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Xu Chun Hua
Urology
About me
Graduated from the Fourth Military Medical University in 2003, majoring in Clinical Medicine, with a master's degree in medicine, and currently working as an attending physician.
Proficient in diseases
Diagnosis and treatment of diseases in male medicine, dermatology, and urology, specializing in phimosis, prostatitis, erectile dysfunction, premature ejaculation, etc. Proficient in surgeries for conditions like body odor and hemorrhoids.
Voices
Survival rate after early removal of kidney cancer
The prognosis of renal cancer is closely related to its clinical staging. If it is in the early stages, surgery is the preferred treatment and the prognosis is very good. Timely surgery followed by subsequent treatments such as immunotherapy, targeted therapy, etc., is recommended. For early-stage renal cancer, the five-year survival rate after surgical removal can exceed 90%, and some patients may live without issues for over 20 years. How long someone lives specifically also depends on the individual's constitution and physical condition.
What should I do about cystitis?
After discovering cystitis, do not be too stressed mentally, actively treat it, drink more water, and orally take sodium bicarbonate to alkalinize the urine. This can reduce irritation to the urinary tract. Additionally, medicines like atropine and diazepam can be used, and appropriate heat application to the bladder area, as well as hot water sitz baths, can alleviate bladder spasms. Antibiotics such as cephalosporins and quinolones can be appropriately used. For simple cystitis, you can choose antibiotics that are more sensitive, using a three-day treatment method, which is similar to a seven-day course, with fewer side effects and lower costs. (Please use medications under the guidance of a doctor.)
How long can someone with kidney cancer and hematuria survive?
A common symptom of kidney cancer is painless visible blood in urine, which is also the primary initial symptom. It is intermittent and sometimes accompanied by blood clots. However, after exhibiting this symptom, how long a patient can live depends on individual constitution and the severity of the condition. Once discovered, early surgical treatment is recommended, followed by immunotherapy, such as using interferons and interleukins.
Early symptoms of bladder cancer
Hematuria is the most common and earliest symptom of bladder cancer, with 85% of patients experiencing intermittent gross hematuria which can decrease or stop on its own, often giving patients a false impression of improvement or cure, thus delaying treatment. Sometimes, hematuria is also found under a microscope, and the amount of bleeding is not necessarily consistent with the size, number, or malignancy of the tumor. The hematuria from bladder tumors can initially be mild, and other symptoms such as frequent urination, urgency, and painful urination may also occur; these are all manifestations of bladder tumors.
kidney cancer immunotherapy drugs
The immunotherapy for kidney cancer often involves the use of interferons or interleukins, and the results are generally satisfactory. The effects of radiotherapy and chemotherapy for kidney cancer are not very certain. Typically, after kidney cancer is diagnosed, radical nephrectomy is performed. During the surgery, adequate exposure is essential. The renal hilum should be ligated first to prevent cancer cells from being squeezed into the bloodstream during surgery. It is also necessary to remove the fascia and fat around the kidney, along with the lymph nodes at the renal hilum. Combining these surgical measures with immunotherapy usually yields very ideal results.
What tests are done to diagnose kidney cancer?
The typical clinical manifestations of renal cancer are hematuria, a mass, and flank pain, but these symptoms generally appear only in the middle and late stages. CT scans often play a decisive role in the diagnosis of renal cancer. Ultrasound examinations are mainly used to screen for the presence of tumors in the entire urinary system, while excretory urography can reveal compression inside the renal pelvis by the tumor, which may show irregular deformations, narrowing, or elongation. Generally speaking, CT scans are quite important for the diagnosis of renal cancer and also play a decisive role.
Can you have sexual intercourse after kidney cancer removal?
After kidney cancer removal, based on an individual's physical condition, sexual activity can still be undertaken. Radical nephrectomy is also the best treatment method. During the surgery, it is often necessary to fully expose the area, first ligating the renal pedicle to prevent squeezing cancer cells into the bloodstream during surgery, while also removing the fascia and fat around the kidney, along with the lymph nodes at the hilum. After the surgery, it is also necessary to complement this with immunotherapy, such as using interferons and interleukins for immune treatment. Patients with kidney cancer can engage in appropriate sexual activities after surgery, but they should not be too strenuous, aiming not to feel tired the following day.
Treatment of cystitis
Treatment of cystitis includes drinking plenty of water and taking oral sodium bicarbonate to alkalize the urine, reducing irritation to the urinary tract. Atropine and diazepam may be used. Applying heat to the bladder area and taking hot water sitz baths can relieve bladder spasms. Antibacterial drugs such as cephalosporins and quinolones can be used. In recent years, for women with uncomplicated cystitis without complications, sensitive antibacterial drugs can be appropriately used for treatment. Postmenopausal women often experience urinary tract infections frequently. The lack of estrogen, leading to a decrease in lactobacillus in the vagina and an increase in pathogen proliferation, is often a factor in infections. Therefore, adopting estrogen replacement therapy can also maintain the normal vaginal environment and reduce the occurrence of urinary tract infections.
Can cystitis cause blood in urine?
Patients with cystitis may experience hematuria, commonly terminal hematuria, which occurs towards the end of urination. Sometimes, blood is present throughout the entire urination process, even with blood clots being expelled. The onset is often quite sudden, and may be accompanied by frequent urination, urgency, and painful urination, with severe cases needing to urinate every few minutes, regardless of day or night. Therefore, when cystitis leads to hematuria, there is no need for concern. Timely treatment can fully resolve the issue, and it is important not to be overly stressed mentally.
How is kidney cancer diagnosed?
Hematuria, pain, and lumps are the main symptoms of kidney cancer. If one or two of these symptoms appear, the possibility of kidney cancer should be considered. About half of the patients are found to have incidental kidney cancers, also known as asymptomatic kidney cancers, during physical examinations through incidental findings on ultrasound or CT scans. Some may show early symptoms of metastasis making the diagnosis quite challenging. The preoperative diagnosis of kidney cancer relies on the results of medical imaging examinations such as ultrasound, X-rays, and CT scans. CT scans have a very high confirmation rate for kidney cancer and are currently the most reliable imaging method for diagnosing kidney cancer.