Understanding Painful Erections During Urination: Causes and Solutions
Erection during urination causing discomfort in the penis? Hello, at the beginning of the year, I experienced a persistent state of penile arousal for unknown reasons, which made it difficult for me to sit still. The area behind the penis also shrank to the size of a pinky finger...
Dr. Du Shixi Reply:
Hello: 1) I have not encountered your issue clinically, but if you are experiencing symptoms during urination, you should seek care from a urologist at a major hospital, as further examination may be necessary. 2) Regarding the genital area, if there is no visible redness, swelli...[Read More] Understanding Painful Erections During Urination: Causes and Solutions
Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Prostate infection (Prostatitis) Hello, doctor. Recently, I visited for sudden pain during urination. I took Dolcol for five days without improvement, and the symptoms worsened with perineal swelling and pain, making it difficult to ride a motorcycle, along with burning sensation...
Dr. Fu Shizhang Reply:
1. If the pathogen is not resistant to antibiotics, they will be effective. 2. The answer is the same as above. 3. In theory, online consultations cannot replace in-person evaluations and physical examinations by a physician. It is still recommended to seek medical care at he...[Read More] Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Understanding Bacterial Presence in Urine Without Infection: A Urology Perspective
The urine test shows bacteria, but the doctor says there is no infection? Hello, doctor. I have been diagnosed with interstitial cystitis for a year. During this year, I have undergone two rounds of hyaluronic acid injections, and my condition has been manageable. However, after ...
Dr. Li Minghui Reply:
Hello: 1) Is there an infection? It may be related to your urine sample collection. Was it done aseptically? For females, if not careful, an inappropriate sample can be obtained. Please refer to the following guidelines from National Taiwan University Hospital: https://www.ntuh.g...[Read More] Understanding Bacterial Presence in Urine Without Infection: A Urology Perspective
Understanding Interstitial Cystitis and Urinary Tract Infections: Your Questions Answered
Urinary tract infection (UTI) Hello, doctor. I have been diagnosed with interstitial cystitis for a year. During this year, I have undergone two rounds of hyaluronic acid treatment, and my condition has been manageable. However, after a round of medication in the second half of t...
Dr. Du Shixi Reply:
Hello: 1) Is there an infection? This may relate to your urine sample collection. Was it done aseptically? For females, if urine is collected improperly, it can lead to contamination. Please refer to the following guidelines from National Taiwan University Hospital: https://www.n...[Read More] Understanding Interstitial Cystitis and Urinary Tract Infections: Your Questions Answered
Understanding Low-Risk Urological Infections: When to Seek Medical Attention
Infection Issues 2 So, if it is classified as low risk, is it sufficient to monitor for any symptoms before seeking medical attention? Typically, how long does it take to confirm that there are no issues? Thank you, doctor.
Dr. Du Shixi Reply:
Hello: Regardless of severity, it is recommended to have a check-up every three months. If during this time you experience urethral discharge, skin blisters, redness, small lumps, rashes, or any urinary abnormalities, you should seek medical attention. Wishing you good health.[Read More] Understanding Low-Risk Urological Infections: When to Seek Medical Attention
Understanding Urethral Pain: Symptoms, Risks, and Transmission Concerns
Pain at the urethral opening? Hello, doctor. I have a few questions: 1. I had sexual intercourse with a woman the day before yesterday while using a condom, but I performed oral sex without a condom. The next afternoon, I suddenly started feeling a sharp pain at the urethral op...
Dr. Cai Zhuorong Reply:
1. Although the likelihood is low, gonorrhea can indeed be transmitted through oral sex. Most cases present with yellowish-white discharge, but this is not an exclusionary factor for diagnosis. If there are concerns, it is advisable to seek medical attention. 2. The chances are...[Read More] Understanding Urethral Pain: Symptoms, Risks, and Transmission Concerns
Understanding Gonorrhea: Risks, Symptoms, and Testing Explained
#166644 Gonorrhea Inquiry 1. Is it possible that I might be infected with gonorrhea? Your description does not indicate any unsafe sexual behavior, correct? I just remembered that the day before, I went camping at school, and due to other reasons, I had to take care of a sick cla...
