Unidentified Growths on the Glans: A Urology Perspective - Urology

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When it comes to unidentified growths on the glans, particularly in the context of your description, it's important to approach the situation with a clear understanding of the potential causes and the necessary steps for diagnosis and treatment.
From your account, it appears that you have observed a small, elongated, translucent growth near the coronal ridge of the glans, which becomes more prominent during an erection. The fact that it has not changed in size, color, or sensation over time is a reassuring sign, but it does not eliminate the need for further evaluation, especially given your partner's concerns regarding sexually transmitted infections (STIs).


Potential Causes
1. Pearly Penile Papules: These are small, benign growths that are often found around the corona of the glans. They are normal anatomical variants and are not associated with any disease or infection. They typically do not require treatment unless they cause psychological distress.

2. Fordyce Spots: These are small, painless, pale bumps that are actually sebaceous glands without hair follicles. They are also benign and common.

3. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray growths. They can vary in size and may be mistaken for other types of growths.

4. Other Skin Conditions: Conditions such as molluscum contagiosum, folliculitis, or even benign cysts can present similarly.

5. Infections: While you have been tested for STIs, some infections can still present as growths or lesions.

Recommended Actions
1. Consult a Urologist: Given your ongoing concerns and the impact on your relationship, it would be prudent to see a urologist who specializes in male genital health. They can perform a thorough examination, ideally when the growth is visible (during an erection).

2. Diagnostic Tests: Depending on the urologist's assessment, they may recommend:
- Biopsy: If there is any uncertainty about the nature of the growth, a small biopsy can provide definitive information.

- HPV Testing: If there is a concern about genital warts, testing for HPV may be warranted.

3. Communication with Your Partner: It's important to keep an open line of communication with your partner about your health and any findings. Reassure them that you are seeking medical advice to address their concerns.

4. Avoid Self-Diagnosis: While it’s natural to research symptoms online, self-diagnosis can lead to unnecessary anxiety. Rely on professional medical advice for accurate diagnosis and treatment options.


Conclusion
While the growth you describe may very well be benign, the best course of action is to seek a professional evaluation. A urologist can provide clarity and peace of mind, as well as appropriate treatment if necessary. Remember, maintaining sexual health is crucial not only for your well-being but also for the health of your partner. Regular check-ups and open discussions about sexual health can help prevent misunderstandings and ensure both partners feel secure in their relationship.