Painful Bumps Under the Penis: When to See a Doctor

Q: Painful Bumps Under the Penis: When to See a Doctor

Hello： You should see a urologist for diagnosis. <br>Wishing you good health.

Penile issues

There is a hard lump under the skin beneath the penis that is painful to touch and is about the size of half a thumbnail.
Will this go away on its own, or should I see a doctor?

Niming, 10~19 year old female. Ask Date: 2017/08/15

Dr. Du Shixi reply Urology

Hello: You should see a urologist for diagnosis.
Wishing you good health.

Reply Date: 2017/08/15

More Info

When it comes to painful bumps under the penis, it is essential to approach the situation with caution and awareness of potential underlying conditions. The presence of a hard, painful bump, especially one that is approximately the size of a fingernail, can be indicative of several medical issues, some of which may require prompt medical attention.

First and foremost, it is crucial to understand that any new or unusual growths or bumps in the genital area should not be ignored. While some bumps may resolve on their own, others could signify more serious conditions that necessitate medical evaluation. Here are some potential causes for the bump you described:
1. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans penis. They are normal anatomical variations and do not require treatment unless they cause discomfort.

2. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. It can lead to painful bumps that may resemble pimples. Treatment typically involves good hygiene and, in some cases, topical antibiotics.

3. Cysts: Sebaceous cysts can develop in the genital area and may become painful if they become inflamed or infected. These cysts are usually benign but may require drainage if they become bothersome.

4. Genital Warts: Caused by the human papillomavirus (HPV), genital warts can appear as small, flesh-colored or gray bumps. They can be painful and may require treatment to remove.

5. Herpes Simplex Virus: If the bump is associated with blisters or sores, it could be a sign of genital herpes. This viral infection can cause painful lesions and requires antiviral treatment.

6. Lymphocele or Lymphadenopathy: Swollen lymph nodes or fluid-filled sacs can occur in response to infection or inflammation and may present as painful bumps.

7. Other Infections: Bacterial or fungal infections can also lead to painful bumps in the genital area.

Given the variety of potential causes, it is advisable to see a healthcare provider for a thorough examination. A doctor can perform a physical examination, take a detailed medical history, and possibly conduct tests to determine the nature of the bump. Early diagnosis is crucial, especially if the bump is indicative of an infection or sexually transmitted disease (STD).

In summary, while some bumps may resolve on their own, it is always better to err on the side of caution when it comes to changes in your genital area. If the bump is painful, persistent, or accompanied by other symptoms such as discharge, fever, or systemic symptoms, seeking medical attention is essential. A healthcare provider can offer the appropriate diagnosis and treatment options, ensuring that any underlying issues are addressed promptly. Remember, your health is paramount, and taking proactive steps can lead to better outcomes.

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