Normal Variations in Male Anatomy and Back Pain Concerns

Please ask your two questions?

Hello, doctor.
I noticed a small spot on my glans that sometimes appears more pronounced when dry, but it’s almost unnoticeable when wet.
I also suddenly have some pain in my back, so I decided to visit a urologist at a major hospital.
The doctor examined it with a light and said it was a sebaceous gland, not a sexually transmitted infection, and advised me not to worry too much.
He kindly helped me cancel my appointment.
I have two questions: Is it normal for the glans to have sebaceous glands? Also, I just noticed that the glans appears a bit wrinkled and not completely smooth when dry; is this normal?
For my other concern, sometimes I experience slight pain in the muscles near my left spine in certain positions.
The doctor mentioned it’s not related to my kidneys and suggested it might just be due to poor sleeping posture.
Can kidney issues present different symptoms? I’m worried it might be an infection or kidney stones.
What do you think my possibilities are? Is it really unnecessary to undergo further testing? Thank you.

Zo, 20~29 year old female. Ask Date: 2020/11/28

Dr. Hong Yuanbin reply Internal Medicine

Hello,
1.
The glans does indeed have sebaceous glands, and what you described is a normal phenomenon, so please don't worry.

2.
Kidney pain usually tends to be persistent.
If the pain you described changes with your posture, it is more likely caused by a muscle strain.
I recommend resting more, and it should gradually improve.
If the pain persists, please seek medical attention.
Thank you for your inquiry.

Reply Date: 2020/11/28

More Info

It's understandable to have concerns about both the appearance of the glans penis and the back pain you are experiencing. Let's address your questions one by one.

Firstly, regarding the small spot you noticed on the glans penis, it is quite common for men to have sebaceous glands or small sebaceous cysts in that area. These glands are responsible for producing sebum, an oily substance that helps keep the skin moisturized. The presence of these glands can sometimes appear as small bumps or spots, especially if they become more prominent when dry. The fact that your doctor examined it and confirmed it as a sebaceous gland rather than a sexually transmitted infection (STI) is reassuring. It’s important to remember that variations in anatomy, including the presence of these glands, are normal and do not typically indicate any health issues.

As for the texture of the glans, it is also normal for the skin to have some variations in texture. The glans can sometimes appear wrinkled or less smooth, particularly when dry. Factors such as hydration, skin care, and even temperature can affect the appearance of the skin. If you notice any changes that are accompanied by discomfort, pain, or unusual discharge, it would be wise to follow up with a healthcare provider.

Now, regarding your back pain, it’s not uncommon for individuals to experience muscle discomfort due to poor posture or sleeping positions. The muscles around the spine can become strained or tense, leading to localized pain. Your doctor’s assessment that it is not related to the kidneys is important; kidney issues typically present with different symptoms, such as flank pain, changes in urination, or systemic symptoms like fever and chills if an infection is present.
Kidney stones, for instance, often cause severe, sharp pain that can radiate to the lower abdomen or groin, and may be accompanied by symptoms such as hematuria (blood in urine) or nausea. If your pain is mild and correlates with certain positions or activities, it is likely muscular in nature rather than indicative of a kidney problem.

In summary, both the appearance of your glans and the back pain you are experiencing seem to fall within the realm of normal anatomical variations and common muscular strain, respectively. However, if you notice any worsening of symptoms, new symptoms, or if the pain persists, it would be prudent to seek further evaluation. Regular check-ups and open communication with your healthcare provider are key to maintaining your health and addressing any concerns you may have.
In conclusion, it seems that there is no immediate cause for concern regarding the glans penis or the back pain based on your description and the doctor's assessment. However, always trust your instincts—if something feels off or changes significantly, don’t hesitate to seek further medical advice.

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