Abnormal Growths on the Glans and Frenulum: A Urology Perspective - Urology

More Info

---

Understanding abnormal growths on the glans and frenulum can be a source of concern for many individuals. Based on your description, it appears that you have developed a growth near the glans (the head of the penis) and frenulum (the band of tissue on the underside of the penis). The growth resembles a "worm-like" protrusion, and you have noted that it has changed over time, becoming larger and possibly affecting the surrounding skin.

From a urological perspective, there are several potential causes for such growths, including benign conditions such as pearly penile papules, penile fibromas, or even conditions like lichen sclerosus. These conditions are generally not harmful and do not require treatment unless they cause discomfort or cosmetic concerns. However, the fact that you have observed a change in size and the development of symptoms such as skin irritation raises the need for further evaluation.

Your previous consultation with a physician who suggested that the growth appears benign is reassuring, especially since you have not experienced any pain or discomfort. However, the observation that the growth has expanded and the surrounding skin is showing signs of irritation or ulceration is concerning. It is essential to monitor such changes closely, as they can sometimes indicate a more serious condition, including the possibility of malignancy, although this is less common.

Here are some recommendations based on your situation:
1. Follow-Up Consultation: It is crucial to schedule a follow-up appointment with a urologist. Given the changes you have observed, a thorough examination is warranted. The urologist may recommend imaging studies or a biopsy to determine the nature of the growth accurately.

2. Biopsy Consideration: If the growth continues to expand or if there are any signs of ulceration or bleeding, a biopsy may be necessary. This procedure involves removing a small sample of tissue from the growth for laboratory analysis, which can help confirm whether it is benign or malignant.

3. Treatment Options: If the growth is confirmed to be benign but bothersome, surgical removal may be an option. This can alleviate any cosmetic concerns and prevent further irritation. If it is determined to be a more serious condition, appropriate treatment can be initiated based on the diagnosis.

4. Medication Use: You mentioned using a topical medication called "臨德隆" (likely a corticosteroid or similar anti-inflammatory cream). While this may help with inflammation, it is essential to use it as directed and not rely solely on topical treatments if the growth is changing.
5. Monitoring Symptoms: Keep a close eye on any changes in the growth, including size, color, texture, and any associated symptoms such as pain, bleeding, or discharge. Documenting these changes can provide valuable information for your healthcare provider.

6. Avoid Irritation: To minimize discomfort, avoid any activities that may irritate the area, such as tight clothing or vigorous sexual activity until you have a clearer understanding of the growth.

In conclusion, while your initial assessment suggests a benign condition, the changes you have observed warrant further investigation. It is always better to err on the side of caution when it comes to changes in growths or lesions in sensitive areas. Seeking timely medical advice will help ensure that you receive the appropriate care and peace of mind.