Penile Bumps: Causes and Treatment Options - Urology

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Penile issues/masses


Hello Dr.
Du, here is a brief description of the symptoms: There is a lump on the side of the penis, approximately 1cm by 0.5cm, located on the foreskin, non-mobile, and not connected to the corpus cavernosum.
There is no sensation when pressed.
After applying pressure, a small amount of tissue fluid resembling acne was expelled, which is yellow and thick, lasting for about a week, with no change in size during this period.
I would like to ask the doctor what this condition might be or if it is simply a pimple on the foreskin.
Thank you for taking the time to help.

Niming, 20~29 year old female. Ask Date: 2020/05/01

Dr. Du Shixi reply Urology


Hello: If you are experiencing a discharge of yellow, thick fluid, it is likely indicative of inflamed tissue.
If this is a new occurrence, you should seek medical treatment.
If you have had a lump in the past, it could be fatty tissue or similar.
If it does not increase in size, maintain cleanliness and dryness.
However, if it does grow, you should seek medical attention.

Reply Date: 2020/05/01

More Info


Hello! Thank you for reaching out with your concerns regarding the bump on your penis. Based on your description, it sounds like you may be dealing with a few potential conditions, and I will outline some common causes and treatment options for penile bumps.


Possible Causes of Penile Bumps
1. Sebaceous Cysts: These are small, non-cancerous lumps that can occur on the skin, including the genital area. They are often filled with a thick, yellowish substance and can resemble pimples. They are usually harmless and do not require treatment unless they become infected or bothersome.

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

3. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. It can lead to red, painful bumps that may contain pus. Treatment typically involves good hygiene and sometimes topical antibiotics.

4. Genital Warts: Caused by the human papillomavirus (HPV), these warts can appear as small, flesh-colored or gray bumps. They can be treated with topical medications or procedures to remove them.

5. Fordyce Spots: These are small, painless, pale bumps that are actually enlarged oil glands. They are completely normal and do not require treatment.

6. Infections: Bumps can also be a sign of sexually transmitted infections (STIs) such as herpes or molluscum contagiosum. These conditions may require specific treatments.


Treatment Options
- Observation: If the bump is not causing any pain or discomfort and has not changed in size, it may be best to monitor it. Many benign conditions do not require any intervention.

- Warm Compresses: Applying a warm compress can help reduce inflammation and discomfort if the bump is related to folliculitis or a cyst.

- Topical Treatments: If the bump is due to an infection, your healthcare provider may recommend topical antibiotics or antifungal creams.

- Surgical Removal: If the bump is bothersome, recurrent, or suspected to be something more serious, a healthcare provider may recommend surgical removal.

- Consultation with a Specialist: If you are uncertain about the nature of the bump or if it changes in appearance, it is advisable to consult a urologist or dermatologist. They can provide a proper diagnosis and treatment plan.


When to Seek Medical Attention
You should seek medical attention if:
- The bump becomes painful, red, or swollen.

- You notice any changes in size or color.

- You experience any unusual symptoms such as discharge, bleeding, or fever.

- You have concerns about sexually transmitted infections.


Conclusion
In summary, while the bump you described may be benign, it is essential to monitor it closely. If you have any doubts or if it changes, please consult a healthcare professional for a thorough evaluation. Maintaining good hygiene and being aware of any changes in your body are crucial steps in managing your health. Thank you for your question, and I hope this information helps you understand your condition better!

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