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 Persistent RBC in Urine: Causes and Concerns
Presence of red blood cells in urine? Hello, Doctor. On December 15, the urine test showed RBC 1+ with red blood cells ranging from 6 to 9. On December 19, another urine test showed RBC 1+ with red blood cells ranging from 1 to 3. The doctor prescribed Lithosol, one packet daily,...
Dr. Du Shixi Reply:
Hello: There are many causes of hematuria, which could be due to kidney stones or other reasons. If there is a history of stones, the likelihood of stones being the cause is higher. However, urine tests should be combined with other urinalysis parameters for reference. If all oth...[Read More] Understanding Persistent RBC in Urine: Causes and Concerns
Should You Test Kidney Function After Diagnosing Urinary Issues?
Chronic Kidney Disease (CKD) Hello, doctor. I would like to ask about my previous visit to the urology department due to dark brown, cloudy urine. The physician diagnosed me with kidney stones and hydronephrosis, and my urinalysis showed hematuria but no bacterial infection. The ...
Dr. Du Shixi Reply:
Hello: Kidney function can be assessed, but the key is to identify the cause of the hydronephrosis. Antibiotics should be used to prevent infection and avoid kidney inflammation. If the hydronephrosis is caused by small stones, some may be expelled, so increasing fluid intake is ...[Read More] Should You Test Kidney Function After Diagnosing Urinary Issues?
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
Understanding Kidney Function Changes After Weight Loss: A Patient's Journey
Kidney examination issues? Hello, doctor. Last year, during my check-up, I had three abnormal results (microalbuminuria 41, APTT 32.8, high-density lipoprotein cholesterol 37, and elevated blood pressure). To improve my health, I started losing weight and managed to lose 20 kilog...
Dr. Du Shixi Reply:
Hello: In individuals who are slightly overweight, liver function numbers often improve after weight loss. However, it is important to monitor kidney function during the weight loss process. Although a single elevated test result may not have significant implications, one should ...[Read More] Understanding Kidney Function Changes After Weight Loss: A Patient's Journey
Understanding Urinary Incontinence After Prostate Biopsy: Causes and Concerns
Prostate enlargement biopsy urinary incontinence 1. Due to benign prostatic hyperplasia, my PSA level is 6.24. This is following my first biopsy three years ago (September 2018, PSA 6.38) and a continuous medication regimen with Alfuzosin. On December 12, 2022, I underwent a seco...
Dr. Li Minghui Reply:
The apex of the prostate is close to the sphincter, and the nerves enter the prostate and sphincter from both sides externally. Although standard biopsies typically do not reach the apex or the sides directly, which would harm the sphincter or nerves, inflammation can occur near ...[Read More] Understanding Urinary Incontinence After Prostate Biopsy: Causes and Concerns
Understanding Urinary Incontinence After Prostate Biopsy: Causes and Concerns
Prostate enlargement biopsy urinary incontinence 1. Due to benign prostatic hyperplasia, my PSA level is 6.24. This follows my first biopsy three years ago (September 2018, PSA 6.38), after which I have been continuously taking medication: Alfuzosin. On December 12, 2022, I under...
Dr. Li Minghui Reply:
The apex of the prostate is close to the sphincter, and the nerves enter the prostate and sphincter from both sides externally. Although routine biopsies typically do not involve the apex or the sides directly, which would harm the sphincter or nerves, inflammation can occur near...[Read More] Understanding Urinary Incontinence After Prostate Biopsy: Causes and Concerns
Managing Fungal Infections in Urology: Treatment Options and Concerns
Fungal infection Hello, Doctor! My glans is red and feels uncomfortable with slight friction, and my foreskin is red, swollen, and exuding fluid. The first general practitioner prescribed antibiotic pills and ointment, while the second urologist prescribed an antifungal ointment ...
Dr. Jian Weihong Reply:
The glans penis is similar to regular skin and commonly experiences three types of skin conditions: bacterial infections, fungal infections, and allergic/immunological diseases (such as eczema). Generally, any discharge is usually indicative of a bacterial or fungal infection, pa...[Read More] Managing Fungal Infections in Urology: Treatment Options and Concerns
Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment
Chronic prostatitis? Hello doctor, I have a problem with premature ejaculation. After ejaculation, my penis becomes painful when I try to get an erection again, and the area around my epididymis feels swollen. About 30 minutes after urination, I feel like I haven't completel...
Dr. Xu Wencang Reply:
Chronic pelvic pain can be managed by making lifestyle changes and engaging in moderate exercise. You may also consider trying some physical therapy. Please return for a follow-up appointment for your physician to evaluate your condition.[Read More] Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment
Understanding Urethral Pain: Symptoms, Causes, and Solutions
Pain in the urethra during urination? Experiencing pain in the urethra during urination, the presence of white discharge and particles at the urethral opening, along with difficulty urinating despite having urine, may suggest a urinary tract infection (UTI) or urethritis. Additio...
Dr. Li Xinyi Reply:
It is important to drink plenty of water and urinate frequently, but the key point is to promptly visit a urologist for an examination to check for any issues related to a urinary tract infection.[Read More] Understanding Urethral Pain: Symptoms, Causes, and Solutions
Understanding Persistent Urethritis: Causes and Management Tips
Urethritis for 3 weeks? Hello Doctor, on December 12th, I experienced itching in the urethra and went to the hospital for an examination. Urinalysis showed normal white blood cells and red blood cells. On December 14th, the itching persisted, and I had slight pain during urinatio...
