Symmetrical Growths at the Urethral Opening: A Urology Perspective - Urology

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There are two growths at the tip of the glans penis?


The symptoms have been present for quite a while, with no history of sexual activity.
There are two dark spots that do not hurt, itch, bleed, or produce any discharge when touched.
The fleshy tags at the tip of the urethra are symmetrical and of equal size.
Sometimes, due to these tags, urination can become narrow in the middle, causing a bifurcation.
Upon inspection, the inner wall appears slightly raised.
The fleshy tags are less prominent during an erection but slightly protrude when not erect.
Thank you, doctor, for your response.

C, 20~29 year old female. Ask Date: 2020/05/30

Dr. Du Shixi reply Urology


Hello: This is likely a normal situation.
If you are concerned, you can visit a urology department at a hospital.
Wishing you good health.

Reply Date: 2020/05/30

More Info


Understanding symmetrical growths at the urethral opening can be a complex issue that requires careful consideration from a urological perspective. Based on your description, it seems that you are experiencing symmetrical growths or skin tags at the urethral opening, which have been present for some time. You mentioned that these growths are not painful, do not bleed, and do not produce discharge, which are important factors to consider in evaluating the condition.

Firstly, it is essential to understand that the urethral opening, or meatus, can sometimes develop various types of growths or abnormalities. These can include skin tags, cysts, or other benign lesions. The fact that the growths are symmetrical and do not cause pain or discomfort is a positive sign, as many serious conditions tend to present with additional symptoms such as pain, bleeding, or discharge.

The growths you describe could be a result of several factors, including hormonal changes, skin friction, or even benign conditions such as pearly penile papules or Fordyce spots, which are common and harmless. These conditions are often more noticeable during puberty and can be exacerbated by hormonal fluctuations.
Regarding the narrowing of the urethral opening during urination, this could be due to the presence of the growths, which may temporarily obstruct the flow of urine. If the growths are indeed benign, they may not require any treatment unless they cause significant discomfort or complications. However, if you notice any changes in the size, shape, or color of the growths, or if you begin to experience pain or other symptoms, it would be advisable to seek a consultation with a urologist.

In terms of growth and development, it is important to note that the male genitalia, including the penis and urethra, can continue to develop into the late teens and early twenties. This means that changes in the appearance of the urethral opening or surrounding structures can occur as part of normal development.
If you are concerned about the growths or any other symptoms, it is crucial to consult a healthcare professional who can perform a physical examination and possibly recommend further diagnostic tests, such as an ultrasound or biopsy, if necessary. They can provide a more accurate diagnosis and discuss potential treatment options if needed.

In summary, while symmetrical growths at the urethral opening can be concerning, the absence of pain, bleeding, or discharge is reassuring. It is essential to monitor the situation and consult a urologist if any changes occur or if you have further concerns. Regular check-ups and open communication with a healthcare provider can help ensure that any potential issues are addressed promptly and effectively.

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