Understanding Varicocele: Surgical Options and Patient Choices Explained
Varicocele Thank you for the doctor's response last time. I have a few more questions to ask: 1. You mentioned that the decision between low ligation or high ligation should be made by the doctor. Can I request to make that decision myself? 2. I saw a report from a certain h...
Dr. Xu Weikai Reply:
Zoe: Hello! 1. Both low and high approaches have their own advantages and disadvantages, and they also depend on the individual physician's experience. Unless you have a clear understanding of both options, or you can ask the physician for an explanation before making a deci...[Read More] Understanding Varicocele: Surgical Options and Patient Choices Explained
Should I Consider Surgery for My Urological Concerns?
I'm not sure whether to undergo surgery? Hello, Director Chen. I am 28 years old. A few years ago, during my military service, I accidentally discovered a lump about the size of a mung bean on the right side of my testicle (it moves around with the testicle). I went to a mil...
Dr. Chen Xiuyi Reply:
Hello: In males, the blood from the pampiniform plexus within the scrotum collects from the testes and drains into the right and left spermatic veins. The right spermatic vein drains directly into the inferior vena cava, while the left spermatic vein enters the renal vein at a ri...[Read More] Should I Consider Surgery for My Urological Concerns?
Post-Varicocele Surgery: Managing Swelling and Numbness Issues
Varicocele Hello, a few days ago I experienced pain due to varicocele, so I decided to undergo surgery immediately. It has been 5 days since the operation, and now I have swelling in the testicle area, extending from the testicle up to the abdominal incision site. This area still...
Dr. Xu Weikai Reply:
Mr. Huang: Hello, I would like to ask you first, where is your wound located? Is it in the groin area, or higher up near the prominent bone where you wear your belt? For postoperative wounds, it is generally recommended to apply ice during the initial phase, usually for about 3 d...[Read More] Post-Varicocele Surgery: Managing Swelling and Numbness Issues
Understanding Varicocele: Treatment Options and Surgical Insights
Varicocele 1. I have bilateral varicocele, with the left side being more severe and the right side being milder. However, the right testicle is noticeably smaller, resulting in an asymmetrical appearance. What treatment options are available? After surgery, can the testicle incre...
Dr. Xu Weikai Reply:
Zoe: Regarding your question, my answers are as follows: 1. Bilateral varicocele requires further examination to check for the presence of intra-abdominal tumors or other abnormalities. Typically, after surgery, the size of the testicles may not return to normal, but function can...[Read More] Understanding Varicocele: Treatment Options and Surgical Insights
Understanding Testicular Pain: Causes and When to See a Doctor
It seems that the testicles are painful..? I occasionally experience pain in my right testicle... it happens every few days and comes in waves! It has been hurting for about two to three weeks... the pain feels somewhat like being squeezed or cramping. What could be the cause of ...
Dr. Lin Wenxu Reply:
Hello Mark: There are many causes of chronic testicular pain, such as inflammation, hernia, scrotal edema, varicocele, tumors, etc. In fact, many patients may not even find a specific issue. It is recommended that you visit a urology clinic for a thorough examination and treatmen...[Read More] Understanding Testicular Pain: Causes and When to See a Doctor
Why Is My Ejaculation Different? Understanding Semen Flow and Health Concerns
Why am I unable to ejaculate? Dr. Chen: Hello, may I ask why my semen flows out after masturbation instead of ejaculating forcefully like the men in adult films? I recently underwent a military physical examination and was informed that I have a varicocele. Is there a need for su...
Dr. Chen Zhirong Reply:
Your ejaculation force is noticeably obstructed, and the most common cause is prostatitis, which can be classified into infectious and non-infectious types. It is advisable to visit an outpatient clinic for proper diagnosis and treatment. Varicocele can vary in severity, and in s...[Read More] Why Is My Ejaculation Different? Understanding Semen Flow and Health Concerns
Understanding Testicular Pain: Causes and Treatment Options
Testicular pain? I have been experiencing intermittent pain in my testicles for no apparent reason. It also hurts when I sit and spread my legs. I have seen two doctors; one said I have epididymitis and advised me to avoid alcohol and late nights, but I haven't been doing ei...
