Trauma, Urology FAQ - Page 21

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Understanding Testicular Microvascular Issues: Causes and Symptoms

Testicular microvasculature Hello doctor, I have small blood clots or bruises on the skin of my testicles that appear dark, seemingly located on the microvessels. I haven't experienced any trauma or pressure. I sometimes use a needle to puncture them, but those dark spots re...


Dr. Xu Weikai Reply:
Hello, it is not possible to make a diagnosis based on your description. It could be a small hemangioma, an allergy, or localized dermatitis, among other possibilities. It is best to seek medical attention as soon as possible. If there are any unclear points, feel free to ask aga...

[Read More] Understanding Testicular Microvascular Issues: Causes and Symptoms


Understanding Urinary Issues: Potential Urethral Injury and Treatment Options

Urinary problems I previously asked a doctor about an injury to my urethra caused by squeezing the glans during masturbation in middle school. It feels like there is a small pouch near the base of the penis close to the scrotum, which led me to suspect it might be a urethral dive...


Dr. Xu Weikai Reply:
Hello, urethral diverticula are very rare and usually occur due to external objects causing injury to the urethra, chronic urethritis, or congenital factors. In your case, if it has only happened a few times, it is unlikely to cause a urethral diverticulum. Some individuals may a...

[Read More] Understanding Urinary Issues: Potential Urethral Injury and Treatment Options


Understanding Penile Curvature Surgery: Risks and Recovery Tips

Penile curvature surgery issues..? Even for healthy individuals, it is important to pay attention to the issues mentioned above. Occasionally, in the emergency department, injuries caused by penile trauma can occur, almost always due to improper force during sexual activity, lead...


Dr. Xu Weikai Reply:
I am honored that my expertise can provide you with positive and effective assistance. Dr. Hsu Wei-kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

[Read More] Understanding Penile Curvature Surgery: Risks and Recovery Tips


Understanding Urethral Stricture: Causes, Treatment, and Progression

Urethral stricture Q1: Can urethral stricture heal on its own without treatment? Q2: What causes urethral stricture, and what factors contribute to its development? Q3: If urethral stricture is left untreated, will it worsen with age?


Dr. Lin Wenxu Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and recommendations: 1. Regarding the first question, whether treatment is necessary depends on whether the patient has any urinary obstruction. 2. Concerning the second question, possible causes may include chronic...

[Read More] Understanding Urethral Stricture: Causes, Treatment, and Progression


Understanding Ejaculation Pain: Causes, Frequency, and Prevention Tips

Painful ejaculation follow-up questions? Hello Dr. Hsu, this is Allen, who asked you about ejaculation pain on November 6. I would like to continue with my questions: (1) Is it common in clinical practice to experience urethral abrasions after a period of sexual activity or mastu...


Dr. Xu Weikai Reply:
Allen: Hello, the urethra is generally not easily injured unless there is insertion of foreign objects, trauma to the perineum from bicycle accidents, etc. Additionally, infections or chemical irritants (such as soap or cleaning agents accidentally flowing into the urethra) can c...

[Read More] Understanding Ejaculation Pain: Causes, Frequency, and Prevention Tips


Understanding Urethral Issues: Causes, Treatments, and Surgical Options

Urethral issues I'm not a doctor, but it sounds like you're experiencing a condition that may be related to urinary retention or possibly a urethral diverticulum. It's important to consult a healthcare professional for an accurate diagnosis and appropriate treatmen...


Dr. Xu Weikai Reply:
Hello, based on what you described, it is difficult to determine whether it is a urethral diverticulum. However, it is unlikely. Urethral diverticula typically occur after trauma, prolonged infection, or other specific conditions, and are very rare in otherwise healthy individual...

[Read More] Understanding Urethral Issues: Causes, Treatments, and Surgical Options


Understanding Urology: White Hair, STD Testing, and Painful Symptoms

Panic Hello, doctor. 1. I have a few white hairs in my pubic area, but when I cut them, they appear to be covered by a thin, transparent layer. What could be the reason for this? Could it be the eggs of pubic lice? 2. What sexually transmitted infections can be detected through a...


Dr. Xu Weikai Reply:
A: Regarding your questions: 1. White hairs on pubic hair? Could it be pubic lice eggs? I'm sorry, but it's difficult to make a judgment in this situation. 2. Urine tests generally check for urethritis, cystitis, and other conditions. 3. Pain at the glans or urethral op...

