- Graduated medical school at the National University of Singapore (NUS) in 2001
- Postgraduate surgical degrees from the Royal College of Surgeons of Edinburgh in 2006, and Royal College of Physicians and Surgeons of Glasgow in 2011
- Masters in Surgery from National University of Singapore (NUS) in 2007
- Completed Advanced Specialty Training at NUH
- College of Surgeons Gold Medal from the Academy of Medicine Singapore, awarded to the top Advanced Urological Trainee
- Completed my fellowship in Urologic Oncology and Laparoscopic and Tele-Robotic Urologic Surgery at the Royal Melbourne Hospital and Peter MacCallum Cancer Centre in Australia in 2013
The tip of my penis is red and feels numb. When I urinate, the tip feels hot. What sort of condition is this?
Yes, you should definitely get a circumcision. Diabetes and Glyxambi are known to cause infection of the penis, especially if the foreskin cannot be retracted for proper hygiene
I have a habit of using this product called magic tissue (Note from SH: it’s a product used to boost sexual performance) before intercourse. I started using it 5 years ago. However, recently the effectiveness seems to have gone away and my penis is numb all the time, even when I am not having intercourse. Do I need to get myself examined by a doctor?
The standard treatment for TCC ureter is radical nephroureterectomy which is removal of the both the kidney and ureter. The reason for this is the cells that are in the ureter are in continuity with the cells in the kidney, so they may also be affected by cancer in the future.
However, if the cancer in the ureter is low stage or low grade, we can consider kidney sparing surgery by removing only the part of the ureter with cancer. In some cases, we may also just remove the tumour endoscopically, and not have to remove the diseased portion of ureter.
I would suggest a review with a urologist subspecialised in urological cancers for a second opinion.
The procedure with the best chance of complete clearance of this large volume of stone is a combination of supine PCNL (percutaneous nephrolithotomy) and RIRS (retrograde intrarenal surgery). However, this is an invasive procedure with a small risk of bleeding from the kidney.
An alternative is insertion of a DJ stent and multiple session of ESWL which is a non invasive procedure done under sedation. However, with this volume of stone – should be prepared for at least 2-3 sessions.
It sounds like you have a short frenulum that becomes tight when you have an erection. This condition is called frenulum breve. It can be treated with a simple 5min operation. You can read up more on this condition here – https://www.tanurology.com.sg/mens-health/short-penile-frenulum-frenulum-breve/
No, this is a complicated condition which I cannot answer based on the information given. You will need a detailed review of your symptoms, a bladder diary as well as the tests done with a urologist.
No, this is a complicated condition which I cannot answer based on the information given. You will need a detailed review of your symptoms, a bladder diary as well as the tests done with a urologist.
You will need an in-person review by a urologist. If you wish to book a consultation with me, please kindly contact my clinic at 6732 6503