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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.
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Symptoms of Chronic Cystitis in Women
The main clinical manifestations of chronic cystitis in women are recurrent symptoms of frequent urination, urgency, and incomplete emptying, accompanied by pain in the lower abdomen, generally without the presence of blood in the urine. Chronic cystitis often develops from acute cystitis that has not been fully treated. For such cases, further urine culture and antibiotic sensitivity tests should be conducted. After identifying the causative bacteria, appropriate antibiotics should be used for regular treatment, typically exceeding three weeks. Additionally, there are special types of cystitis, such as glandular cystitis. In cases of this type of chronic cystitis, surgical bladder instillation and other treatments may be necessary.
Are urinary stones the same as kidney stones?
Urinary stones and kidney stones are not exactly the same. Urinary stones refer to stones in the urinary system, including kidney stones, ureter stones, bladder stones, and urethral stones. Therefore, kidney stones are just one type of stones in the urinary system, and urinary stones include kidney stones. If kidney stones occur, one should promptly visit the hospital's urology department for examinations such as ultrasound or CT scans. This facilitates understanding the specific size, location, number of stones, and whether there is accompanying hydronephrosis or infection, allowing for targeted treatment. If the stones are small, drinking plenty of water, urinating frequently, and exercising can help expel the stones from the body. If the stones are large, or there is hydronephrosis, it is advisable to consider surgery as soon as possible.
What should I do about urethral stone pain?
Urethral stones can easily irritate the urethral mucosa, causing urethral pain which intensifies during urination. Some patients may also experience significant urinary obstruction and urinary retention. In such cases, it is crucial to visit the hospital's urology department promptly for examinations such as ultrasonography and CT scans to determine the exact location and size of the stone for appropriate treatment. If the pain is severe, pain relief medication can be used initially before addressing the stone. If the stone is relatively small, drinking plenty of water and frequent urination can help expel the stone from the body. If the stone is large, timely surgical intervention is necessary to break and remove the stone. Only by removing the stone can the root cause of the pain be fundamentally resolved.
Is running useful for urethral stones?
If you suffer from urethral stones, running does not have a significant effect. If you have urethral stones, it is recommended to go to the hospital's urology department as soon as possible for a urinary system ultrasound, CT, and other examinations to determine the exact location and size of the stone in the urethra, and then proceed with targeted treatment. If the urethral stone is relatively small, it is advisable to drink more water and urinate frequently, relying on the flushing action of the urine to expel the stone from the body. If the stone is relatively large, it is recommended to have surgery as soon as possible. Running or jumping is generally used for stones in the upper or middle segments of the ureter. In this case, increasing physical activity may cause the stones in the ureter to move into the bladder. If you have urethral stones, vigorous exercise does not have a noticeable effect.
What is tested for cystitis?
After suffering from cystitis, a definitive diagnosis can be made through routine urine tests, ultrasonography, urine culture, and antibiotic sensitivity tests. Typically, the routine urine test will show a significant increase in white blood cells, possibly accompanied by pus cells, and often an increase in red blood cells as well. Ultrasonography may reveal inflammatory changes such as thickening and roughness of the bladder wall. Combined with the patient's clinical symptoms, such as frequent urination, urgency, painful urination, or even blood in urine, a clear diagnosis can be established. Once the diagnosis is confirmed, it is advisable to promptly treat with antibiotics. Oral antibiotics, such as levofloxacin tablets or cephalosporins like cefuroxime axetil capsules, are commonly used. During treatment, it is recommended to eat a light diet, avoid spicy and irritating foods, drink plenty of water, and urinate frequently.
How can an epididymal nodule be eliminated?
A significant portion of patients with epididymitis will have a hard nodule left at the site of the epididymis after inflammation control. This nodule is difficult to eliminate through medication. If the patient does not experience discomfort later on, local heat application or massage can be used to help dissipate the nodule. If the nodule does not cause any particular symptoms, no special treatment is needed. However, if the nodule is associated with significant pain or causes recurrent epididymitis, surgical removal of the epididymal nodule is recommended. After the surgery, timely anti-inflammatory treatment should be administered, and the wound should be kept clean and dry. Generally, recovery can be expected in about a week.
Prostate Calculus Symptoms
Most patients with prostate stones do not have any discomfort symptoms and are usually not detected. In most cases, prostate stones are discovered during physical examinations through ultrasonography. For such asymptomatic prostate stones, no special treatment is necessary. Some individuals may experience chronic prostate irritation due to the presence of prostate stones, leading to prostatitis or even hematospermia. In such cases, symptomatic treatment is recommended, and if an infection occurs, antibiotics should be used promptly for treatment. In daily life, it is advised to avoid prolonged sitting and holding urine, abstain from alcohol consumption, and engage in appropriate exercise to improve symptoms. If the prostate stones are large and symptoms are more pronounced, such as severe urinary frequency, urgency, pain, or bloody urine, surgical treatment may be considered.
What department should I go to for kidney stones?
Kidney stones are a urological condition requiring treatment at a hospital's urology department. Diagnosis involves imaging, such as ultrasound or CT scans, to determine the stone's exact size and location for appropriate treatment. If the stone is relatively small, with a diameter of six millimeters or less, referred to as a small stone, it generally does not require special treatment. Increased fluid intake, frequent urination, and exercise can help facilitate the expulsion of the stone. If the stone's diameter is between 0.7 and 1.5 centimeters, extracorporeal shock wave lithotripsy or ureteroscopy may be considered. For larger stones exceeding 1.5 centimeters, possibly accompanied by hydronephrosis, the recommended treatments are percutaneous nephrolithotomy or open surgery for stone removal.
Is kidney stones serious?
Whether kidney stones are serious depends on the specific size and location of the stones, and whether there is accompanying kidney hydronephrosis or infection. If it is just a small stone inside the kidney, such as one with a diameter of about five millimeters, this situation is not serious. By drinking more water, urinating frequently, exercising more, and combining with medications like stone expulsion granules and stone expulsion solutions, the stones can generally be expelled from the body. If the stones are large and cause kidney hydronephrosis, or even lead to pyelonephritis or renal abscesses, this situation is more serious. It requires anti-inflammatory treatment and timely surgical intervention to remove the stones, relieve the obstruction of the urinary system, and protect kidney function.
Is hematuria the same as uremia?
Hematuria is not the same as uremia; hematuria is merely a symptom with various causes such as infections of the urinary system, tumors, stones, or decreased coagulation function leading to blood in the urine. After experiencing hematuria, it is necessary to promptly visit a hospital's urology department for routine urine tests, ultrasonography of the urinary system, CT scans, urinary system imaging, or even a cystoscopy to determine the specific cause of the hematuria. Uremia, on the other hand, primarily refers to damage to kidney function, leading to decreased kidney function, which causes symptoms such as reduced urine output and localized edema in the body. If hematuria occurs or uremia is suspected, a detailed examination at the hospital's urology or nephrology department is required promptly.