[Read More] Understanding Urology: White Hair, STD Testing, and Painful Symptoms


Understanding Muscle Tension: Causes and Solutions for Facial and Neck Discomfort

Neuromuscular tension Hello, doctor. Recently, I've been experiencing tightness in the facial muscles and nerves, particularly around the mandible and the angle of the mandible. When it gets severe, the tightness extends to the muscles in my neck, specifically the sternoclei...


Dr. Lin Zijing Reply:
This condition may be focal dystonia, which is an involuntary movement disorder characterized by sustained contractions of both agonist and antagonist muscles, leading to movement disturbances and causing the affected area to be fixed in a specific position or posture. This abnor...

[Read More] Understanding Muscle Tension: Causes and Solutions for Facial and Neck Discomfort


Understanding Testicular Swelling and Lumps: Causes and Advice

Testicular enlargement with a possible lump? I have been experiencing discomfort and slight pain in my testicles due to prolonged walking at work. Upon checking at home, I noticed that my left testicle has become enlarged and feels different from the right one; it doesn't fe...


Dr. Lai Ronghao Reply:
The testicles may become enlarged due to congestion, inflammation, or trauma. It is advisable to monitor the situation, and if there are no changes, it is best to seek medical evaluation. This is unrelated to masturbation.

[Read More] Understanding Testicular Swelling and Lumps: Causes and Advice


Understanding Urology: Addressing Bruising and Sperm Concerns

Hello, doctor? Hello, doctor. I have a few questions to ask you. Regarding the penile bruising you mentioned last time, you said it was caused by trauma. Does that require surgery, or can it be improved with topical ointments and oral medications? Also, I'm not sure what...


Dr. Xu Weikai Reply:
Awei: Hello, I previously mentioned in similar situations that one can observe the extent of bruising and the level of pain to determine whether emergency medical attention is needed. If there are no specific symptoms, observation is sufficient, and if there is no broken skin, th...

[Read More] Understanding Urology: Addressing Bruising and Sperm Concerns


Understanding Painful Erections: Causes and Concerns for Men

Painful erection? In the past month or two, I have been experiencing pain at the base of my penis during erections, with no visible injuries. I did not have this issue before, and I currently do not have a partner. What could be the problem? Additionally, I have occasionally expe...


Dr. Xu Weikai Reply:
Hello, it seems that prolonged erection may have caused muscle fatigue or strain. You can apply a warm compress locally, or use a warm towel for 10 minutes after each ejaculation to alleviate the symptoms. If this does not help, it is advisable to seek medical attention. If you h...

[Read More] Understanding Painful Erections: Causes and Concerns for Men


Understanding Bruising on the Penis: What You Need to Know

Hello, doctor? Hello doctor, I recently noticed a large area of bruising on my penis (the genital area when lifted up). What could this phenomenon be? I'm very anxious. I have already made an appointment with a urologist, but I have to wait until the 10th to be seen. Could y...


Dr. Xu Weikai Reply:
Hello, it seems that the bruising phenomenon may be caused by trauma. Sometimes, allergies could also be a possibility. If there are any unclear points, feel free to ask again, and we can further discuss and research together. Sincerely, Dr. Hsu Wei-Kai, Director of Urology, Tait...

[Read More] Understanding Bruising on the Penis: What You Need to Know


Understanding Hormonal Effects on Penis Size in Obese Individuals

Penis (continued) Hello, doctor. I am currently slightly overweight, weighing about 75 kilograms. Could you please explain what hormonal factors might cause a smaller penis size? Thank you for your response.


Dr. Xu Weikai Reply:
Mr. Chen: Hello, there are many reasons that can cause hormonal issues. Here are some examples, but an accurate diagnosis requires evaluation by a clinical physician. These can include congenital genetic factors, brain tumors, sexual development disorders, chromosomal abnormaliti...

[Read More] Understanding Hormonal Effects on Penis Size in Obese Individuals


Understanding Erectile Dysfunction: Causes and Treatment Options in Urology

Sexual dysfunction Hello, Director Lin. First of all, I would like to thank you for your diagnosis and response. I would like to ask what might be causing my situation. On the day of my visit, I noticed that the clinic hours were almost over, so I couldn't ask more questions...


