Common Concerns About Genital Health and Anatomy

Genital issues

Hello, Doctor.
A few days ago, I visited a urologist and discovered for the first time that the foreskin can be retracted for cleaning.
After cleaning, I noticed a small, not very noticeable fold or a round spot on the glans.
The doctor said it was normal sebaceous tissue and that there was nothing to worry about, even helping me to cancel my appointment.
I would like to ask if this sebaceous tissue can metabolize itself like a pimple, as it feels very sensitive and I can't really squeeze it, or should I just not pay too much attention to it?
Additionally, I have been paying more attention to my genital area over the past few days and noticed that on the left side, the testicle appears to have a protrusion that looks like a blood vessel, but after touching it and adjusting the position of the testicles, it seems to disappear.
I'm a bit worried that it might be some kind of mass.
The urologist previously mentioned that there are many blood vessels in that area, but why does it seem like I can only see them on the left side? I also feel that the testicles are not very symmetrical, with different heights in the front and back.
I asked my dad, and he said he also has visible blood vessels.

I would like to know, if it were a concerning mass, would it really disappear just by touching it? My dad said I'm observing too closely and that I might scare myself unnecessarily 😂.
I'm worried about being overly anxious and wasting a trip to the hospital, so I wanted to hear the doctor's advice first.
Thank you.

Bob, 10~19 year old female. Ask Date: 2020/12/29

Dr. Hong Yuanbin reply Internal Medicine

Hello, whether there is a lump can only be determined through direct palpation.
It is recommended to consult a urology clinic.
Thank you for your inquiry.

Reply Date: 2020/12/29

More Info

Understanding genital health and anatomy is crucial for maintaining overall well-being, and it's perfectly normal to have concerns about changes or observations in this area. Based on your description, let's address your concerns regarding the small bump on the glans and the observations about your left testicle.

Firstly, regarding the small bump or fold you noticed on the glans (the head of the penis), it is common for individuals to have variations in their anatomy, including small folds or bumps that can be mistaken for abnormalities. The fact that your urologist assessed it and determined it to be normal sebaceous (oil) glands is reassuring. These glands can produce a natural oil that helps keep the skin moisturized, and they can sometimes appear as small white or yellowish spots. Unlike acne, these do not require squeezing or extraction, as they are not clogged pores but rather normal anatomical features. They typically do not change or cause discomfort unless there is an underlying infection or irritation.

As for your concern about whether these sebaceous glands can "metabolize" like pimples, it's important to note that they are not the same as acne. They do not form in the same way and do not need to be treated or removed. If they are not causing pain, discomfort, or any other symptoms, it is best to leave them alone and not to obsess over them.
Now, regarding the left testicle and the vascular appearance you described, it is also common for the testicles to have a network of blood vessels that can sometimes be more prominent in certain positions or during specific activities. The testicles are surrounded by a layer of tissue that contains blood vessels, and these can become more visible depending on various factors such as temperature, physical activity, or even anxiety.
If you notice that a bulge or prominence disappears when you adjust the position of your testicle, it is likely related to the normal anatomy and blood flow rather than a pathological mass. Abnormal lumps or masses in the testicles typically do not change or disappear with movement. However, if you ever feel a hard, fixed lump that does not change or if you experience pain, swelling, or other concerning symptoms, it is essential to seek medical advice promptly.

Your father's observation about having similar vascular structures is also a good point. Genetic factors can influence the anatomy of the scrotum and testicles, and variations can run in families.
In conclusion, while it is natural to be concerned about changes in your body, it is also important to remember that many variations are normal. If your urologist has reassured you about the findings, it is likely that there is no cause for concern. However, if you continue to feel anxious or if new symptoms arise, do not hesitate to reach out to your healthcare provider for further evaluation. It’s always better to be cautious and informed about your health.

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