Understanding Vas Deferens Issues: Varicocele and Management Tips
Vas deferens issues 1. Can the vas deferens experience varicocele issues? 2. There is a tube inside the scrotum that feels irregular, with bumps and uneven surfaces. What could this problem be? 3. How can varicocele be prevented from worsening? Is abstinence necessary, or sho...
Dr. Li Xinyi Reply:
There is no such thing as a disease called "spermatic cord varicocele." Based on your description, it is very likely that you are referring to a condition known as varicocele. The best approach is to hope to prevent it from worsening by avoiding prolonged sitting or sta...[Read More] Understanding Vas Deferens Issues: Varicocele and Management Tips
Understanding Varicocele: Causes, Symptoms, and Fertility Impact
Varicocele 1. Is bilateral varicocele always associated with infertility? 2. If the blood vessels in the scrotum feel irregular, is it varicocele? 3. Can the vas deferens be felt inside the scrotum? There is a thick structure that I'm unsure if it's a blood vessel o...
Dr. Li Xinyi Reply:
Even bilateral varicocele does not necessarily lead to infertility. Based on your description, what you should be feeling is indeed the varicocele, while the hard structure you mentioned could possibly be the vas deferens.[Read More] Understanding Varicocele: Causes, Symptoms, and Fertility Impact
Understanding Enlarged Epididymis: Is It Epididymitis?
Is an enlarged epididymis indicative of epididymitis? Hello Doctor, I noticed a slight protrusion above the right testicle when I touched it, but I usually have no symptoms. I occasionally feel a dull ache in the right vas deferens during ejaculation (this has been going on for a...
Dr. Du Shixi Reply:
Hello: My personal interpretation is that the right scrotal appendage is larger, and the report did not mention any issues. Wishing you good health.[Read More] Understanding Enlarged Epididymis: Is It Epididymitis?
Understanding Normal Variations in Male Reproductive Anatomy
Please consult a doctor about the structure of the reproductive organs? Hello, doctor. Recently, I've noticed hair starting to grow on my genital area, and I have two concerns regarding my genitalia that I would like to ask you about. First, is it normal for one of my testic...
Dr. Du Shixi Reply:
Hello: First, is it normal to sometimes feel that one testicle is lower or slightly displaced? --> Normal. Second, when I feel behind the testicles, I can touch two thick tubes; are those arteries or the vas deferens? --> Most likely the vas deferens. Wishing you good healt...[Read More] Understanding Normal Variations in Male Reproductive Anatomy
Understanding Low Urine Output and Erectile Issues: Causes and Concerns
Decreased urine output and erectile dysfunction? Since around August 25th, my urine output has suddenly decreased significantly; I have only urinated three times during the day, and each time it has been very little. This situation has continued until now, with most of my urine b...
Dr. Du Shixi Reply:
Hello: You should return for a follow-up appointment. Currently, your fluid intake should not be less than 2000cc. If you are sweating a lot, you may need to increase that amount. Limit sugary drinks and drink more plain water. Wishing you good health.[Read More] Understanding Low Urine Output and Erectile Issues: Causes and Concerns
Safe Surgical Options for Pediatric Hernia Repair in Young Children
Hernia surgery If a 3-year-old child has a larger right testicle and the doctor has diagnosed it as a hernia, the safest surgical approach would typically be laparoscopic surgery. This minimally invasive technique is associated with less trauma to surrounding tissues, including t...
Dr. Du Shixi Reply:
Hello: In my personal opinion, for very young patients, it is advisable to consult a pediatric surgeon. Follow their recommendations and consider their assessments and expertise when choosing a surgical approach. Both options should be acceptable as long as the surgeon is skilled...[Read More] Safe Surgical Options for Pediatric Hernia Repair in Young Children
Understanding Common Concerns About Male Genital Anatomy and Function
Questions regarding the structure of the genitalia? Hello, doctor. I have four questions I would like to ask you: 1. I am currently going through puberty, and I have noticed that whether my penis is erect or not, I can see the blood vessels. Is this a normal phenomenon? When no...
