Understanding Varicocele: Concerns, Symptoms, and Self-Examination Tips
The issue of varicocele? Doctor, I apologize for continuously asking questions. Last time, I was diagnosed with mild varicocele on both sides, but I visited two hospitals for further examination, and the doctors said it was mild, so there’s no need for surgery. They advised me to...
Dr. Xu Weikai Reply:
Hello, during an ultrasound examination, a gel is applied, which consists of glycerin, starch, and other components, to facilitate the transmission of ultrasound waves into the tissues. This practice is used worldwide, and I have not heard of any adverse reactions associated with...[Read More] Understanding Varicocele: Concerns, Symptoms, and Self-Examination Tips
Understanding Varicocele: Can Mild Cases Lead to Testicular Atrophy?
Varicocele During my first visit to the hospital for an ultrasound, the doctor mentioned that I have a mild left-sided varicocele. However, when I went to another hospital for a follow-up ultrasound, the doctor indicated that I have varicoceles on both sides, but they are also mi...
Dr. Xu Weikai Reply:
Hello, testicular atrophy can vary depending on the individual circumstances, as each patient's situation is different. Some individuals may have severe varicocele without any testicular issues, while others may have only mild varicocele but experience significant testicular...[Read More] Understanding Varicocele: Can Mild Cases Lead to Testicular Atrophy?
Understanding Left Testicular Swelling: Causes and Fertility Impact
Swelling of the left testicle? Hello Doctor, this year I have noticed that my left testicle seems to be consistently larger than my right testicle. It doesn't hurt, but it feels more swollen. Additionally, the left testicle is connected by a cord-like structure, which I beli...
Dr. Xu Weikai Reply:
Mr. Li: Hello, based on your condition, it is best to seek medical attention as soon as possible. Relevant examinations should be conducted, such as semen analysis and testicular ultrasound, to determine if there are any lesions, such as testicular tumors, or issues related to in...[Read More] Understanding Left Testicular Swelling: Causes and Fertility Impact
Understanding Varicocele: Risks, Symptoms, and When to Seek Treatment
Varicocele Hello, I developed a varicocele around the age of 20. I usually experience only mild discomfort, and sometimes none at all. I have already had three children, so I have concerns about infertility. However, I read online that I should consider the issue of testicular at...
Dr. Lin Hexing Reply:
Hello: The indications for surgery in cases of varicocele include primarily pain causing discomfort in the testicles that prevents prolonged standing, and infertility due to a significant impact on sperm count and quality, or obvious testicular atrophy. Since you have already had...[Read More] Understanding Varicocele: Risks, Symptoms, and When to Seek Treatment
Understanding Varicocele: Management and Exercise Guidelines
Varicocele 1. The doctor advised against prolonged sitting or standing. However, due to my job, I need to stand for long periods. If I experience discomfort, is it sufficient to sit down and rest, or are there other ways to alleviate the discomfort? 2. Since I am preparing to en...
Dr. Xu Weikai Reply:
R: Hello. 1. Any actions or postures that increase abdominal pressure may cause venous swelling, including coughing, constipation, and prolonged standing. 2. Exercising is very beneficial. As long as you do not experience pain after exercising, there should be no need for special...[Read More] Understanding Varicocele: Management and Exercise Guidelines
Understanding Varicocele Symptoms and Diabetes Effects on Reproductive Health
Urological diseases Hello, Dr. Li. 1. What are the symptoms of varicocele? 2. Besides fungal infections, what other complications from diabetes can affect the reproductive system?
Dr. Li Yilun Reply:
Varicocele is characterized by abnormal twisting and swelling of the testicular veins (i.e., the spermatic veins) within the spermatic cord, commonly occurring in males around puberty. Approximately 10% of young males have varicocele, while about 30% of males with infertility hav...[Read More] Understanding Varicocele Symptoms and Diabetes Effects on Reproductive Health
Post-Surgery Care and Exercise Guidelines for Varicocele Patients
Postoperative varicocele? Hello, Doctor. I am 30 years old and underwent traditional high ligation surgery for varicocele for the first time last year. Seven months later, I experienced a recurrence, with the varicocele still swollen, heavy, and painful, resembling a "worm&q...
