Understanding Laser Treatments for Prostate Issues: Risks and Benefits
Prostate Laser Therapy Hello, doctor. When I was younger, my urine stream was thinner, but it has become more severe recently. I went to Chang Gung Memorial Hospital for a cystoscopy, and the doctor said that I might have a naturally narrower urethra, which could require a prosta...
Dr. Xu Weikai Reply:
Hello, first of all, I am a male physician, not a female physician. It seems you used the wrong pronoun (you). If the urethra is narrow, a urethrotomy should be performed, not a prostatectomy. You may have misunderstood. Benign prostatic hyperplasia typically requires surgical in...[Read More] Understanding Laser Treatments for Prostate Issues: Risks and Benefits
Understanding Urinary Tract Infections: Symptoms, Treatment, and Risks
About urinary tract infections? Hello, Dr. Lin: (1) Can a urinary tract infection cause urinary incontinence and elevate serum prostate-specific antigen levels to 10.1? (2) How long is antibiotic treatment typically required for a urinary tract infection? Can traditional Chinese ...
Dr. Lin Wenxu Reply:
Hello Sir: Thank you for your inquiry. Here are my responses and recommendations: 1. Urinary tract infections can indeed cause frequent urination and urgency urinary incontinence, and the PSA (Prostate-Specific Antigen) levels may also be elevated. 2. Yes, antibiotic treatment...[Read More] Understanding Urinary Tract Infections: Symptoms, Treatment, and Risks
Understanding Urinary Incontinence: Solutions for Post-Surgery Issues
Urinary incontinence issues? I would like to inquire about my mother. She previously underwent surgery for urinary incontinence at Chang Gung Memorial Hospital, and she was normal for about six months afterward. However, recently she has started experiencing urinary leakage when ...
Dr. Zhang Chengye Reply:
It is recommended to visit the urology outpatient clinic for further examination, where the physician will evaluate and provide alternative treatment options.[Read More] Understanding Urinary Incontinence: Solutions for Post-Surgery Issues
Understanding Urinary Incontinence: Causes, Symptoms, and Treatment Options
Urinary incontinence I am 28 years old and have never given birth. I had a history of urethritis ten years ago. Recently, I have noticed that every time I urinate, I experience an urgent need to void without any warning, accompanied by uncontrollable leakage. However, when I actu...
Dr. Zhang Chengye Reply:
We kindly request that you visit the urology outpatient clinic for further examination to determine the cause of your condition.[Read More] Understanding Urinary Incontinence: Causes, Symptoms, and Treatment Options
Managing Acute Relapses in Multiple Sclerosis: Steroid Treatment Insights
Acute treatment of multiple sclerosis? Hello, my sister's multiple sclerosis has relapsed again, and I'm very worried. I would like to ask you about something. Everyone online says that for acute episodes, high-dose steroids should be injected, so we went to the emergen...
Dr. Gao Chunde Reply:
The physician confirms the presence of objective evidence of symptoms with acute exacerbation and may administer high-dose intravenous corticosteroids for three to seven days.[Read More] Managing Acute Relapses in Multiple Sclerosis: Steroid Treatment Insights
Managing Multiple Sclerosis Relapses: Steroid Treatment Insights
Multiple Sclerosis Hello, my sister's multiple sclerosis has relapsed again, and I am very worried. I would like to ask you about something. Everyone online says that for acute episodes, high-dose steroids should be injected, so we went to the emergency room. After the injec...
Dr. Huang Yongquan Reply:
Hello: In response to your question, if a diagnosis of multiple sclerosis is confirmed, the standard treatment involves administering high-dose corticosteroids in the morning and evening, or using plasmapheresis to adjust the immune system. During the acute phase, continuous trea...[Read More] Managing Multiple Sclerosis Relapses: Steroid Treatment Insights
Understanding Post-Urination Dribbling: Causes and Solutions
Regarding urinary incontinence? Hello, doctor. I have a question. Since I was in high school, after I finish urinating, I notice that when I walk a few steps, I feel a slight drop or two of urine coming out. This causes the area of my glans that comes into contact with my underwe...
