Abnormal Growths on the Glans: Causes and Treatment Options - Urology

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Understanding abnormal growths on the glans, particularly those that resemble a "worm-like" protrusion, can be concerning for many individuals. Based on your description, it seems that you have been experiencing a benign growth near the glans of your penis for several years, which has recently shown signs of enlargement. While you have reported no discomfort or issues with sexual activity, the fact that you are noticing changes in the growth and experiencing some urinary difficulties is worth discussing further.


Possible Causes
1. Pearly Penile Papules: These are small, benign growths that can appear around the glans and are often mistaken for warts or other lesions. They are harmless and typically do not require treatment unless they cause discomfort or concern.

2. Frenulum Breve: This condition involves a short frenulum (the band of tissue connecting the glans to the shaft of the penis), which can cause the appearance of abnormal growths or changes in the tissue. It may also lead to discomfort during erections.

3. Sebaceous Cysts: These are small lumps that can occur due to blocked sebaceous glands. They are usually painless and benign but can become inflamed or infected.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, fleshy growths. They can be treated, especially if they cause discomfort or concern.

5. Other Benign Tumors: There are various benign tumors that can occur on the penis, including fibromas or lipomas, which may require monitoring or surgical intervention if they grow or cause issues.

6. Malignant Growths: Although less common, any persistent growth that changes in size, shape, or color should be evaluated for the possibility of malignancy.

Treatment Options
Given that your physician has already assessed the growth and deemed it benign, the decision to pursue further treatment should be based on your comfort level and any changes in the growth. Here are some options:
1. Observation: If the growth is not causing any discomfort and your physician has confirmed it is benign, regular monitoring may be sufficient. Keep an eye on any changes in size, color, or texture.

2. Topical Treatments: The medication you mentioned, "臨德隆" (likely referring to a topical treatment), may help reduce inflammation or irritation. Consistent application as directed by your physician is important.

3. Surgical Removal: If the growth continues to enlarge or becomes bothersome, surgical excision may be warranted. This would allow for histological examination to confirm the nature of the growth and alleviate any concerns.

4. Follow-Up Consultations: Regular follow-ups with a urologist or dermatologist can help monitor the growth and address any new symptoms or concerns.


Recommendations
- Seek a Second Opinion: If you are feeling uncertain about the diagnosis or treatment plan, consider consulting another healthcare professional for a second opinion. This can provide peace of mind and additional insights.

- Document Changes: Keep a record of any changes in the growth, including size, color, and any associated symptoms. This information can be valuable during follow-up visits.

- Avoid Irritation: Be cautious with any products or activities that may irritate the area, as this can exacerbate symptoms or lead to complications.

- Educate Yourself: Understanding the potential conditions that could affect the glans can help you make informed decisions about your health. Resources from reputable medical websites or discussions with healthcare providers can be beneficial.

In conclusion, while your symptoms may suggest a benign condition, it is essential to remain vigilant and proactive about your health. If you notice any significant changes or if the growth begins to cause discomfort, do not hesitate to seek further medical evaluation. Your health and peace of mind are paramount.