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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
What is good to eat for urethral stones?
Patients with urethral stones generally exhibit obvious symptoms such as frequent urination, urgency, painful urination, hematuria, and even urinary retention. These symptoms represent a urological emergency that requires immediate attention. In such cases, it is best to fast and not eat any food. The patient needs to visit the hospital's urology department for ultrasound, CT scans, and other tests to determine the exact size and location of the urethral stones. If the stones are small, drinking more water and urinating frequently can help to expel the stones from the body. If the stones in the urethra are large and cause urinary retention, it is necessary to promptly perform surgery to break up and remove the stones. There are no specific dietary requirements in this regard.
What happens when cystitis worsens?
After suffering from cystitis, if it is not treated in time, the condition will worsen further, leading to obvious symptoms of frequent urination, urgency, and pain during urination. Severe cases may be accompanied by significant hematuria and pyuria, and even chills and high fever. If still not treated promptly, bacteria are very likely to retrogradely enter the kidneys through the ureters, causing acute pyelonephritis and leading to symptoms of back pain in patients. Severe cases can affect kidney function and even be life-threatening. Additionally, if the inflammation persists, it can lead to contractions of the bladder, reduced bladder capacity, and subsequent significant lower abdominal pain. It may even cause reproductive system inflammations such as prostatitis and orchitis in male patients.
What should I do if the skin is eroded due to urinary incontinence?
For patients suffering from urinary incontinence, it can greatly inconvenience normal work and daily life. Continuous leakage of urine can easily damage the skin around the genitals, causing the skin to ulcerate, itch, and even suppurate. In such cases, one can consider using a catheter to drain the urine, and then treat the affected skin area for infections. Topical application of iodine for disinfection may be used, and if necessary, medications such as Lotion Calamine can be applied for treatment. Usually, once the skin is no longer exposed to urine, the ulcerated skin will gradually heal over one to two weeks. However, it is also crucial to actively determine the causes of urinary incontinence and treat the underlying condition based on those causes. (Use of medications should be under the guidance of a physician.)
The difference between bedwetting and urinary incontinence
Bedwetting, commonly known as wetting the bed, mainly refers to involuntary urination during sleep. Urinary incontinence, on the other hand, primarily refers to the situation where urine leaks from the urethral opening during the process of cleansing. There are many causes of urinary incontinence, and there are also various types, usually divided into stress incontinence, urge incontinence, overflow incontinence, and true incontinence. Treatment should be based on the specific type and cause of the incontinence. For mild stress urinary incontinence, it can be improved through exercises for the pelvic floor muscles and the detrusor muscle. For moderate to severe stress urinary incontinence, surgical treatment is recommended. If the urge incontinence is caused by an infection, antibiotic treatment is needed.
"Prostatic cyst" - does it need treatment?
Prostate cysts are a type of benign lesion, mainly due to a tendency in the prostate or blockage of the prostate ducts, gradually forming a cystic lesion. Most prostate cysts are quite small and generally do not cause any discomfort to the patient. For such cases, no special treatment is required. Regular ultrasonographic follow-ups to monitor changes in the size of the cysts are sufficient. If the cyst becomes larger, it could cause pain in the lower abdomen and perineum or press on the urethra, leading to difficulty urinating. In such cases, considering cyst aspiration, drainage, or surgical removal of the cyst may be considered for treatment. After the surgery, the relief of the cyst pressure on the urethra and prostate can gradually alleviate the symptoms.
Symptoms of urinary incontinence in women
Urinary incontinence primarily refers to the uncontrolled leakage of urine from the urethra. In female patients, stress incontinence and urge incontinence are more common. Urge incontinence is often seen in acute cystitis. In such cases, there are evident symptoms of urinary urgency, and severe cases can lead to incontinence. Stress incontinence, on the other hand, is more common among women who have given birth. It mainly occurs when coughing, sneezing, lifting heavy objects, laughing, or any other action that increases abdominal pressure, causing urine to leak from the urethra. Mild stress incontinence can be improved through exercises that strengthen the pelvic floor muscles and the detrusor muscle. For moderate to severe stress incontinence, it is recommended to consider surgical treatment as soon as possible.
How does a prostate cyst heal itself?
Prostate cysts, belonging to cystic lesions of the prostate, are currently considered a benign condition, generally not malignant and do not heal on their own. If the cyst is small, patients generally do not have any discomfort, and it is usually discovered during a medical examination through ultrasound. If the cyst is large, it may compress the prostate and the urethra, causing symptoms such as frequent urination, urgent urination, and incomplete bladder emptying. If these symptoms occur, consider taking warm sitz baths or orally administering medications that improve urinary discomfort for treatment. If the cyst is very large and compresses the urethra, causing urinary retention, it is advised to consider prostate cyst puncture or surgical intervention. (Medication should be taken under the guidance of a professional doctor.)
Does chronic prostatitis require regular ejaculation?
Patients with chronic prostatitis need to ejaculate regularly, as regular ejaculation helps to clear the prostate ducts and expel inflammatory exudates secreted by the prostate through semen, which positively affects the treatment of prostatitis. However, sexual activity should not be too frequent. If it is too frequent, it may cause congestion and edema of the prostate, exacerbating the inflammation. Therefore, it is advisable to ejaculate once every 3 to 5 days. Besides regular ejaculation, it is also important to maintain a light diet, avoid spicy and stimulating foods, quit smoking and drinking, and strengthen physical exercise appropriately.
Could light bloody water on the paper after urinating be bladder cancer?
Firstly, it is not possible to determine the presence of bladder cancer in this way. If, after urinating, there is blood-tinged fluid when wiping the urinary opening with tissue, this may be considered hematuria. There are many causes of hematuria, such as urinary tract infections, or swelling, congestion, and erosion at the urinary opening, as well as kidney stones, all of which can lead to blood in the urine. Of course, tumors in the urinary system can also cause blood in the urine, but tumor-induced hematuria is often painless, and the color of the blood tends to be concentrated, making the urine appear red or like washed meat water. In such cases, it is important to promptly visit a hospital for routine urinalysis, ultrasonography, and even CT scans or cystoscopy to determine if it is bladder cancer.
Symptoms of urinary incontinence
The primary clinical manifestation of urinary incontinence is the uncontrollable leakage of urine from the urethral opening. Depending on the specific cause of incontinence, the clinical manifestations can vary. For instance, stress urinary incontinence typically occurs during coughing, sneezing, laughing, or other activities that increase intra-abdominal pressure, leading to uncontrollable urine leakage. Urgency urinary incontinence is commonly seen in severe cases of bladder inflammation or stiffening of the bladder neck, where patients often previously experience significant symptoms such as frequent urination, urgent need to urinate, and pain during urination. Overflow incontinence is more common in elderly men, particularly those with prostate enlargement, leading to urinary retention and subsequent incontinence, often accompanied by lower abdominal pain.