Understanding Penile Concerns: What Are Those Bumps and Pain?
Penis Hello, doctor… I recently noticed that below my penis (in the area where the urethra and vas deferens are located, approximately two fingerbreadths down from the glans) I can feel a small row of about two to three fingerbreadths of nodules extending inward when I press down...
Dr. Zhou Xinpei Reply:
Penile disorders require further detailed examination for diagnosis. Please visit our Urology outpatient department as soon as possible. Thank you![Read More] Understanding Penile Concerns: What Are Those Bumps and Pain?
Understanding Varicocele: Concerns, Treatment Options, and Fertility Impact
Varicocele Hello, Doctor: I would like to ask a few questions. About two weeks ago, I visited a urologist and was diagnosed with a varicocele, but I have not undergone a semen analysis yet. The doctor mentioned that surgery is not necessary at this time, but I am still a bit conc...
Dr. Xu Weikai Reply:
S: Hello, I am pleased to assist you. 1. Varicocele, general indications for surgery: pain, infertility. 2. Surgery rarely damages the vas deferens and seldom causes significant complications. 3. Consider whether you can tolerate the pain. If you can, medication may not be necess...[Read More] Understanding Varicocele: Concerns, Treatment Options, and Fertility Impact
Can Vasectomy Fail? Understanding Pregnancy Risks After Procedure
Vasectomy Hello, doctor. I have been sterilized for several years. Recently, I had sexual contact with a woman without using a condom, and she mentioned that her menstrual period was due in a few days. However, almost a month later, she said her period did not come and she might ...
Dr. Liu Jianting Reply:
Yes! I have encountered cases of reconnected individuals. Please visit a urologist at the hospital for a semen analysis.[Read More] Can Vasectomy Fail? Understanding Pregnancy Risks After Procedure
Can Urethritis Cause Hidden Pain in the Vas Deferens?
Urethritis Can urethritis cause hidden pain in the vas deferens?
Dr. Zhang Chengye Reply:
It is possible. If you are still experiencing discomfort, please seek medical attention as soon as possible.[Read More] Can Urethritis Cause Hidden Pain in the Vas Deferens?
Minimally Invasive Vasectomy: Availability and Costs in Hsinchu
No-Scalpel Vasectomy Hello, does Hsinchu Hospital perform no-scalpel vasectomy procedures? Which doctors are performing no-scalpel vasectomies? Is the cost similar to Keelung Hospital, around four thousand NTD? Thank you.
Dr. Zhang Chengye Reply:
The correct term should be "no-scalpel vasectomy," which involves using sharp instruments to extract the vas deferens from the scrotum. The cost is approximately 7,300, with the actual charge determined according to our hospital's fee schedule.[Read More] Minimally Invasive Vasectomy: Availability and Costs in Hsinchu
Does Reconnected Vas Deferens Mean Fertility is Restored?
Is the vas deferens considered open once it has been connected? Thank you, Dr. Liu, for your previous response. I would like to ask you about the two cases you mentioned where the vas deferens were reconnected on their own. Does this mean that after reconnecting, the semen ejacul...
Dr. Liu Jianting Reply:
Please provide the content you would like me to translate into English.[Read More] Does Reconnected Vas Deferens Mean Fertility is Restored?
Can Tied Vas Deferens Loosen Over Time? Understanding Male Sterilization Risks
If a male undergoes a vasectomy where the vas deferens is tied but not cut, will it loosen over time? Hello Dr. Liu, I previously asked you a question and thank you for your response. I would like to ask you another question. I found out from my boyfriend that he had a vasectomy ...
Dr. Liu Jianting Reply:
Semen analysis! It is a test to check whether there are sperm present in the semen. This is the simplest and most effective way to address any concerns.[Read More] Can Tied Vas Deferens Loosen Over Time? Understanding Male Sterilization Risks
Can a Man Who Was Sterilized 10 Years Ago Still Impregnate?
Is it possible for a man to conceive after being vasectomized for ten years? Hello Dr. Liu: This issue has been troubling me for a long time as I keep seeing many different answers. I would like to seek your professional opinion for a correct indicator, thank you in advance. My b...
