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Wang Shuai
Urology
About me
Associate Chief Physician, Department of Urology, proficient in the diagnosis and treatment of urological diseases. Has published multiple professional papers in the province.
Proficient in diseases
Specialize in diagnosing and treating benign prostatic hyperplasia, urinary tract stones, and obstructive urinary tract diseases. Proficient in various minimally invasive diagnostic and treatment methods.
Voices
How are prostate stones formed?
The formation of prostate stones is mainly due to prostatic calcification. Prostatic calcification generally occurs after an individual has suffered from prostatitis. During the healing process of prostatitis, fibrosis and calcium deposits occur in the local prostatic tissue forming calcification foci, which gradually develop into stones. In some patients, stones form gradually due to the blockage of the prostatic ducts. Many patients with prostate stones do not experience discomfort, and for those without symptoms, special treatment may not be necessary. However, some patients may experience symptoms such as frequent urination, urgency, and incomplete voiding due to the presence of prostate stones. For such cases, local physiotherapy and warm sitz baths can be used to alleviate the symptoms.
How is epididymitis caused?
Epididymitis refers to the inflammation of the epididymis, characterized by enlargement and pain, caused by infections from pathogens such as bacteria. The main cause of epididymitis is usually a preceding infection such as urethritis, bacterial prostatitis, or vesiculitis that was not timely treated. Bacteria spread along the vas deferens to the epididymis, leading to epididymitis. Additionally, trauma to the epididymis can also cause epididymitis. Another common scenario is related to certain medical procedures, such as prolonged catheterization or after undergoing plasma electrocautery surgery of the prostate, which can easily lead to epididymitis. Once epididymitis occurs, it is crucial to promptly treat it with antibiotics. During treatment, it is advisable to consume a light diet, avoid spicy and stimulating food, rest as much as possible in bed, and keep the scrotum elevated. (Specific medication usage should be conducted under the guidance of a doctor.)
How to treat epididymitis?
For the treatment of epididymitis, antibiotics are mainly used. Epididymitis is mostly caused by bacterial infections, such as Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus aureus. In such cases, it is necessary to use fluoroquinolone antibiotics and cephalosporin antibiotics promptly. If it is caused by a viral infection, antiviral medications are recommended. During treatment, it is important to eat a light diet and avoid spicy and irritating foods. Smoking and alcohol should be avoided. Patients should lie down as much as possible, rest, and elevate the scrotum, which helps the circulation of blood in the scrotum and testicles and aids in the improvement of the condition. Vigorous exercise or prolonged standing during treatment can worsen the condition. (The use of medications should be guided by a professional doctor.)
Can you drink alcohol during epididymitis?
Drinking alcohol is prohibited during epididymitis as it can exacerbate the inflammation and hinder the treatment of the disease. Additionally, antibiotics are required during this period, and drinking alcohol can react adversely with these antibiotics. Therefore, alcohol consumption is forbidden during the treatment of epididymitis. Besides abstaining from alcohol, it is also important to maintain a light diet and avoid spicy and irritating foods, such as onions, ginger, garlic, and chili peppers; these should be consumed minimally or not at all. Moreover, it is essential to rest as much as possible, ideally with bed rest, keeping the scrotum elevated to promote local blood circulation. (Medication should be administered under the guidance of a professional doctor.)
Symptoms of varicocele in the right spermatic cord
If it is a mild varicocele, most patients have no discomfort symptoms and it is not easily detected. If the varicocele reaches a moderate or even severe level, the patient may experience a sensation of dragging pain in the right testicle and a lax scrotum, especially after long periods of sitting, standing, or intense exercise. The pain and dragging sensation in the testicle will become more pronounced. However, the symptoms will gradually ease after lying down and resting. If varicocele persists for a long time, it can lead to a decline in sperm quality, causing male infertility, and can even result in testicular atrophy. If the above symptoms are present, it is necessary to promptly go to the hospital for an ultrasound examination to determine the diameter of the spermatic vein. A routine semen analysis may be necessary if there is a decline in semen quality. If needed, surgery may be required for treatment.
Varicocele is caused by what?
There are several causes of varicocele, which might be due to damage or congenital deficiency of the valves in the spermatic veins. It may also be caused by prolonged standing or sitting, strenuous exercise, or venous reflux difficulties due to gravity. Some patients suffer from varicocele due to renal vein thrombosis caused by a tumor within the renal vein, or external tumors compressing the spermatic veins. Additionally, natural anatomical structures also play a significant role, particularly in left-sided varicoceles. This is because the left spermatic vein is longer, enters the left renal vein at a right angle, and is compressed by the superior mesenteric artery. These factors heighten venous backflow pressure, which over time can also lead to varicocele.
Is urinary retention prostatitis?
Urinary hesitation is just a symptom, with various underlying causes. It cannot be determined whether it is due to prostatitis solely based on the symptom of urinary hesitation. In addition to prostatitis, prostate enlargement, prostate cancer, bladder diseases, or dysfunction of the detrusor muscle can also lead to urinary hesitation. Upon experiencing urinary hesitation, it is advisable to promptly visit the urology department of a hospital for diagnosis through ultrasonography, CT scans, routine prostate fluid analysis, and even urodynamic testing to determine the specific cause of the urinary hesitation. If it is caused by prostatitis, the routine analysis of prostate fluid often indicates a reduction in lecithin bodies. If it is bacterial prostatitis, there will also be an increase in white blood cells.
Is a 6mm prostate cyst considered large?
A prostate cyst with a diameter of 6mm is generally not serious, and most patients do not experience discomfort. For such cases, there is no need for special treatment; it is only necessary to recheck the ultrasonography every six months to a year to monitor any changes in the size of the cyst. If the cyst continues to grow and presses on the urethra, causing symptoms such as frequent urination, incomplete bladder emptying, or urgency, warm water sitz baths or local physiotherapy can be used for improvement. If the cyst is large enough to block the urethra, causing urinary retention or severe difficulties in urination, it is recommended to undergo surgery as soon as possible to remove the cyst and restore urinary flow.
Symptoms of prostatitis pain
Patients with prostatitis, in addition to experiencing urinary discomfort symptoms such as frequent urination, urgency, and incomplete emptying, also experience pain symptoms, primarily manifested as pelvic pain. The pain is mainly located in the perineum, anal area, lower abdomen, and some patients may also experience pain in the sacral and even testicular areas. The pain is generally a persistent discomfort similar to gastrointestinal bloating and is usually not severe. However, in cases of acute bacterial prostatitis, the pain can be intense. If these symptoms occur, prostatitis should be strongly considered, and it is advisable to visit a hospital's urology department for preliminary assessment through ultrasound, routine prostate fluid analysis, and rectal examinations, followed by targeted treatment.
How are kidney stones caused?
There are many causes leading to the formation of kidney stones, related to daily water and food intake, lifestyle habits, living environment, genetics, and certain diseases. For example, patients with hyperuricemia and those with hyperfunctioning parathyroid glands are prone to the formation of kidney stones. Additionally, individuals who often stay in high-temperature environments and neglect to drink water frequently and urinate regularly, can easily experience concentrated urine, which also promotes the formation of kidney stones. Furthermore, people who consume large amounts of calcium and oxalate-rich foods over long periods are also commonly at risk of developing kidney stones.