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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 varicocele cause urethral stinging?
Varicocele generally does not cause a burning sensation in the urethra. The main symptoms of varicocele are a dragging pain in the testicles, especially after long periods of standing, sitting, or intense physical activity. The pain becomes more pronounced, and the affected testicle may noticeably sag when standing. A color Doppler ultrasound can confirm the diagnosis. The most common cause of urethral burning sensation is urethritis or the presence of stones in the urethra, which needs to be confirmed through routine urine tests. If an increase in white blood cells is observed during the urine test, it can be diagnosed as a urinary tract infection. This condition requires timely treatment with antibiotics, and typically, a course of seven to ten days can lead to recovery.
Can prostate stones be expelled?
The location of prostate stones is often deep, making it difficult to treat through external measures, so it is not recommended to undertake procedures to expel them. Most patients with prostate stones do not experience discomfort and do not require special treatment. However, if the presence of the stones repeatedly causes urinary tract infections, it is advisable to promptly use antibiotics to control the infection. If the stones are large and cause significant symptoms like frequent urination, urgency, pain during urination, or even hematuria or hemospermia, surgical removal of the stones may be considered. However, surgical treatment can have certain side effects, especially in young males, as it may affect sexual function. If the symptoms are not severe, it is better not to consider surgical treatment.
Can you exercise with epididymitis?
Epididymitis refers to the condition where the epididymis becomes enlarged and painful due to infections caused by bacteria, viruses, etc. The testicle may also experience a significant sensation of heaviness and pain. In such cases, it is not advisable to engage in vigorous physical activities. Instead, it is recommended to lie down as flat as possible and elevate the scrotum, which helps in improving local blood circulation. If intense physical activities are performed during the treatment of epididymitis, it can exacerbate the condition, resulting in significant pain. Therefore, it is best to avoid vigorous exercises while suffering from epididymitis. Prompt anti-inflammatory treatment is necessary, and the diet should be as bland as possible, avoiding spicy and irritating foods.
Prostate cysts should be seen in the urology department.
Prostate cysts are a benign lesion of the prostate, and if one has a prostate cyst, it is necessary to seek treatment in the urology department of a hospital. In the case of prostate cysts, if no discomfort symptoms are caused, there generally is no need for special treatment. However, some patients might experience symptoms similar to those of prostatitis due to the presence of cysts, such as frequent urination, urgent urination, and a feeling of incomplete bladder emptying. For such cases, local hot compresses can be applied, or oral medications like Prostakang tablets and Tamsulosin Hydrochloride Controlled Release Tablets may be used to improve symptoms of urinary discomfort. If the cyst is large and compresses the urethra, even causing urinary retention, it is recommended to opt for surgery as soon as possible. (Medications should be used under the guidance of a clinical doctor, according to the specific situation.)
How to treat prostatitis with frequent urination
Patients with prostatitis often experience symptoms such as frequent urination and incomplete bladder emptying. For these symptoms, it's important to visit a urology department at a hospital promptly. Through routine prostate fluid analysis, culture of prostate fluid, and susceptibility testing, the specific cause of prostatitis can be determined, allowing for targeted treatment. If the prostatitis is bacterial, antibiotic treatment is necessary. Commonly used antibiotics include quinolones and cephalosporins. At the same time, medications that improve urinary discomfort such as alpha-blockers or phytotherapeutic drugs can be used to alleviate symptoms like frequent urination by relaxing the urethral smooth muscle, improving symptoms of frequency and incomplete emptying. Physical treatments like warm sitz baths, microwave therapy, and shortwave therapy can also be employed. During treatment, it's crucial to eat a light diet, avoid spicy and irritating foods, avoid sitting for long periods, and avoid holding in urine. (Please use medications under the guidance of a doctor.)
How to treat urethral stones?
Urethral stones can cause symptoms such as frequent urination, urgency, pain during urination, and hematuria. In severe cases, they can completely block the urethra, leading to urinary retention. If the stones are relatively small, this condition can often be resolved by drinking plenty of fluids and urinating frequently, relying on the flushing action of the urine to expel the stones from the body. However, if the stones are larger and cause urinary retention, it is necessary to promptly use a cystoscope or ureteroscope to visually crush the stones with a holmium laser and expel them from the body. After the procedure, a urinary catheter is left in place, and recovery typically takes about a week. It is important to drink plenty of water and urinate frequently to prevent the formation of stones.
Causes of Urethral Stones
The formation of urethral stones generally does not occur in the urethra itself; most urethral stones form in the bladder or kidneys. During the process of stone elimination, they fall into the urethra, thus forming urethral stones. After urethral stones occur, patients often experience noticeable pain during urination and a sensation of urinary obstruction. Some patients may also exhibit symptoms of hematuria and should promptly visit the hospital's urology department for an ultrasound to determine the exact size and location of the stones. If the stones are small, it is recommended to drink plenty of water and urinate frequently to flush the stones out of the body. If the stones are larger and become lodged in the urethra, it is advised to seek surgical treatment as soon as possible to break down and eliminate the stones.
Prostatitis is caused by what?
The occurrence of prostatitis is mainly due to infections of the prostate or some non-infectious factors. Infectious factors are primarily due to previously untreated conditions such as urethritis or seminal vesiculitis. Bacteria spread along the urinary and reproductive tracts to the prostate, causing infection. Non-infectious factors mainly include poor lifestyle habits, such as prolonged sitting, holding urine, long-distance driving, long periods of cycling, frequent sexual activity, and long-term alcohol consumption. Prostatitis is also related to some endocrine diseases or psychological factors. After developing prostatitis, patients may experience symptoms such as frequent urination, urgent urination, incomplete urination, and a sense of weighty pain in the perineum, anal region, and lower abdomen. It is important to visit a hospital's urology department for a detailed examination and targeted treatment.
What does it feel like when there is a stone in the lower part of the urethra?
Urethral stones are generally divided into posterior urethral stones and anterior urethral stones, whereas ureteral stones are classified into upper, middle, and lower segments. For posterior or anterior urethral stones, the main symptoms include frequent urination, urgent urination, painful urination, a feeling of obstruction during urination, and in severe cases, hematuria or even urinary retention may occur. In such cases, timely lithotripsy and stone removal treatment are required. If the stone is in the lower segment of the ureter and pauses at a certain place, the patient often does not feel discomfort or might experience mild obscure pain. If the movement of the stone stimulates the ureter, it can cause pain in the lower abdomen, often accompanied by the presence of blood in the urine. Diagnosis can be confirmed through color ultrasound or CT scan. For stones in the lower segment of the ureter, treatment depends on the specific size of the stone. If the stone is relatively small, conservative stone expulsion treatment can be done; if the stone is large, surgical intervention is recommended as soon as possible.
What are the symptoms of varicocele?
If the patient has mild varicocele, they often have no symptoms and it is not easily detected; in such cases, no special treatment is needed. However, with moderate or severe varicocele, the patient may experience a dragging pain in the testicles, especially after intense physical activity, prolonged sitting, or standing, which makes the pain more pronounced. During a physical examination, twisted, worm-like clusters of veins can be felt within the scrotum. Patients with varicocele should undergo further routine semen analysis to assess if the semen quality is affected. If sperm quality is impacted, it could lead to a decline in male fertility, and surgical treatment should be considered when necessary.