Penile Lesions: Are They Dangerous? - Urology

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There is a raised lesion beneath the corona of the glans?


I recently discovered a lump that feels slightly soft when not erect, but becomes hard when erect.
It is not painful and has no other symptoms.
I consulted a doctor who said it is a vascular tumor.
Will this cause any problems in the future?

Xiao Guang, 20~29 year old female. Ask Date: 2020/03/30

Dr. Xu Wencang reply Urology


It should be a subcutaneous vein; monitor it, and if there are any issues, seek further consultation and examination.

Reply Date: 2020/03/30

More Info


When it comes to penile lesions, it's essential to understand their nature and potential implications for health. In your case, the doctor has diagnosed the lesion as a vascular tumor, which is often referred to as a hemangioma. These types of lesions are generally benign, meaning they are not cancerous and typically do not pose a significant health risk. However, it is crucial to monitor any changes in size, shape, or symptoms associated with the lesion.


Understanding Vascular Tumors
Vascular tumors, such as hemangiomas, are formed from an abnormal proliferation of blood vessels. They can appear as raised, soft, or firm lesions on the skin and may vary in color from red to purple. While many hemangiomas are found in infants and children, they can also occur in adults. In most cases, these lesions are harmless and may not require treatment unless they cause discomfort, bleeding, or cosmetic concerns.


Potential Issues
While a hemangioma itself is usually not dangerous, there are a few considerations to keep in mind:
1. Growth and Changes: It's essential to keep an eye on the lesion for any changes. If it begins to grow rapidly, change color, or become painful, you should return to your healthcare provider for further evaluation.

2. Psychological Impact: Even benign lesions can cause anxiety or distress due to their appearance. If the lesion affects your self-esteem or mental health, discussing treatment options with your doctor may be beneficial.

3. Sexual Function: In rare cases, if a lesion interferes with sexual function or causes discomfort during erections, it may require intervention.
4. Differential Diagnosis: It's also important to ensure that the diagnosis is accurate. Other conditions, such as penile warts, cysts, or even more serious conditions, can present similarly. If you have any doubts about the diagnosis, seeking a second opinion or further testing may provide peace of mind.


When to Seek Further Medical Advice
You should consult your doctor if you experience any of the following:
- Increased size or change in appearance of the lesion.

- Pain or discomfort associated with the lesion.

- Any bleeding or discharge from the lesion.

- New symptoms such as itching, burning, or changes in urination.


Conclusion
In summary, while a vascular tumor like a hemangioma is typically benign and not dangerous, it is essential to monitor it for any changes and maintain open communication with your healthcare provider. Regular check-ups can help ensure that any potential issues are addressed promptly. If you have concerns about the lesion's impact on your sexual health or overall well-being, don't hesitate to discuss these with your doctor. They can provide guidance tailored to your specific situation and help you make informed decisions about your health.

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