Painful Penile Bumps: Causes and Concerns - Urology

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There is a lump on the lower part of the penis?


There is a lump on the lower part of the penis that is painful to touch and press.
The surface is not white but has a bruised appearance.
Currently, there are two lumps: one developed two weeks ago and the other one week ago.
Is this cancer? Will it resolve on its own?

Zhu Yuxiang, 10~19 year old female. Ask Date: 2020/02/11

Dr. Li Xinyi reply Urology


Such issues must be evaluated by a urologist, and you should discuss them with a physician rather than asking online.

Reply Date: 2020/02/11

More Info


When it comes to painful penile bumps, it is essential to approach the situation with caution and seek a proper medical evaluation. The presence of lumps or bumps on the penis can be concerning, and while many conditions are benign, some may require further investigation to rule out serious issues, including cancer.

Based on your description, you have two bumps on the lower part of your penis that are painful to touch and have a bluish color. The fact that they are painful and have developed over the past two weeks raises several possibilities. Here are some potential causes for your symptoms:
1. Peyronie's Disease: This condition involves the formation of fibrous scar tissue inside the penis, which can lead to painful erections and lumps. It is often associated with curvature during erections.

2. Penile Papules: These are small, benign growths that can appear on the penis. They are usually painless, but if they become inflamed or irritated, they may cause discomfort.

3. Folliculitis: This is an inflammation of the hair follicles, which can lead to painful bumps. It can occur due to infection or irritation.

4. Cysts: Sebaceous cysts can form on the skin and may become inflamed or infected, leading to pain and discomfort.

5. Infection: Sexually transmitted infections (STIs) such as herpes or warts can present as painful bumps. It is crucial to consider your sexual history and any potential exposure to STIs.

6. Trauma or Injury: If there has been any recent trauma to the area, it could lead to bruising and swelling, resulting in painful lumps.

7. Cancer: While the possibility of cancer cannot be entirely ruled out, it is less common, especially in younger individuals. However, any persistent or changing lesions should be evaluated by a healthcare professional.

Given the symptoms you are experiencing, it is crucial to consult a healthcare provider, preferably a urologist, who specializes in male reproductive health. They can perform a physical examination and may recommend additional tests, such as imaging or a biopsy, if necessary.
As for your concerns about whether these bumps will resolve on their own, it largely depends on the underlying cause. Some conditions may improve with time or conservative management, while others may require medical intervention.
In the meantime, here are some general recommendations:
- Avoid Irritation: Refrain from any activities that may irritate the area, such as vigorous sexual activity or tight clothing.

- Maintain Hygiene: Keep the area clean and dry to prevent infection.

- Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, may help alleviate discomfort, but consult with a healthcare provider before taking any medication.

In summary, while it is understandable to be concerned about the possibility of cancer, it is essential to have a professional evaluation to determine the exact cause of your symptoms. Early diagnosis and treatment can lead to better outcomes and peace of mind. Please seek medical attention as soon as possible to address your concerns effectively.

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