Painful Growth at the Base of the Penis: Causes and Concerns - Dermatology

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When it comes to a painful growth at the base of the penis, there are several potential causes that should be considered. Given that you have described a small, painful bump that feels attached to the skin and has not changed in size over the past week, it is essential to approach this situation with caution and awareness of possible medical conditions.

1. Pearly Penile Papules: These are small, harmless bumps that can appear around the glans of the penis. They are often mistaken for warts or other growths but are completely benign and do not require treatment. However, they typically do not cause pain, so this may not be the cause in your case.

2. Folliculitis: This is an inflammation of the hair follicles, which can occur anywhere on the body, including the genital area. It can result in small, painful bumps that may feel tender to the touch. Folliculitis can be caused by irritation, infection, or blockage of the hair follicles.

3. Sebaceous Cysts: These are small, non-cancerous lumps that can form under the skin when sebaceous glands become blocked. They are usually painless but can become inflamed or infected, leading to discomfort.

4. Genital Warts: Caused by the human papillomavirus (HPV), these warts can appear as small, raised bumps and may be painful. They can vary in size and may change over time. Since you mentioned having no sexual experience, the likelihood of this being the cause is lower, but it is still a possibility.

5. Infections: Various infections, including sexually transmitted infections (STIs), can cause growths or bumps in the genital area. Even if you have not had sexual experience, other forms of contact or irritation could lead to an infection.

6. Other Skin Conditions: Conditions such as eczema or psoriasis can also manifest as bumps or lesions on the skin, including the genital area. These conditions can cause discomfort and may require specific treatments.

Given that the bump has been present for a week and is causing pain, it is advisable to consult a healthcare professional for a thorough evaluation. A doctor can perform a physical examination and may recommend tests, such as a biopsy or swab, to determine the exact nature of the growth.
In terms of whether this growth will persist or resolve on its own, it is difficult to predict without a proper diagnosis. Some conditions may resolve spontaneously, while others may require treatment to alleviate symptoms or remove the growth.

In conclusion, while there are several potential causes for the painful growth at the base of your penis, it is crucial to seek medical advice to obtain an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and provide peace of mind regarding your health. Remember, it is always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas.