detected. If there is an infection, the test should show it. 2. Does the HPV virus really get suppressed by the vaccine, and does it disappear so quickly? Or was there never an inf...[Read More] Is It Normal to Have Genital Warts with Negative HPV Test Results?
Managing Concerns About Genital Warts After Treatment: Next Steps
Cauliflower (Condylomata Acuminata) Hello, Director Du. I previously had a genital wart infection at the urethral opening, which was treated with electrosurgery. In February, tests showed no presence of types 6 or 11. A cystoscopy in May showed no growth, and in October, tests in...
Dr. Du Shixi Reply:
Hello: Regular follow-ups, safe sexual practices, no other methods, wishing you good health.[Read More] Managing Concerns About Genital Warts After Treatment: Next Steps
Can Pre-Surgery Tests Reveal Ureter Shape for Kidney Stone Removal?
Can preoperative examinations visualize the shape of the ureter? Hello Doctor: My friend previously underwent a ureteroscopy to remove a stone lodged in the ureter, but after the procedure, the doctor said the ureter was too curved to insert the instrument, so the stone could not...
Dr. Du Shixi Reply:
Hello: Imaging examinations are not always 100% accurate; some curved or narrowed areas may not be passable with an endoscope. However, there are flexible ureteroscopes that can overcome some of these situations. Unfortunately, this procedure is not covered by health insurance, s...[Read More] Can Pre-Surgery Tests Reveal Ureter Shape for Kidney Stone Removal?
Post-Treatment Monitoring for Varicocele and Epididymitis: Do You Need Follow-Up?
Varicocele and Epididymitis Follow-Up Examination After Recovery I underwent treatment for varicocele in April of last year, and then in July, I was diagnosed with epididymitis. During the treatment for epididymitis, I had a semen analysis done, but the doctor did not provide me ...
Dr. Du Shixi Reply:
Hello: There is a possibility of recurrence with varicocele, so it's important to pay attention to lifestyle habits. Semen analysis is generally not performed, but if you have concerns, testing can be done. Wishing you good health.[Read More] Post-Treatment Monitoring for Varicocele and Epididymitis: Do You Need Follow-Up?
Understanding Penile Twisting: When to Consider Surgery?
Penile torsion issue Hello, I have a question. After an erection, my penis has a slight counterclockwise curvature (about 30 degrees), and the urethral opening is not vertical. Do I need surgical correction? Will this condition worsen?
Dr. Du Shixi Reply:
Hello: Most of the time, it's not necessary. Only if there are difficulties with sexual intercourse would it be needed. Wishing you good health.[Read More] Understanding Penile Twisting: When to Consider Surgery?
Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Facial nerve Hello, doctors! I am 28 years old, and in March of this year, I noticed weakness on the right side of my face, with difficulty closing my right eye. I have noticeable asymmetry in my eyes, and when I drink, water leaks from the right side of my mouth. When I try to m...
Dr. Jiang Junyi Reply:
Hello Dr. De: You mentioned that "some doctors said I have both facial nerve paralysis and spasms... (I am completely confused)." Generally speaking, facial nerve paralysis occurs due to inflammation, which prevents the muscle tissue it innervates from contracting adequ...[Read More] Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Understanding Interstitial Cystitis: Symptoms, Diagnosis, and Surgical Impact
Interstitial cystitis Hello, Dr. Lee. Three years ago, during a health check-up, I was found to have hematuria in my urine. I went to the hospital for a detailed examination, and the doctor used a cystoscope to discover a polyp. Consequently, I underwent a bladder polypectomy, wh...
Dr. Li Minghui Reply:
Hello: 1. Can excessive irrigation during surgery cause blood streaks in the bladder wall? ---》 Yes, it can happen in some individuals. 2. If not, am I in an asymptomatic phase of interstitial cystitis? ---》 A diagnosis of interstitial cystitis requires the presence of symptoms; ...[Read More] Understanding Interstitial Cystitis: Symptoms, Diagnosis, and Surgical Impact
Understanding Hematuria: Insights on Bladder Surgery and Interstitial Cystitis Concerns
The urine test revealed the presence of occult blood? Hello, doctor. Three years ago, during a health check-up, my urine test showed occult blood, so I went to the hospital for a detailed examination. The doctor performed a cystoscopy and found a polyp, which led to scheduling a ...
Dr. Du Shixi Reply:
Hello: 1. Can excessive irrigation during surgery cause blood streaks in the bladder wall? ---》It can happen in some individuals. 2. If not, am I in an asymptomatic phase of interstitial cystitis? ---》A diagnosis of interstitial cystitis requires the presence of symptoms; without...[Read More] Understanding Hematuria: Insights on Bladder Surgery and Interstitial Cystitis Concerns