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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
Prostate cyst surgery or
Whether prostate cysts require surgical treatment depends on the specific size and location of the cyst, as well as whether it causes significant discomfort or impacts the patient. If the cyst inside the prostate is relatively small and the patient does not experience discomfort, no special treatment is necessary for this type of cyst. If the cyst causes symptoms such as frequent urination, urgent urination, or incomplete bladder emptying, warm sitz baths or localized physical therapy may be used for treatment. If the cyst is large and compresses the urethra, leading to urinary retention, it is recommended to surgically remove the cyst as soon as possible to restore the patency of the urethra.
Can chronic prostatitis be cured?
Chronic prostatitis is curable and is mainly divided into chronic bacterial prostatitis and chronic abacterial prostatitis. For patients with chronic bacterial prostatitis, it is necessary to culture prostatic fluid and perform an antibiotic sensitivity test to identify the pathogen. Then, based on the test results, appropriate sensitive antibiotics are chosen for treatment lasting four to six weeks. On the other hand, abacterial prostatitis is mainly caused by poor lifestyle habits. For this type of prostatitis, it is important to strengthen daily care, pay attention to a light diet, and avoid spicy and irritating foods. Avoid sitting for long periods, holding urine, long drives, staying up late, and overly frequent sexual activity. Developing good lifestyle habits will gradually lead to recovery.
Do you need to avoid certain foods if you have epididymitis?
After being diagnosed with epididymitis, there are dietary restrictions to consider. Here are a few things to keep in mind regarding your diet: First, it's important to eat lightly. Avoid spicy and irritating foods such as onions, ginger, garlic, and chili peppers. Try to eat these sparingly or not at all. Also, avoid drinking strong tea, coffee, and other stimulating beverages. It's necessary to quit smoking and drinking alcohol, and instead, increase your intake of fresh vegetables and fruits to boost your vitamin intake. Beyond diet, there are also lifestyle considerations to keep in mind. Try to lie flat as much as possible and keep your scrotum elevated. This can promote local blood circulation, which is beneficial for the treatment of the condition. Avoid vigorous exercise and prolonged sitting or standing.
How should urethral stones be treated?
For the treatment of urethral stones, it is first necessary to use ultrasound, CT scans, and other examinations to specifically determine the stone's location and size within the urethra for appropriate treatment. If the stone is small, such as around 5 millimeters, this condition can be managed by increasing water intake and frequent urination, relying on the flushing action of the urine to expel the stone from the body. If the stone is large and causing obstruction in the urethra, and if it is a posterior urethral stone, it is recommended to push the stone back into the bladder under cystoscopy, followed by lithotripsy. If it is an anterior urethral stone, the condition can be treated under ureteroscopy by using holmium laser lithotripsy, after which the stone can be squeezed out of the body or by injecting paraffin oil into the urethra to lubricate and then expel the stone.
What should I do about the stabbing pain from a urethral stone?
Urethral stones can cause urethral pain, painful urination, and even a feeling of urinary blockage, with severe cases leading to urinary retention. For urethral pain caused by stones, it is first necessary to examine the specific size and location of the stone within the urethra. If it is a small stone in the anterior urethra, it is advised to drink more water and urinate frequently to flush the stone out of the body with the flow of urine. If the stone is large and becomes lodged in the urethra, or even completely blocks the passage, causing urinary retention, it is recommended to undergo surgery as soon as possible. The stone should be crushed and expelled from the body, with a catheter left in place after surgery. The patient can usually be discharged from the hospital within three to five days.
How does a urine test determine prostatitis?
A routine urinalysis cannot determine prostatitis. It can, however, rule out other urinary system infections such as urethritis or cystitis through routine urinalysis. If the urinalysis is normal but the patient still exhibits symptoms like frequent urination, urgency, and incomplete emptying of the bladder, this may indirectly suggest the possibility of prostatitis. In cases of acute bacterial prostatitis, the urinalysis may show varying degrees of increased white blood cells. To confirm prostatitis, it is best to examine the prostate fluid for lecithin corpuscles and white blood cells.
Is a 6mm prostate calculus serious?
A 6mm prostate stone is not severe. Typically, patients with such stones do not experience discomfort, and most cases are discovered during ultrasound examinations at physical check-ups. These asymptomatic prostate stones do not require special treatment. However, some patients may experience recurrent prostate inflammation due to the presence of stones, or symptoms such as a feeling of heaviness in the anus or lower abdomen. These conditions require timely anti-inflammatory treatment. If necessary, medications like Prostakor tablets or Prostasure capsules can be taken orally to alleviate symptoms. Treatments like warm water sitz baths or localized therapy can also be administered. (Please use medications under the guidance of a doctor.)
What causes epididymitis?
The occurrence of epididymitis is primarily due to the inflammatory reaction caused by pathogenic microbial infections of the epididymis, with common pathogens including Escherichia coli, Staphylococcus, and Pseudomonas aeruginosa. This is mainly due to previous conditions such as urethritis, bacterial prostatitis, and vesiculitis not being timely treated, allowing the pathogenic microbes to gradually spread along the vas deferens to the epididymis, leading to inflammation. Epididymitis may also occur due to prolonged use of urinary catheters or post-prostate resection surgery. After the onset of epididymitis, the epididymis will exhibit symptoms of enlargement and pain. It is necessary to promptly use antibiotics for treatment. During the treatment period, attention should be paid to a light diet; avoid spicy and irritating foods, lie flat as much as possible, and elevate the scrotum. (Please use medications under the guidance of a doctor)
Is cystitis easy to treat?
Cystitis refers to the congestion of the bladder mucosa caused by a bacterial infection, leading to symptoms such as frequent urination, urgency, painful urination, and blood in the urine. In this case, antibiotics can be used for treatment. If necessary, a urine culture and drug sensitivity test should be conducted, and sensitive antibiotics should be selected based on the results. Alternatively, empirical medication using levofloxacin or cephalosporin antibiotics can be employed. After anti-inflammatory treatment, recovery usually occurs within about a week. During treatment, it is important to maintain a light diet and avoid spicy and irritating foods. Drinking more water and urinating frequently can help flush out negative exudates and blood clots from the bladder.
What foods should not be eaten with epididymitis?
Patients with epididymitis need to pay attention to their diet by eating light and avoiding overly greasy foods. They should consume more fresh vegetables and fruits. Additionally, they should avoid spicy and irritating foods such as onions, ginger, garlic, and chili peppers, and limit or completely avoid these items. It is necessary to quit smoking and drinking alcohol, and also avoid drinking strong tea, coffee, and other stimulating beverages. Besides dietary considerations, it is important to avoid sitting for long periods and refrain from vigorous exercise. Patients should try to lie down as much as possible and elevate the scrotum to help promote local blood circulation, which is beneficial for the treatment of the condition.