

Wang Shuai

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 does a urine test determine prostatitis?
A routine urinalysis cannot determine prostatitis. It can, however, rule out other urinary system infections such as urethritis or cystitis through routine urinalysis. If the urinalysis is normal but the patient still exhibits symptoms like frequent urination, urgency, and incomplete emptying of the bladder, this may indirectly suggest the possibility of prostatitis. In cases of acute bacterial prostatitis, the urinalysis may show varying degrees of increased white blood cells. To confirm prostatitis, it is best to examine the prostate fluid for lecithin corpuscles and white blood cells.

Is a 6mm prostate calculus serious?
A 6mm prostate stone is not severe. Typically, patients with such stones do not experience discomfort, and most cases are discovered during ultrasound examinations at physical check-ups. These asymptomatic prostate stones do not require special treatment. However, some patients may experience recurrent prostate inflammation due to the presence of stones, or symptoms such as a feeling of heaviness in the anus or lower abdomen. These conditions require timely anti-inflammatory treatment. If necessary, medications like Prostakor tablets or Prostasure capsules can be taken orally to alleviate symptoms. Treatments like warm water sitz baths or localized therapy can also be administered. (Please use medications under the guidance of a doctor.)

What causes epididymitis?
The occurrence of epididymitis is primarily due to the inflammatory reaction caused by pathogenic microbial infections of the epididymis, with common pathogens including Escherichia coli, Staphylococcus, and Pseudomonas aeruginosa. This is mainly due to previous conditions such as urethritis, bacterial prostatitis, and vesiculitis not being timely treated, allowing the pathogenic microbes to gradually spread along the vas deferens to the epididymis, leading to inflammation. Epididymitis may also occur due to prolonged use of urinary catheters or post-prostate resection surgery. After the onset of epididymitis, the epididymis will exhibit symptoms of enlargement and pain. It is necessary to promptly use antibiotics for treatment. During the treatment period, attention should be paid to a light diet; avoid spicy and irritating foods, lie flat as much as possible, and elevate the scrotum. (Please use medications under the guidance of a doctor)

Is cystitis easy to treat?
Cystitis refers to the congestion of the bladder mucosa caused by a bacterial infection, leading to symptoms such as frequent urination, urgency, painful urination, and blood in the urine. In this case, antibiotics can be used for treatment. If necessary, a urine culture and drug sensitivity test should be conducted, and sensitive antibiotics should be selected based on the results. Alternatively, empirical medication using levofloxacin or cephalosporin antibiotics can be employed. After anti-inflammatory treatment, recovery usually occurs within about a week. During treatment, it is important to maintain a light diet and avoid spicy and irritating foods. Drinking more water and urinating frequently can help flush out negative exudates and blood clots from the bladder.

What foods should not be eaten with epididymitis?
Patients with epididymitis need to pay attention to their diet by eating light and avoiding overly greasy foods. They should consume more fresh vegetables and fruits. Additionally, they should avoid spicy and irritating foods such as onions, ginger, garlic, and chili peppers, and limit or completely avoid these items. It is necessary to quit smoking and drinking alcohol, and also avoid drinking strong tea, coffee, and other stimulating beverages. Besides dietary considerations, it is important to avoid sitting for long periods and refrain from vigorous exercise. Patients should try to lie down as much as possible and elevate the scrotum to help promote local blood circulation, which is beneficial for the treatment of the condition.

Is a damp scrotum eczema?
Scrotal dampness is merely a symptom, and besides scrotal eczema, causes of scrotal dampness include inflammation of the scrotal skin, prostatitis, and varicocele, all of which can lead to dampness in the scrotum. Therefore, if scrotal dampness occurs, it is advisable to visit the urology department of a hospital for a detailed examination promptly. If the scrotal dampness is caused by prostatitis, further culture and drug sensitivity tests of prostate fluid are needed, followed by treatment with an appropriate sensitive antibiotic based on the test results. If scrotal dampness is due to varicocele, surgical treatment is recommended. These two diseases cause an increase in the temperature of the perineal area, leading to scrotal dampness. If scrotal dampness is caused by scrotal eczema, it is recommended to apply Liugan Stone Washing Agent topically and use corticosteroid medications for treatment.

Is epididymitis serious?
Whether epididymitis is severe depends on the patient's condition. If it is an early case of epididymitis, the epididymis may just be enlarged and painful, which is not very serious. Generally, using antibiotics and regular treatment, it can heal in about 1 to 2 weeks. However, if treatment is not administered in time, leading to abscesses in the epididymis and testicle, or even rupture of the abscesses, the situation is relatively severe. It requires immediate surgical intervention to drain the abscess. The prognosis thereafter is relatively poor, and it can easily lead to the possibility of testicular atrophy. Therefore, epididymitis should be treated promptly.

Can epididymitis and varicocele run?
Patients with epididymitis and varicocele are advised not to run. Since running is a vigorous exercise, it can easily aggravate epididymitis and worsen varicocele. Patients with epididymitis need to rest as much as possible, lie flat, and elevate the scrotum, which is beneficial for the local blood circulation of the epididymis. Engaging in vigorous exercise during a period of epididymitis can lead to significant testicular pain and swelling, which is not conducive to the recovery of the condition. Similarly, patients with varicocele should also minimize vigorous exercise.

Does kidney stones cause hematuria?
Kidney stones can cause hematuria. The main reason that kidney stones cause hematuria is due to the damage to the mucous membrane of the renal pelvis caused by the stones, and even the rupture of blood vessels, leading to hematuria. In this case, it is necessary to use imaging methods such as color Doppler ultrasound and CT to determine the exact location and size of the stones. If the stone is small, such as about five or six millimeters, symptomatic hemostasis treatment can be conducted, and if necessary, drinking more water, urinating frequently, exercising more, and taking oral stone-discharging granules or effervescents can help expel the stones from the body. If the stone is large, it is advisable to opt for surgical treatment as soon as possible.

Where does it hurt in the stomach when having urethral stones?
Urethral stones primarily refer to stones located within the urethra. Based on their location within the urethra, urethral stones are classified into anterior and posterior urethral stones. Posterior urethral stones typically indicate stones lodged at the position of the prostate. In such cases, the main areas of pain are the lower abdomen, the anal region, and the perineum. On the other hand, anterior urethral stones refer to stones located in the anterior urethra, with the usual sites of pain being the palpable area of the penile urethra, mainly presenting as painful urination. Therefore, examinations such as color ultrasound are necessary to precisely identify the location of the stones for targeted treatment.