Dr. Xu Weikai Reply:
K: Hello, actually, varicocele is a localized swelling caused by poor blood flow. When abdominal pressure increases, it raises the pressure on the venous return, thereby affecting the degree of varicosity. After surgery, theoretically, the affected veins are ligated, and these ve...[Read More] Post-Surgery Care and Exercise Guidelines for Varicocele Patients
Does Left Varicocele Surgery Affect Right Side Symptoms?
Does varicocele on one side affect the other side? Hello Dr. Hsu, At the end of June, I was diagnosed with left-sided varicocele and underwent a left-sided varicocelectomy in early July. Since the surgery, the discomfort on the left side has improved significantly; however, I ha...
Dr. Xu Weikai Reply:
Hello, generally speaking, the likelihood of bilateral varicocele is quite low. If the pain persists, a follow-up ultrasound of the scrotum can be considered. If there are any unclear aspects, feel free to ask again, and we can discuss and research further. Answers found online s...[Read More] Does Left Varicocele Surgery Affect Right Side Symptoms?
Understanding Semen Analysis: Key Insights for Young Men
Semen analysis Hello, I previously underwent a semen analysis due to varicocele, and the results are as follows: Result Unit Reference Range Total amount 5.0 ml >2.0 Count 42.0 10^6/ml >20.0 pH 8...
Dr. Xu Weikai Reply:
Mr. Lin: Hello. 1. Count refers to concentration. The sperm count typically reaches 60 million/ml. 2. Although the sperm count is lower, conception is still possible. It is recommended to improve through lifestyle adjustments. Avoid staying up late, exercise at least three times ...[Read More] Understanding Semen Analysis: Key Insights for Young Men
Understanding Varicocele: Impact on Semen Quality and Fertility
Varicocele Hello, I would like to ask: Last week, I had an ultrasound at the urology department, and the doctor mentioned that there is a significant dilation of the left spermatic vein, while the right side is only very mild. Additionally, blood tests and a semen analysis were a...
Dr. Xu Weikai Reply:
Mr. X: Hello. 1. Poor physical condition can lead to decreased semen quality and even infertility. 2. Varicocele can cause an increase in testicular temperature, affecting testicular development. The longer the condition persists, the greater the impact. 3. Whether to proceed wit...[Read More] Understanding Varicocele: Impact on Semen Quality and Fertility
Understanding Varicocele: Stages, Risks, and Treatment Options
Varicocele Hello, varicocele is classified into different grades. Typically, staging is associated with malignant tumors, and the purpose of staging is to determine the extent of the disease and guide treatment options. If a person has already fathered children and only experienc...
Dr. Xu Weikai Reply:
KJDH: Hello, generally, conditions are classified into three levels based on severity (there is also a four-level classification) to facilitate clinical discussions or data collection among healthcare providers. The decision to perform surgery is not directly related to the sever...[Read More] Understanding Varicocele: Stages, Risks, and Treatment Options
Testicular Torsion vs. Varicocele: Understanding the Differences and Risks
Testicular torsion and varicocele? Hello, is testicular torsion the same issue as spermatic cord torsion? Reports indicate that testicular torsion requires immediate surgery to prevent testicular necrosis. Twenty years ago, I also experienced pain from my lower abdomen to my test...
Dr. Xu Weikai Reply:
Hello, testicular torsion requires urgent surgery, generally recommended within 6 hours. Therefore, your situation is likely not torsion. If there are any unclear points, feel free to ask again for further discussion and research. Online responses can only serve as a reference; i...[Read More] Testicular Torsion vs. Varicocele: Understanding the Differences and Risks
Understanding Varicocele: Impact on Testosterone and Sexual Function
Varicocele Doctor, I have had a varicocele since middle school and have never sought treatment. Recently, over the past month, my libido has rapidly decreased, affecting my sex life. When I am intimate with my girlfriend, I often feel weak and have difficulty maintaining an erect...
Dr. Li Xinyi Reply:
Varicocele is actually quite common, but the severity can vary. Generally speaking, it does not significantly affect testosterone secretion. The issue with axillary hair may be related to sexual development, and coupled with decreased libido, it would be advisable to check hormon...[Read More] Understanding Varicocele: Impact on Testosterone and Sexual Function
Understanding Varicocele: Symptoms, Diagnosis, and Management Tips
Varicocele Hello Dr. Hsu, thank you for your previous response. I would like to ask what further examinations might be necessary? A couple of weeks before I experienced the swelling and pain in my scrotum, I had an abdominal ultrasound during a company health check, which showed ...
