Painful Groin Lumps: When to See a Urologist - Urology

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Pus-filled lump at the base of the penis?


Hello Dr.
Du: About a month ago, I noticed a small hard lump located below the bladder, near the base of the penis.
It hurts a bit when I gently touch it, and it has since started to grow.
Yesterday, I suddenly noticed something that looked like a scab on top of it.
When I lightly touched it, it bled a little.
This morning, I saw some white material on top that looks like pus, and the lump appears to be a dark red color.
Could you please tell me what this issue might be, and should I see a urologist or a dermatologist? Thank you, doctor.

simon, 10~19 year old female. Ask Date: 2017/08/22

Dr. Du Shixi reply Urology


Hello: Currently, both urology and surgical dermatology are available.

Reply Date: 2017/08/22

More Info


Based on your description, it sounds like you are experiencing a concerning issue with a lump in the groin area that has changed in size and appearance over the past month. The presence of pain, bleeding, and discharge (which appears to be pus) from the lump are significant symptoms that warrant further evaluation.


Potential Causes
The lump you described could be due to several conditions, including:
1. Infection: This could be a skin infection, such as an abscess, which can occur when bacteria enter the skin and cause localized inflammation. The presence of pus and the dark red color of the lump suggest that there may be an infection present.

2. Lymphadenopathy: Swollen lymph nodes can occur in the groin area due to infections or other systemic conditions. If the lump is a swollen lymph node, it may indicate that your body is fighting an infection.

3. Sebaceous Cyst: These are non-cancerous lumps that can occur under the skin and may become inflamed or infected, leading to pain and discharge.

4. Tumors: While less common, both benign and malignant tumors can present as lumps in the groin area. The characteristics of the lump, such as its size, shape, and consistency, can provide clues to its nature.


When to See a Urologist
Given the symptoms you described, it is advisable to see a healthcare professional as soon as possible. A urologist would be the appropriate specialist to consult for the following reasons:
- Location: The lump is located near the bladder and penis, which falls under the urological system.

- Potential Complications: If the lump is due to an infection, it could lead to more serious complications if not treated promptly.

- Further Evaluation: A urologist can perform a physical examination, order imaging studies if necessary, and conduct any required laboratory tests to determine the cause of the lump.


What to Expect During the Visit
During your visit to the urologist, you can expect:
- Physical Examination: The doctor will examine the lump and surrounding area to assess its characteristics.

- Medical History: Be prepared to discuss your medical history, any recent infections, or other symptoms you may have experienced.

- Diagnostic Tests: Depending on the examination, the doctor may recommend blood tests, imaging studies (like an ultrasound), or a biopsy if there is a concern about malignancy.


Conclusion
In summary, the symptoms you are experiencing with the lump in your groin area are concerning and should not be ignored. It is essential to seek medical attention promptly to determine the underlying cause and receive appropriate treatment. A urologist is the right specialist to consult in this case, given the location and nature of your symptoms. Early intervention can help prevent complications and ensure better outcomes.

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