Dr. Du Shixi Reply:
Hello, 1) Sorry, there is no risk of unsafe sexual behavior. 2) If there are issues, a urine test should show abnormalities; for chronic conditions, it depends on the severity. 3) Also, if it was gonorrhea, would the symptoms of urethral discharge disappear after taking cephalexi...[Read More] Understanding Gonorrhea: Risks, Symptoms, and Testing Explained
Understanding Gonorrhea: Common Concerns and Symptoms Explained
Questions about Gonorrhea Hello, doctor. Eighteen years ago, I bought a masturbation sleeve from an adult store. Before using it, I washed it with water. Afterward, I was worried about my family finding it, so I hid it in a shared basement storage area. The next day, I used it ag...
Dr. Du Shixi Reply:
Hello: 1. Is it possible that I have a gonorrhea infection? → Your description does not indicate any unsafe sexual behavior. 2. If I have gonorrhea, will a routine urine test show abnormalities? I went to a place where I had to wait for the machine to run for 20 minutes (8 year...[Read More] Understanding Gonorrhea: Common Concerns and Symptoms Explained
Small White Bump Near Urethra: Should You See a Doctor?
A small white spot has developed 0.5 centimeters near the urethral opening on the glans, not located at the coronal sulcus or the edge of the glans? A small white spot has appeared on the glans, about 0.5 centimeters from the urethral opening. When touched, it feels like there is...
Dr. Du Shixi Reply:
Hello: If there is an increase in size, redness, itching, or pain, seek medical attention immediately. Also, be aware of any changes in the skin in other areas. Currently, it is important to keep the affected area dry and clean. Wishing you good health.[Read More] Small White Bump Near Urethra: Should You See a Doctor?
Understanding Glans Pain: Causes and Recovery After Intimate Activities
Glans issues Hello Doctor: On March 15th, I had sexual intercourse with my partner. During the act, I used a condom and she helped with her hand, but she was gripping quite hard and moving up and down, which made me feel a bit uncomfortable. A few days later, when I went to the b...
Dr. Du Shixi Reply:
Hello: It is not necessarily caused by vigorous gripping and up-and-down movement during sexual activity. In most cases, if the severity is not serious, it will resolve on its own. It is important to monitor the color of the urine, any pain during urination, and the presence of a...[Read More] Understanding Glans Pain: Causes and Recovery After Intimate Activities
Understanding Circumcision: Sensitivity, Frenulum, and Urinary Issues
Foreskin issues I would like to ask whether the frenulum should be removed during circumcision. I am considering the surgery, but I have heard that the frenulum is one of the sensitive areas for men. If it is removed, will it decrease sensitivity? Will there be a complete loss of...
Dr. Du Shixi Reply:
Hello: 1) It is not always necessary to perform a biopsy. 2) You can discuss with your physician. Regardless of the area of skin, any wound can potentially alter sensation, but it is unlikely to be completely insensate. 3) The separation of urine is primarily influenced by factor...[Read More] Understanding Circumcision: Sensitivity, Frenulum, and Urinary Issues
Understanding Chlamydia Infection in Chronic Prostatitis: Treatment Options and Concerns
Clostridium infection Hello Doctor, I have been diagnosed with acute or chronic prostatitis (different doctors have differing opinions; some say it doesn't seem chronic, while others say it is chronic). Although I only recently started experiencing symptoms and sought medica...
Dr. Sun Hongshun Reply:
Hello, regarding your concerns, prostatitis is highly suspected. Have you undergone any semen analysis? If it is indeed a chronic inflammation, a two-week or one-month course of medication may not be sufficient. In addition to antibiotic treatment, prostate massage and low-energy...[Read More] Understanding Chlamydia Infection in Chronic Prostatitis: Treatment Options and Concerns
Understanding HPV-Related Issues in Men: Diagnosis and Treatment Insights
Male HPV-related issues? Hello Doctor, about a month ago I had sexual intercourse (with a condom) and during this period, I visited a hot spring twice. Approximately two weeks after the sexual activity, I noticed a split in my urine stream and found two or three small soft warts ...
Dr. Du Shixi Reply:
Hello: 1) Most experienced physicians can handle it, but it’s better to have organizational confirmation; sometimes if it's too small, only electrosurgery or other methods can be used. 2) There are methods available. 3) Not necessarily; it is possible that the sample does no...[Read More] Understanding HPV-Related Issues in Men: Diagnosis and Treatment Insights
Does Excessive Masturbation Cause Frequent Urination?
