Penile Lumps: Causes and Concerns for Men

Q: Penile Lumps: Causes and Concerns for Men

Hello： It should be fine, but now that there is a wound, it is important to keep it clean and dry. <br>If you notice any redness or swelling, you should seek medical attention. <br>Thank you for your inquiry.

Penile lump issues?

I found a hard lump near the base of my penis, close to the scrotum.
It's not noticeable unless I touch it carefully, but it becomes very apparent when I have an erection.
Today, I gathered the courage to squeeze it, and a white-yellow substance came out that looked like a pimple.
Could this be a sebaceous issue or something else?

Hong, 20~29 year old female. Ask Date: 2017/02/02

Dr. Du Shixi reply Urology

Hello: It should be fine, but now that there is a wound, it is important to keep it clean and dry.
If you notice any redness or swelling, you should seek medical attention.
Thank you for your inquiry.

Reply Date: 2017/02/02

More Info

When it comes to penile lumps, it is essential to approach the situation with caution and a clear understanding of potential causes and concerns. The presence of a lump near the base of the penis, especially close to the scrotum, can be alarming, and it is crucial to differentiate between benign conditions and those that may require medical attention.

From your description, it sounds like you may have encountered a sebaceous cyst or a similar benign skin condition. Sebaceous cysts are common and occur when the sebaceous glands, which produce oil to lubricate the skin, become blocked. This blockage can lead to the formation of a lump filled with a thick, yellowish substance, often resembling pus or sebum. These cysts are typically painless and may not require treatment unless they become infected or bothersome.

However, it is essential to consider other possibilities as well. For instance, pearly penile papules are small, harmless bumps that can appear around the glans of the penis and are completely normal. They are not a cause for concern and do not require treatment. On the other hand, sexually transmitted infections (STIs) such as genital warts or herpes can also present as lumps or bumps on the genital area. These conditions often come with additional symptoms, such as itching, burning, or discharge.

Another condition to consider is penile fibromas or fibrous plaques, which can develop due to trauma or repeated injury to the area. These may feel firm and can sometimes be associated with pain or discomfort during erections.

Given that you mentioned squeezing the lump and expelling a white-yellow substance, it is advisable to avoid this practice in the future. Squeezing or manipulating lumps can lead to infection or inflammation, worsening the condition. Instead, it is best to monitor the lump for any changes in size, color, or associated symptoms.

If the lump persists, increases in size, becomes painful, or if you notice any unusual discharge, it is crucial to seek medical attention. A healthcare provider, particularly a urologist, can perform a thorough examination and may recommend imaging studies or a biopsy if necessary to rule out more serious conditions.

In summary, while the lump you described may likely be a benign sebaceous cyst or similar skin condition, it is essential to remain vigilant and consult a healthcare professional for an accurate diagnosis and appropriate management. Regular self-examinations and awareness of any changes in your genital area can help you maintain your sexual health and address any concerns promptly. Remember, open communication with your healthcare provider is key to addressing any fears or uncertainties you may have regarding your condition.

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