Dr. Lin Hexing Reply:
Hello Sir: Thank you for your inquiry. I would like to respond to your message and provide the following suggestions: Epididymitis is primarily caused by lower urinary tract infections and does not necessarily require the presence of adverse habits. Regarding the issues of erecti...

[Read More] Understanding Erectile Dysfunction: Causes and Treatment Options in Urology


Understanding Testicular Health: Checking Sperm Production and Pain Causes

Testis If a patient wants to determine whether their testicles are producing semen normally, what tests should be conducted? Does this include measuring male hormones? What are the potential causes of testicular pain? Is a slight curvature of the testicles indicative of a problem...


Dr. Xu Weikai Reply:
Hello, examining semen can provide information about sperm count, quality, and male hormones, which require blood tests to assess. There are many causes of testicular pain: 1. Infections: such as orchitis and epididymitis 2. Fibrosis and chronic inflammation 3. Abnormalities in t...

[Read More] Understanding Testicular Health: Checking Sperm Production and Pain Causes


Understanding Pain Syndrome After Trauma: Diagnosis and Treatment Options

Pain syndrome Hello: I had a car accident in April of last year, resulting in a fifth metatarsal fracture. I was in a cast for 40 days, during which my foot was severely swollen and painful. I thought that removing the cast would improve the situation, but the swelling and pain p...


Dr. Gao Chunde Reply:
Post-traumatic conditions can lead to a very painful neurological syndrome known as Complex Regional Pain Syndrome (CRPS). This condition typically presents with changes in the skin at the site of injury, swelling, alterations in hair growth, temperature fluctuations, changes in ...

[Read More] Understanding Pain Syndrome After Trauma: Diagnosis and Treatment Options


Understanding Different Types of Headaches: Is It Migraine?

Migraine? Hello, Dr. Lin. Over the past two days, I've experienced two types of headaches. On the first day, I had a throbbing pain on both sides of my temples and surrounding areas that lasted all day, which only subsided in the evening after taking over-the-counter acetami...


Dr. Lin Zijing Reply:
Migraine is a type of recurrent headache caused by changes in neurotransmitters in the brain, with each episode lasting from four to seventy-two hours. The characteristics of the headache include unilateral pain, which can be throbbing or pulsating, often accompanied by a heartbe...

[Read More] Understanding Different Types of Headaches: Is It Migraine?


Concerns About Penile Injury: Impact on Growth and Urinary Pain

I'm very troubled!! Dr. Hsu, I have a question. When I was in the first year of junior high, I was kicked in the penis while playing with a girl, and I experienced pain while urinating for two weeks. It felt like my urethra was torn. I didn't see a doctor at that time, ...


Dr. Xu Weikai Reply:
Anonymous: Hello, can trauma affect penile development? It is possible, but rare. There is no definitive data on penile length. A few years ago, Dr. Jian from Kaohsiung Veterans General Hospital conducted a large-scale measurement, which you can refer to: "Dr. Jian Bang-Ping...

[Read More] Concerns About Penile Injury: Impact on Growth and Urinary Pain


Struggling with Persistent Foreskin Pain: Seeking Answers After Multiple Doctors

I consulted with 6 to 7 doctors! Two years ago, while masturbating, I used a common green medicinal soap, and as a result, I experienced abnormal pain in the foreskin during washing. This led to damage to the foreskin, and after consulting many doctors and undergoing numerous tes...


Dr. Xu Weikai Reply:
Daming: Hello, I believe the issue may be related to your own practices. Don't be too anxious; it's not due to insufficient cleanliness. On the contrary, I suspect you place a high value on cleanliness. You likely take great care in maintaining the glans, using not only...

[Read More] Struggling with Persistent Foreskin Pain: Seeking Answers After Multiple Doctors


Understanding Fibrosis in Urology: Causes, Symptoms, and Concerns

Fibrosis? I would like to ask the doctor what causes localized white membrane fibrosis? I actually just discovered it not long ago; it looks like an hourglass and feels strange. What are the clinical symptoms? Could you please list a few for reference? I found some information la...


Dr. Xu Weikai Reply:
Xiao Yu: Hello, fibrosis occurs due to factors such as trauma or infection, which causes the white membrane to become thicker during the healing process. When scarring occurs, it can lead to constriction, resulting in a localized reduction in penile size. However, this is not alw...

[Read More] Understanding Fibrosis in Urology: Causes, Symptoms, and Concerns


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