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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
Can prostatic calculi cause hematuria?
Prostate stones can cause hematuria, but this is relatively rare. Typically, a small amount of blood flows from the urethral opening after urination, but most patients with prostate stones do not experience discomfort and do not require special treatment. If prostate stones occasionally cause hematuria, it is generally not a serious issue and does not require special treatment. If hematuria occurs frequently and is accompanied by prostate pain, frequent urination, urgency, or other symptoms that significantly impact the patient's life, surgical treatment may be considered. During the treatment period, it is important to maintain a light diet, avoid spicy and irritating foods, and refrain from smoking and drinking.
Is a prostate cyst a serious issue?
Prostate cysts are a benign condition that generally do not significantly affect the patient. Most cases are found during ultrasound exams at physical check-ups. Such small or asymptomatic prostate cysts do not require special treatment. Some patients have larger prostate cysts that can press on the prostate and urethra, leading to symptoms such as frequent urination, urgent urination, and incomplete bladder emptying. In these cases, local heat application, warm sitz baths, and other methods can be used to alleviate urinary discomfort. If necessary, prostate cyst aspiration may be performed. If the cyst is large enough to compress the urethra and cause urinary retention, surgery to remove the cyst is recommended.
What should I do if nocturnal emissions are too frequent during adolescence?
It is a normal physiological phenomenon for adolescents in puberty to experience nocturnal emissions. If the frequency of nocturnal emissions does not exceed twice per week or eight times per month, it is considered normal. If the frequency of nocturnal emissions exceeds the above numbers, and symptoms such as physical fatigue, weakness, lack of concentration, and decreased memory occur, pathological causes should be considered, such as balanoposthitis, phimosis urethritis, and seminal vesiculitis, all of which can lead to frequent nocturnal emissions. Additionally, frequent nocturnal emissions might also be caused by strong sexual fantasies during the day and frequent interactions with the opposite sex. In such cases, it is advisable to promptly visit the urology department of a hospital for a detailed examination. If the condition is caused by a urinary system infection, antibiotics should be used timely to control the infection. If conditions like phimosis are present, early surgical treatment is recommended.
What is the best treatment for urethral stones?
For the treatment of urethral stones, we first need to use ultrasonography or CT scans to determine the exact location and size of the stones within the urethra for treatment. If the stone is relatively small, such as about five millimeters, this condition can be treated by drinking more water and urinating frequently, relying on the flushing action of the urine to expel the stone from the body promptly. If the stone is larger, and has caused obstruction in the urethra, it is necessary to see the specific location of the stone. If it is causing obstruction in the posterior urethra, a cystoscope can be used to push the stone back into the bladder before performing lithotripsy. If the obstruction is in the anterior urethra, a small amount of liquid paraffin oil can be injected into the urethra to squeeze the stone out, or treatment can be conducted through holmium laser lithotripsy or open surgical stone removal.
What causes prostatitis?
Prostatitis commonly occurs in young males, with various causes, the most common being bacterial infection. If it is bacterial prostatitis caused by bacterial infection, it is often seen in patients who previously suffered from urethritis, seminal vesiculitis, etc., and did not receive timely treatment. The bacteria spread along the reproductive tract to the prostate, causing prostatitis. Additionally, patients with long-term indwelling catheters are also prone to acute prostatitis. Furthermore, prostatic needle biopsies can lead to the condition. Nonbacterial prostatitis is mostly caused by poor lifestyle habits, such as prolonged alcohol consumption, sitting for long periods, holding urine, long-term driving, long-term cycling, and staying up late, all of which can lead to nonbacterial prostatitis.
Is frequent and urgent urination a symptom of prostatitis?
Frequent urination and urinary urgency are both symptoms of urinary irritation. There are many reasons that can cause frequent urination and urgency, and these symptoms alone cannot diagnose prostatitis. Initially, it is crucial to conduct routine urine tests and ultrasounds to preliminarily determine the specific causes of frequent urination and urgency. Besides prostate diseases, common causes include urethritis, urethral stones, urethral tumors, urethral stricture, bladder stones, or even stones in the ureter, all of which can lead to frequent urination and urgency. Therefore, if symptoms of frequent urination and urgency occur, it is necessary to visit the hospital's urology department promptly for relevant examinations to determine the specific causes.
How are prostate stones formed?
The formation of prostate stones is mainly due to prostatic calcification. Prostatic calcification generally occurs after an individual has suffered from prostatitis. During the healing process of prostatitis, fibrosis and calcium deposits occur in the local prostatic tissue forming calcification foci, which gradually develop into stones. In some patients, stones form gradually due to the blockage of the prostatic ducts. Many patients with prostate stones do not experience discomfort, and for those without symptoms, special treatment may not be necessary. However, some patients may experience symptoms such as frequent urination, urgency, and incomplete voiding due to the presence of prostate stones. For such cases, local physiotherapy and warm sitz baths can be used to alleviate the symptoms.
How is epididymitis caused?
Epididymitis refers to the inflammation of the epididymis, characterized by enlargement and pain, caused by infections from pathogens such as bacteria. The main cause of epididymitis is usually a preceding infection such as urethritis, bacterial prostatitis, or vesiculitis that was not timely treated. Bacteria spread along the vas deferens to the epididymis, leading to epididymitis. Additionally, trauma to the epididymis can also cause epididymitis. Another common scenario is related to certain medical procedures, such as prolonged catheterization or after undergoing plasma electrocautery surgery of the prostate, which can easily lead to epididymitis. Once epididymitis occurs, it is crucial to promptly treat it with antibiotics. During treatment, it is advisable to consume a light diet, avoid spicy and stimulating food, rest as much as possible in bed, and keep the scrotum elevated. (Specific medication usage should be conducted under the guidance of a doctor.)
How to treat epididymitis?
For the treatment of epididymitis, antibiotics are mainly used. Epididymitis is mostly caused by bacterial infections, such as Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus aureus. In such cases, it is necessary to use fluoroquinolone antibiotics and cephalosporin antibiotics promptly. If it is caused by a viral infection, antiviral medications are recommended. During treatment, it is important to eat a light diet and avoid spicy and irritating foods. Smoking and alcohol should be avoided. Patients should lie down as much as possible, rest, and elevate the scrotum, which helps the circulation of blood in the scrotum and testicles and aids in the improvement of the condition. Vigorous exercise or prolonged standing during treatment can worsen the condition. (The use of medications should be guided by a professional doctor.)
Can you drink alcohol during epididymitis?
Drinking alcohol is prohibited during epididymitis as it can exacerbate the inflammation and hinder the treatment of the disease. Additionally, antibiotics are required during this period, and drinking alcohol can react adversely with these antibiotics. Therefore, alcohol consumption is forbidden during the treatment of epididymitis. Besides abstaining from alcohol, it is also important to maintain a light diet and avoid spicy and irritating foods, such as onions, ginger, garlic, and chili peppers; these should be consumed minimally or not at all. Moreover, it is essential to rest as much as possible, ideally with bed rest, keeping the scrotum elevated to promote local blood circulation. (Medication should be administered under the guidance of a professional doctor.)