a Small Lump on the Penis: Symptoms and Treatment Options - Urology

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When it comes to a small lump on the penis, particularly one that is only noticeable during an erection, there are several potential causes and considerations to keep in mind. Based on your description, the lump is located in the corpus cavernosum (the erectile tissue) and is movable, resembling cartilage. Given that it has been present for two years and has slightly increased in size, it is understandable to have concerns.


Possible Causes
1. Peyronie's Disease: This condition is characterized by the development of fibrous scar tissue inside the penis, which can cause lumps and may lead to curvature during erections. However, it typically presents with pain or changes in the shape of the penis during erections.

2. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans. They are normal anatomical variations and do not require treatment.

3. Sebaceous Cysts: These are small, benign lumps that can occur due to blocked sebaceous glands. They are usually painless and do not require intervention unless they become infected or bothersome.

4. Fibromas or Lipomas: These are benign tumors made of fibrous or fatty tissue, respectively. They can occur anywhere in the body, including the penis, and are generally harmless.

5. Other Conditions: Other less common conditions could include infections, sexually transmitted infections, or even malignancies, although these are less likely given your description.


Symptoms and Diagnosis
Since the lump is not painful and does not interfere with sexual activity, it is likely benign. However, it is essential to monitor any changes in size, shape, or associated symptoms such as pain, discharge, or changes in urination. A healthcare provider can perform a physical examination and may recommend imaging studies, such as an ultrasound, to better understand the nature of the lump.


Treatment Options
1. Observation: If the lump is not causing any discomfort and does not appear to be changing significantly, a watchful waiting approach may be appropriate. Regular follow-ups with a healthcare provider can help monitor the situation.

2. Surgical Removal: If the lump becomes painful, grows significantly, or if there is any concern about malignancy, surgical removal may be considered. Most benign lumps do not require surgery unless they cause discomfort or anxiety.

3. Impact on Sexual Function: Generally, if the lump is benign and does not affect the surrounding tissues significantly, surgical removal should not impact sexual function or libido. However, any surgical procedure carries some risks, including scarring or changes in sensation, which should be discussed with your healthcare provider.


Conclusion
In summary, the lump you describe is likely benign, especially given the lack of pain and interference with sexual activity. However, it is crucial to consult with a urologist or healthcare provider for a thorough evaluation. They can provide a definitive diagnosis and recommend the best course of action, whether it be observation or surgical intervention. Regular monitoring and open communication with your healthcare provider will ensure that any changes in your condition are addressed promptly.