Does excessive masturbation cause frequent urination? Hello Doctor, I am 34 years old and recently I have been experiencing frequent urination (only during the day, I do not wake up at night to urinate) and a slight burning sensation at the urethral opening when urinating (also d...
Dr. Xu Wencang Reply:
Continue to monitor; if symptoms persist, please return for a follow-up appointment.[Read More] Does Excessive Masturbation Cause Frequent Urination?
Understanding Genital Bumps: Herpes or Something Else?
Lesions on the genitals resembling pimples? My girlfriend has a sore in her mouth, and we had unprotected oral sex without cleaning up afterward. The next day, she developed three pimple-like bumps on her genital area. Two days later, we went to see a doctor who said it was infla...
Dr. Du Shixi Reply:
Hello: It is possible that an early infection may not be detectable and symptoms may not be obvious, leading to different diagnoses. Currently, it is up to you to decide whether to seek medical attention or not. Herpes presents as blisters and can cause wounds, so it is important...[Read More] Understanding Genital Bumps: Herpes or Something Else?
Understanding STD Risks Near the Urethral Opening: A Guide
The likelihood of sexually transmitted infections (STIs) near the urethral meatus? Hello Dr. Tsai, I would like to ask you about my situation. I engaged in sexual activities with a sex worker and used mouthwash before and after, as well as thoroughly washed with body wash. During...
Dr. Cai Zhuorong Reply:
It is recommended to use a condom during oral sex. There is still a risk of transmitting gonorrhea and various other sexually transmitted infections.[Read More] Understanding STD Risks Near the Urethral Opening: A Guide
Chronic Prostatitis: Challenges in Antibiotic Treatment and PSA Levels
Acute or chronic prostatitis, with PSA levels above 12, shows poor sensitivity to oral antibiotics? Hello Dr. Li, I would like to describe my medical history as it has been quite distressing and painful for me. I apologize for the lengthy details. Urological History: I have a ...
Dr. Li Minghui Reply:
Hello: 1) These types of antibiotics are generally effective, but they require several months of treatment along with strict lifestyle precautions. However, if the patient does not see results, changing medications may not be certain. As for muscle-related side effects, they are ...[Read More] Chronic Prostatitis: Challenges in Antibiotic Treatment and PSA Levels
Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Chronic prostatitis Hello Doctor, I would like to share my medical history as it has been quite distressing and painful for me. I apologize for the lengthy details. Urological History: I have a history of anxiety disorder and often engage in sexual activities (either masturbat...
Dr. Du Shixi Reply:
Hello: 1) This type of antibiotic is generally effective, but it requires several months of treatment along with strict lifestyle precautions. However, since the patient has not seen results, changing medications may lead to uncertainty. As for muscle side effects, they are not c...[Read More] Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Persistent Clear Discharge from Glans: Understanding Possible Causes and Solutions
Six months ago, I engaged in high-risk sexual behavior, and I still have clear discharge? Hello Doctor, about six months ago, I had a risky sexual encounter, and afterward, I noticed yellow-green thick discharge from my urethral opening. When I went to the hospital, the doctor su...
Dr. Du Shixi Reply:
Hello: 1) Herpes does not produce secretions. 2) Secretions are not caused by herpes. 3) It is possible that there was a previous infection, but the duration cannot be determined. 4) Testing midstream urine is correct. There is no need to test the initial stream; the doctor will ...[Read More] Persistent Clear Discharge from Glans: Understanding Possible Causes and Solutions
Uncertain Symptoms After Unprotected Oral Sex: Seeking Guidance
I'm not sure if I have gonorrhea or something else..? Unprotected sexual activity occurred with oral sex performed by a female, but intercourse was protected with a condom. From February 10 to February 14, medication was taken for 5 days (Cefixime, Doxycycline, Uropyridine-U...
Dr. Du Shixi Reply:
Hello: 1) Asymptomatic with normal urinalysis, it is rarely considered an infection issue. 2) No significant problems (as there are no symptoms). 3) Drink plenty of water, engage in moderate exercise, and it may be necessary to observe for a few days. Maintain a light diet, and a...[Read More] Uncertain Symptoms After Unprotected Oral Sex: Seeking Guidance