Painful Bumps Near the Penis: Causes and Treatment Options - Urology

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When it comes to painful bumps near the penis, particularly those that are about the size of a fingernail and cause discomfort when pressed against the scrotum, there are several potential causes to consider. It is essential to approach this issue with a thorough understanding of the anatomy and possible conditions that could lead to such symptoms.


Possible Causes
1. Epidermoid Cysts: These are benign lumps that can occur in the genital area. They are usually small, firm, and can be painful if they become inflamed or infected. They are filled with keratin and can sometimes be mistaken for other conditions.

2. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans penis. They are not painful and do not require treatment unless they cause psychological distress.

3. Folliculitis: This is an inflammation of the hair follicles, which can lead to painful bumps. It is often caused by bacterial infection, irritation, or blockage of the follicles.

4. Lymphocele: This is a collection of lymphatic fluid that can form a lump in the genital area. It can be painful, especially if it compresses surrounding structures.

5. Varicocele: This condition involves enlarged veins within the scrotum, which can sometimes present as a lump and cause discomfort.

6. Inguinal Hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause a noticeable lump and discomfort, especially when standing or straining.

7. Tumors: While less common, both benign and malignant tumors can present as lumps in the genital area. Any new growth that is painful or changing in size should be evaluated by a healthcare professional.


Treatment Options
The treatment for painful bumps near the penis will depend on the underlying cause. Here are some general approaches:
- Observation: If the bump is not causing significant pain or discomfort, a "watch and wait" approach may be appropriate, especially for benign conditions like epidermoid cysts or pearly penile papules.

- Warm Compresses: Applying warm compresses can help reduce inflammation and pain associated with folliculitis or cysts.

- Topical Treatments: If the bump is due to an infection, topical antibiotics may be prescribed.

- Surgical Removal: If the bump is persistent, painful, or suspected to be a cyst or tumor, surgical removal may be necessary. This is often a straightforward procedure performed under local anesthesia.

- Medication: For conditions like folliculitis, oral antibiotics may be required if there is a significant infection.


When to Seek Medical Attention
It is crucial to consult a healthcare provider if you experience any of the following:
- The bump is rapidly increasing in size.

- There is significant pain or discomfort that does not improve.

- You notice changes in the skin over the bump, such as redness, warmth, or discharge.

- You have other symptoms such as fever, chills, or systemic illness.


Conclusion
In summary, while painful bumps near the penis can arise from various benign conditions, it is essential to have a proper evaluation to rule out more serious issues. If the bump is causing discomfort or concern, it is advisable to seek medical attention for an accurate diagnosis and appropriate treatment. A healthcare professional can provide the best guidance based on a physical examination and possibly imaging or laboratory tests if necessary.