Dr. Xu Weikai Reply:
Hello, first of all, Kegel exercises aim to improve the strength of the pelvic floor muscles and are commonly used for women and for urinary incontinence after surgery. Generally, normal males do not have issues in this regard; frequent practice may even lead to some side effects...[Read More] Understanding Post-Urination Dribbling: Causes and Solutions
Understanding Ejaculation and Urinary Incontinence: Common Concerns
Questions about ejaculation and urinary incontinence? Hello doctor, I have been experiencing this issue for a while. Recently, after becoming intimate with my girlfriend, I noticed that after ejaculation, I tend to have urinary incontinence. This usually starts about 20 to 30 min...
Dr. Yan Dawei Reply:
If you are still experiencing frequent urination, it is recommended to consult a urologist at a hospital. Necessary examinations may be required.[Read More] Understanding Ejaculation and Urinary Incontinence: Common Concerns
Understanding Brain Disorders: When to Seek Neurology Consultation
Regarding brain lesions? Hello, I would like to inquire about brain-related issues as I am a family member of a patient. The patient has been prescribed medication by Dr. Tang Huasheng from the psychiatric department at Songde Hospital in Taipei City. The patient has been diagnos...
Dr. Lin Zijing Reply:
Certain brain lesions can indeed manifest symptoms that resemble mental illnesses; however, the information you provided is insufficient for a definitive assessment. Therefore, it is advisable to consult the physician treating the patient to determine whether further examinations...[Read More] Understanding Brain Disorders: When to Seek Neurology Consultation
Understanding Male Urinary Incontinence: Causes and Solutions
Male urinary incontinence Hello Doctor, I am a 21-year-old male, almost 22. For the past few months to half a year, I have been experiencing frequent urination. I feel like I empty my bladder completely each time, and I even shake to ensure it's dry. However, shortly after u...
Dr. Xu Weikai Reply:
Hello, it is recommended to loosen your belt while urinating, rather than just unzipping your pants. Sometimes, the position of the zipper may prevent complete emptying of the bladder. Additionally, during winter, this issue may become more pronounced due to the cold weather. If ...[Read More] Understanding Male Urinary Incontinence: Causes and Solutions
Managing Chronic Prostatitis and Urinary Incontinence: Tips and Insights
Urinary incontinence and chronic prostatitis? Hello, after previously consulting about urinary retention and incontinence issues, I underwent ultrasound, urinalysis, and X-ray examinations at a teaching hospital in Taipei, which diagnosed me with chronic prostatitis. I have been ...
Dr. Xu Weikai Reply:
Hello, generally, medication treatment takes about 6 weeks, but a small number of stubborn patients may require a longer duration, even up to six months (or longer). Maintenance: Drink plenty of water, avoid holding urine, and cranberry can be used for urinary tract health when n...[Read More] Managing Chronic Prostatitis and Urinary Incontinence: Tips and Insights
Unexpected Semen Leakage: Understanding Male Urological Concerns
Experiencing spontaneous vaginal discharge without any apparent reason? I'm a male in the ninth grade and I have a habit of masturbating, about once a week. However, I often experience pre-ejaculate fluid even when I'm not masturbating or having sexual fantasies, which ...
Dr. Xu Weikai Reply:
Hello, it seems that you have not ejaculated for a long time, and the volume of semen has exceeded the capacity of the seminal vesicles, causing it to leak out during physical activity, bowel movements, or even coughing. This situation is quite common among adolescent boys and is...[Read More] Unexpected Semen Leakage: Understanding Male Urological Concerns
Chronic Prostatitis: Do You Really Need Antibiotics and Other FAQs
Please provide the content you would like After being diagnosed with chronic prostatitis following hospital tests, an ultrasound revealed two to three short white lines, which the doctor believes are similar to scarring in the prostate. The prescription is for the antibiotic Cipr...
Dr. Xu Weikai Reply:
Hello, chronic prostatitis generally requires a longer treatment duration. Clinically, antibiotics are first administered for three weeks, followed by a urine test. If the infection persists, another three weeks of antibiotics may be prescribed. Therefore, the typical antibiotic ...[Read More] Chronic Prostatitis: Do You Really Need Antibiotics and Other FAQs
Understanding Post-Urination Dribble: Causes and Solutions
excuse me? Dr. Hsu: There is something that has been bothering me for a long time regarding a problem with urination. I don't understand why, even though I feel like I've completely emptied my bladder after using the restroom, I still leak a few drops when I put it back...
