Understanding Scrotal and Spermatic Cord Issues: Expert Insights
Scrotal and spermatic cord issues? I have not been feeling well. I appreciate the doctor for being available online on weekends to answer my questions. Actually, I have been seeing a doctor in Taipei, but there are always long lines. The doctor does not answer my questions in det...
Dr. Xu Weikai Reply:
Health is the most important: Hello, I'm glad my response was helpful to you. Regarding your questions, here are my replies: 1. Does medication for varicocele only relieve pain? To effectively alleviate pain and achieve a cure, surgery is necessary for varicocele. There ar...[Read More] Understanding Scrotal and Spermatic Cord Issues: Expert Insights
Understanding Varicocele: Symptoms, Causes, and Treatment Options
Varicocele Director, I'm here to ask again. I'm the one who has been experiencing persistent issues. I've had discomfort in my left testicle for over two weeks now. Thank you for your detailed responses before; I hope they are helpful to everyone. My current questi...
Dr. Xu Weikai Reply:
Health is the most important: Hello, today is a holiday, and I happened to turn on my device and saw an old friend asking a question, so I’ll take the opportunity to answer. Varicocele is a term that many people may not understand. I usually break it down: spermatic cord vein -- ...[Read More] Understanding Varicocele: Symptoms, Causes, and Treatment Options
Can Atrophied Testicles from Varicocele Still Function? To Remove or Not?
Testis Testicular atrophy caused by varicocele: Is the atrophied testicle still functional? Should it be removed? Thank you for your response, doctor.
Dr. Xu Weikai Reply:
Hello, Mr. Hao Fan: I am not sure if you are the same person as the previous Mr. Hao Fan. Testicular atrophy caused by varicocele does not require testicular removal; the issue to be corrected is the varicocele itself. A minor surgical procedure to correct it can lead to improvem...[Read More] Can Atrophied Testicles from Varicocele Still Function? To Remove or Not?
Common Urology Questions: Discomfort, Symptoms, and Testing Explained
There are still some questions bothering me? Thank you, Director Hsu, for your response. Unfortunately, I am in the northern part of Taiwan; otherwise, I would go to Taitung to see you. I have a few more questions to bother you with. 1. What is the clear fluid that is typically...
Dr. Xu Weikai Reply:
Dear Mr. Normal: It's nice to meet you again. Here are my responses to your questions: 1. During an erection, the penis and urethra may produce some clear secretions, similar to vaginal lubrication. This is normal and serves the purpose of lubrication. 2. The incubation pe...[Read More] Common Urology Questions: Discomfort, Symptoms, and Testing Explained
Understanding Testicular Atrophy: Causes, Symptoms, and Size Concerns
Testicular atrophy Many articles regarding varicocele mention the issue of testicular atrophy. I discovered I had a varicocele in my first year of high school, and my body doesn't have any major issues; I only experience occasional pain on the inner thigh. However, what is t...
Dr. Xu Weikai Reply:
Varicocele is a condition characterized by the enlargement of the veins within the scrotum, specifically the pampiniform plexus of the spermatic cord. When blood flow is impaired, it can lead to engorgement and tortuosity of the veins, resulting in increased blood volume in the a...[Read More] Understanding Testicular Atrophy: Causes, Symptoms, and Size Concerns
Understanding Recurring Pain After Varicocele Surgery: Causes and Concerns
Regarding varicocele? I had surgery for bilateral varicocele in November last year. However, in early January, I started experiencing pain on the left side after sitting for too long, lasting about two hours. My daily life was still relatively normal. By the end of March this yea...
Dr. Lai Ronghao Reply:
You have varicocele, with two surgeries on the right side and one on the left side. Theoretically, the recurrence rate is not high. It is recommended that you check again to see if there is any recurrence. If not, it may be neuropathic pain! In that case, it's best to avoid ...[Read More] Understanding Recurring Pain After Varicocele Surgery: Causes and Concerns
Do I Need Surgery for Varicocele? Understanding Risks and Timing
Does the varicocele require surgery? I was diagnosed with varicocele six months ago. Recently, I had a semen analysis that showed a low sperm count of about 5 million. However, I do not experience much pain; I only felt discomfort, which prompted me to see a doctor who advised th...
