Painful Bumps at the Base of the Penis: Causes and Concerns - Urology

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Pain at the base of the penis may be associated with a condition known as a "pachyonychia congenita" or could indicate the presence of a cyst or other underlying issues. It is important to consult a healthcare professional for


In the past, there was a condition that was not painful but disappeared.
After a long time, it reappeared and is now painful.
What could be the reason for this? Is it related to hot weather and excessive sweating?

Cai, 10~19 year old female. Ask Date: 2016/09/02

Dr. Sun Hongshun reply Urology


Hello: Due to insufficient clarity in the description, please visit the urology clinic for a physical examination and evaluation.

Reply Date: 2016/09/02

More Info


Painful bumps at the base of the penis can be concerning and may arise from various causes. Understanding these causes is essential for addressing your symptoms effectively.
One common reason for painful bumps in this area could be folliculitis, which is an inflammation of the hair follicles. This condition can occur due to irritation, infection, or blockage of the follicles, often exacerbated by sweating, friction, or wearing tight clothing. Given that you mentioned the bumps reappeared after a period of absence and are associated with hot weather and sweating, it is plausible that folliculitis could be a contributing factor. The heat and moisture can create an environment conducive to bacterial growth, leading to inflammation and pain.

Another potential cause could be a sexually transmitted infection (STI), such as herpes or genital warts, which can present as painful bumps. If you have had unprotected sexual contact, it is crucial to consider this possibility. STIs can sometimes remain dormant and then reactivate, leading to symptoms like painful lesions or bumps.

Additionally, cysts or benign growths, such as sebaceous cysts, can develop in the genital area. These are usually painless but can become inflamed or infected, causing discomfort. If the bumps are firm, movable, and not associated with other symptoms like discharge or fever, they might be cysts.

In some cases, conditions like Peyronie's disease, which involves the development of fibrous scar tissue inside the penis, can lead to painful bumps and curvature. However, this is typically associated with other symptoms, such as changes in erection or pain during intercourse.

It is also worth noting that skin conditions, such as eczema or psoriasis, can manifest as bumps or lesions in the genital area, particularly if you have a history of these conditions elsewhere on your body.

Given the variety of potential causes, it is essential to consult a healthcare professional for an accurate diagnosis. They may perform a physical examination and, if necessary, order tests such as a swab or biopsy to determine the exact nature of the bumps.
In the meantime, here are some general recommendations to help manage your symptoms:
1. Maintain Hygiene: Keep the area clean and dry. Avoid using harsh soaps or products that may irritate the skin.

2. Wear Loose Clothing: Opt for breathable fabrics to reduce friction and moisture accumulation.

3. Avoid Irritants: If you suspect that sweating is a contributing factor, consider using talcum powder or cornstarch to absorb moisture.

4. Monitor Symptoms: Keep track of any changes in the bumps, such as size, color, or associated symptoms like discharge or fever.

5. Seek Medical Advice: If the bumps persist, worsen, or are accompanied by other symptoms (such as fever, discharge, or significant pain), it is crucial to seek medical attention promptly.

In summary, while painful bumps at the base of the penis can arise from various causes, including folliculitis, STIs, cysts, or skin conditions, it is essential to consult a healthcare provider for a proper diagnosis and treatment plan. Taking proactive steps in hygiene and monitoring your symptoms can help manage discomfort while you seek professional advice.

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