Managing Persistent Elevated PSA Levels After Two Benign Biopsies
If the PSA levels are abnormal and persistently elevated, and two biopsies have confirmed benign results, the next steps in management may include: 1. **Active Surveillance**: Continue monitoring PSA levels and perform regular follow-up exams, including digital rectal exams (DRE...
Dr. Cai Zhuorong Reply:
In addition to PSA and free PSA, the volume of the prostate and the PHI score can also be considered for a comprehensive assessment. Furthermore, whether the MRI conducted in September raises suspicion of potential prostate cancer lesions is also an important reference. Evaluatin...[Read More] Managing Persistent Elevated PSA Levels After Two Benign Biopsies
Is It Normal for Urethral Redness After Masturbation?
Redness of the urethral meatus? It is common to experience some redness at the urethral opening after masturbation, but if it resolves by the next day, it is generally not a cause for concern. However, if you notice persistent redness, pain, or any unusual discharge, it would be ...
Dr. Liu Mingyue Reply:
Hello: If you have engaged in sexual activity, it is advisable to seek medical examination. If there has been no sexual activity, it is mostly considered normal variation. Wishing you good health.[Read More] Is It Normal for Urethral Redness After Masturbation?
Is Yellow Semen Normal? Understanding Urethral Discomfort After Masturbation
The semen is slightly yellowish? It is common to experience some redness at the urethral opening after masturbation, but if it resolves within a day, it is generally considered normal. As for the semen appearing slightly yellow, this can also be normal, as variations in color can...
Dr. Du Shixi Reply:
Hello: If you have had sexual intercourse, it is advisable to seek medical examination. If you have not engaged in sexual activity, it is mostly considered a normal variation. Wishing you good health.[Read More] Is Yellow Semen Normal? Understanding Urethral Discomfort After Masturbation
Understanding Blisters Below the Urethra: Causes and Concerns
Blister below the glans? Hello doctor, I visited a urologist because I have a blister located beneath the glans. It is painless and has not healed completely despite taking antibiotics for three days on two occasions and applying topical medication. Although it has reduced in siz...
Dr. Liu Mingyue Reply:
Hello: Generally, it is not common, but if the frequency of episodes increases, it may be necessary to check whether treatment is needed. Be careful not to apply too much friction. Wishing you good health.[Read More] Understanding Blisters Below the Urethra: Causes and Concerns
Understanding White Particles in Urine: Causes and Concerns in Urology
White object Hello, I experienced a urinary tract infection around November 2022, which led to a fever and a visit to the emergency room. Blood and urine tests revealed that Escherichia coli had entered my bloodstream, causing the fever. After recovering, I had a recurrence in De...
Dr. Xu Wencang Reply:
If symptoms persist, you can visit the outpatient clinic for a urinalysis and bacterial culture. An ultrasound examination can also be performed to rule out other issues.[Read More] Understanding White Particles in Urine: Causes and Concerns in Urology
Understanding Urethral Discharge: Is It a UTI or Gonorrhea?
Urethral discharge The presence of white pus in the urethra accompanied by a burning sensation during urination may indicate a urinary tract infection (UTI) or gonorrhea.
Dr. Du Shixi Reply:
Hello: If there is sexual activity, white discharge may indicate non-gonococcal urethritis. It is advisable to seek medical treatment, drink plenty of water, and practice safe sex. Wishing you good health.[Read More] Understanding Urethral Discharge: Is It a UTI or Gonorrhea?
Understanding Asymmetry in Male Urethral Folds: A Urology Inquiry
Follow-up Inquiry #192377 Dear Dr. Du, Thank you very much for your response and explanation in the consultation regarding question #192377. I generally understand the information provided. However, I would like to confirm one point with you: Regarding the inquiry ---> &quo...
Dr. Du Shixi Reply:
Hello: The glans urethra is a line that slightly separates during urination to allow urine to pass through. There should not be significant differences between the left and right sides. If you feel there is an issue with the urethral opening, it is advisable to seek medical evalu...[Read More] Understanding Asymmetry in Male Urethral Folds: A Urology Inquiry
Understanding Abnormalities in the Urethral Opening: Expert Insights
Inquiry Consultation Dear Dr. Du, I would like to ask you a few questions regarding the fleshy tags located next to the urethral opening of my glans. When closed, they resemble lips coming together, and it seems they have been this way for a long time. Q1: Based on the descrip...
Dr. Du Shixi Reply:
Hello: Q1. According to the above, I have a piece of fleshy tissue next to the urethral opening of my glans, which resembles lips when closed. Dr. Du, is this a normal anatomical structure of the urethral opening, or is it normal for there to be no fleshy tissue? ---> It sho...[Read More] Understanding Abnormalities in the Urethral Opening: Expert Insights
Understanding Urethral Discharge: Chronic Urethritis or Recovery?
Urethral discharge Hello, I was diagnosed with a urinary tract infection on December 29th. After a 7-day course of antibiotics, I no longer had symptoms, except for a very small amount of transparent discharge at the very bottom edge of the urethral opening that is barely noticea...
Dr. Li Xinyi Reply:
Testing may not always be accurate, and symptoms suggest there may still be an infection. It is advisable to consult with a urologist for discussion and treatment.[Read More] Understanding Urethral Discharge: Chronic Urethritis or Recovery?
Understanding Urethral Inflammation: Symptoms, Treatment, and Myths
Coronal sulcus inflammation I first went to see a doctor, but the doctor only prescribed Four Benefits Cream for me to apply for a week. 1. I would like to ask if it is possible that I also have urethritis. 2. If I have urethritis, could applying the cream cause me to not experie...
