Balanitis and Concerns About Glandular Growths - Urology

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Balanitis and preputial inflammation issues?


Hello doctor, I visited a family medicine physician two months ago due to a phimosis issue and discussed this condition with the doctor.
I have been applying a topical ointment as advised, which the doctor said needs to be applied diligently to help the glans become more exposed.
However, after two months of use, there has been only slight improvement, and towards the end, it even caused redness and swelling of the foreskin.
I returned to see the family medicine doctor, who diagnosed me with balanitis and prescribed antibiotics and another ointment.
While the inflammation has improved, I have noticed a hard lump on the upper part of the glans that feels similar to cartilage.
After researching online, I became concerned it might be penile cancer.
I have a history of anxiety disorders, but there are no urologists nearby, so I had to rely on the family medicine physician for a physical examination.
The doctor said he couldn't feel anything, but I insisted that I could.
He seemed frustrated and mentioned that it’s normal not to know what it feels like if the glans has never been exposed.
I consulted two other family medicine physicians, and they also couldn't feel anything during their examinations.
However, I can definitely feel this protruding lump, which is less noticeable when not erect but becomes very prominent during an erection.
There was a period when it seemed to disappear, but I am unclear about what it is.
Currently, there are two noticeable areas on the glans, and I am feeling very anxious about this situation.

Niming, 20~29 year old female. Ask Date: 2023/08/05

Dr. Du Shixi reply Urology


Hello: It's important to schedule an appointment with a urologist for a check-up.
Penile cancer is not common, but maintaining cleanliness and dryness is essential.
Wishing you good health.

Reply Date: 2023/08/05

More Info


Balanitis is an inflammation of the glans penis, often characterized by redness, swelling, and discomfort. It can occur due to various reasons, including poor hygiene, infections (such as yeast or bacterial infections), and skin conditions. In your case, it seems that you have been dealing with phimosis, which is a condition where the foreskin cannot be easily retracted over the glans. This can lead to difficulties in maintaining proper hygiene, potentially resulting in inflammation or infection.

The treatment you mentioned, which involves applying a topical ointment, is a common approach to manage balanitis and phimosis. However, it is crucial to follow the instructions of your healthcare provider closely. If the ointment is not yielding the desired results and you are experiencing persistent symptoms such as redness and swelling, it may be necessary to reassess the treatment plan. In some cases, a more aggressive treatment or even a surgical intervention, such as circumcision, may be recommended if phimosis is severe and recurrent infections occur.

Regarding the hard lump you mentioned on the glans, it is understandable to feel anxious, especially after researching symptoms online. While it is good to be informed, self-diagnosis can often lead to unnecessary worry. The lump you are feeling could be a variety of things, including a normal anatomical variation, a sebaceous cyst, or a condition related to inflammation. It is important to note that not all lumps or bumps on the penis are indicative of cancer, especially if they have fluctuated in size or have been present intermittently.

Since you have already consulted multiple family medicine practitioners, it may be beneficial to seek a referral to a urologist. Urologists specialize in conditions affecting the urinary tract and male reproductive system and can provide a more thorough examination. They may perform additional diagnostic tests, such as imaging or a biopsy, if necessary, to rule out any serious conditions.

In the meantime, continue to maintain good hygiene practices, avoid irritants, and follow any prescribed treatment. If you notice any changes in the lump, such as increased size, pain, or discharge, it is essential to seek medical attention promptly.

In summary, while your concerns about the hard lump and ongoing symptoms are valid, it is crucial to approach the situation with a clear plan. Consulting a urologist will provide you with the specialized care needed to address your symptoms and alleviate your anxiety. Remember, many conditions affecting the glans and foreskin are treatable, and early intervention can lead to better outcomes.

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