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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 to check for prostatitis?
For the examination of prostatitis, the main methods currently used are color ultrasound, routine prostate fluid analysis, culture of prostate fluid, and susceptibility testing. After contracting prostatitis, a color ultrasound examination often reveals varying degrees of prostate swelling, routine prostate fluid analysis will indicate a decrease in lecithin bodies, accompanied by either an increase in white blood cells or normal white blood cell levels. If the lecithin bodies are decreased and there is an increase in white blood cells, bacterial prostatitis is a likely consideration. If the white blood cell count is normal, nonbacterial prostatitis may be considered. Regardless of the type of prostatitis, timely examination and treatment are necessary. If it is bacterial prostatitis, further culture and susceptibility testing of the prostate fluid should be performed, and treatment should be conducted using antibiotics that are sensitive to the results of the susceptibility test.
What department should I go to for bladder stones?
Bladder stones are a condition treated by the urology department, requiring medical examination and treatment at a hospital. The treatment method chosen depends on the specific size of the stones. If the diameter of the stone is less than 7 millimeters, conservative treatment can be adopted, which involves drinking more water and urinating frequently to flush the stones out of the body. If the stones are larger, they need to be crushed before being expelled or directly removed through the use of a cystoscope. Under cystoscopy, stones can be crushed using a Holmium laser and then removed. After surgery, drinking plenty of water and urinating frequently can help prevent the recurrence of stones.
Is hematuria in cystitis severe?
Cystitis refers to the congestion and edema of the bladder mucosa caused by infections from bacteria, viruses, etc., leading to symptoms such as frequent urination, urgent urination, and painful urination. The presence of blood in the urine indicates that the bladder mucosa has been compromised, possibly involving mucosal rupture, ulceration, or even invasion of blood vessels, resulting in bleeding. This suggests that the cystitis has progressed to a more severe stage and requires timely anti-inflammatory treatment. Treatments might include oral administration of levofloxacin tablets or cephalosporin antibiotics, and if necessary, intravenous antibiotics may be used. During treatment, it is advisable to consume a light diet, avoid spicy and irritating foods, drink plenty of water, and urinate frequently to help flush out negative exudates and blood clots from the bladder.
Can chronic prostatitis be transmitted to the female partner during intercourse?
There are several types of chronic prostatitis, with nonbacterial prostatitis being the most common clinically. This type of prostatitis is not contagious during sexual activity, so there is no need for concern. However, chronic bacterial prostatitis can potentially be contagious, particularly when caused by Mycoplasma or Chlamydia infections. These pathogens can travel with semen into the female vagina, leading to vaginitis. Therefore, it is best for patients with prostatitis to undergo prostate fluid culture and sensitivity tests to determine the specific type, followed by targeted treatment.
Can varicocele cause urethral stinging?
Varicocele generally does not cause a burning sensation in the urethra. The main symptoms of varicocele are a dragging pain in the testicles, especially after long periods of standing, sitting, or intense physical activity. The pain becomes more pronounced, and the affected testicle may noticeably sag when standing. A color Doppler ultrasound can confirm the diagnosis. The most common cause of urethral burning sensation is urethritis or the presence of stones in the urethra, which needs to be confirmed through routine urine tests. If an increase in white blood cells is observed during the urine test, it can be diagnosed as a urinary tract infection. This condition requires timely treatment with antibiotics, and typically, a course of seven to ten days can lead to recovery.
Can prostate stones be expelled?
The location of prostate stones is often deep, making it difficult to treat through external measures, so it is not recommended to undertake procedures to expel them. Most patients with prostate stones do not experience discomfort and do not require special treatment. However, if the presence of the stones repeatedly causes urinary tract infections, it is advisable to promptly use antibiotics to control the infection. If the stones are large and cause significant symptoms like frequent urination, urgency, pain during urination, or even hematuria or hemospermia, surgical removal of the stones may be considered. However, surgical treatment can have certain side effects, especially in young males, as it may affect sexual function. If the symptoms are not severe, it is better not to consider surgical treatment.
Can you exercise with epididymitis?
Epididymitis refers to the condition where the epididymis becomes enlarged and painful due to infections caused by bacteria, viruses, etc. The testicle may also experience a significant sensation of heaviness and pain. In such cases, it is not advisable to engage in vigorous physical activities. Instead, it is recommended to lie down as flat as possible and elevate the scrotum, which helps in improving local blood circulation. If intense physical activities are performed during the treatment of epididymitis, it can exacerbate the condition, resulting in significant pain. Therefore, it is best to avoid vigorous exercises while suffering from epididymitis. Prompt anti-inflammatory treatment is necessary, and the diet should be as bland as possible, avoiding spicy and irritating foods.
Prostate cysts should be seen in the urology department.
Prostate cysts are a benign lesion of the prostate, and if one has a prostate cyst, it is necessary to seek treatment in the urology department of a hospital. In the case of prostate cysts, if no discomfort symptoms are caused, there generally is no need for special treatment. However, some patients might experience symptoms similar to those of prostatitis due to the presence of cysts, such as frequent urination, urgent urination, and a feeling of incomplete bladder emptying. For such cases, local hot compresses can be applied, or oral medications like Prostakang tablets and Tamsulosin Hydrochloride Controlled Release Tablets may be used to improve symptoms of urinary discomfort. If the cyst is large and compresses the urethra, even causing urinary retention, it is recommended to opt for surgery as soon as possible. (Medications should be used under the guidance of a clinical doctor, according to the specific situation.)
How to treat prostatitis with frequent urination
Patients with prostatitis often experience symptoms such as frequent urination and incomplete bladder emptying. For these symptoms, it's important to visit a urology department at a hospital promptly. Through routine prostate fluid analysis, culture of prostate fluid, and susceptibility testing, the specific cause of prostatitis can be determined, allowing for targeted treatment. If the prostatitis is bacterial, antibiotic treatment is necessary. Commonly used antibiotics include quinolones and cephalosporins. At the same time, medications that improve urinary discomfort such as alpha-blockers or phytotherapeutic drugs can be used to alleviate symptoms like frequent urination by relaxing the urethral smooth muscle, improving symptoms of frequency and incomplete emptying. Physical treatments like warm sitz baths, microwave therapy, and shortwave therapy can also be employed. During treatment, it's crucial to eat a light diet, avoid spicy and irritating foods, avoid sitting for long periods, and avoid holding in urine. (Please use medications under the guidance of a doctor.)
How to treat urethral stones?
Urethral stones can cause symptoms such as frequent urination, urgency, pain during urination, and hematuria. In severe cases, they can completely block the urethra, leading to urinary retention. If the stones are relatively small, this condition can often be resolved by drinking plenty of fluids and urinating frequently, relying on the flushing action of the urine to expel the stones from the body. However, if the stones are larger and cause urinary retention, it is necessary to promptly use a cystoscope or ureteroscope to visually crush the stones with a holmium laser and expel them from the body. After the procedure, a urinary catheter is left in place, and recovery typically takes about a week. It is important to drink plenty of water and urinate frequently to prevent the formation of stones.