Question 1

My father was just diagnosed with prostate cancer with a Gleason score of 34. One doctor recommended hormone therapy, but from what I've read, robotic surgery seems like a better option since hormone therapy isn't a full cure. I'm really confused about what treatment would be best for him can you help explain the pros and cons of each?

Accepted Answer

Hormone therapy can control prostate cancer but is not curative; robotic surgery may remove cancer but depends on age, stage, and fitness‚Äîboth have pros and cons.

Question 2

I have cryptorchidism that wasn't treated when I was younger and now I'm 19 with no pain. What should I do next? Which hospital department handles this condition? Is there any medicine I can try with a doctor's guidance or is surgery my only option? Between orchiopexy and orchiectomy, which one would be better for me?

Accepted Answer

At your age, if you have cryptorchidism with no pain, it's essential to consult with a urologist or pediatric urologist. They can assess your specific case, discuss treatment options, and help you make an informed decision. While surgery is usually recommended, the specific procedure (orchiopexy or orchiectomy) depends on various factors, including the testicle's condition and your individual circumstances

Question 3

I'm worried about my recent ultrasound results. It says I have left renal cortical cysts and grade II fatty changes in my liver, plus something called prostatomegaly. The report mentions that my left kidney is normal in size and there's no evidence of any stones or hydronephrosis. There are two cystic lesions at the lower pole, one of which is pretty big. Should I be concerned about these findings, especially the cysts and liver changes? What do these terms really mean for my health?

Accepted Answer

The pain you're experiencing after vomiting could be due to:

1. Irritation and inflammation of the esophagus (food pipe) from stomach acid.
2. Potential tears or ulcers in the esophagus or throat.
3. Spasms or constriction of the esophagus.

To alleviate the discomfort:

- Stay hydrated with water and electrolyte-rich drinks.
- Avoid solid foods for a while; opt for bland, soft foods like yogurt or soup.
- Over-the-counter antacids or acid reducers like Tums, Rolaids, or Zantac may help.
- If the pain persists or worsens, seek medical attention.

I've been diagnosed with Grade 2 Varicocele and have low sperm count with poor motility. My urologist recommended IVF/ICSI since surgery might not help much. Is there any other way to improve sperm motility naturally or through other treatments?

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