Dr. Zhang Chengye Reply:
Hello: 1. It can wait until next year to address the issue; I don't believe the varicose condition will worsen. 2. It is not necessarily the case that there will be insufficient semen volume. Sincerely, Dr. Chang Cheng-yeh, Attending Physician, Department of Urology, Hsinchu...[Read More] Do I Need Surgery for Varicocele? Understanding Risks and Timing
Does Age Increase the Severity of Varicocele in Urology?
Varicocele Does varicocele worsen with age?
Dr. Lai Ronghao Reply:
Hello: Varicocele can become more severe with age. This is a response from Dr. Lai Rong-Hao, Director of the Urology Department at Hsinchu Hospital, Ministry of Health and Welfare.[Read More] Does Age Increase the Severity of Varicocele in Urology?
Understanding Testicular Pain: Causes and When to Seek Help
Is there pain during menstruation? Hello, I would like to ask a question. Recently, my husband has been experiencing sharp pain below his right testicle, which feels like it might be the vas deferens or a blood vessel (he can feel something that seems like a cord). The pain occur...
Dr. Lai Ronghao Reply:
Hello: Possible causes include 1. neuropathic pain 2. varicocele 3. prostatitis 4. epididymitis 5. other skin infections, etc. It is recommended that your husband visit a hospital for examination. Sincerely, Dr. Lai Rong-Hao, Director of Urology, Hsinchu Hospital, Department of H...[Read More] Understanding Testicular Pain: Causes and When to Seek Help
Varicocele and Infertility: Surgical Options and Recovery Insights
Varicocele and Infertility Hello Dr. Lin: We are experiencing infertility. I underwent laparoscopic surgery for endometriosis on January 18. My husband has a sperm count of 2500, with only 8% motility, and he has been diagnosed with varicocele. The doctor has recommended surgery,...
Dr. Lin Hexing Reply:
Hello Ms. Wu: Simple varicocele should not result in the sperm analysis findings your husband has. If a varicocele ligation surgery is performed, the likelihood of achieving pregnancy may be quite low, and considering artificial insemination might be more feasible. 1. Generally, ...[Read More] Varicocele and Infertility: Surgical Options and Recovery Insights
Understanding Testicular Pain: Causes, Diagnosis, and Treatment Options
excuse me? Hello Dr. Lin: I went for another check-up at the urology department today and asked more detailed questions. The doctor performed a physical examination and confirmed that there is no varicocele. He advised me to go to the ultrasound endoscopy center tomorrow, March 1...
Dr. Lin Wenxu Reply:
First of all, based on your complaints, your symptoms do not appear to be typical of testicular torsion. (Testicular torsion commonly occurs in teenagers and often presents as sudden severe pain during sleep that wakes the individual up.) Additionally, ultrasound examinations can...[Read More] Understanding Testicular Pain: Causes, Diagnosis, and Treatment Options
Understanding Varicocele: Symptoms, Treatment Options, and Lifestyle Tips
About Varicose Veins Hello Dr. Lin, I have recently been experiencing pain in the right side of my scrotum after intercourse or during the night. After visiting the hospital and undergoing an examination, the doctor found that I have varicocele on both the left and right sides, ...
Dr. Lin Hexing Reply:
Hello Weiwei: To answer your question, the ultrasound examination shows that the scrotal vein measures 2.8mm, which is not considered severe. In young males, varicocele predominantly occurs on the left side. The main indications for surgery are 1. causing infertility, and 2. abdo...[Read More] Understanding Varicocele: Symptoms, Treatment Options, and Lifestyle Tips
Understanding Testicular Pain: Causes, Symptoms, and Treatment Options
Scrotal pain Doctor, I have been experiencing a pressure sensation in my left testicle whenever I sit down. I visited a urologist who examined me, conducted a urinalysis, and performed an X-ray. The doctor said there were no significant issues and suggested that I might be experi...
Dr. Lin Wenxu Reply:
Hello, based on your description, your condition seems to be what is referred to as "chronic testicular pain." There can be many potential causes (e.g., hernia, varicocele, hydrocele, testicular tumor, chronic prostatitis, and epididymitis, among others). Most patients ...[Read More] Understanding Testicular Pain: Causes, Symptoms, and Treatment Options
Concerns About Varicocele and Male Fertility: What You Need to Know
I'm very worried!! Varicocele can potentially lead to infertility. I have a noticeable varicocele on my left testicle, which feels like a lump when I touch it, but it doesn't usually hurt. When I have an erection, the veins on my penis become very prominent. Do I need s...
Dr. Liu Jianting Reply:
The sensation of "a bag of worms" is often used to describe varicocele. As for whether it leads to infertility, that is not absolute. If there is no pain, observation is sufficient, and there is no rush to undergo surgical high ligation of the veins. However, if there i...[Read More] Concerns About Varicocele and Male Fertility: What You Need to Know
Recovery Timeline for Sexual Activity After Varicocele Surgery
Varicocele Hello doctor, may I ask how long after varicocele surgery can one engage in sexual activity?
Dr. Liu Jianting Reply:
It can be done at any time, as long as the wound is not painful.[Read More] Recovery Timeline for Sexual Activity After Varicocele Surgery
Post-Varicocele Surgery: When Can You Resume Sexual Activity?
Postoperative care after varicocele artery ligation..? Hello, doctor... I would like to ask, after varicocele artery ligation surgery, how long should I wait before engaging in self-stimulation and how long before I can have sexual intercourse? Are there any precautions I should ...
Dr. Xu Weikai Reply:
Hello, due to the Lunar New Year, I am responding a bit late. Regarding your question, generally speaking, after varicocele surgery, there is no need for abstinence as long as there is no pain at the incision site; engaging in sexual activity is permissible as long as your physic...[Read More] Post-Varicocele Surgery: When Can You Resume Sexual Activity?
Understanding Varicocele: Concerns About Fertility and Diagnosis
Varicocele I have some questions I would like to ask. About two years ago, I underwent surgery for a left inguinal hernia. Since the surgery, I have noticed that there seems to be a bit more tissue on the upper left side of my scrotum (possibly remnants of the hernia sac). Someti...
Dr. Lin Hexing Reply:
Hello Boy: 1. The most basic requirement for normal fertility is having sufficient sperm. Therefore, to address your concerns, a semen analysis can determine whether you meet this basic requirement. However, meeting the basic requirement does not guarantee 100% fertility, as it i...[Read More] Understanding Varicocele: Concerns About Fertility and Diagnosis
Understanding Moderate Varicocele: Symptoms, Treatment, and Concerns
Moderate varicocele? Hello Doctor: Last week, I experienced pain in my left testicle (a mild discomfort, just a bit warm). The doctor's opinion was to wait until I get married and face potential infertility issues before considering surgery, so he prescribed Lorazepam (1mg),...
Dr. Liu Jianting Reply:
Of course, you should serve in the military! Is the pain in the left testicle caused by varicocele or orchitis? A varicocele does not necessarily lead to infertility, and surgery is not always required unless the varicocele is severe enough to cause discomfort in the left groin o...[Read More] Understanding Moderate Varicocele: Symptoms, Treatment, and Concerns
Understanding Groin Discomfort: Could It Be Varicocele?
Could you please tell me what my condition is? Is it varicocele? Hello, doctor. I have been troubled by a problem for a while now. My left groin area feels strange; it itches (similar to a tingling sensation) and when I press on it, it hurts. It's not a muscle pain, but rath...
Dr. Xu Weikai Reply:
Howard: Hello, your description is not very clear. I can only try to help you based on what you've described. Varicocele generally does not cause pain in the groin area; most of the discomfort is felt in the scrotum, particularly in the evening, and it can become especially ...[Read More] Understanding Groin Discomfort: Could It Be Varicocele?
Understanding Testicular Pain and Asymmetry: Common Urology Concerns
Bird egg problem Hello, Doctor... I would like to ask a question. 1. Is it normal for the left and right sides of the scrotum to be the same size? 2. I have noticed that when I touch a specific area on the left side of my scrotum, it hurts, and the pain radiates from the insi...
Dr. Chen Xiuyi Reply:
Hello: The difference in size between the left and right scrotum, along with left scrotal pain, raises the suspicion of conditions such as epididymitis or varicocele. A thorough physical examination or scrotal ultrasound is necessary. Please consult Dr. Chen Hsiu-Yi in the Urolog...[Read More] Understanding Testicular Pain and Asymmetry: Common Urology Concerns