Dr. Xu Weikai Reply:
Hello, Varicocele: Maintenance methods include reducing prolonged standing and avoiding long-term abdominal strain, such as from constipation or chronic cough. If the abdominal ultrasound shows no issues, it may be fine. If there are any unclear points, feel free to ask again for...[Read More] Understanding Varicocele: Symptoms, Diagnosis, and Management Tips
Understanding Varicocele: Causes, Symptoms, and Management Options
Varicocele Hello Dr. Hsu, I recently visited a clinic in Taichung due to intermittent swelling and pain in both testicles, and I was diagnosed with bilateral varicocele, with the left side being more severe. The doctor advised me to adjust my daily routine and sitting posture, an...
Dr. Xu Weikai Reply:
Hello, abdominal bloating does not cause varicocele. The physician recommends adjusting your daily routine and sitting posture, and there is no suggestion for surgery, indicating that the condition is not severe and should not affect sperm development. Follow the physician's...[Read More] Understanding Varicocele: Causes, Symptoms, and Management Options
Understanding Recovery After Laparoscopic Varicocele Surgery: Key Insights and Concerns
Observation Recovery Period I would like to ask about the treatment for left-sided varicocele that was performed using laparoscopic ligation. The doctor mentioned that two veins on the left side were ligated, and one mildly on the right side. I want to understand if it is standar...
Dr. Xu Weikai Reply:
A-Hong: Hello, for a typical varicocele surgery, health insurance can cover it, but you will need to bear 1/10 of the cost yourself. This is a regulation set by the National Health Insurance Administration. Additionally, some materials used in microsurgery are considered out-of-p...[Read More] Understanding Recovery After Laparoscopic Varicocele Surgery: Key Insights and Concerns
Understanding Varicocele: Treatment Options and Recovery Insights
Varicocele I feel that my testicles have a noticeable difference in size compared to others, possibly due to varicocele. If treated, will they return to a normal size? Are there any treatment options that do not require a hospital visit?
Dr. Xu Weikai Reply:
JJJ: Hello, it is essential to establish a diagnosis before any treatment can be administered. Without a confirmed diagnosis, I cannot provide you with advice. If there are any unclear points, feel free to ask again, and we can discuss and research further. Online responses shoul...[Read More] Understanding Varicocele: Treatment Options and Recovery Insights
Managing Postoperative Pain After Varicocele Surgery: What You Need to Know
What should be done about postoperative pain? Dear Doctor, I underwent bilateral varicocele surgery at the end of November last year, and it has been almost five months now. However, I still experience occasional pain (like a stabbing sensation) around the incision site. Is this ...
Dr. Li Yilun Reply:
Because you have undergone surgery, if there are any changes to your wound, you should consult your surgeon. Other physicians may not be familiar with the surgical procedure and your condition, and may not be able to answer your questions.[Read More] Managing Postoperative Pain After Varicocele Surgery: What You Need to Know
Understanding Excessive Masturbation: Pain, Sensitivity, and Concerns
Suspected excessive masturbation? Hello, Dr. Liu: I am currently in my senior year of high school. During my last masturbation session, it lasted about two hours (though not with continuous erection, as I took breaks in between). When I finally ejaculated, there was a significant...
Dr. Liu Jiaju Reply:
1. During the male erection process, contraction of the pelvic muscles is necessary. Excessive frequency of masturbation may lead to temporary soreness, which will improve after some time. However, prolonged standing may cause swelling and soreness in the left scrotum, and it is ...[Read More] Understanding Excessive Masturbation: Pain, Sensitivity, and Concerns
Understanding Burning Sensation in the Feet: Possible Causes and Solutions
Burning sensation in the soles of the feet? Dear Dr. Gao, For the past two weeks, I have been experiencing a persistent or intermittent burning sensation in the sole, dorsum, and toes (especially the big toe) of my left foot. Sometimes, it is accompanied by a feeling of swelling...
Dr. Gao Chunde Reply:
The distribution of the sciatic nerve is located on the posterior side of the thigh and the lateral side of the calf, with involvement in the plantar and medial aspects of the foot. There is no rush to undergo an MRI; it is advisable to first visit a neurology clinic to gain a de...[Read More] Understanding Burning Sensation in the Feet: Possible Causes and Solutions