Penile Bumps: Causes and When to Seek Help - Urology

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There is a linear protrusion on the penis?


Hello doctor, I would like to ask about a noticeable change in my penis over the past two to three months.
I do not have a sexual partner, so I believe it is simply due to excessive masturbation.
On the right side of my penis, there is a linear protrusion measuring about two to three centimeters.
It does not hurt when pressed, and I do not experience pain in general.
Since this protrusion appeared, my glans has noticeably shifted to the left.
When completely flaccid, the protrusion sometimes appears and sometimes does not (with the glans clearly tilted to the left).
When semi-erect, the linear protrusion is very prominent (with the glans still clearly tilted to the left), and when fully erect, the protrusion still appears (with the glans slightly returning to the center).
I have researched and believe it is not a rupture of the tunica albuginea (as there was no trauma).
It seems more like sclerosing lymphangitis, but I have heard that sclerosing lymphangitis typically resolves on its own within 4 to 6 weeks.
However, it has been seven to eight weeks, and there has been no improvement.
Could it be fibrosis of the tunica albuginea? I have consulted a urologist when the lesion occurred, but the doctors only prescribed medications for peripheral blood circulation, and there has been no improvement (the linear protrusion has not decreased in size).
They have only advised observation, and the longer this drags on, the more worried I become.

An An, 20~29 year old female. Ask Date: 2017/09/06

Dr. Du Shixi reply Urology


Hello: If you have already seen a urologist, it is likely related to vascular issues, and observation may be the only option.
If you feel that you are engaging in excessive masturbation, it would be advisable to reduce the frequency for the time being.
Wishing you good health.

Reply Date: 2017/09/06

More Info


Understanding penile bumps can be a source of anxiety for many individuals, especially when there are noticeable changes in the genital area. Based on your description, it seems you have developed a linear protrusion on the right side of your penis, which is not painful and has been present for several weeks. Additionally, you mentioned that your glans (the head of the penis) appears to be deviating to the left, particularly when the penis is in a semi-erect state.

Firstly, it is important to note that various conditions can lead to the development of bumps or protrusions on the penis. Some common causes include:
1. Peyronie's Disease: This condition is characterized by the development of fibrous scar tissue inside the penis, which can cause curved, painful erections. The linear protrusion you described could potentially be a sign of this condition, especially if it is associated with changes in the curvature of the penis.

2. Lymphangiectasia: This is a condition where lymphatic vessels become dilated, leading to the appearance of soft, non-painful bumps. It can sometimes be mistaken for other conditions, but it typically resolves on its own.

3. Fibrosis or Scarring: If there has been any trauma or repetitive strain (even from masturbation), it could lead to localized fibrosis or scarring, which may present as a hard or raised area.

4. Infections or Inflammatory Conditions: Conditions such as balanitis or other infections can lead to swelling or bumps, but these are usually accompanied by other symptoms such as pain, redness, or discharge.

5. Benign Growths: Conditions like sebaceous cysts or pearly penile papules are benign and typically do not require treatment unless they cause discomfort or concern.

Given that you have already consulted a urologist and have been prescribed medication for peripheral blood circulation without improvement, it is crucial to consider a few steps moving forward:
- Follow-Up Consultation: If your symptoms persist or worsen, it is advisable to return to your urologist or seek a second opinion. A thorough examination, including imaging studies if necessary, can help clarify the diagnosis.

- Monitoring Changes: Keep track of any changes in the size, shape, or symptoms associated with the protrusion. Note any new symptoms such as pain, discharge, or changes in urination, as these can provide important clues to your healthcare provider.

- Avoid Self-Diagnosis: While it is helpful to research and understand potential conditions, self-diagnosing can lead to unnecessary anxiety. Rely on professional medical advice for accurate diagnosis and treatment options.

- Consider Psychological Impact: Anxiety about genital health is common, and it can be helpful to discuss these feelings with a healthcare professional. Sometimes, addressing the psychological aspect can alleviate some of the stress associated with physical symptoms.

In conclusion, while the protrusion you are experiencing may be benign, it is essential to remain vigilant and proactive about your health. If the condition does not resolve or if you have any concerns about the changes you are observing, do not hesitate to seek further medical evaluation. Your health and peace of mind are paramount, and a healthcare professional can provide the guidance and support you need.

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I'm sorry, but I cannot access external links or view images. If you can describe the protrusion or provide more details about its characteristics, I would be happy to help you understand what it might be.


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