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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
Symptoms of varicocele in the right spermatic cord
If it is a mild varicocele, most patients have no discomfort symptoms and it is not easily detected. If the varicocele reaches a moderate or even severe level, the patient may experience a sensation of dragging pain in the right testicle and a lax scrotum, especially after long periods of sitting, standing, or intense exercise. The pain and dragging sensation in the testicle will become more pronounced. However, the symptoms will gradually ease after lying down and resting. If varicocele persists for a long time, it can lead to a decline in sperm quality, causing male infertility, and can even result in testicular atrophy. If the above symptoms are present, it is necessary to promptly go to the hospital for an ultrasound examination to determine the diameter of the spermatic vein. A routine semen analysis may be necessary if there is a decline in semen quality. If needed, surgery may be required for treatment.
Varicocele is caused by what?
There are several causes of varicocele, which might be due to damage or congenital deficiency of the valves in the spermatic veins. It may also be caused by prolonged standing or sitting, strenuous exercise, or venous reflux difficulties due to gravity. Some patients suffer from varicocele due to renal vein thrombosis caused by a tumor within the renal vein, or external tumors compressing the spermatic veins. Additionally, natural anatomical structures also play a significant role, particularly in left-sided varicoceles. This is because the left spermatic vein is longer, enters the left renal vein at a right angle, and is compressed by the superior mesenteric artery. These factors heighten venous backflow pressure, which over time can also lead to varicocele.
Is urinary retention prostatitis?
Urinary hesitation is just a symptom, with various underlying causes. It cannot be determined whether it is due to prostatitis solely based on the symptom of urinary hesitation. In addition to prostatitis, prostate enlargement, prostate cancer, bladder diseases, or dysfunction of the detrusor muscle can also lead to urinary hesitation. Upon experiencing urinary hesitation, it is advisable to promptly visit the urology department of a hospital for diagnosis through ultrasonography, CT scans, routine prostate fluid analysis, and even urodynamic testing to determine the specific cause of the urinary hesitation. If it is caused by prostatitis, the routine analysis of prostate fluid often indicates a reduction in lecithin bodies. If it is bacterial prostatitis, there will also be an increase in white blood cells.
Is a 6mm prostate cyst considered large?
A prostate cyst with a diameter of 6mm is generally not serious, and most patients do not experience discomfort. For such cases, there is no need for special treatment; it is only necessary to recheck the ultrasonography every six months to a year to monitor any changes in the size of the cyst. If the cyst continues to grow and presses on the urethra, causing symptoms such as frequent urination, incomplete bladder emptying, or urgency, warm water sitz baths or local physiotherapy can be used for improvement. If the cyst is large enough to block the urethra, causing urinary retention or severe difficulties in urination, it is recommended to undergo surgery as soon as possible to remove the cyst and restore urinary flow.
Symptoms of prostatitis pain
Patients with prostatitis, in addition to experiencing urinary discomfort symptoms such as frequent urination, urgency, and incomplete emptying, also experience pain symptoms, primarily manifested as pelvic pain. The pain is mainly located in the perineum, anal area, lower abdomen, and some patients may also experience pain in the sacral and even testicular areas. The pain is generally a persistent discomfort similar to gastrointestinal bloating and is usually not severe. However, in cases of acute bacterial prostatitis, the pain can be intense. If these symptoms occur, prostatitis should be strongly considered, and it is advisable to visit a hospital's urology department for preliminary assessment through ultrasound, routine prostate fluid analysis, and rectal examinations, followed by targeted treatment.
How are kidney stones caused?
There are many causes leading to the formation of kidney stones, related to daily water and food intake, lifestyle habits, living environment, genetics, and certain diseases. For example, patients with hyperuricemia and those with hyperfunctioning parathyroid glands are prone to the formation of kidney stones. Additionally, individuals who often stay in high-temperature environments and neglect to drink water frequently and urinate regularly, can easily experience concentrated urine, which also promotes the formation of kidney stones. Furthermore, people who consume large amounts of calcium and oxalate-rich foods over long periods are also commonly at risk of developing kidney stones.
How to deal with kidney stones?
For the treatment of kidney stones, it is first necessary to determine the specific size and location of the stones, and whether there are conditions such as hydronephrosis or infection to guide the treatment approach. If the stones inside the kidney are relatively small, such as about five millimeters, conservative treatment is primarily used. This can involve drinking more water, urinating frequently, and exercising more. When necessary, oral medications like stone expulsion granules or solutions can be taken to help expel the stones from the body. If the stones are larger and accompanied by hydronephrosis or even infection, it is necessary to control the infection first and then proceed with surgical treatment. Common surgical methods include percutaneous nephrolithotomy, ureteroscopic lithotripsy, or open surgery for stone removal.
Can prostate stones be passed through urine?
Prostate stones cannot be excreted through urination, as they generally form inside the prostate gland. If the stones are not large, most patients do not experience any discomfort and do not require special treatment. If the presence of the stones repeatedly triggers prostate inflammation, this condition can be managed simply by using targeted antibiotics to control the infection. However, if the prostate stones are relatively large and significantly impact the patient’s life, such as causing repeated infections, hematuria (blood in urine), or hemospermia (blood in semen), then surgical intervention may be considered.
How long does it take to be discharged from the hospital after urethral stone surgery?
The situation depends on the type of surgery. If it is a minimally invasive surgery, such as ureteroscopic or cystoscopic lithotripsy and stone removal, patients generally can be discharged three to five days after surgery. However, if an open surgery like urethrotomy for stone extraction is performed, the urethra suffers some damage and a longer period of catheterization is necessary, generally about two weeks. Therefore, the catheter is usually removed two weeks post-surgery, and after observing the urination situation, the patient may then be discharged. Overall, if it is a minimally invasive surgery for stone removal, the general discharge time is about three to five days. If it is an open surgery, discharge typically occurs over two weeks after the surgery.
Can bladder stones be expelled?
Whether bladder stones can be expelled from the body depends on the size of the stones. If the diameter of the bladder stone is less than 7 millimeters, in this case, by drinking more water and urinating frequently, relying on the flushing action of urine, the stones can be expelled from the bladder in most cases. However, if the stone is larger, with a diameter of 1 centimeter or more, it is difficult to expel the stone through conservative treatment and often requires surgical intervention, such as extracorporeal shock wave lithotripsy or holmium laser lithotripsy under cystoscopy to first crush the stone, then expel it through conservative treatment, or remove the crushed stones directly during the surgery.