Raised Skin on the Glans: When to Seek Medical Advice - Urology

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When it comes to raised skin on the glans, particularly in the area you described, it is important to approach the situation with caution and awareness. The symptoms you are experiencing—specifically, the appearance of a raised, smooth, red area on the glans that has developed over the past month or two—can be indicative of several conditions, some of which may require medical attention.

Firstly, it is essential to consider the possibility of benign conditions such as pearly penile papules, which are small, harmless bumps that can appear on the glans and are often mistaken for something more serious. These are normal anatomical variations and do not require treatment. Another benign possibility could be a condition known as balanitis, which is inflammation of the glans that can result from irritation, infection, or poor hygiene. This condition may present with redness and swelling but typically is accompanied by discomfort or discharge.

However, given that the raised area has changed in appearance and has been present for a couple of months, it is prudent to consider other potential causes. For instance, a sexually transmitted infection (STI) such as genital warts (caused by the human papillomavirus) or herpes could also present with raised lesions. These conditions may not always cause pain or itching initially, which aligns with your description. Additionally, conditions like lichen sclerosus or lichen planus can also cause changes in the skin of the genital area and may require medical evaluation.

Since you mentioned that the raised area is more pronounced when erect but does not cause pain or itching, it is still advisable to seek medical advice. A healthcare professional can conduct a thorough examination, possibly including a biopsy if deemed necessary, to determine the exact nature of the lesion. This is particularly important if there are any changes in size, color, or texture, or if you notice any new symptoms such as pain, itching, or discharge.

In terms of treatment, it is generally not advisable to apply topical medications or creams without a proper diagnosis. While some over-the-counter treatments may be beneficial for certain conditions, they could potentially worsen the situation if the underlying cause is not appropriately identified. Therefore, it is best to avoid self-treatment until you have consulted with a healthcare provider.

In summary, while the raised skin on your glans may not currently be causing discomfort, the changes you have observed warrant a professional evaluation. It is always better to err on the side of caution when it comes to changes in your genital area. Seeking medical advice will not only provide you with peace of mind but will also ensure that any necessary treatment is initiated promptly, should it be required. Remember, early intervention can often lead to better outcomes, especially in cases where an underlying condition may be present.