Dr. Xu Weikai Reply:
Vincent: Hello, may I ask which side is experiencing the testicular pain? Is it one side or both? Unilateral testicular pain is most commonly due to localized infections, such as orchitis or epididymitis. If it occurs on the left side, one should also consider varicocele (which r...[Read More] Understanding Testicular Pain: Causes and Treatment Options
Understanding Varicocele Pain: When to Consider Surgery and Risks Involved
Mild pain Hello, doctor. I have another question. Thank you for your help. I'm still troubled by the mild pain from my varicocele, which seems to come and go. The doctor said that if it hurts, I should consider surgery and that it's up to me to decide. Could this be rel...
Dr. Xu Weikai Reply:
Health is the most important: You have varicocele, which is quite common, and it may take about 3-6 months after surgery to gradually improve. For general treatment, you can take some pain relievers when experiencing pain, or reduce abdominal pressure (such as lying down to rest)...[Read More] Understanding Varicocele Pain: When to Consider Surgery and Risks Involved
Understanding and Managing Testicular Pain: Causes and Solutions
Testicular pain? I have pain in my right testicle, a kind of dull ache. I haven't touched it, so why is this happening? How can I improve this? Thank you.
Dr. Xu Wencang Reply:
Hello: In response to your question, the causes of testicular pain may include bacterial infection, varicocele, hernia, cremasteric contraction, and neuropathic pain. It is best to visit a hospital for a thorough examination to confirm the diagnosis.[Read More] Understanding and Managing Testicular Pain: Causes and Solutions
Understanding Pain in Varicocele: Causes, Symptoms, and Duration
Varicocele Hello, Dr. Liu! I would like to know about the pain associated with varicocele. Under what circumstances does it cause pain? Why does it hurt? Where does it hurt? Is the pain severe or mild? How long does the pain typically last? I apologize for asking so many question...
Dr. Liu Jianting Reply:
It may not necessarily be painful! Have you noticed that after standing for a long time, the left side of your scrotum feels like there is a bag of worms? Occasionally, there is a feeling of fullness, and sometimes there is a dull ache in the left groin area. Lying down and resti...[Read More] Understanding Pain in Varicocele: Causes, Symptoms, and Duration
Understanding Post-Surgery Pain After Varicocele Repair: Is It Normal?
Varicocele Hello doctor, it's been a month since my varicocele surgery, but sometimes after standing for 2 to 3 hours, I still experience some pain. Why is this happening? Is it a recurrence?
Dr. Xu Weikai Reply:
Hello, I think you are too anxious. It has only been one month since the surgery, and the wound is just beginning to heal. For varicose vein surgery, most commonly a high ligation technique is used, which means the incision is not located on the scrotum. This type of incision ten...[Read More] Understanding Post-Surgery Pain After Varicocele Repair: Is It Normal?
Managing Varicocele Pain and Improving Semen Quality: A Guide for Patients
Varicocele Thank you, doctor, for your detailed responses each time. I hope it won't be too much trouble to ask again. 1. I have a varicocele with occasional pain that is tolerable. How can I reduce the pain in my daily life? What dietary considerations should I keep in min...
Dr. Xu Weikai Reply:
Health is the most important: Hello, it seems like we've become old friends. Your questions are actually quite simple: 1. Reduce actions or lifestyle habits that increase abdominal pressure, such as constipation, coughing, and prolonged standing. Foods that are high in fiber...[Read More] Managing Varicocele Pain and Improving Semen Quality: A Guide for Patients
Understanding Testicular Pain: Causes and Chronic Prostatitis Insights
Testicular pain 1. If both semen culture and semen analysis do not reveal any bacteria or an excessive number of white blood cells, can we conclude that there is no chronic bacterial prostatitis? 2. After taking medication for urethritis for one month, I noticed pain in my left ...
Dr. Xu Weikai Reply:
Health is the most important: 1. If both semen culture and semen analysis do not reveal any bacteria or an excessive number of white blood cells, can we conclude that there is no chronic bacterial prostatitis? Generally, chronic prostatitis should not present with cultured bact...[Read More] Understanding Testicular Pain: Causes and Chronic Prostatitis Insights
Post-Varicocele Surgery: Understanding Neck Pain and Discomfort
Postoperative care for varicocele surgery? Hello Doctor, I just had varicose vein surgery five days ago. The pain has mostly subsided, but the only issue I'm experiencing is that I noticed when I lie flat, everything feels normal. However, after standing or sitting for abo...
