Penile Cancer: Symptoms, Concerns, and Next Steps

Q: Penile Cancer: Symptoms, Concerns, and Next Steps

Hello： This facility is unable to provide a diagnosis. <br>For concerns regarding penile cancer and inguinal lymph nodes, a personal examination by a physician is necessary. <br>If the foreskin can be retracted comfortably during an erection, surgery is not required. <br>Your sit

Penile cancer issues?

Hello, doctor.
Last Sunday (12/10), I accidentally came across information about phimosis online and learned that the normal foreskin should retract to expose the glans when not engorged.
I realized that my foreskin is a bit long (though it can still be retracted).
That night was the first time I retracted my foreskin since I can remember and discovered many white solid substances inside.
After researching online, I was shocked to find out that these could be carcinogenic substances (I later cleaned it).
I then looked up the signs of penile cancer, which generally state: 1.
Most patients may present with lesions, ulcers, warts, or cauliflower-like plaques on the glans.
2.
Systemic symptoms such as weight loss, anemia, or loss of appetite.
3.
Enlarged inguinal lymph nodes.
4.
Cancerous ulcers.
Upon checking for these symptoms, I found: 1.
There are unclear nodules that look like warts at the tip of my penis (where the pubic hair grows).
2.
There are nodules resembling papules at the edge of the glans.
3.
I have always had a large appetite since childhood but have remained quite thin (currently 170 cm tall and weighing 52 kg).
P.S.
1.
I think I might have seen similar cauliflower-like patterns but I'm not sure.
2.
I don't know where to check for inguinal lymph nodes.
3.
After retracting the foreskin, there is still a ring of foreskin around the edge of the glans, and every morning I wake up to find it retracted, but during the day it doesn't retract on its own while walking.
4.
When engorged (without intentionally retracting the foreskin), the foreskin still does not fully expose the glans (about half is covered), but if I retract it while engorged, the entire glans can be exposed, although there is still a small ring of foreskin around the edge, which causes the foreskin to cover half of the glans during masturbation (when pushing up) and then expose the glans (when pulling down).
5.
I have no sexual experience.
6.
I exercise regularly (I was in a sports class in middle school).
7.
I usually go to bed after 1 AM.
Given the above situation, I would like to ask: 1.
Is there a possibility that I have penile cancer? 2.
Where are the inguinal lymph nodes located, and how can I check them? 3.
Is my foreskin too long? Should I consider circumcision? Will it affect my sexual life? 4.
With the upcoming academic exams (on 1/26 and 1/27), should I take the time to get checked, or should I wait until after the exams? Will it be too late? 5.
Should I talk to my mother or my father about this? (I feel helpless and am afraid to bring this up.)

Xuece Kaosheng, 10~19 year old female. Ask Date: 2017/12/15

Dr. Du Shixi reply Urology

Hello: This facility is unable to provide a diagnosis.
For concerns regarding penile cancer and inguinal lymph nodes, a personal examination by a physician is necessary.
If the foreskin can be retracted comfortably during an erection, surgery is not required.
Your situation can be addressed in an outpatient setting, which won't take much time.
If the physician recommends surgery, it can be scheduled after your exams.
As for outpatient registration, you can complete it on your own; only if surgery is needed will a family member's signature be required.
Wishing you good health.

Reply Date: 2017/12/15

More Info

Understanding penile cancer is crucial, especially when one notices changes or symptoms that could indicate a potential health issue. Based on your description, it seems you have several concerns regarding your penile health, and I will address each of your questions in detail.

1. Do I have penile cancer?
While I cannot diagnose you without a physical examination and appropriate tests, the symptoms you describe—such as the presence of unusual growths or lesions on the penis—are concerning and warrant further investigation. Penile cancer can manifest as lumps, sores, or changes in the skin of the penis. The presence of white solid material under the foreskin could be smegma, which is a buildup of dead skin cells, oils, and moisture, but it is essential to differentiate this from any potential precancerous or cancerous lesions. Given your symptoms, it is advisable to consult a healthcare professional for a thorough examination.

2. Where are the inguinal lymph nodes, and how do I check them?
The inguinal lymph nodes are located in the groin area. They can be felt as small, movable lumps under the skin in the crease where your leg meets your pelvis. To check for swelling, gently press around this area with your fingers. If you notice any enlarged or tender lymph nodes, it is important to inform your doctor, as this may indicate an infection or a more serious condition.

3. Is my foreskin too long? Should I consider circumcision? Will it affect my sex life?
A long foreskin can sometimes lead to issues such as difficulty in fully retracting it, which may cause hygiene problems or discomfort. If you find that your foreskin is consistently covering the glans (the head of the penis) and causing issues, circumcision may be a consideration. This procedure can improve hygiene and reduce the risk of infections. Many men report that circumcision does not negatively impact their sexual pleasure, but experiences can vary. Discussing this with a urologist can provide you with tailored advice based on your specific situation.

4. Should I seek medical attention before my exams (1/26, 1/27), or is it better to wait?
It is always better to prioritize your health. If you are experiencing concerning symptoms, it is advisable to seek medical attention as soon as possible, regardless of upcoming exams. Delaying a visit to the doctor could lead to more significant issues if there is an underlying condition that needs to be addressed. A healthcare provider can offer you peace of mind and potentially provide treatment if necessary.

5. Should I talk to my mother or father about this?
Discussing health concerns can be challenging, especially when it involves sensitive topics. If you feel comfortable, consider talking to a parent who you believe will be more understanding and supportive. Alternatively, if you have a trusted adult or guardian, you might consider discussing your concerns with them first. It is important to have support as you navigate these health issues.

In conclusion, your symptoms warrant a professional evaluation to rule out any serious conditions, including penile cancer. It is essential to prioritize your health and seek medical advice promptly. Remember, early detection and intervention can significantly improve outcomes in any health-related issue. Don't hesitate to reach out to a healthcare provider for guidance and support.

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