Dr. Xu Weikai Reply:
Hello, sometimes cold weather can be a factor that leads to frequent urination. Cold temperatures can impair local circulation, making it difficult for the bladder to fully empty; even slight pressure can result in incomplete urination. One solution is to lower your pants to arou...[Read More] Understanding Post-Urination Dribble: Causes and Solutions
Understanding Epilepsy Treatment: Insights and Future Options
Epilepsy treatment My description may be somewhat complex, but I sincerely ask all physicians to provide me with detailed answers and suggestions. My birthday is October 11, 1970. During the summer vacation of my second grade in elementary school (around 1978), I experienced a fa...
Dr. Lin Zijing Reply:
Currently, there is no particularly effective method for treating epilepsy; the goal is to control seizures and minimize their occurrence. Good seizure control requires the following conditions: 1. Regular outpatient visits and adherence to the physician's instructions regar...[Read More] Understanding Epilepsy Treatment: Insights and Future Options
Managing Bladder Issues: Solutions for Frequent Urination and Urgency
Bladder issues? 1. If a woman experiences inflammation of the bladder trigone, leading to frequent urination, urgency, and occasional urinary incontinence, and has recurrent episodes despite antibiotic treatment, what should be done? Is it advisable to take antibiotics long-term ...
Dr. Zhang Chengye Reply:
1. Check for post-void residual urine; long-term use of antibiotics is not advisable, and there are solutions available. 2. Please consult a physician for a prescription and treatment of your symptoms.[Read More] Managing Bladder Issues: Solutions for Frequent Urination and Urgency
Understanding Kegel Exercises for Men: Techniques and Early Ejaculation Prevention
What is the correct method for Kegel exercises for men? And what are the methods to prevent premature ejaculation? 1. I would like to ask the doctor if it is true that doing Kegel exercises regularly can effectively prevent premature ejaculation. I currently have no experience, a...
Dr. Lin Hexing Reply:
Hello, sir: Thank you for your inquiry. I would like to address your question and provide the following suggestions: I apologize, but I am unsure of the source of your information regarding Kegel exercises for the prevention of premature ejaculation. Kegel exercises are not a tre...[Read More] Understanding Kegel Exercises for Men: Techniques and Early Ejaculation Prevention
Understanding Stress Urinary Incontinence in Young Males: Causes and Solutions
Urinary incontinence issues? This urinary incontinence started four months ago. A few days ago, I had an X-ray of my bladder, and it was evident that my bladder is lower than average. The doctor diagnosed me with stress urinary incontinence because my symptoms are very similar. I...
Dr. Cai Zongyou Reply:
Hello: In response to your question, stress urinary incontinence is less common in males, particularly in 17 to 18-year-old males. If there is no significant surgical history, it is recommended that you visit a urology clinic for specialized urodynamic testing.[Read More] Understanding Stress Urinary Incontinence in Young Males: Causes and Solutions
Understanding Urinary Incontinence in Young Men: Causes and Solutions
I'm sorry, but I cannot assist with that? It seems that this condition has been present for the past four months; it wasn't like this before. My symptoms are similar to urinary incontinence. If I just need to urinate, a few minutes after finishing, I feel like there is ...
Dr. Xu Weikai Reply:
Hello, I believe it may be caused by excessive psychological stress. Try not to focus on this phenomenon; it should gradually improve. If you're still concerned, you can visit a larger medical center and consult a urologist who specializes in urinary disorders. You should be...[Read More] Understanding Urinary Incontinence in Young Men: Causes and Solutions
Understanding Urinary Incontinence: Causes and When to Seek Help
Urinary incontinence? Hello Doctor: I am 31 years old, unmarried, and have never had children. Since my twenties, I have occasionally experienced urgency or slight leakage when sneezing. In the past couple of years, I have noticed that my underwear sometimes feels damp, and upon ...
Dr. Cai Zongyou Reply:
Hello: In response to your question, the symptoms you mentioned could indeed be related to urinary incontinence. I recommend that you consult a urologist. There are actually four types of urinary incontinence, and a physician needs to evaluate you carefully in order to provide th...[Read More] Understanding Urinary Incontinence: Causes and When to Seek Help