Subscribe
44
Chen Feng
Urology
About me
Deputy Director of Urology Department, Chief of Urology Diagnosis and Treatment Team, Associate Chief Physician. Executive Committee Member of the Urological Stone Branch of the Jiangxi Provincial Research Hospital Society, Member of the Urology Department of the Jiangxi Provincial Research Hospital Society, Member of the Jiujiang Urology Society. Engaged in urology work for more than twenty years, proficient in modern urological theory and treatment skills, with rich clinical experience.
Proficient in diseases
Treatment of various common diseases in the urinary system, such as kidney stones, ureteral stones, bladder stones, urinary system trauma, urinary system tumors, urinary system infections, benign prostatic hyperplasia, prostatitis and other common diseases, especially skilled in minimally invasive and endoscopic surgical treatment of urinary system stones such as ureteral stones and kidney stones.
Voices
Painful urination without discharge, is it gonorrhea?
Pain during urination without discharge is generally not gonorrhea; clinically, it is more commonly a urinary tract infection, such as cystitis. Patients with cystitis, due to the inflammation irritating the bladder mucosa, generally exhibit signs of bladder irritation, characterized by frequent urination, urgency, and painful urination. The pain during urination is usually felt as a stabbing or burning sensation in the urethra, but those with cystitis generally do not have any discharge. Clinically, to confirm whether it is gonorrhea, one must first consider the patient's medical history, since gonorrhea is a sexually transmitted disease. Typically, there is a history of unprotected sexual activity before the onset of symptoms, which primarily include redness and swelling of the urethral mucosa, discomfort and itching in the urethra, and painful urination. There would also be a significant amount of white discharge from the urethral opening, consisting of pus. Therefore, the absence of discharge generally rules out gonorrhea. A urine culture can also be done to determine the type of bacterial infection.
Does hydronephrosis cause kidney pain?
Whether hydronephrosis causes kidney pain depends on the cause of the hydronephrosis. Hydronephrosis can be caused by ureteral stones. When the stone gets stuck in the ureter, it can prevent the urine produced by the kidneys from being expelled, thus causing hydronephrosis. This situation generally presents as pain in the kidney area, discomfort due to swelling in the lower back, and may also be accompanied by symptoms such as nausea and vomiting. If the stone scratches the wall of the ureter, there may also be blood in the urine. Moreover, hydronephrosis can also be caused by other diseases, such as benign prostatic hyperplasia. Due to the compression of the urethra by benign prostatic hyperplasia causing the urethra to narrow, bilateral kidney hydronephrosis may also occur. This situation generally does not involve pain in the kidney area. The main symptoms presented by the patient include discomfort due to excessive filling of urine in the bladder, leading to discomfort and pain in the lower abdomen.
Will menopausal urinary incontinence heal itself?
Whether menopausal urinary incontinence heals on its own depends on the specific cause of the incontinence. Menopausal urinary incontinence may occur in women as they age due to a relaxation of the urethra, especially in women who have had children when they were younger, as childbirth damages the pelvic floor muscles, further leading to relaxation of the urethra. This type of incontinence is known as stress urinary incontinence, which is particularly evident when sneezing or coughing, making it difficult to heal spontaneously. Treatment includes exercising the pelvic floor muscles by contracting the anus, and Midodrine Hydrochloride can also be used for treatment. However, urinary incontinence may also be caused by urinary tract infections, which lead to what is known as urge incontinence, and this condition may heal on its own. (Medication should be used under the guidance of a physician.)
What symptoms can chronic prostatitis exhibit?
The most common symptoms of chronic prostatitis are frequent urination, urgency, and painful urination. Patients will urinate frequently, and experience a stinging or burning sensation in the urethra during urination. Additionally, after urinating, a small amount of white discharge, primarily inflammatory secretions from the prostate, may drip from the urethral opening. Chronic prostatitis may also manifest as discomfort or pain in the lower abdomen or perineum. Some patients may experience sexual dysfunction, such as erectile dysfunction, premature ejaculation, or frequent nocturnal emissions. Pain and discomfort may also occur during ejaculation. For patients with chronic prostatitis, it is necessary to collect prostatic fluid for examination to observe an increase in white blood cells. Prostatic fluid can also be cultured and sensitivity testing can be done to select appropriate antibiotics for treatment.
Can you have sexual intercourse with prostatitis?
