

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

Prostate Calculi Causes and Symptoms
The appearance of prostate stones is mostly due to previous prostate calcifications or calcification spots that gradually form prostate stones. The formation of prostate calcifications and calcification spots is directly related to prostatitis. Most patients with prostate stones do not experience discomfort. For those prostate stones that do not cause symptoms, no special treatment is necessary. However, some patients may experience frequent urination, urgency, incomplete voiding, and even recurring attacks of prostatitis due to the presence of prostate stones. In such cases, active anti-inflammatory treatment is required. When necessary, warm sitz baths can be taken, or oral medications that improve urinary discomfort can be used for treatment.

Can a prostate cyst be a tumor?
Prostate cysts are a benign condition of the prostate and are not malignant tumors. The appearance of prostate cysts is mainly due to blockage of the prostate ducts, which gradually form over time. Most patients do not experience discomfort, and prostate cysts are generally discovered during ultrasound examinations in physical check-ups. Prostate cysts without symptoms do not require special treatment. If a patient experiences symptoms such as frequent urination, urgency, and incomplete bladder emptying, improvements can be made through warm water sitz baths or local massage. If the cyst is large enough to compress the urethra, causing urinary retention, surgery is recommended to remove the cyst and restore the flow of urination.

How to alleviate chronic prostatitis during a flare-up by yourself
Patients with chronic prostatitis experience recurrent symptoms, primarily including frequent urination, urgency, and a sensation of incomplete emptying, along with a feeling of heaviness and pain in the perineum and anal area. Methods to alleviate these symptoms mainly involve medication, physical therapy, and enhanced daily care. In terms of medication, it is usually necessary to use a combination of antibiotics and drugs that alleviate uncomfortable urination. Physical therapy options can include warm sitz baths, prostate massage, microwave therapy, and shortwave therapy, with rectal medication administration as needed. In terms of daily care, it is important to maintain a light diet, avoid spicy and stimulating foods, quit smoking and drinking, and control the frequency of sexual activity.

Causes of cystitis
Cystitis refers to symptoms such as frequent urination, urgent urination, painful urination, hematuria, and even lower abdominal pain caused by infections from bacteria, viruses, mycoplasma, chlamydia, etc. The most common cause is bacteria entering the urethra through the urethral opening and spreading to the bladder. Additionally, kidney diseases such as pyelonephritis can also cause cystitis. Bacteria from the remaining infected urine produced by pyelonephritis travel down the ureters into the bladder, thus causing cystitis. After contracting cystitis, it is necessary to receive timely anti-inflammatory treatment, and generally, the condition can be healed with about a week of medication.

Do mild symptoms of chronic prostatitis need attention?
Patients with chronic prostatitis who only experience mild urinary frequency and incomplete urination do not need special treatment and can avoid using medication. However, they should pay attention to enhancing lifestyle care, maintaining a light diet, avoiding spicy and irritating food, quitting smoking and alcohol, and controlling the frequency of sexual activity. If these lifestyle care measures are not adhered to, symptoms may worsen, leading to noticeable urinary frequency, urgency, pain during urination, and pelvic pain. If the condition deteriorates further, medication will be required, such as drugs to improve discomfort during urination and antibiotics to alleviate the condition.

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.