It is common that 1 testis is slightly bigger than another but if the difference is too much, then, will need to investigate.
– if a lump is felt on the testes, it is advisable to get a n ultrasound to investigate what that lump is. It can be a benign lump or cyst or can be testicular cancer (commonest cane in men 20-40 yrs old)
– it is difficult to say for sure if the current problem and the old problem are similar or not. Will have to examine to see the conditions.
– Foamy urine may be due to the foods that a person eats. There can be concerns about kidney function of urine output decreases or protein starts leaking into the urine and may appear foamy.
– A person can see a family doctor or specialist to do urine tests and blood tests and if needed, Ultrasounds to study the kidneys, bladder (and prostate for males)
This may be due to overactive bladder. There may be prostate problems (males) or sometimes, kidney stones may drop into the bladder to cause this irritation. The amount of water you drink may also cause frequent urination.
Antibiotics should be quickly started. Other than STD, the skin of the penis can still get infected through a skin tear. I would encourage you to check for STDs if unsure by a doctor through urine or blood test.
Removing the stricture portion or dilatation with balloon can be considered IF there is still enough kidney function left. Otherwise, the operated ureter will possibly re-narrow or stricture back because there’s not enough urine flow to keep it open. Removing a kidney is a major operation but under expert hands, it can be done safely with key-hole surgery with low risk of complications.
Blood in the urine can be due to kidneys stones, infection or occasionally cancers. It is recommended for a cystoscopy and and a scan of the kidneys/ureter/bladder. If after checking and no disease is found, there is no need to worry as long the blood is microscopic (cannot be seen by eyes).
Other than antibiotics, lots of water and practice safe sex. Consider doing STD screening and monitor for post-infection complications like urethral stricture than may cause difficulty in urination and persistent hot urination sensation.
This may be due to infection, stricture or even stone problems. For men, it can also be a prostate problem.
Curved penis may be a natural variation (congenital). There is a condition called Peyronie’s disease where the penis starts to cure because of scarring of the penis – this may require shockwave therapy, intra-scar injections or surgery to straighten the penis. But only need treatment if the curvature affects function for urine and sex.
For men, it may be prostate related/prostatitis or stricture/urethritis. Will need a full assessment in order to understand and explain the persistent symptoms. For ladies, need to check for recurrent urine infection.
Incontinence can be due to many reasons. For ladies, weak pelvic floor muscles are common are menopause & childbirth.
For men, prostate obstruction, infections and bladder stones are known causes and sometimes after certain surgery.
Some neurological conditions may also result in incontinence such as spine conditions, diabetes etc
While it is suggested that the inner frenular skin is more sensitive, studies show no significant loss of sexual satisfaction. In fact, any foreskin trained will undergo some changes due to exposure to become similar so not much difference what is left behind because all exposed skin will become ‘less’ sensitive
It is not true that at least 1-2 cm of foreskin has to remain after circumcision in order to preserve maximum sensitivity, in fact, some prefer less preserved foreskin for a more uniform colour.
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