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Chen Feng
Urology
About me
Deputy Director of Urology Department, Chief of Urology Diagnosis and Treatment Team, Associate Chief Physician. Executive Committee Member of the Urological Stone Branch of the Jiangxi Provincial Research Hospital Society, Member of the Urology Department of the Jiangxi Provincial Research Hospital Society, Member of the Jiujiang Urology Society. Engaged in urology work for more than twenty years, proficient in modern urological theory and treatment skills, with rich clinical experience.
Proficient in diseases
Treatment of various common diseases in the urinary system, such as kidney stones, ureteral stones, bladder stones, urinary system trauma, urinary system tumors, urinary system infections, benign prostatic hyperplasia, prostatitis and other common diseases, especially skilled in minimally invasive and endoscopic surgical treatment of urinary system stones such as ureteral stones and kidney stones.
Voices
How is prostatitis caused?
Prostatitis is generally caused by the retrograde infection of bacteria in the urethra through the prostatic ducts, and it is often seen in patients with urethritis or cystitis. This is because such patients have a large number of bacteria in the urethra, and these bacteria or pathogenic microorganisms can easily cause prostatitis through retrograde infection. Especially in cases of urethral stones or instrumented operations, such as cystoscopy or ureteroscopic lithotripsy, these conditions are more likely to lead to prostatitis. When prostatitis occurs, symptoms such as frequent urination, urgent urination, and painful urination may be present. The patient may also experience difficulty in urination, a thinner urine stream, interrupted urine flow, and pain or discomfort in the suprapubic area and perineum.
What foods can be eaten with hydronephrosis?
Patients with hydronephrosis should pay attention to a light diet, eat more fresh vegetables and fruits, avoid spicy and stimulating foods, and consume less high-salt foods, while also abstaining from alcohol. Besides controlling their diet, patients with hydronephrosis should also actively search for the underlying causes of the condition. Common causes of hydronephrosis in clinical practice include urinary tract stones or prostate hyperplasia, mainly due to obstructions in the ureter or urethra, preventing the urine produced by the kidneys from being excreted, which then leads to hydronephrosis. Once the cause of the urinary obstruction is identified, it is necessary to actively treat the underlying cause to restore the patency of the urinary tract. After the condition improves, it is also important to drink more water and urinate frequently to maintain health.
How to determine if you have prostatitis
To determine whether one has prostatitis, it is necessary to make a comprehensive judgment based on symptoms and relevant examinations. Prostatitis is divided into acute prostatitis and chronic prostatitis. Acute prostatitis tends to be severe and is mainly characterized by frequent, urgent, and painful urination. Patients may also experience pain and discomfort in the pubic and perineal areas. Due to the swelling of the prostate compressing the urethra, most prostatitis patients will have difficulty urinating, a thinning urine stream, or even intermittent urine flow. Examination of the patient's urine generally shows an increase in white blood cells. Chronic prostatitis has a longer course and also presents symptoms of frequent, urgent, and painful urination, with a white discharge dripping from the urethral opening after urination. Examination of the patient's prostate fluid generally shows abnormal changes, such as an increase in white blood cells in the prostate fluid.
How long does it take to recover after varicocelectomy?
Varicocele surgery generally takes about a month to recover. The surgery mainly involves high ligation of the spermatic vein, and nowadays, most treatments are conducted using minimally invasive surgery, thus allowing for a relatively quick recovery. Patients with varicocele, especially those who have obvious symptoms like discomfort and a dragging sensation in the scrotum on the affected side, particularly after standing for a long time, and those whose semen quality is abnormal, should undergo timely surgical treatment. Post-surgery, this is beneficial for the recovery of the quality of bodily fluids and also helps alleviate the patient's clinical symptoms. After the surgery, it is advisable for patients to rest more and avoid standing or walking for extended periods to aid in the faster healing of the wound.
What are the symptoms of varicocele?
The symptoms of varicocele vary depending on the severity of the condition. Clinically, most patients with varicocele do not present distinct symptoms, or may not exhibit any symptoms at all, and the condition is often discovered during physical examinations. However, a small number of varicocele patients do exhibit clearly discernible symptoms, primarily presenting as discomfort or a heavy feeling in the scrotum on the affected side, especially after prolonged walking. Pain symptoms tend to worsen after such activities, but alleviate or even disappear after lying down and resting. These patients may also experience abnormal semen quality. For such cases, early surgical treatment is generally necessary. The surgery mainly involves high ligation of the spermatic vein, which helps relieve symptoms and is beneficial for the recovery of semen quality.
What should be paid attention to after varicocele surgery?
The precautions to take after varicocelectomy surgery are as follows: 1. After the surgery, it is important to keep the surgical incision clean and dry to reduce the chances of infection. 2. In the postoperative diet, eat lightly, consuming more fresh vegetables and fruits, and moderately include protein-rich foods such as lean meat, fish, eggs, and milk. Protein supplementation is beneficial for the healing of the surgical incision. 3. Rest is crucial after surgery. Generally, it is advised to rest in bed, avoid standing for long periods, and refrain from extensive walking. Extended standing may cause discomfort and swelling of the scrotum, so more bed rest is recommended.
What are the harms of varicocele?
The common hazards of varicocele are as follows: 1. Patients with severe varicocele may experience discomfort and scrotal heaviness, especially after long periods of walking or standing, with more pronounced pain symptoms. Symptoms may alleviate when lying flat. If untreated, the pain will persist. 2. Varicocele may affect the blood return in the testicles, potentially raising testicular temperature, adversely affecting the survival and growth of sperm. This may result in abnormal semen quality, including anomalies in sperm count and quality, which in severe cases could lead to infertility.
How is varicocele treated?
The treatment of varicocele depends on the severity of the condition. Clinically, some varicocele patients do not exhibit obvious symptoms, or show no symptoms at all and are only diagnosed during physical examinations. These patients can generally be treated conservatively by avoiding standing for long periods, avoiding prolonged walking, and by wearing tight underwear to alleviate symptoms of varicocele. However, some patients with varicocele do exhibit clear symptoms, including discomfort and pain in the scrotum on the affected side, especially after long periods of walking. These symptoms can become more severe and may also be accompanied by abnormalities in semen quality. These patients generally require surgical intervention, such as high ligation of the veins.
What should I do about varicocele?
The treatment methods for varicocele vary based on the severity of the condition. Clinically, some patients with varicocele show no obvious symptoms and it is only discovered during a physical examination. These patients can generally be observed temporarily, and can also wear tight underwear or use a scrotal support to alleviate the condition. However, some patients do exhibit clear symptoms, such as a significant sensation of heaviness in the scrotum, especially after standing or walking for long periods, where the pain becomes more pronounced. These patients generally need to consider surgical treatment, where the main procedure involves high ligation of the spermatic vein. This can help alleviate symptoms and also improve the quality of semen.
Varicocele is caused by how?
Varicoceles can be seen in primary diseases, but they may also be secondary to other pathological changes. Generally, the anatomical characteristics of the venous walls within the spermatic cord make it easy for blood in the spermatic veins to have reflux problems, thereby leading to varicoceles. This is mainly because there are venous valves to prevent backflow when the veins inside the spermatic cord drain into the renal vein. If these valves are not fully developed, it can easily cause backflow, leading to varicoceles. Moreover, varicoceles occur more frequently on the left side than on the right. The left spermatic vein generally enters the left renal vein at a right angle, which also facilitates the occurrence of varicoceles. Secondary varicoceles may be caused by retroperitoneal tumors or renal tumors compressing the spermatic vein, thus leading to obstruction in spermatic vein reflux.