Soft Penile Bumps: Causes and Concerns - Urology

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Penile epidermal lesions


Yesterday, I didn't notice anything unusual, but after masturbating today and then going to sleep, I discovered something when I went to the bathroom after waking up.
It's located on the left side, near the foreskin, but not on it, so I can't pull it back to see.
It is not connected to the shaft of the penis.
I can manipulate it with my fingers on the outer skin of the penis, and I can also move it along with the skin.
It feels soft, and squeezing it hard causes pain.
It appears round and protrudes from the penis, with a diameter of about 5mm.
Upon careful examination, I can feel its presence (it slightly compresses the penis), but it doesn't hurt or itch, and there are no visible abnormalities.
During the masturbation process, I watched adult films for half an hour and was erect for half an hour, with intermittent stimulation, and I only ejaculated when I could no longer hold back.

Xiao Q, 20~29 year old female. Ask Date: 2003/07/13

Dr. Liu Jianting reply Urology


Wow! You described it so vividly, but I still recommend that you consult a urologist for a personal examination.
After all, seeing is believing, especially when it comes to something as precious as the male genitalia.

Reply Date: 2003/07/13

More Info


When it comes to soft penile bumps, it is essential to approach the situation with care and understanding. Based on your description, the bump is located on the left side of the penis, near the foreskin, and is not directly connected to the shaft. It is soft, painful when pressed, and has a round appearance with a diameter of about 5mm. Importantly, it does not itch, and there are no visible changes to the skin.

There are several potential causes for soft bumps on the penis, and understanding these can help alleviate concerns. Here are some common possibilities:
1. Pearly Penile Papules: These are small, soft, dome-shaped bumps that are usually found around the corona of the glans (the head of the penis). They are completely normal and harmless, often mistaken for warts or other lesions.

2. Sebaceous Cysts: These are small, benign lumps that can occur when sebaceous glands become blocked. They are usually painless and can be soft to the touch.

3. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. It can present as small red bumps or pus-filled lesions.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as soft, fleshy bumps. They may not always be painful, but they can be itchy or uncomfortable.

5. Lymphocele: This is a collection of lymph fluid that can form as a result of trauma or surgery, presenting as a soft bump.

6. Other Conditions: There are other less common conditions, such as molluscum contagiosum, which can also present as soft bumps on the genital area.

Given that the bump is painful when pressed, it is advisable to monitor it closely. If it changes in size, color, or if you develop additional symptoms (such as discharge, fever, or increased pain), it would be prudent to seek medical advice. A healthcare provider can perform a physical examination and may recommend further tests, such as a biopsy or imaging, if necessary.

In terms of self-care, avoid squeezing or manipulating the bump, as this can lead to irritation or infection. Maintaining good hygiene and avoiding irritants (such as harsh soaps or lotions) can also help.
As for your concerns regarding sexual activity, it is generally advisable to avoid any activities that may exacerbate the condition until you have a clearer understanding of what the bump is. Engaging in sexual activity or masturbation should be approached with caution if there is any discomfort or pain.

In conclusion, while many soft bumps on the penis are benign and not a cause for concern, it is essential to pay attention to any changes and consult a healthcare provider for a definitive diagnosis. Early intervention can help address any potential issues and provide peace of mind.

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