and Managing Penile Skin Issues: What You Need to Know - Dermatology

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Foreskin issues


Three weeks ago, I noticed a small, somewhat hard lump on my foreskin that is not very noticeable but can be felt.
It is not painful, and I have no sexual experience.
Three to four days ago, I foolishly tried to cut it off with a utility knife to see if I could remove it, but I was too scared to proceed and only managed to squeeze out a little pus.
I just noticed that it has become red and swollen, and the size and appearance of the lump have changed.
I'm a bit worried that it might be infected.
What should I do?

Xi Jinping, 10~19 year old female. Ask Date: 2021/05/24

Dr. Wu Yuxin reply Dermatology


Unable to preview, it is recommended to consult a urologist or dermatologist, and do not attempt to manage it on your own.

Reply Date: 2021/05/24

More Info


When it comes to managing penile skin issues, it is crucial to approach the situation with care and to seek professional medical advice. Based on your description, it sounds like you have developed a small, hard lump on the foreskin that has since become red and swollen after attempting to manipulate it. This could potentially indicate an infection or an inflammatory response, especially since you mentioned that you squeezed it and expelled some pus.

Firstly, it is important to refrain from further manipulation of the area. Attempting to cut or squeeze lesions can lead to increased irritation, infection, and complications. The skin in the genital area is sensitive, and any trauma can exacerbate the condition. Instead, here are some steps you should consider:
1. Avoid Manipulation: Do not attempt to cut, squeeze, or otherwise manipulate the lump. This can introduce bacteria and lead to further infection.

2. Keep the Area Clean: Gently wash the area with mild soap and water. Avoid using harsh soaps or chemicals that can irritate the skin further. Pat the area dry with a clean towel.

3. Monitor Symptoms: Keep an eye on the lump. If it continues to grow, becomes increasingly painful, or if you develop fever or other systemic symptoms, it is essential to seek medical attention promptly.

4. Consult a Healthcare Provider: Given that the lump has changed in size and appearance, it is advisable to consult a healthcare provider, preferably a dermatologist or urologist. They can perform a physical examination and may recommend further tests, such as a biopsy or cultures, to determine the exact nature of the lump.

5. Avoid Self-Diagnosis: While it may be tempting to search for information online, self-diagnosis can lead to unnecessary anxiety and may not provide accurate information. A healthcare professional can give you a proper diagnosis and treatment plan.

6. Discuss Sexual Health: Since you mentioned you have not had sexual experience, it is still important to discuss any concerns about sexual health with your doctor. They can provide guidance on safe practices and preventive measures for future sexual health.

7. Follow Medical Advice: If a healthcare provider prescribes treatment, whether it be topical medications, antibiotics, or other interventions, be sure to follow their instructions carefully.

In summary, while it can be concerning to notice changes in your genital skin, the best course of action is to avoid further irritation and seek professional medical advice. Early intervention can prevent complications and ensure that any underlying issues are addressed appropriately. Remember, maintaining good hygiene and being proactive about your health is key to managing any skin issues effectively.

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