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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
Should I wear diapers for urinary incontinence?
Whether patients with urinary incontinence need to use diapers should be determined based on the severity of the incontinence. If it is only mild incontinence that does not affect normal work and life, it is not necessary to wear diapers. Regular urination schedules, along with exercises like pelvic lift and pelvic floor muscle training, can alleviate the condition. However, if the incontinence is more pronounced, it is best to initially use diapers to prevent excessive urine leakage. If necessary, a urinary catheter can be used temporarily to drain the urine and prevent leakage. At the same time, it is important to actively undergo relevant examinations to determine the cause of the incontinence and carry out targeted treatment.
Is urinary incontinence related to anything?
There are many causes of urinary incontinence. For example, the most common type, stress urinary incontinence, is related to the relaxation of the pelvic floor muscles and the bladder's detrusor muscle. Conditions like pelvic organ prolapse, as well as factors like being a mature mother or excessive obesity, can lead to stress urinary incontinence. Urgency urinary incontinence is often caused by severe bladder inflammation or associated with certain chronic diseases, such as diabetes or bladder neck sclerosis. Overflow incontinence, most commonly seen in elderly males, typically results from prostate enlargement that blocks the urethra, leading to urinary retention and consequently overflow incontinence. Therefore, to understand the specific causes of urinary incontinence, it is crucial first to differentiate the types of incontinence and combine this with the patient’s specific situation and related examinations for a clear diagnosis.
Can prostate cysts turn into cancer?
Prostate cysts and prostate cancer are not causally related. The causes, clinical manifestations, and prognoses of these two diseases are completely different. Prostate cysts are benign and generally do not significantly affect the patient; most patients do not have any discomfort, so prostate cysts will not turn into prostate cancer. If a prostate cyst is diagnosed, regular follow-up ultrasound examinations to monitor the specific size and changes of the cyst are sufficient; there is no need to worry about the cyst transforming into cancer. If the cyst is large and presses against the urethra, causing urinary discomfort, local heat application or warm water sitz baths can be considered to alleviate the symptoms.
How to exercise for self-healing of epididymal cysts
Epididymal cysts cannot heal through exercise alone. Also known as spermatocele, an epididymal cyst primarily occurs due to the blockage of the epididymal tubules, which can be caused by congenital factors or acquired factors such as infections or trauma. In most cases, epididymal cysts are small and the patient may not experience any discomfort. In such cases, no special treatment is needed; regular ultrasonic examinations at the hospital to monitor any changes in the size of the cyst are sufficient. However, some patients may have larger cysts that cause pain in the testicles and epididymis. For these cases, surgical removal of the cyst or aspiration of the fluid from the cyst can be considered.
Why does ejaculation hurt with chronic prostatitis?
Patients with chronic prostatitis experiencing painful ejaculation mainly results from the presence of the ejaculatory ducts within the prostate. When the prostate is inflamed, it leads to congestion and swelling, which compresses the ejaculatory ducts causing them to narrow. During ejaculation, due to the high pressure of ejaculation, semen passes through these narrowed ducts producing a significant pain sensation. For this condition, active treatment targeting the type of chronic prostatitis is necessary. If it is caused by bacterial infection, prompt antibiotic treatment should be administered regularly. After controlling the inflammation, the congestion and swelling of the prostate will gradually subside, and the symptoms of painful ejaculation will also alleviate. Patients with chronic prostatitis should pay attention to strengthening physical exercise, maintaining a light diet, and controlling the frequency of sexual activity to reduce prostate congestion and swelling.
Is chronic prostatitis secondary infection easy to treat?
Patients with chronic prostatitis who develop secondary infections need to clearly identify the pathogenic bacteria and the corresponding sensitive drugs to facilitate treatment. This can be determined through culturing the prostatic fluid and conducting sensitivity tests. Once the pathogenic bacteria and their sensitive drugs are identified, targeted and rational treatment can generally be more effectively managed. For chronic prostatitis patients, it is crucial to maintain a regular medication schedule and enhance lifestyle care, including eating a light diet, avoiding spicy and irritating foods, and regulating the frequency of sexual activity.
Can prostatitis affect fertility?
Patients with prostatitis can still be fertile. There are various types of prostatitis, with chronic nonbacterial prostatitis being more common in clinical settings. This type of prostatitis generally does not affect the quality of male semen and does not significantly impact fertility, so there is no need to be overly concerned about fertility issues. However, in the case of bacterial prostatitis, it is possible to culture prostatic fluid and perform susceptibility testing to identify the pathogenic microorganisms causing bacterial prostatitis and the antibiotics they are sensitive to. Active treatment with sensitive antibiotics should be undertaken regularly. Once the bacteria are eradicated, it is then possible to proceed with normal pregnancy planning. Regular physical exercise should be emphasized, avoiding prolonged sitting and holding urine, and consuming a light diet can effectively prevent the occurrence of prostatitis.
How to treat stress urinary incontinence?
Stress urinary incontinence primarily refers to the leakage of urine from the urethra while sneezing, coughing, laughing, or lifting heavy objects, which increases abdominal pressure. This condition is commonly seen in women who have given birth, mainly due to the relaxation of the pelvic floor muscles and the detrusor muscles. If the symptoms are not very severe, they can be improved through functional exercises of the pelvic floor muscles and the detrusor muscle. If the condition is moderate or severe stress urinary incontinence, surgical treatment is recommended. Mid-urethral sling procedures can be adopted to control urination.
Do urethral stones require hospitalization?
After suffering from urethral stones, whether hospitalization is necessary depends first on examinations such as color Doppler ultrasound and CT scans to determine the exact location and size of the stones within the urethra. If the stones are relatively small, such as about five millimeters, hospitalization is not necessary. By drinking more water and urinating frequently, the flushing action of the urine can expel the stones from the body. However, if the stones are larger and become lodged in the urethra, causing significant hematuria or even urinary retention, it is advisable to hospitalize immediately and proceed with surgery. Using a ureteroscope with holmium laser lithotripsy, the stones can be shattered and expelled from the body.
What are the methods for treating female urinary incontinence and incomplete bladder emptying?
There are several causes of urinary incontinence in women as well as types of urinary incontinence. The treatment method needs to be based on the specific type of urinary incontinence. For mild stress urinary incontinence, it can be improved through pelvic floor muscle exercises. For more severe cases of stress urinary incontinence, surgery may be required. If the incontinence is due to acute cystitis, it is necessary to use antibiotics in a timely manner for treatment. Once the inflammation is controlled, the symptoms will also alleviate. However, if the urinary incontinence is caused by damage to the nervous system, there are no effective treatment methods.