Dr. Du Shixi Reply:
Hello: Is it normal to see the blood vessels in the penis whether it is erect or not? When not erect, it appears somewhat greenish, while when erect, it turns red. --> This is normal. Also, my frenulum extends to the scrotum, and I feel that it doesn't exactly split in ha...[Read More] Understanding Common Concerns About Male Genital Anatomy and Function
Is Post-Ejaculation Pain Normal? Expert Insights on Urological Concerns
Questions about post-ejaculation issues should be directed to a physician? Hello, Doctor Du. In the past couple of days, I have been masturbating, and during and after the act, I didn't experience any issues. However, just now, I felt a slight pain on the left side of my pen...
Dr. Du Shixi Reply:
Hello: If your situation occurs occasionally, there is not much to worry about. However, if it happens every time you masturbate, it may be advisable to reduce the frequency and engage in moderate exercise. If the issue persists after 1-2 weeks, it would be better to seek medical...[Read More] Is Post-Ejaculation Pain Normal? Expert Insights on Urological Concerns
Understanding Hematospermia: Causes and When to Seek Help
The issue of hematospermia? I do DIY once a day, and a few days ago I noticed dark brown semen. I checked and there are no blood streaks, no pain while urinating, and no other discomfort. Now I plan to wait a week before doing DIY again.
Dr. Wu Shuyu Reply:
Hello, there are many causes of hematospermia, with the vast majority of simple hematospermia being related to inflammation or having an unknown origin, and only a very small percentage associated with malignant tumors (generally <2%). Previous surgeries or trauma may also be ...[Read More] Understanding Hematospermia: Causes and When to Seek Help
Understanding Groin Sensations: When to Consult a Urologist
Please ask your question? Hello doctor, I noticed while standing in the shower that there is a thick cord-like structure on the left side at the base of my penis where it connects to the testicle. It doesn't hurt when I touch it, but it feels a bit sensitive. I'm wonder...
Dr. Du Mingyi Reply:
That is the normal condition of the vas deferens.[Read More] Understanding Groin Sensations: When to Consult a Urologist
Understanding Testicular Issues: Is That Thick Connection Normal?
Testicular issues Hello doctor, I noticed while showering that there is a thick connection under the base of my penis, linking to the left and right sides of my testicles. It doesn't hurt when I touch it, but it seems a bit sensitive. I'm wondering if this is a blood ve...
Dr. Du Shixi Reply:
Hello: If there is a rubber band-like texture, it may be the vas deferens. If it is a blood vessel, it will be intermittently prominent. Wishing you good health.[Read More] Understanding Testicular Issues: Is That Thick Connection Normal?
Understanding Variations in Vas Deferens Position: What You Need to Know
Vas deferens issues The position of the vas deferens can vary, sometimes being located in front of the testis and other times behind it. If there is no pain associated with this variation, it is generally not a cause for concern. However, if you experience any discomfort or other...
Dr. Du Shixi Reply:
Hello: No problem, it can often happen. Wishing you good health.[Read More] Understanding Variations in Vas Deferens Position: What You Need to Know
Post-Vasectomy Pain: Understanding Abdominal Discomfort During Intercourse
Abdominal discomfort during intercourse since the sterilization procedure? I'm sorry, doctor, I remembered the time incorrectly; it was in December 2018 that I had a vasectomy (please refer to the bottom). The incision on the right side healed well and the stitches fell out ...
Dr. Li Xinyi Reply:
The tube that can be felt is likely the vas deferens, which is the tube that has been cut during a vasectomy. If there are real concerns, it is important to see a urologist for an examination and to discuss the issues in person. Online resources can only provide basic information...[Read More] Post-Vasectomy Pain: Understanding Abdominal Discomfort During Intercourse
Understanding Prostate Issues: Symptoms, Diagnosis, and Treatment Options
Prostate issues Hello Doctor: I have a burning sensation in my perineum along with pain in my lower right abdomen. I went to the hospital for an examination, and the doctor performed a semen analysis which showed the presence of bacteria, but did not test my prostatic fluid, so i...
