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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
Does epididymitis require the removal of the testicle?
After developing epididymitis, in most cases, it is not necessary to remove the testicle. The appearance of epididymitis is mainly due to an infection by pathogens that causes the epididymis to become enlarged and painful. With early and timely anti-inflammatory treatment, generally, medication can lead to cure after one to two weeks for most patients, so surgical intervention is usually not necessary. If epididymitis is not treated promptly, it is very likely to cause inflammation of the testicle, and even lead to abscesses in the epididymis and testicle. In severe cases, it might become necessary to remove the testicle. Therefore, after developing epididymitis, one should promptly visit the urology department of a hospital for standard treatment to avoid unnecessary complications. (The use of medications should be under the guidance of a doctor.)
Is frequent urination alone prostatitis?
Frequent urination is just a symptom of urinary irritation, and there are many causes of frequent urination. Prostatitis is just one of the causes. Additionally, infections in the urinary system, such as urethritis, or the presence of stones or tumors in the bladder, can also lead to symptoms of frequent urination. Therefore, after experiencing frequent urination, it is essential to first visit the urology department at a hospital for routine urine tests and an ultrasonic scan of the urinary system. If necessary, conduct routine examinations of prostate fluid to identify the specific cause of the frequent urination. If it is due to a urinary tract infection, it is crucial to use antibiotics promptly. If it is caused by stones or tumors in the urethra, surgical treatment may be required in a timely manner.
Epididymitis and orchitis, what is the difference?
The epididymis and testicles are both part of the male reproductive organs. The epididymis is an accessory gland of the testicle and is located adjacent to it. If epididymitis or orchitis occurs, it is difficult to distinguish between them based on symptoms alone, as both conditions can cause noticeable enlargement and pain of the scrotum, but further examination is required for a definitive diagnosis. During a physical examination, it can be observed that patients with epididymitis have a noticeably enlarged epididymis, while the enlargement of the testicle is not as prominent. Conversely, with orchitis, the testicle is significantly enlarged, while the enlargement of the epididymis is less noticeable. Since these two organs are adjacent, epididymitis often occurs with orchitis, and vice versa. Clarification typically requires examinations such as ultrasonography. However, there are no significant differences in the treatment of these two conditions, so they are often collectively referred to as epididymo-orchitis.
Prostatic calcification refers to the presence of calcium deposits in the prostate gland.
Prostatic calcification caused by prostatitis primarily refers to the fibrous calcification deposits that occur in the local tissue of the prostate after the prostatitis has healed. Simply put, it refers to the scar tissue left after a prostate infection. Under color ultrasound examination, it appears as a strong echo cluster, and under CT examination, it appears as a high-density shadow. The presence of prostatic calcification lesions usually does not cause discomfort for most patients and is often discovered during routine ultrasound examinations during physical check-ups. For those cases where there are no discomfort symptoms associated with prostatic calcification lesions or spots, no special treatment is needed, as they do not pose a significant risk to health.
What department should I go to for prostatitis?
Prostatitis commonly occurs in young males. After the onset of prostatitis, patients generally exhibit symptoms such as frequent urination, urgent urination, and painful urination. Some patients may also experience heaviness and pain in the perineal and anal region. It is important to timely visit the urology department of a hospital, where diagnosis can be confirmed through routine examination of prostate fluid, culture and antibiogram of prostate fluid, prostate ultrasonography, and even digital rectal examination of the prostate. Treatment should be based on the results of these examinations. If the prostatitis is bacterial, sensitive antibiotics should be used for regular treatment. If the patient has significant urinary discomfort, medications that improve urinary symptoms can be added to the treatment. If the patient also experiences significant pelvic pain, the use of non-steroidal anti-inflammatory pain medications can be considered. (Please take medications under the guidance of a doctor.)
Urinary stone symptoms in men
The main symptoms of a male suffering from urethral stones are directly related to the size of the stones. If the stones are small, they often pass through urination, flushing out of the urethra without causing any discomfort. However, if the stones are large, they can get stuck in the urethra, causing a blockage during urination and significant pain. Some patients may experience hematuria due to the stones damaging the mucous membrane of the urethra. If the stones are large enough to cause impaction, especially complete obstruction of the urethra, this can lead to urinary retention and significant difficulty in urinating, necessitating prompt visit to the hospital's urology department for lithotripsy treatment.
Can kidney stones recur?
Kidney stones are recurrent because their formation is related to daily water intake, diet, genetics, lifestyle habits, and certain diseases. Therefore, even if the stones are treated surgically or expelled from the body through conservative means, recurrence can occur if dietary and lifestyle habits are not monitored or if the primary disease is not controlled. It is important to drink plenty of water, urinate frequently, and dilute the urine to reduce the recurrence of stones. If there are specific diseases present, such as hyperuricemia or hyperparathyroidism, active treatment is necessary.
Is drinking water effective for prostate stones?
Patients with prostate stones drinking more water will not achieve the purpose of treatment because the texture of the prostate is relatively dense and the ducts of the prostate are fine. It is difficult for the stones to be expelled through the prostate ducts, and drinking more water will not have a significant effect on the treatment of prostate stones. If a patient has prostate stones without any discomfort, there may be no need for special treatment. However, if prostate stones cause repeated prostate inflammations, timely use of antibiotics to control the infection is advisable. If the presence of prostate stones repeatedly causes prostate inflammation, or even prostate pain, and significantly affects the patient's life and work, surgery to remove the stones may be considered. (Please use medication under the guidance of a doctor)
How to treat prostatic cysts?
Prostate cysts are benign lesions of the prostate, and most patients do not experience any symptoms. They are generally discovered during ultrasound examinations at medical check-ups. For these asymptomatic prostate cysts, no special treatment is necessary; monitoring the cyst size through ultrasound every six months to a year is sufficient. However, some patients may experience recurrent prostatitis due to the presence of the cysts, and even develop prostate stones. If symptoms are not severe, oral traditional Chinese medicines can be taken, or local heat application, warm water sitz baths can be used to alleviate urinary discomfort. If the cyst is large enough to compress the urethra, causing urinary retention, early surgical intervention to remove the cyst is recommended.
What are the harms of varicose veins?
The harms of varicocele are mainly manifested in the following aspects. The first aspect is that varicocele causes a sensation of dragging pain in the testicles, affecting the patient's normal work and life. The second aspect is that due to the presence of varicocele, there is a decline in the quality of male semen, which affects male fertility. The third aspect is that if the varicocele is severe and persists for a long time, it may lead to testicular atrophy, resulting in a decrease in the level of testosterone secretion by the testicles, which reduces male sexual function. Therefore, patients with varicocele, especially those with decreased semen quality, should actively seek surgical treatment, which currently mainly involves high ligation of the spermatic vein.