Painful Bump Below the Penis: Causes and What to Do Next - Urology

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There is a bump resembling an acne lesion on the lower left side of the penis?


The pimple is painful to the touch, and it is a small red bump.
After doing a DIY treatment, I noticed it burst, and there was blood and some pus coming out.
I'm not sure if this is a sexually transmitted infection or a serious illness.
What should I do?

Xiao Guo San Sheng, 10~19 year old female. Ask Date: 2016/12/02

Dr. Du Shixi reply Urology


Hello: Please keep the wound clean and avoid contact with water for at least 3 days.
It is best to disinfect it daily with alcohol or povidone-iodine.
Since there is a wound, use an OK bandage to cover it.
Some cases may require a doctor's examination, so take care of the wound first and visit the hospital for a check-up when you have time.
Thank you for your inquiry.

Reply Date: 2016/12/02

More Info


Experiencing a painful bump below the penis can be concerning, especially when it is red, tender, and has ruptured, releasing blood and pus. While I cannot provide a definitive diagnosis, I can outline potential causes and recommend steps you should take.


Possible Causes
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial infection. It can lead to red, painful bumps that may rupture and drain pus.

2. Pearly Penile Papules: These are small, harmless bumps that can appear around the glans of the penis. They are not painful and do not require treatment.

3. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They may be tender and can bleed if irritated.

4. Herpes Simplex Virus (HSV): This viral infection can cause painful blisters or sores on the genital area. If the bump is accompanied by flu-like symptoms or multiple lesions, it could be herpes.

5. Abscess: A localized collection of pus that can occur due to infection. It can be painful and may require drainage by a healthcare professional.

6. Sexually Transmitted Infections (STIs): Conditions like syphilis or chancroid can present as painful sores or bumps.

Recommended Steps
1. Avoid Manipulation: Do not pick at or squeeze the bump, as this can lead to further irritation or spread of infection.

2. Keep the Area Clean: Gently wash the area with mild soap and water. Avoid using harsh soaps or irritants.

3. Monitor Symptoms: Keep an eye on the bump. If it becomes larger, more painful, or if you develop additional symptoms (such as fever, chills, or swollen lymph nodes), seek medical attention promptly.

4. Consult a Healthcare Provider: Given the nature of the bump and the fact that it has ruptured, it is crucial to see a healthcare professional. They can perform a physical examination, possibly take a sample for testing, and provide a proper diagnosis and treatment plan.

5. Discuss Sexual Health: If you are sexually active, it’s important to discuss your symptoms with your healthcare provider, as they may recommend STI testing.

6. Avoid Sexual Activity: Until you have been evaluated by a healthcare provider, it is advisable to refrain from sexual activity to prevent potential transmission of infections.


Conclusion
While a painful bump below the penis can arise from various causes, it is essential to seek medical advice for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and ensure your health and well-being. Remember, it’s always better to err on the side of caution when it comes to your health, especially regarding symptoms that could indicate an infection or sexually transmitted disease.

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