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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
Is frequent urination diabetes?
If the urine output exceeds 2500 mL in 24 hours, this condition is called polyuria. There are many causes of polyuria; diabetes is just one of them. Additionally, physiological causes are also seen, such as eating a large amount of fruits that have a diuretic effect, like watermelon, or drinking a lot of water previously. This is referred to as physiological polyuria and does not require special treatment. Pathological causes, apart from diabetes, also include diabetes insipidus or electrolyte disturbances. For instance, long-term hypokalemia, hypercalcemia, or increased aldosterone can all lead to polyuria. It is advisable to promptly visit the urology department of a hospital for tests such as blood glucose levels, routine urine tests, and endocrine examinations to understand the causes of polyuria, and to determine whether it is caused by diabetes.
Does a prostatic cyst require surgery?
Whether patients with prostate cysts need surgical treatment mainly depends on the specific size of the cyst and whether it causes discomfort symptoms. If the cyst is relatively small and the patient does not have any discomfort symptoms, no special treatment is necessary. However, if the cyst is relatively large, causing discomfort during urination, severely leading to difficulty in urination, or even urinary retention, surgical treatment can be considered. Generally, cyst puncture and aspiration might be performed first to relieve the pressure of the cyst on the urethra and improve symptoms. If the effects of puncture and aspiration are not satisfactory, surgical removal of the cyst may be considered.
What are the symptoms of kidney stones?
The symptoms of kidney stones vary depending on the size and location of the stone, and whether there is associated hydronephrosis. If the stone inside the kidney is relatively small, most patients experience no discomfort, and it is generally discovered during an ultrasound examination at physical check-ups. However, if such a small stone falls into the ureter, it can irritate the ureteral walls and cause ureteral spasms, resulting in renal colic and, in some cases, hematuria. If the kidney stone is relatively large and causes kidney hydronephrosis or even pyonephrosis, the patient will experience sour swelling and pain in the waist on the side of the stone. If an infection occurs, symptoms such as chills and high fever may also appear.
How to expel bladder stones from the body
The treatment for bladder stones primarily involves understanding the size of the stones. If the stones are smaller than seven millimeters, in this case, drinking more water and urinating frequently can help expel the stones from the body through the flushing action of the urine. If the stones are larger in diameter, it is recommended to first undergo extracorporeal shock wave lithotripsy or holmium laser lithotripsy under cystoscopy to break the stones into smaller pieces. During the surgical process, the crushed stones are directly flushed out of the body. After the surgery, drinking more water and urinating frequently can help to completely remove any remaining stones.
Urinary incontinence pelvic floor muscle exercise method
If you want to improve urinary incontinence through pelvic floor muscle exercises, this method is mainly suitable for mild stress urinary incontinence and is not applicable to all types of urinary incontinence. Therefore, if you want to improve urinary incontinence through pelvic floor muscle exercises, you first need to determine if it is mild stress urinary incontinence before proceeding. Usually, we choose to do anal lift exercises to improve this. The specific exercise method for anal lift exercises is to take a deep breath, lift the anus, hold for about five seconds, then relax, and continuously practice 15 times. Perform 15 times per set, about 20 sets a day, and it needs to be maintained for more than half a year to be effective.
How to deal with sexual dysfunction caused by chronic prostatitis?
Chronic prostatitis can cause sexual dysfunction in men, typically leading to premature ejaculation, erectile dysfunction, and anejaculation. Initially, it is important to perform routine examinations of prostate fluid, culture the prostate fluid, and conduct sensitivity testing to antibiotics to clearly determine the type of prostatitis and initiate targeted treatment. If the prostatitis is bacterial, it is necessary to promptly use antibiotics for a regular treatment lasting four to six weeks. Once the inflammation is under control, sexual function will gradually recover. During the treatment period, patients should focus on strengthening physical exercise, boosting their immune system, and maintaining a light diet, avoiding spicy and stimulating foods. Smoking and alcohol should be avoided. If necessary, medications that improve premature ejaculation and erectile dysfunction can be used in conjunction with the treatment.
How to relieve pain during a kidney stone attack?
When kidney stones occur, there are often significant pain symptoms. This is mainly due to the smaller stones in the kidney moving within the kidney or falling into the ureter, stimulating the ureter wall, causing ureteral spasms and subsequent pain. The pain usually appears suddenly and can be very intense. In such cases, it is necessary to go to the hospital promptly for spasm relief and pain treatment. Medications such as scopolamine, atropine, or tramadol can be used for pain relief. If necessary, scopolamine may need to be administered intravenously. (Specific medications should be used under the guidance of a physician.)
How many types of urinary incontinency are there?
Urinary incontinence is currently mainly divided into stress urinary incontinence, urge urinary incontinence, overflow urinary incontinence, and true urinary incontinence. The main symptom of stress urinary incontinence is urine leakage from the urethra during coughing, sneezing, laughing, or jumping rope. Urge urinary incontinence is commonly seen in acute bladder inflammation, people with diabetes, and those with sclerotic bladder necks, leading to situations of urge incontinence. The main manifestation is a sudden strong urge to urinate, requiring immediate action to urinate; if not managed in time, urine will leak from the urethra. Overflow incontinence, commonly found in lower urinary tract obstructions, especially in elderly men with prostate enlargement, causes overflow incontinence due to urethral blockage, characterized by a distinct feeling of fullness in the lower abdomen.
What should I do if I have hematuria due to urinary stones?
Urethral stones accompanied by hematuria mainly occur because the stones damage the mucosa and blood vessels of the urethra, causing blood in the urine. In such cases, one should first go to the hospital's urology department and undergo examinations such as color Doppler ultrasound and CT to determine the specific location and size of the stone, and then proceed with targeted treatment. If the stone is located in the posterior urethra, it is advised to push the stone back into the bladder using a cystoscope, then use a holmium laser under cystoscopic guidance to break the stone and expel it from the body. If the stone is located in the anterior urethra, it can be fragmented using a holmium laser through a ureteroscope and expelled, or a urethrotomy can be performed to remove the stone.
Is a prostate cyst serious?
Prostate cysts are not severe; they are a type of benign lesion primarily formed due to the blockage of prostate ducts. Most patients with prostate cysts have small cysts and do not experience any discomfort, and thus do not require treatment. Regular follow-up appointments to monitor changes in the size of the cyst are sufficient. It is advisable to maintain a light diet, avoid spicy and stimulating foods, and abstain from smoking and drinking, as these measures generally prevent the cyst from enlarging further. Of course, some patients may have larger cysts that could press on the urethra, leading to symptoms such as frequent urination, urgency, incomplete urination, and even difficulty in urination or urinary retention. In these cases, the cysts can be surgically removed proactively.