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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
Does chronic prostatitis require regular ejaculation?
Patients with chronic prostatitis need to ejaculate regularly, as regular ejaculation helps to clear the prostate ducts and expel inflammatory exudates secreted by the prostate through semen, which positively affects the treatment of prostatitis. However, sexual activity should not be too frequent. If it is too frequent, it may cause congestion and edema of the prostate, exacerbating the inflammation. Therefore, it is advisable to ejaculate once every 3 to 5 days. Besides regular ejaculation, it is also important to maintain a light diet, avoid spicy and stimulating foods, quit smoking and drinking, and strengthen physical exercise appropriately.
Could light bloody water on the paper after urinating be bladder cancer?
Firstly, it is not possible to determine the presence of bladder cancer in this way. If, after urinating, there is blood-tinged fluid when wiping the urinary opening with tissue, this may be considered hematuria. There are many causes of hematuria, such as urinary tract infections, or swelling, congestion, and erosion at the urinary opening, as well as kidney stones, all of which can lead to blood in the urine. Of course, tumors in the urinary system can also cause blood in the urine, but tumor-induced hematuria is often painless, and the color of the blood tends to be concentrated, making the urine appear red or like washed meat water. In such cases, it is important to promptly visit a hospital for routine urinalysis, ultrasonography, and even CT scans or cystoscopy to determine if it is bladder cancer.
Symptoms of urinary incontinence
The primary clinical manifestation of urinary incontinence is the uncontrollable leakage of urine from the urethral opening. Depending on the specific cause of incontinence, the clinical manifestations can vary. For instance, stress urinary incontinence typically occurs during coughing, sneezing, laughing, or other activities that increase intra-abdominal pressure, leading to uncontrollable urine leakage. Urgency urinary incontinence is commonly seen in severe cases of bladder inflammation or stiffening of the bladder neck, where patients often previously experience significant symptoms such as frequent urination, urgent need to urinate, and pain during urination. Overflow incontinence is more common in elderly men, particularly those with prostate enlargement, leading to urinary retention and subsequent incontinence, often accompanied by lower abdominal pain.
What to eat for kidney stones?
Patients with kidney stones do not have particular dietary prohibitions, but it is generally advised to avoid long-term, large consumption of foods that promote stone growth. For instance, one should not regularly consume foods high in calcium, such as dairy products like milk and cheese, or soy products like tofu, soy milk, etc. These foods should be consumed in smaller quantities. Also, it is advisable to eat less food high in oxalates, such as celery, spinach, and others. If the stones are uric acid stones, it is recommended to reduce the intake of foods high in purines, such as seafood, as well as beer, beverages, and animal offal. These foods have high purine content and should be limited to prevent or reduce the formation of uric acid stones.
Urinary tract stone symptoms
The symptoms of urethral stones and the size of the stones, as well as their position within the urethra, are directly related. If the urethral stone is relatively small, patients may not experience any discomfort symptoms. By drinking more water and urinating frequently, the stone can be expelled from the body. If the stone is large and causes obstruction in the urethra, it will lead to noticeable symptoms such as urinary obstruction, frequent urination, urgency, and pain during urination. If the stone damages the urethral mucosa, there may also be symptoms of hematuria. If the stone completely blocks the urethra, it will cause urinary retention, and the patient will have significant difficulty urinating. For larger urethral stones, it is necessary to conduct timely ultrasound, CT, and other examinations to determine the specific location of the stone. Appropriate surgical treatments are then selected to crush and expel the stone from the body.
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.