Red-Black Bump at Urethral Opening: Should You See a Doctor? - Urology

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There is a blood-colored blister at the urethral opening?


Hello, doctor.
Recently, I noticed a small red-black blister at the opening of my urethra.
It is not painful and there are no other symptoms.
About a year ago, I had a similar occurrence, but it naturally fell off while I was using the restroom.
I have not engaged in sexual activity for over seven years, nor have I undergone any surgeries or blood transfusions.
I accidentally discovered it again in the past couple of days.
Should I seek medical evaluation for this symptom?

Wuming, 30~39 year old female. Ask Date: 2021/04/26

Dr. Du Shixi reply Urology


Hello: If there is no injury and the cause is unknown, it is still advisable to seek medical examination.
Wishing you good health.

Reply Date: 2021/04/26

More Info


When it comes to unusual symptoms such as a red-black bump at the urethral opening, it is always advisable to consult a healthcare professional. While the absence of pain and other symptoms may seem reassuring, there are several factors to consider that warrant a medical evaluation.

Firstly, the appearance of a bump or lesion in the genital area can be indicative of various conditions, ranging from benign to potentially serious. Common causes of such bumps include cysts, warts, or other dermatological conditions. In some cases, they may be related to infections or inflammatory processes. Given that you mentioned a similar bump appeared a year ago and resolved on its own, it could suggest a benign condition, but it is essential to rule out any underlying issues.

Secondly, the fact that you have not engaged in sexual activity for over seven years and have not undergone any medical procedures does not completely eliminate the possibility of sexually transmitted infections (STIs) or other conditions that could manifest in this way. Some infections can remain asymptomatic for extended periods, only to present symptoms later. Therefore, a thorough examination by a healthcare provider can help determine the nature of the bump and whether any further testing is necessary.

Additionally, it is important to consider your overall health and any other symptoms you may be experiencing. If you notice changes in urination, such as pain, burning, or changes in the color or odor of urine, these could be signs of a urinary tract infection (UTI) or other urological issues that require prompt attention.

In terms of the examination process, a healthcare provider will typically conduct a physical examination and may ask about your medical history, including any previous occurrences of similar symptoms. Depending on the findings, they may recommend further tests, such as a urinalysis or imaging studies, to gain a clearer understanding of the situation.

In summary, while the bump may not currently be causing discomfort or other symptoms, it is prudent to seek medical advice. A healthcare professional can provide a proper diagnosis and peace of mind, ensuring that any potential issues are addressed early on. Ignoring such symptoms could lead to complications if an underlying condition is present. Therefore, I encourage you to schedule an appointment with a urologist or your primary care physician to discuss your symptoms and receive appropriate care.

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