Question 1

My 73-year-old father has phimosis, and his urologist recommended circumcision mainly for hygiene and to prevent future infections. He's had diabetes for 26 years but it's well-controlled (HBA1C 6.6), and his BP is stable. The doctor suggested conventional surgery under local anesthesia but didn't mention laser surgery. I'm trying to understand the pros and cons of both methods conventional cutting vs laser especially for someone his age with diabetes. Which one would be safer or more recommended in his case?

Accepted Answer

kindly share report

Question 2

I've had a burning sensation when peeing ever since my C-section and catheter removal six years ago, but my cystoscopy showed everything was normal. What could be causing this ongoing issue?

Accepted Answer

A persistent burning sensation when peeing after a C-section and catheter removal, even after a normal cystoscopy, could be due to several factors, including interstitial cystitis/bladder pain syndrome, urethral stricture, or chronic inflammation related to the surgery. Further evaluation may be needed to determine the cause and appropriate treatment

Question 3

I've been having this pain on the left side of my abdomen for about two weeks now. Initially, a sonography showed a small prominence in my left renal pelvis, but then I had a CT scan and the results came back normal. A week after that, I started experiencing mild pain in my left bladder and testicles. The doctors treated me for a stone, but the pain in my testicles is still there. They ordered another sonography, and this time the report showed an extra renal pelvis. I'm just really confused and worried about what all this means. What should I do next?

Accepted Answer

The itchy rash around your wound could be a sign of an allergic reaction, infection, or skin irritation. Here are some possible causes:

*Possible Causes*

1. *Contact dermatitis*: An allergic reaction to a substance, such as soap, lotion, or bandages, can cause a rash and itching.
2. *Infection*: Bacterial, fungal, or viral infections can cause a rash, itching, and delayed wound healing.
3. *Eczema or atopic dermatitis*: Pre-existing skin conditions can cause a rash and itching around the wound.
4. *Irritation from wound care products*: Harsh chemicals or fragrances in wound care products can irritate the skin.

*Recommendations*

1. *Consult a doctor*: Show your wound and rash to your doctor to determine the cause and best course of treatment.
2. *Keep the wound clean*: Continue to clean the wound with mild soap and water.
3. *Apply a topical cream*: Your doctor may prescribe a topical cream or ointment to reduce itching and inflammation.
4. *Avoid scratching*: Scratching can further irritate the skin, delay wound healing, and increase the risk of infection.

*When to Seek Immediate Attention*

1. *Increased redness or swelling*: If the rash or wound becomes increasingly red, swollen, or painful.
2. *Pus or discharge*: If you notice pus or discharge from the wound.
3. *Fever*: If you have a fever above 100.4F (38C).
4. *Worsening symptoms*: If your symptoms worsen or don't improve with treatment.

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