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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
How to deal with sexual dysfunction caused by chronic prostatitis?
Chronic prostatitis can cause sexual dysfunction in men, typically leading to premature ejaculation, erectile dysfunction, and anejaculation. Initially, it is important to perform routine examinations of prostate fluid, culture the prostate fluid, and conduct sensitivity testing to antibiotics to clearly determine the type of prostatitis and initiate targeted treatment. If the prostatitis is bacterial, it is necessary to promptly use antibiotics for a regular treatment lasting four to six weeks. Once the inflammation is under control, sexual function will gradually recover. During the treatment period, patients should focus on strengthening physical exercise, boosting their immune system, and maintaining a light diet, avoiding spicy and stimulating foods. Smoking and alcohol should be avoided. If necessary, medications that improve premature ejaculation and erectile dysfunction can be used in conjunction with the treatment.
How to relieve pain during a kidney stone attack?
When kidney stones occur, there are often significant pain symptoms. This is mainly due to the smaller stones in the kidney moving within the kidney or falling into the ureter, stimulating the ureter wall, causing ureteral spasms and subsequent pain. The pain usually appears suddenly and can be very intense. In such cases, it is necessary to go to the hospital promptly for spasm relief and pain treatment. Medications such as scopolamine, atropine, or tramadol can be used for pain relief. If necessary, scopolamine may need to be administered intravenously. (Specific medications should be used under the guidance of a physician.)
How many types of urinary incontinency are there?
Urinary incontinence is currently mainly divided into stress urinary incontinence, urge urinary incontinence, overflow urinary incontinence, and true urinary incontinence. The main symptom of stress urinary incontinence is urine leakage from the urethra during coughing, sneezing, laughing, or jumping rope. Urge urinary incontinence is commonly seen in acute bladder inflammation, people with diabetes, and those with sclerotic bladder necks, leading to situations of urge incontinence. The main manifestation is a sudden strong urge to urinate, requiring immediate action to urinate; if not managed in time, urine will leak from the urethra. Overflow incontinence, commonly found in lower urinary tract obstructions, especially in elderly men with prostate enlargement, causes overflow incontinence due to urethral blockage, characterized by a distinct feeling of fullness in the lower abdomen.
What should I do if I have hematuria due to urinary stones?
Urethral stones accompanied by hematuria mainly occur because the stones damage the mucosa and blood vessels of the urethra, causing blood in the urine. In such cases, one should first go to the hospital's urology department and undergo examinations such as color Doppler ultrasound and CT to determine the specific location and size of the stone, and then proceed with targeted treatment. If the stone is located in the posterior urethra, it is advised to push the stone back into the bladder using a cystoscope, then use a holmium laser under cystoscopic guidance to break the stone and expel it from the body. If the stone is located in the anterior urethra, it can be fragmented using a holmium laser through a ureteroscope and expelled, or a urethrotomy can be performed to remove the stone.
Is a prostate cyst serious?
Prostate cysts are not severe; they are a type of benign lesion primarily formed due to the blockage of prostate ducts. Most patients with prostate cysts have small cysts and do not experience any discomfort, and thus do not require treatment. Regular follow-up appointments to monitor changes in the size of the cyst are sufficient. It is advisable to maintain a light diet, avoid spicy and stimulating foods, and abstain from smoking and drinking, as these measures generally prevent the cyst from enlarging further. Of course, some patients may have larger cysts that could press on the urethra, leading to symptoms such as frequent urination, urgency, incomplete urination, and even difficulty in urination or urinary retention. In these cases, the cysts can be surgically removed proactively.
What should not be eaten with kidney stones
Patients with kidney stones do not have absolute dietary prohibitions. However, it is advisable to consume less food high in calcium, oxalates, and purines. Foods high in purines are mainly found in seafood, animal offal, beer, and beverages. High-calcium foods are primarily found in soy products and dairy products, such as soy milk, tofu, and cow's milk. Foods high in oxalates include celery, spinach, etc. These foods can be consumed in moderation in daily life, but should not be used in large amounts over a long period to avoid further growth and increase of stones. It is also important to drink plenty of water, urinate frequently, and engage in appropriate physical exercise to effectively prevent the occurrence of kidney stones. Additionally, for patients who have already developed kidney stones, it is necessary to timely decide on conservative stone expulsion or surgical treatment based on the size of the stones.
Clinical Manifestations of Renal Cancer
In the early stages of kidney cancer, most patients do not experience any discomfort symptoms, making it difficult to detect. As the tumor progresses to the middle and late stages and increases in size, it can cause symptoms of back pain. If the tumor breaches the renal pelvis, leading to ruptured blood vessels, this condition will be accompanied by obvious gross hematuria, which often appears intermittently and is painless. If the tumor is large, a mass can be felt in the back. If these symptoms arise, it is crucial to promptly visit the hospital's urology department for tests such as ultrasound and CT scans to establish a clear diagnosis. If necessary, active surgical intervention should be considered.
Can urethral stones cause back pain?
Urethral calculi refer to stones located within the urethra. The main clinical symptoms include frequent urination, urgency, and painful urination. Severe cases may present with hematuria and urinary retention. Generally, urethral stones do not cause back pain. If back pain occurs, it may be necessary to consider additional factors such as stones in the ureter or kidney, lumbar muscle strain, or herniated lumbar discs. Further examinations such as renal and ureteral color Doppler ultrasound, CT scans, and if necessary, lumbar disc CT scans should be conducted to determine if the back pain is caused by conditions outside of the urinary system. If the pain is due to stones, timely lithotripsy and stone expulsion treatments are required. If the cause is herniated lumbar discs, timely orthopedic treatment is necessary.
Can kidney cancer be diagnosed with a CT scan?
If you have kidney cancer, preoperative examinations, including ultrasound, CT, and even MRI, cannot definitively diagnose the cancer. These preoperative tests primarily provide diagnostic references. To confirm a diagnosis of kidney cancer, a biopsy via renal tumor puncture must be performed, or after surgery, the specimen should be sent for pathological examination to be definitively diagnosed based on the pathology results. This is because the pathology results clarify the type of tumor cells and their grading, making the pathological examination the final and most accurate diagnostic result.
How is stress urinary incontinence treated?
Stress urinary incontinence primarily occurs when activities like coughing, sneezing, lifting heavy objects, or jumping rope cause a sudden increase in negative pressure, leading to urine leakage from the urethral opening. For the treatment of stress urinary incontinence, it is important to determine the severity of the condition. For mild stress urinary incontinence, improvement can be achieved through exercises that strengthen the urinary sphincter and the pelvic floor muscles. For moderate to severe stress urinary incontinence, surgical intervention is recommended, mainly through mid-urethral sling procedures to manage urination. Patients should also take care to minimize activities that suddenly increase abdominal pressure, such as lifting heavy objects, laughing heartily, or sneezing.