Should You See a Doctor for Painful Lump Near the Prostate? - Surgery

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If there is a painful lump on one side between the penis and the prostate, similar in size to a pimple, it is advisable to seek medical attention.
This could potentially be a sign of various conditions, including but not limited to, a sebaceous cyst, lymphangitis, or other infections.
A healthcare professional can provide a proper diagnosis and treatment plan.

Ren, 20~29 year old female. Ask Date: 2022/02/23

Dr. Chen Bingze reply Surgery


Hello, it would be more accurate to consult a physician in person so they can assess your condition directly.

Reply Date: 2022/02/23

More Info


If you are experiencing a painful lump near the prostate, it is important to consult a healthcare professional for a thorough evaluation. While the lump may resemble a pimple in size, the presence of pain and its location warrant further investigation. Here are several reasons why seeking medical attention is advisable:
1. Potential Underlying Conditions: A lump in the genital area can be indicative of various conditions, ranging from benign issues like cysts or infections to more serious concerns such as tumors or abscesses. Pain associated with the lump can suggest inflammation or infection, which may require treatment.

2. Prostate Health: Given the proximity of the lump to the prostate, it is crucial to rule out any prostate-related issues. Conditions such as prostatitis (inflammation of the prostate) can cause pain and discomfort, and may present with symptoms like painful urination, difficulty urinating, or pelvic pain. A healthcare provider can perform a digital rectal exam (DRE) and possibly order imaging studies or lab tests to assess prostate health.

3. Lymphatic Issues: The mention of "硬化性淋巴管炎" (sclerosing lymphangitis) suggests a possible lymphatic involvement. This condition can occur due to inflammation of the lymphatic vessels, often resulting from infections or trauma. It is essential to have this evaluated, as untreated lymphatic issues can lead to complications.

4. Infection Risks: If the lump is due to an infection, such as a sexually transmitted infection (STI) or a localized skin infection, prompt treatment is necessary to prevent the spread of the infection and to alleviate symptoms.
5. Pain Management: Pain is a significant symptom that should not be ignored. It can affect your quality of life and may indicate a need for medical intervention. A healthcare provider can prescribe pain relief and other medications as needed.

6. Diagnostic Procedures: Depending on the findings during your examination, your doctor may recommend further diagnostic procedures, such as ultrasound imaging or blood tests, to determine the nature of the lump and to rule out malignancies.

7. Peace of Mind: Finally, seeing a doctor can provide peace of mind. Understanding the cause of your symptoms and receiving appropriate treatment can alleviate anxiety and help you manage your health more effectively.

In summary, while the lump may appear benign, the associated pain and its location near the prostate necessitate a medical evaluation. It is always better to err on the side of caution when it comes to health concerns, especially those involving the reproductive and urinary systems. Please schedule an appointment with a urologist or your primary care physician to discuss your symptoms and receive appropriate care.

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