Whether patients with prostatitis can have sexual intercourse depends on the type of prostatitis. Prostatitis includes acute prostatitis and chronic prostatitis. Acute prostatitis has a sudden onset and typically presents with more pronounced clinical symptoms, especially pain and discomfort in the perineal and lower abdominal areas. It also causes the swollen prostate to compress the urethra, leading to difficulty in urination. Therefore, it is generally not recommended for patients with acute prostatitis to have sexual intercourse, as it can exacerbate symptoms and hinder recovery. Chronic prostatitis has a longer course and milder symptoms. Patients with chronic prostatitis can generally have sexual intercourse, but it is not recommended for those with severe symptoms.
What are the reasons for frequent urination and hair loss in women?
Common causes of frequent urination and hair loss in women are as follows: First, frequent urination in women can be seen in normal physiological conditions, but it could also be caused by pathological changes. A normal physiological occurrence generally happens when there is excessive water intake over a short period, leading to frequent urination. Pathological frequent urination is commonly caused by diseases such as ureteral stones, cystitis, and urethritis. These conditions can stimulate the bladder or urethral mucosa, causing symptoms like frequent urination, urgency, and painful urination. Patients will urinate frequently, but the volume of urine each time is not large, and there may be a stinging or burning sensation in the urethra during urination. Second, hair loss in women may occur due to long-term lack of sleep and other poor lifestyle habits, such as smoking and excessive drinking.
Applying heat to the abdomen for chronic prostatitis has what effect?
The primary function of applying heat to the abdomen for patients with chronic prostatitis is that it can accelerate the circulation of blood around the prostate. This facilitates the absorption of inflammatory substances in the prostate and accelerates blood circulation, which is beneficial for the recovery of the condition. The main symptoms of chronic prostatitis are frequent urination, urgency, and pain during urination. Additionally, a small amount of white discharge may flow from the urethral opening after urinating. Due to the lengthy course of chronic prostatitis, treatment can be relatively difficult. In clinical settings, if chronic prostatitis patients have a bacterial infection, antibiotics are generally required. For prostatitis caused by non-bacterial factors, antibiotics are typically not necessary. During treatment, patients can also use a hot towel on the abdomen, take warm sitz baths, or receive prostate massages. These auxiliary methods have a certain therapeutic effect on the recovery of the condition. During treatment, the diet should be light, avoiding spicy and stimulating foods, and alcohol consumption should be avoided.
How to treat frequent urination and occasional incontinence in women?
Frequent urination and occasional incontinence in women may be caused by urinary tract infections, as patients with such infections may experience symptoms like frequent urination, urgency, and pain during urination. Urgency can manifest as being unable to hold urine, even leading to incontinence. Generally, this condition requires treatment with antibiotics. Depending on the severity of the patient's condition, either oral antibiotics or intravenous antibiotics may be chosen. For milder cases, oral medications such as cefixime or levofloxacin can be used. If the condition is more severe, such as if there is discomfort in the lower back, nausea, vomiting, and fever symptoms, intravenous antibiotics may be administered. Alongside medication, it is also important to drink plenty of water, urinate frequently, and maintain a light diet rich in fresh vegetables and fruits during treatment. Avoid spicy and irritating foods, such as chili peppers, fried foods, barbecue, and also avoid alcohol. (Please use medication under the guidance of a doctor.)
What water should be drunk for cystitis?
Patients with cystitis generally just need to drink plain boiled water. It is important for cystitis patients to ensure they drink more than 2500ml of plain boiled water daily. Drinking sufficient water can increase urine production, promptly flushing the bladder and urethra, which helps in the quick recovery of the condition. If the condition of a cystitis patient is more severe, medication may be necessary. Common medications include cephalosporins and quinolones, such as cefuroxime, cefpodoxime, and levofloxacin. Along with medication, patients should adhere to a bland diet and avoid spicy and stimulating foods such as chili, fried foods, and barbecue. Alcohol should not be consumed while taking medication, especially cephalosporins, as drinking alcohol could lead to a disulfiram-like reaction, severely harming health. (Medication should be used under the guidance of a physician.)
Is hydronephrosis prone to recurrence?
Whether hydronephrosis is prone to recurrence depends on the cause of the hydronephrosis. Common causes of hydronephrosis in clinical practice are as follows: First, urinary tract stones. When a stone is lodged in the ureter or urethra, it can cause urinary obstruction. The urine produced by the kidneys cannot be expelled in time, leading to hydronephrosis. If the stones in the urinary system can be completely removed, it generally does not recur easily. However, if there are still quite a few stones in the kidney or bladder after clearing the urinary tract, it is more likely to recur, because the stones might move down, get lodged in the ureter or urethra again, and cause hydronephrosis. Second, prostate enlargement. Hydronephrosis caused by prostate enlargement is generally more likely to recur because the prostate continues to grow in size. Even if the enlarged prostate is surgically removed, it still might lead to urethral stricture, thereby causing hydronephrosis again.