Unusual Growth Under the Glans: Possible Causes and Treatments - Urology

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Unusual growths under the glans, such as the one you described, can be concerning and may have various causes. Based on your description, it’s important to consider a few possibilities, including genital warts (caused by the human papillomavirus or HPV), pearly penile papules, or other benign lesions.
1. Understanding the Growth:
Genital warts are typically soft, fleshy growths that can appear on the genitals, including the glans. They are often caused by certain strains of HPV, which is a sexually transmitted infection. The appearance of these warts can vary; they may be raised, flat, or have a cauliflower-like texture. If the growth resembles "tentacles," it could indeed be a manifestation of genital warts.

Pearly penile papules, on the other hand, are small, benign bumps that can appear around the corona of the glans. They are not caused by an infection and do not require treatment unless they cause discomfort or concern.

2. Diagnosis:
To accurately diagnose the growth, it is essential to have a healthcare professional examine it. A dermatologist or urologist can provide a thorough examination and may perform a biopsy if necessary. This will help determine whether the growth is benign or requires further treatment.

3. Treatment Options:
If the growth is diagnosed as genital warts, there are several treatment options available. These include:
- Topical Treatments: Prescription creams such as imiquimod (Aldara) or podofilox can be applied directly to the warts. These treatments help to stimulate the immune system or destroy the wart tissue.


- Cryotherapy: This involves freezing the warts with liquid nitrogen, which can effectively remove them.

- Electrosurgery: This method uses electrical currents to burn off the warts.

- Laser Treatment: In some cases, laser therapy may be used to remove larger or more persistent warts.

If the growth is indeed pearly penile papules, no treatment is necessary as they are harmless. However, if they cause anxiety or discomfort, options for removal exist, though they are typically not covered by insurance.

4. Cost Considerations:
For those concerned about the cost of treatment, it’s advisable to discuss this with your healthcare provider. Many clinics offer payment plans or sliding scale fees based on income. Additionally, some over-the-counter treatments may be available, but it’s crucial to consult with a healthcare professional before starting any treatment to ensure it is appropriate for your condition.

5. Prevention and Future Care:
Regardless of the diagnosis, practicing safe sex is essential to reduce the risk of sexually transmitted infections. This includes using condoms and having open discussions with partners about sexual health. Regular check-ups with a healthcare provider can also help monitor any changes in your genital area.

In conclusion, while the growth you described could potentially be genital warts, a proper diagnosis from a healthcare professional is crucial. They can provide you with the most appropriate treatment options and address any concerns you may have. If you suspect it may be an STI, it’s also important to inform your partner and consider getting tested together.