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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 prostatitis affect sexual life?
After suffering from prostatitis, it will indeed impact male sexual function. Patients with prostatitis need to undergo routine prostate fluid examinations to confirm the diagnosis. If there is a significant decrease in lecithin bodies, most patients will experience premature ejaculation or even erectile dysfunction. Therefore, timely treatment is necessary if diagnosed with prostatitis. Patients with prostatitis should not have sex too frequently; it is suggested to have sexual activities about once every three days. Having sex too frequently can easily exacerbate the symptoms of prostatitis. During the treatment period for prostatitis, it is also important to maintain a light diet and avoid spicy and stimulating foods.
Why is epididymitis getting more painful?
After suffering from epididymitis, the epididymis will show symptoms of enlargement and pain. If not treated promptly, the epididymis will further enlarge, and the pain will gradually become more pronounced, which is a normal phenomenon. However, if the pain continues to worsen despite active treatment, it should be considered that this may be due to a lack of attention to lifestyle care, such as engaging in vigorous exercise during treatment, or situations involving prolonged standing or sitting. Additionally, it is important to be vigilant about the possibility of testicular torsion accompanying epididymitis. Therefore, if the pain continues to worsen during the treatment of epididymitis, it is advisable to promptly re-examine the color Doppler ultrasound to understand the blood flow situation of the testicles and epididymis, and then proceed with targeted treatment.
Can prostate cysts affect fertility?
Prostate cysts do not affect male fertility issues, as the major factor influencing male fertility is sperm quality. If you are concerned about fertility, it is advisable to visit the urology department of a hospital for a routine semen analysis to ensure there are no issues with sperm quality. As long as the sperm quality is fine, there is no need to worry about fertility. Most patients with prostate cysts do not experience any discomfort and do not require special treatment. However, some larger prostate cysts may compress the urethra, leading to symptoms such as frequent urination, urgency, incomplete urination, or complete blockage of the urethra causing urinary retention. In such cases, surgery to remove the cyst may be considered to restore normal urine flow.
What department should I go to for a prostate cyst?
The appearance of prostate cysts is primarily due to the gradual formation after the blockage of the gland's small tubes. If diagnosed with a prostate cyst, it is necessary to visit the urology department of a hospital promptly. Most patients with prostate cysts do not experience discomfort, and these cysts are generally discovered during ultrasound examinations in physical check-ups. For such small cysts without any discomfort, special treatment is usually not necessary. If symptoms like frequent urination, urgent urination, or incomplete bladder emptying occur, improvements can be made via local hot compresses or warm sitz baths. If the cyst is large and compresses the urethra, causing urinary retention, it is advisable to consider surgery as soon as possible to remove the cyst and restore the flow of urination.
Stress urinary incontinence clinical manifestations
The primary clinical manifestation of stress urinary incontinence is the leakage of urine from the urethra when sudden increases in intra-abdominal pressure occur, such as laughing, sneezing, or coughing. This condition is commonly seen in women who have given birth. It is mainly caused by the relaxation of the urethral sphincter and pelvic floor muscles after childbirth. The more childbirths a woman has, the higher the frequency of stress urinary incontinence. For mild symptoms, improvement can be achieved through pelvic floor muscle exercises. If necessary, medications such as Midodrine Hydrochloride tablets can be taken orally. For severe symptoms, surgery is recommended. (Medication should be used under the guidance of a doctor based on specific circumstances.)
What are the symptoms of urethral stones?
The symptoms of urethral stones are primarily related to the size and location of the stone. Smaller urethral stones generally do not cause discomfort and can be expelled from the body through urination. However, some urethral stones may cause pain within the urethra or even lead to the presence of blood in the urine. If the stone is large and lodges in the posterior urethra, it can cause complete obstruction of the urethra, leading to significant difficulty in urination, or even result in urinary retention. Therefore, the clinical manifestations of urethral stones vary depending on the size and location of the stone. If the stone is large and causes acute urinary infection or obstruction, leading to urinary retention, prompt surgical treatment is necessary.
Is urethral calculus easy to treat?
Urethral stones are relatively easy to treat. For smaller stones, drinking more water and urinating frequently can help flush the stones out of the body with the flow of urine. If the stones are larger and cause blood in the urine, difficulty urinating, or even urinary retention, they can also be treated with a cystoscope or ureteroscope. Under direct vision, the stones can be broken up with a holmium laser and removed, generally without the need for open surgery. Therefore, if you suffer from urethral stones, there is no need to worry excessively. It is sufficient to promptly visit the hospital's urology department for diagnostic procedures such as ultrasounds or CT scans to determine the exact size and location of the stones, and then choose the appropriate treatment method.
What should I do if I have an epididymal nodule?
Many patients who have suffered from epididymitis will have a hard, smooth-surfaced, slightly tender, or asymptomatic nodule left on the epididymis after the swelling subsides and pain is controlled. This type of nodule is also referred to as a negative nodule. These nodules are difficult to completely eliminate with antibiotics, or may not be eliminated at all. If the patient does not have significant discomfort, no special treatment is necessary. If the presence of the nodule leads to recurrent inflammation or significant pain, affecting the patient's normal work and life, it may be considered to apply local heat or gently massage to promote the reduction of the nodule. If these treatments do not effectively improve the condition, it is recommended to surgically remove the nodule from the epididymis.
Should a prostatic cyst be operated on?
Whether prostate cysts require surgical treatment mainly depends on the size of the cyst. If the cyst is small and the patient does not experience discomfort, there is no need for special treatment. However, if the cyst is large, compressing the urethra, or even causing urinary retention, it is advisable to undergo surgery as soon as possible to remove the cyst, relieve the pressure on the urethra, and restore smooth urination. However, most prostate cysts do not cause any discomfort and generally do not require special treatment. If there are symptoms such as frequent urination, urgency, or incomplete urination, local physiotherapy can be performed, such as warm water sitz baths, or taking oral tamsulosin hydrochloride sustained release tablets to improve urinary discomfort.
Epididymitis Symptoms and Treatment Methods
Epididymitis refers to the enlargement of the epididymis caused by infections such as bacteria and viruses, accompanied by pain. Some patients may notice swelling of the scrotal skin and even an increase in skin temperature. For this condition, it is necessary to use antibiotics in a timely manner. If the epididymitis is caused by bacterial infection, quinolone antibiotics or cephalosporin antibiotics can be used for treatment, generally requiring medication for one to two weeks. If the symptoms are severe, it is advisable to administer antibiotics intravenously for better results. If it is caused by a viral infection, antiviral medications are needed. During treatment, it is important to rest in bed as much as possible and to keep the scrotum elevated to facilitate local blood circulation. Dietary considerations should include eating lighter foods and avoiding spicy and irritating foods. (The use of medication should be under the guidance of a doctor.)