Dr. Liu Jianting Reply:
Is it really that bad? This is the first time I've heard about it. It should not be related to the surgery; the side effects of anesthesia are not like this and certainly wouldn't last this long. By the way, what did the surgeon say? Please have him take a look, or cons...[Read More] Post-Varicocele Surgery: Understanding Neck Pain and Discomfort
Understanding PSA Test Results: Prostate Health Insights and Concerns
PSA test (Prostate-Specific Antigen test) Hello, Director Hsu. Thank you for answering so many people's questions. I went for a PSA prostate cancer test, and my result was less than 4, specifically 0.89. I have a few questions: 1. Does this also indicate that I do not have...
Dr. Xu Weikai Reply:
Health is the most important: The PSA level has been checked again, which is generally used for prostate cancer screening. Your value is below 1, so there should not be any issues. The semen culture is normal, which is great, indicating that there is likely no infection. Semen tr...[Read More] Understanding PSA Test Results: Prostate Health Insights and Concerns
Understanding Varicocele: Medication, Surgery, and Lifestyle Tips
Medication issues? Thank you, Dr. Hsu. 1. I have a grade 3 varicocele. I often experience swelling and pain. Is this considered severe? 2. The doctor prescribed Cataflam for me to take for 5 days. If it is ineffective, will I need surgery? 3. Is it true that I should not drin...
Dr. Xu Weikai Reply:
Health is the most important: Hello, Grade 3? It should be classified as Grade 3, which indicates a more severe condition. If that is indeed the case, considering surgery would be advisable. The response to medication is generally not very good; they only provide pain relief and ...[Read More] Understanding Varicocele: Medication, Surgery, and Lifestyle Tips
Understanding Prostate Issues: FAQs on Health and Recovery
Prostate issues Hello, Director Hsu. Thank you very much for your prompt responses, which have helped me better understand my condition. I have some questions regarding my prostate issues: 1. Can I engage in sexual activity or masturbation with prostatitis? Will it affect my rec...
Dr. Xu Weikai Reply:
1. Can prostatitis affect sexual activity or DIY? Will it impact recovery? There is no impact on recovery; however, in some cases, it may infect the partner. Caution is advised, or using a condom is recommended. 2. If varicocele only causes mild pain, will it worsen without surg...[Read More] Understanding Prostate Issues: FAQs on Health and Recovery
Understanding Varicocele: Treatment Options and Fertility Concerns
Management of Varicocele Hello Doctor: I am an unmarried man. After an examination (likely using ultrasound), the doctor mentioned that I have a slight varicocele (Varicocele I-II). It seems that the doctor believes I do not have any major issues and that no treatment is necessar...
Dr. Xu Weikai Reply:
Jack: Hello, generally speaking, varicocele has two situations that definitely require surgical correction: 1. Impact on fertility: this means there are issues with semen analysis. 2. Pain: Grade I-II varicocele may not require surgery; the degree of varicocele in grades I-II usu...[Read More] Understanding Varicocele: Treatment Options and Fertility Concerns
Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Management
Dr. Hsu, please respond? 1. What are the symptoms of chronic prostatitis? 2. If it is bacterial, is it useful to culture or test the fluid that comes out during an erection? 3. What could be the reasons for the intermittent pain associated with varicocele? 4. Are there any ...
Dr. Xu Weikai Reply:
Health is the most important: 1. What are the symptoms of chronic prostatitis? Frequent urination, thin urine stream, difficulty urinating, anal discomfort, irregular bowel movements, etc. 2. If it is bacterial, is it useful to culture or test the fluid that comes out during ...[Read More] Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Management
Understanding Left Testicular Pain: Causes and When to See a Doctor
Pain in the left testicle? Hello, doctor. Today, while sitting in a chair, I suddenly felt a sharp pain in my left testicle that was so intense I couldn't sit still. After a while, the pain subsided, but I still feel a lingering discomfort in the left testicle. This happens ...
Dr. Xu Weikai Reply:
A 27-year-old male: Hello, I have testicular pain, and it suddenly became severe, to the point where I can't sit or stand comfortably. I suspect it might be localized nerve pain. Of course, it could also be caused by an infection, inflammation, or even urinary tract stones. ...[Read More] Understanding Left Testicular Pain: Causes and When to See a Doctor