As the symptoms are suggestive of vaginitis, consulting a gynaecologist is the best policy.
會員# cm chan
纖維瘤一問
醫生說在罩丸後和大腿間一粒約4厘米的纖維瘤，請問各位醫生是否是要切除，如不理會他會否有大影嚮。
范健
醫生回覆
Surgical excision is certainly one of the options for lesions of 4cm. The nature of the tumour needs to be confirmed if one adopts expectant treatment. If it is a benign tumor, the consequence is progressive increase in size that may entail a bigger incision, more operative time and higher chance of bleeding when surgery is performed. If it is malignant and overlooked, then the tumor may spread locally or to distant organs rendering control and cure difficult or impossible.
Confirmed bacterial prostatitis usually requires appropriate antibiotics for at least 3 weeks to 3 months besides other supportive treatment. It is also eminently associated with relapses and emergence of bacterial resistant to most if not all oral antibiotics. Unsatisfactory outcome and / or failure of treatment may mean persistent or frequent recurrent symptoms compounded with positive semen culture. Of course, one need to ensure that the semen collected is fresh and not contaminated or else the result can be misleading. As each case is unique, tailor-made treatment can only be offered after full assessment.
As the prostate is part of the lower urinary tract, infections of the lower urinary tract may affect the prostate. Symptoms of prostate infection can be acute and chronic; they can be differentiated by history and physical examination including digital rectal examination. Further investigations including taking urine and semen samples for bacterial culture, blood tests and examination of the prostate by ultrasound are required. The response of acute bacterial prostate infection, without complication, to antibiotics is usually seen within a week's time while that of chronic prostate infection is more protracted and frequently recur. The complex nature of chronic prostate infection and its resistance to treatment many a time necessitate the use of additional medication besides antibiotics. Since Mr. Man also has poor urine flow and erectile problem, proper assessment is needed before incriminating prostate infection as the root cause
In the abscence of lower urinary tract symptoms, twitching of the perineal muscles or muscles of the pelvic floor is harmless and has nothing to do with the genitourinary system. It may sometimes be related to stress.Like twitching of the eye, face and neck muscles, it is temporary and will subside by itself. Consult a physician or neurologist if it becomes persistent and annoying.
范健醫生(男)
范健醫生(男)