Urology: Common Concerns About Erection and Testicular Health - Urology

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Hello, Dr. Lin?


1.
When I have an erection, my glans does not become exposed.
I am currently in the second year of junior high school; will my penis continue to grow?
2.
I have white, bean-like spots on my foreskin; what could that be?
3.
I feel something that resembles intestines on my left testicle, but it doesn't hurt.
What could this be?

Huang XX, 10~19 year old female. Ask Date: 2016/03/28

Dr. Lin Wenxu reply Urology


Please visit the urology outpatient clinic in person for a proper diagnosis.

Reply Date: 2016/03/28

More Info


Understanding urology is essential for addressing common concerns related to erection and testicular health. Let's break down your questions one by one.

1. Erection and Glans Exposure: It's common for some individuals to experience a condition known as phimosis, where the foreskin cannot be fully retracted to expose the glans (the head of the penis) during an erection. This can be due to a tight foreskin or other anatomical factors. If you are still in your teenage years, your body is still developing, and it is possible that your penis and foreskin may continue to grow and change. However, if you find this condition uncomfortable or if it leads to hygiene issues, it would be wise to consult a urologist. They can provide guidance on whether any treatment is necessary, which may include stretching exercises or, in some cases, surgical options like circumcision.

2. White Bumps on the Foreskin: The white bumps you are noticing on your foreskin could be a number of things. One common possibility is pearly penile papules, which are harmless and typically appear as small, white or skin-colored bumps around the corona of the glans. These are normal anatomical variations and do not require treatment. However, if the bumps are new, changing, or accompanied by other symptoms such as pain, itching, or discharge, it is important to see a healthcare provider for a proper diagnosis. Other conditions, such as genital warts or infections, may present similarly and require medical attention.

3. Left Testicle and Abdominal-like Structure: The sensation of something that feels like intestines in your left testicle could be concerning. It is possible that you are feeling the epididymis, which is a coiled tube located at the back of the testicle that stores and matures sperm. However, if the structure feels unusual, or if you experience any pain, swelling, or changes in size, it is crucial to seek medical evaluation. Conditions such as a hydrocele (fluid accumulation), varicocele (enlarged veins), or even testicular torsion (a medical emergency) can present with similar symptoms. A urologist can perform a physical examination and possibly an ultrasound to determine the nature of the structure you are feeling.

In summary, while some of your concerns may be benign and related to normal anatomical variations, it is always best to consult with a healthcare professional, particularly a urologist, for a thorough evaluation. They can provide reassurance, appropriate diagnostic tests, and treatment options if necessary. Remember, maintaining open communication about your health is vital, and addressing these concerns early can lead to better outcomes.

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