Changes in the Urethral Opening: Is It Normal?

Q: Changes in the Urethral Opening: Is It Normal?

Hello： If you notice any abnormalities, you should seek medical attention from a urologist for evaluation. <br>This situation is not uncommon; some may just be cysts, while others may fall within the normal range. <br>Wishing you good health.

Regarding the condition of the meatus, I'm unsure if this is normal?

I apologize for the difficulty in expressing my situation clearly.
I'm not sure if the doctor will understand the following description.
Recently, over the past week, I have noticed that the raised area at the top of my urethral opening seems to have flattened (it feels like the prominence of the meatus has decreased).
It seems that there used to be more prominent areas around the urethral opening, but now some areas feel flattened.
I haven't really examined it closely before, but while looking in the shower this week, I can't tell if I'm being overly sensitive, but it just looks strange to me.
I can't determine if this is due to swelling or if the top of the urethral opening has actually become flat.
I would like to ask if there are any possible reasons that could lead to this situation.
I couldn't find any similar cases online.

Additionally, I want to mention another issue: there is a very small, transparent, round bump on the meatus, and the area underneath it is red.
I previously suspected I had balanitis and consulted a urologist, but I'm not sure if the doctor overlooked the transparent bump or if it is normal.
After the examination, the doctor said there were no issues.
I don't quite remember when the bump first appeared, but I have a vague recollection that it has been there for at least a year.
I wonder if this situation is normal.

Xiao Liang, 20~29 year old female. Ask Date: 2021/11/29

Dr. Jian Weihong reply Urology

Hello: If you notice any abnormalities, you should seek medical attention from a urologist for evaluation.
This situation is not uncommon; some may just be cysts, while others may fall within the normal range.
Wishing you good health.

Reply Date: 2021/11/29

More Info

Understanding changes in the urethral opening can be a source of concern for many individuals, especially when they notice alterations that seem unusual or different from what they remember. In your case, you mentioned that the upper part of the urethral opening appears to have flattened out, and you are also observing a small, transparent bump with redness underneath it. Let's break down these observations and discuss potential causes and considerations.

Firstly, it is important to recognize that the anatomy of the urethral opening can vary significantly among individuals. Factors such as age, hormonal changes, and even minor injuries can lead to changes in the appearance of the urethral meatus (the opening of the urethra). The flattening you are noticing could be due to a variety of benign reasons, including:
1. Normal Variability: The human body is not static, and small changes in the appearance of the urethral opening can occur over time. This could be due to changes in skin elasticity, moisture levels, or even the way you are observing it.

2. Inflammation or Irritation: If there has been any irritation or inflammation in the area, it could lead to temporary changes in the shape or appearance of the urethral opening. This could be due to factors such as friction, soaps, or other irritants during bathing.

3. Infection: Conditions such as urethritis (inflammation of the urethra) can cause changes in the appearance of the urethral opening. If there is an underlying infection, it may lead to swelling, redness, or other changes.

4. Skin Conditions: Certain dermatological conditions can affect the genital area, leading to changes in the skin texture or appearance. Conditions such as lichen sclerosus or lichen planus can cause changes in the skin around the urethra.

Regarding the small, transparent bump you mentioned, it is essential to consider the following:
1. Pearly Penile Papules: These are small, benign bumps that can appear around the glans (the head of the penis) and are completely normal. They are not a cause for concern and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands and are also normal anatomical variations.

3. Infection or Lesion: If the bump is associated with redness and has been present for over a year, it may warrant further evaluation. While your previous visit to a urologist did not reveal any issues, if the bump changes in appearance, size, or if you experience discomfort, it would be advisable to seek a second opinion or further evaluation.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small bumps and may be transparent or flesh-colored. If there is any concern about sexually transmitted infections, testing and evaluation would be prudent.

In conclusion, while changes in the urethral opening and the presence of a small bump can be concerning, many factors can contribute to these observations, and they are not always indicative of a serious problem. It is essential to monitor any changes and consult with a healthcare provider if you have ongoing concerns or if the appearance of the urethral opening or the bump changes. A thorough examination by a urologist or dermatologist can provide clarity and peace of mind. Remember, your health and comfort are paramount, and seeking professional advice is always a wise choice when it comes to changes in your body.

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