Dr. Du Shixi Reply:
Hello: 1. I would like to ask if it is possible that I have urethritis -- symptoms in the urethra could indicate that. 2. If I have urethritis, could applying an ointment cause pain during urination? -- This is uncommon. May I wash my hands with soap before masturbation? -- Yes, ...[Read More] Understanding Urethral Inflammation: Symptoms, Treatment, and Myths
Impact of Dairy Products on Antibiotic Efficacy in Urology Treatments
Antibiotics and Dairy Products Hello, due to the inability to ask questions regarding medication consultation, I am inquiring about a urological issue. I have been experiencing a slight irritation at the urethral opening during urination, and there is a noticeable irritation when...
Dr. Du Shixi Reply:
Hello: It should not be a concern, as long as you take the medication as prescribed. Not taking it on time or stopping the medication could potentially lead to drug resistance. Wishing you good health.[Read More] Impact of Dairy Products on Antibiotic Efficacy in Urology Treatments
Understanding Painful Urination and Discharge in Balanitis
Glansitis with dysuria? Hello doctor, I apologize for bothering you. A few days ago, I saw a doctor who diagnosed me with balanitis. Over the past two days, I have noticed that after applying the medication, urination is very painful, with a burning sensation, and there is a yell...
Dr. Du Shixi Reply:
Hello: If there is discharge from the urethra, you should seek medical attention and take medication. You may have not only balanitis but also urethritis. Be sure to inform your doctor about the yellow discharge. Wishing you good health.[Read More] Understanding Painful Urination and Discharge in Balanitis
Understanding Rising PSA Levels: When to Seek Further Evaluation
PSA levels have been rising in recent years? Hello, Dr. Hsu. My PSA levels have been rising over the past five years, starting from 9.7 and increasing to 14.3. The doctor performed a digital rectal exam and a biopsy, which showed benign results with benign prostatic hyperplasia. ...
Dr. Xu Wencang Reply:
Is there any abnormality in the MRI? A biopsy can be performed, and a transurethral resection of the prostate (TURP) or laser prostatectomy can be done, followed by pathological examination.[Read More] Understanding Rising PSA Levels: When to Seek Further Evaluation
Understanding Skin Irritation and Injury in the Urethral Area
Frenulum tear I have been experiencing slight itching around the corona of the glans, but it’s not very intense. I feel a mild burning sensation when urinating (without any external injury). I usually wash with soap, but recently I have been washing a bit more vigorously. After s...
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Understanding Skin Irritation and Injury in the Urethral Area
Is It Normal Not to Produce Bulbourethral Gland Fluid?
Bulbourethral gland fluid Is it normal to not have any secretion from the bulbourethral glands? Is there a way to increase the secretion of bulbourethral fluid?
Dr. Xu Wencang Reply:
Stimulation is required for secretion, and it varies from person to person. It can be observed.[Read More] Is It Normal Not to Produce Bulbourethral Gland Fluid?
Understanding Balanitis: Symptoms, Treatment, and Concerns
Balanitis and Phimosis Issues Hello Doctor, I would like to ask about a condition I have. I have developed a rash on both my glans and foreskin, but it is neither painful nor itchy. I also do not experience any stinging sensation or discharge when using the restroom. I had unprot...
Dr. Du Shixi Reply:
Hello: 1. Are these symptoms considered normal? --> If the severity is not serious and there is improvement after application, you may continue using it. However, if it becomes more red, discontinue use. Keep the skin clean and dry. If there has been any unsafe sexual behavior...[Read More] Understanding Balanitis: Symptoms, Treatment, and Concerns
Can Tiny Bugs Enter the Urethra Through the Glans?
Is it possible for small insects to burrow into the glans penis? I have a job that requires me to stand for long periods without moving. Today at work, I suddenly experienced an itch at the glans for about 2-3 seconds, and then it stopped. Could this be caused by some tiny insect...
Dr. Du Shixi Reply:
Hello: It's unlikely, wishing you good health.[Read More] Can Tiny Bugs Enter the Urethra Through the Glans?
Understanding Recurrent Urethral Itching: Is It Gonorrhea or Just Urethritis?
Experiencing recurrent itching during urination? Hello Doctor, I have two steady partners. This year, I noticed that I started experiencing itching during urination and some yellow discharge in the morning upon waking up. I then went to a clinic where I received an antibiotic inj...
Dr. Du Shixi Reply:
Hello: 1. Do I have gonorrhea? Since both I and one of my partners tested negative for gonorrhea, is it possible that I am infected? A diagnosis of gonorrhea typically requires urine or discharge culture and staining for confirmation, but it is often diagnosed and treated based...[Read More] Understanding Recurrent Urethral Itching: Is It Gonorrhea or Just Urethritis?
Understanding Itching at the Urethral Opening: Causes and Solutions
Itching of the urethral opening? Recently, I have been experiencing an itching sensation at the urethral opening during urination for about four to five days.
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Understanding Itching at the Urethral Opening: Causes and Solutions
Understanding Recurrent Urethral Itching: Is It Gonorrhea or Urethritis?
Experiencing recurrent itching during urination? Hello Doctor, I have two steady partners, and this year I noticed that my urination started to itch, and I had a small amount of yellow mucus only in the morning upon waking up. I then went to a clinic and received an antibiotic in...
Dr. Du Shixi Reply:
Hello: 1. Do I have gonorrhea? Since both of my partners tested negative for gonorrhea. --> It is possible that this is a general infection, especially since it recurs. You should take precautions by using condoms, drink plenty of water, and avoid irritating foods. 2. Is my...[Read More] Understanding Recurrent Urethral Itching: Is It Gonorrhea or Urethritis?