Dr. Li Minghui Reply:
Causes of urethral itching and pain include urinary tract infections, non-infectious inflammation such as interstitial cystitis, local irritation from factors like stones, sexual activity, or cycling, as well as metabolites of medications or food components in the urine. Urinary ...[Read More] Understanding Persistent Urethritis: Causes and Management Tips
Understanding Urethral Discomfort: Causes and Solutions
Urethral orifice issues? On December 25th, I had a single sexual partner, and during oral sex, I experienced some discomfort at the urethral opening (this was the first time this happened). After finishing, I felt a stinging sensation when touching the urethral opening. After res...
Dr. Li Xinyi Reply:
It sounds like there is a small wound at the urethral opening. You can apply povidone-iodine to clean and disinfect the wound, two to three times a day. Please note that it should be povidone-iodine, not iodine tincture, or you can visit a urologist for a topical ointment. If the...[Read More] Understanding Urethral Discomfort: Causes and Solutions
Pain After Urination: Understanding Testicular Discomfort
Experiencing pain in the testicles after urination? After urinating, I experienced pain in my testicles, but it went away quickly. Later, when I urinated again, I almost didn't feel any pain, but I'm not sure if it will happen again in the future. Thank you, doctor.
Dr. Cai Zhuorong Reply:
It is recommended to undergo a urinalysis to rule out a bacterial infection.[Read More] Pain After Urination: Understanding Testicular Discomfort
Persistent Urethritis: Understanding Recurrence and Treatment Options
Urethritis is not improving? Hello Doctor: I visited the clinic on November 23 due to discharge, and after a urinalysis, I was diagnosed with non-gonococcal urethritis. I took doxycycline for a week, and my symptoms improved, so I returned for a follow-up and discontinued the med...
Dr. Li Xinyi Reply:
It sounds like the gonorrhea has not been cured, and it may require out-of-pocket injections to resolve the issue. This is because gonorrhea is sometimes not easily diagnosed, similar to what you may have heard about "false negatives." It is important to consider whethe...[Read More] Persistent Urethritis: Understanding Recurrence and Treatment Options
Understanding Hematuria and Urinary Frequency After Cancer Chemotherapy
Oral administration of cancer medication can cause hematuria? Hello Doctor, I have a friend who has been undergoing oral chemotherapy with Capecitabine for eight months due to cancer. He developed hematuria and increased urinary frequency, prompting the doctor to immediately disc...
Dr. Jian Weihong Reply:
Frequent urination and incontinence may be caused by hematuria, which could be due to cystitis induced by cyclophosphamide. Additionally, it is important to be cautious as cyclophosphamide may also lead to bladder cancer. It is generally recommended to undergo cystoscopy for exam...[Read More] Understanding Hematuria and Urinary Frequency After Cancer Chemotherapy
Managing Frequent Urination: Tips for Nighttime Urgency Relief
Frequent urination problem with a persistent urge to urinate at night? Hello Doctor, after reviewing the records related to my frequent urination issue, I found several cases similar to mine, but my situation is a bit different. Let me explain my current condition: I have seen a ...
Dr. Li Xinyi Reply:
Your situation is more complex, so it is advisable to go to a large hospital that has a urology department capable of performing cystoscopy or urodynamic studies.[Read More] Managing Frequent Urination: Tips for Nighttime Urgency Relief
Understanding Urinary Leakage: Is It Normal After First Sexual Experience?
Urinary incontinence issues? Hello, I recently had my first sexual experience and have noticed frequent urinary leakage issues and increased urgency to urinate (though I have been drinking a lot of water). Even after just using the restroom, I sometimes find a few drops when I pu...
Dr. Sun Hongshun Reply:
Hello, I recommend that you first undergo a urinalysis to rule out a urinary tract infection. If this condition persists, a urodynamic study will need to be arranged. This is certainly abnormal for someone who is 22 years old, and it may not necessarily be directly related to sex...[Read More] Understanding Urinary Leakage: Is It Normal After First Sexual Experience?
Post-Surgery Discomfort: Understanding Urethral Pain After Urination
After urination, there is discomfort from the contraction of the urethra that radiates to the urethral opening, transitioning into a burning sensation? Two and a half years ago, I underwent laser surgery to address benign prostatic hyperplasia. One month post-surgery, I experienc...
Dr. Sun Hongshun Reply:
Hello Mr. Chen: Regarding what you mentioned, the previous treatment at the hospital was thorough and comprehensive, but chronic prostatitis or pelvic pain syndrome cannot be completely ruled out. There is now a low-energy shockwave device available for both diagnosis and treatme...[Read More] Post-Surgery Discomfort: Understanding Urethral Pain After Urination
Understanding Urethral Bleeding During Pregnancy: Causes and Next Steps
Hematuria Hello, I am currently 30 weeks pregnant. Ever since I had a hard bowel movement, I have been experiencing persistent bleeding from the urethra for a month. My obstetrician has performed an internal examination and confirmed that it is not vaginal bleeding. A urologist h...
Dr. Sun Hongshun Reply:
Hello, Xiaohan: I wonder if you have ever undergone a cystoscopy or urethroscopy in the urology department? There may be small polyps or urethral caruncles causing bleeding (which require further examination). You are currently 30 weeks pregnant, and considering the health of the...[Read More] Understanding Urethral Bleeding During Pregnancy: Causes and Next Steps