Dr. Fu Shizhang Reply:
Based on the symptoms, it appears to be prostatitis, which requires antibiotic treatment. If there is a blockage in the vas deferens, it is theoretically not resolved through surgery. However, if there are cysts in the prostate, surgical intervention is indeed necessary. Online c...[Read More] Understanding Prostate Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Right Flank Pain After Ejaculation: Causes and Solutions
Post-ejaculation right flank and abdominal distension? Dear Dr. Du, I have been experiencing swelling and pain in my right lower back and right abdomen (groin area) since around the end of 2017, and I have not been able to determine the exact cause. Recently, I noticed that this...
Dr. Du Shixi Reply:
Hello: Your discomfort seems to be related to the pathway of the vas deferens, and there could be many possible causes. It is recommended that you visit a urology department at a medical center for some urological examinations. Since it has been 2 years, while it is not an emerge...[Read More] Understanding Right Flank Pain After Ejaculation: Causes and Solutions
Understanding Vas Deferens Injury and Its Impact on Testicular Health
The possibility of vas deferens rupture and the impact of scrotal edema? About four days ago, after sitting with my legs crossed due to a bad habit, I suddenly felt pain. I found it strange and suspected that I might have a rupture of the vas deferens. I also masturbated a few ti...
Dr. Du Shixi Reply:
Hello: I have never heard of the vas deferens being ruptured by external force. The likelihood is low. The so-called shrinkage of the testicles may be due to other reasons, and it may require a medical examination. Scrotal swelling is not an emergency surgery; if it does not affe...[Read More] Understanding Vas Deferens Injury and Its Impact on Testicular Health
Understanding Varicocele: Causes, Effects, and Treatment Options
Varicocele 1. Can varicocele lead to obstruction of the vas deferens? 2. Does left-sided varicocele affect the right testicle? 3. Is hospitalization necessary for laparoscopic surgery for varicocele? 4. Can left-sided varicocele cause complete loss of function in the left t...
Dr. Du Shixi Reply:
Hello: 1) No 2) No 3) Consult the surgeon 4) No 5) No If it is azoospermia, there should be other reasons. Wishing you good health.[Read More] Understanding Varicocele: Causes, Effects, and Treatment Options
Post-Ejaculation Pain and Swelling in Right Testicle: Causes and Concerns
Pain and swelling after ejaculation? Hello, doctor. I would like to ask about a recent issue. Due to a lack of time, I've accumulated a lot of stress, and after ejaculation, I experienced pain and swelling in my right testicle. I can also clearly feel a lump below it, while ...
Dr. Du Shixi Reply:
Hello: You may need to undergo a medical examination, as there could be an issue with the vas deferens. Wishing you good health.[Read More] Post-Ejaculation Pain and Swelling in Right Testicle: Causes and Concerns
Understanding Itching and Discomfort in the Genital and Perineal Area
Itching in the perineal and genital areas? Hello, doctor. I would like to ask you about a recent issue: for some reason, I have been experiencing itching from the base of the penis to the glans, as well as in the perineal area. This itching is not superficial; it feels like a dee...
Dr. Cai Zhuorong Reply:
Based on your description, both urethritis and urethral stones are possible diagnoses. Please visit a urology clinic for further evaluation.[Read More] Understanding Itching and Discomfort in the Genital and Perineal Area
Understanding Varicocele: Symptoms, Diagnosis, and Concerns Explained
Varicose veins Hello doctor, I would like to ask if the blood vessels involved in varicocele are prominent and can be felt as noticeable veins. I don't see any protruding veins on the surface of my scrotum, but when I pull back the wrinkled areas, I can see something that lo...
Dr. Du Mingyi Reply:
Varicocele, if severe, can be visually apparent and should be evaluated at a urology clinic. The normal pressure of the epididymis should not be painful, and it can occur bilaterally.[Read More] Understanding Varicocele: Symptoms, Diagnosis, and Concerns Explained