Curved Penis and Bumps: Urology Insights for Men - Urology

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Curvature of the penis with a protrusion?


Phimosis, having engaged in masturbation for many years without retracting the foreskin, has led to the discovery of a white-yellow powder at the tip of the glans.
I have noticed that my coronal sulcus is asymmetrical; normally, the side closer to my body is on the left and the side farther away is on the right.
There is a sensation of rotation to the left, and on the right side, there is a soft, painless protrusion.
Additionally, during an erection, my penis bends to the left.
Could you please tell me what condition this might be and whether it is covered by health insurance?

Hong, 20~29 year old female. Ask Date: 2019/03/09

Dr. Du Shixi reply Urology


Hello: A diagnosis is needed first.
There are many variations of the foreskin.
As you described, the most common issue is phimosis.
Currently, circumcision is mostly out-of-pocket, and only certain emergency situations are covered by health insurance.
Wishing you good health.

Reply Date: 2019/03/09

More Info


Understanding the concerns surrounding a curved penis and associated bumps can be quite complex, and it’s important to approach this topic with sensitivity and a thorough understanding of urological health. Based on your description, it seems you are experiencing a combination of phimosis (tight foreskin), a curvature of the penis during erection, and possibly a benign bump on the shaft of the penis. Let's break down these issues and explore potential implications and treatments.


Phimosis and Its Implications
Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). This can lead to hygiene issues, as the area under the foreskin can accumulate smegma, which is a combination of dead skin cells, oils, and moisture. The white-yellow powder you mentioned is likely smegma, which can cause irritation or infection if not cleaned properly.
In your case, since you have been unable to retract the foreskin for many years, it may be advisable to consult a urologist for an evaluation. Treatment options may include topical steroid creams to help loosen the foreskin or, in more severe cases, a circumcision may be recommended.


Curvature of the Penis
The curvature of the penis, especially if it occurs during an erection, can be a normal anatomical variation. However, if the curvature is significant or causes pain during intercourse, it may indicate a condition known as Peyronie's disease, which involves the development of fibrous scar tissue inside the penis. This can lead to curvature, pain, and difficulties with sexual function.

If the curvature is mild and does not cause discomfort or functional issues, it may not require treatment. However, if it is bothersome, a urologist can provide options such as medications, injections, or surgical interventions to correct the curvature.


Bumps on the Penis
The soft bump you described on the right side of the shaft may be a benign condition such as a sebaceous cyst or a pearly penile papule, which are common and harmless. These bumps are typically painless and do not require treatment unless they cause discomfort or cosmetic concerns.

Seeking Medical Advice
Given the combination of symptoms you are experiencing, it is crucial to seek a thorough evaluation from a urologist. They can perform a physical examination, possibly conduct imaging studies, and provide a definitive diagnosis.

Health Insurance Considerations
Regarding your question about health insurance coverage, many health insurance plans cover consultations and treatments for urological conditions, including phimosis, penile curvature, and benign bumps. It is advisable to check with your specific insurance provider to understand what services are covered under your plan.


Conclusion
In summary, while the symptoms you describe can be concerning, many of them are manageable with appropriate medical intervention. It is essential to maintain good hygiene, seek medical advice for any persistent issues, and discuss your concerns openly with a healthcare professional. Early intervention can often lead to better outcomes and improved quality of life. Remember, you are not alone in this, and many men face similar issues. Seeking help is a positive step towards better health.

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