Dr. Liu Jianting Reply:
It is possible, but the chances are very slim. Essentially, a vasectomy involves cutting and tying off both vas deferens. It is quite unlikely for them to reconnect on their own, but in my 30 years of experience, I have indeed seen two cases where spontaneous reconnection occurre...[Read More] Can a Man Who Was Sterilized 10 Years Ago Still Impregnate?
Managing Premature Ejaculation: Solutions and Treatments for Sensitivity
Sensitivity Hello Dr. Chen, I am 30 years old. I have had several sexual experiences and I also have a DIY habit. My erections are normal and I have no issues with hardness. However, I tend to ejaculate quickly during sexual intercourse and DIY, which may indicate I am overly sen...
Dr. Chen Zhirong Reply:
When the glans or penis of a man is stimulated (such as through touch), the sensory nerve receptors located in the genitalia transmit this information, perceived as tactile stimulation, to the second to fourth sacral spinal nerves, which then relay it to the ejaculation center. T...[Read More] Managing Premature Ejaculation: Solutions and Treatments for Sensitivity
Exploring Options for Fatherhood After Vasectomy: A Guide
Desiring to have children after undergoing sterilization? Doctor, my husband is 62 years old and had a vasectomy four to five years ago. I am his second wife, and due to our age difference, we initially did not plan to have children. However, after much consideration, we have dec...
Dr. Zhang Chengye Reply:
Hello: Microsurgery is required for reconnection, but the effectiveness may vary depending on the time since the ligation and the local condition. It seems that Hsinling Urology in Taipei offers all the necessary services.[Read More] Exploring Options for Fatherhood After Vasectomy: A Guide
Understanding Urinary Symptoms After Frequent Masturbation
Feeling strange after masturbation? Hello, doctor... I have a habit of masturbating every day. Recently, during one session, I pressed my penis with my hand to prevent ejaculation, and afterward, I felt a burning sensation in my urethra. A few days later, when I masturbated again...
Dr. Xu Weikai Reply:
Hello, I believe there may be an inflammatory condition that could cause a blockage in the vas deferens or inflammation of the testis/epididymis. It is best to seek medical attention as soon as possible. I recommend seeing a urologist, and the specific tests to be conducted will ...[Read More] Understanding Urinary Symptoms After Frequent Masturbation
Understanding the Uncommon Condition of Spermatic Cord Epididymitis
Strange Epididymitis Hello Doctor: My husband has pain above his left testicle (not the testicle itself, but it feels like a cord or tube above the testicle) when pressed, it feels hard, and there is a sensation of fullness. A urologist has examined him and diagnosed him with epi...
Dr. Chen Xiuyi Reply:
Hello: The spermatic cord contains arteries, veins, lymphatic vessels, the vas deferens, and soft tissue, and it may become swollen due to inflammation, although this is less common in clinical practice. More commonly, epididymitis occurs, which is generally a result of retrograd...[Read More] Understanding the Uncommon Condition of Spermatic Cord Epididymitis
Overcoming Fertility Challenges After Long-Term Dialysis
The matter of having children while undergoing dialysis? Hello Dr. Chen, I have been on dialysis for eleven years due to a urinary tract infection that has led to my current need for hemodialysis. Two years ago, I met my current wife, who accepted me despite my serious condition...
Dr. Chen Zhirong Reply:
Hello, regarding semen volume, there is no direct relationship between ejaculation or nocturnal emissions and fertility; the key factor is the quality of sperm. The quality of sperm is closely related to the levels of male hormones, the presence of inflammation in the prostate, t...[Read More] Overcoming Fertility Challenges After Long-Term Dialysis
Understanding Post-Sexual Pain and Discharge: A Urology Perspective
Supplement to the previous question? Hello Dr. Chen: I would like to provide additional information regarding my previous question to assist you in your assessment. After intercourse, I experience pain in my penis that lasts for one to two days. Additionally, each time I have a b...
Dr. Chen Zhirong Reply:
Hello, regarding semen volume, there is no direct relationship between ejaculation or nocturnal emissions and fertility; the actual factor that matters is the quality of sperm. The quality of sperm is closely related to the levels of male hormones, whether there is inflammation o...[Read More] Understanding Post-Sexual Pain and Discharge: A Urology Perspective
Understanding Azoospermia: Causes and Treatment Options Explained
Azoospermia? Hello Dr. Hsu: I have been married for almost a year, and my wife has not become pregnant. Recently, we went to the hospital for examinations. After the tests, the doctor said my wife is fine, but my semen analysis revealed no sperm, which left me quite shocked. Th...
Dr. Xu Weikai Reply:
Xiao Zhao: Hello, azoospermia is clinically quite troublesome. Common causes include hormonal imbalances, chromosomal or genetic abnormalities, abnormal testicular development (which means no sperm production), underdeveloped or abnormal epididymis or vas deferens, bilateral epid...[Read More] Understanding Azoospermia: Causes and Treatment Options Explained
Understanding Testicular Atrophy After Varicocele Surgery: Causes and Concerns
Varicocele surgery Last August, I underwent surgery for left testicular fixation and bilateral varicocele repair, with incisions made near the scrotum between the two testicles. I received over twenty stitches. When I was 17 or 18 years old, my left testicle twisted 90 degrees, b...
Dr. Xu Weikai Reply:
Depressed Male: Hello, hearing about your experience is truly touching (just kidding). Generally, after a routine testicular fixation surgery, there may be localized inflammation, which is not necessarily an infection; sometimes, it can be an allergic reaction to the sutures. Typ...[Read More] Understanding Testicular Atrophy After Varicocele Surgery: Causes and Concerns
Understanding Semen Analysis Abnormalities: Causes and Solutions
Health check-up Hello, Doctor! Last week, I underwent a health check-up, and there was an abnormality in the semen analysis; sperm motility was not detected. The hospital conducted two tests, both showing the same result. When I was a child, I injured my testicle while riding a b...
Dr. Zhang Chengye Reply:
Hello: It is recommended that you visit the urology clinic for a semen analysis to determine the cause. Thank you![Read More] Understanding Semen Analysis Abnormalities: Causes and Solutions
Understanding Vas Deferens Blockage: Diagnostic Tests and Ultrasound
Could you please provide more details about the issues related to the vas deferens? If the vas deferens is obstructed, what tests can be used to determine this? Can ultrasound detect it, or is a specific test required to find out?
Dr. Xu Wencang Reply:
Hello: In response to your questions. 1. Bilateral vas deferens obstruction can result in azoospermia, hence the need for semen analysis. 2. A physical examination can reveal the absence of the bilateral vas deferens, leading to azoospermia. 3. A transrectal ultrasound can identi...[Read More] Understanding Vas Deferens Blockage: Diagnostic Tests and Ultrasound
Understanding Epididymitis: Hardness, Pain, and Fertility Concerns
Epididymitis occurred approximately four months ago? Four months ago, I had epididymitis and sought medical attention due to a painful hard lump in the epididymis and discomfort in the groin area. After taking medication for a month, both areas are no longer painful, but the epid...
Dr. Liu Jianting Reply:
1. After inflammation, there may be hard remnants, which is normal. 2. After treatment, sometimes due to inflammation, the nerves may be more sensitive, leading to occasional tenderness; however, recurrence cannot be ruled out. If symptoms persist or worsen, consult a urologist...[Read More] Understanding Epididymitis: Hardness, Pain, and Fertility Concerns
Understanding Testicular Pain: Causes, Treatments, and Fertility Concerns
My testicles hurt so much... it hurts to stand up straight. >_<” Dr. Hsu: 1. On January 8, I felt some pain in my testicles. From January 9 to 10, the pain increased, and on January 11, I sought medical attention (while in China). 2. The doctor examined me and said that the...
Dr. Xu Weikai Reply:
Hello, based on your description, it seems to be epididymitis. The standard treatment typically requires the use of antibiotics for 4 to 12 weeks (yes, that's 1 to 3 months), based on the results of urine culture. If the treatment is incomplete or not administered, it can le...[Read More] Understanding Testicular Pain: Causes, Treatments, and Fertility Concerns