Penile Issues: Symptoms, Concerns, and Treatment Options - Urology

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Hello, thank you for reaching out with your concerns regarding the penile issue you've been experiencing. It’s important to address these symptoms with care and understanding, as they can be a source of anxiety for many individuals.

Based on your description, it sounds like you may be experiencing a condition known as a penile lesion or possibly a form of penile fibroma. The small, elongated mass you mentioned at the junction of the glans (the head of the penis) and the foreskin could be a benign growth, such as a pearly penile papule, which is common and typically harmless. However, it could also be a sign of other conditions, such as a cyst or a fibrous tissue growth, especially since you mentioned that it is palpable during an erection and may cause slight discomfort when pressed.

It's reassuring that you noted the lesion does not cause significant pain under normal circumstances, but the slight discomfort when pressure is applied is something to monitor. The fact that it appeared after a sexual encounter could suggest a few possibilities, including irritation or a minor injury, but it’s essential to rule out any sexually transmitted infections (STIs) or other underlying conditions.

Regarding your concerns about sexual activity, if the lesion is indeed benign and not causing significant pain or discomfort, it may not necessarily prevent you from engaging in sexual activity. However, it’s crucial to listen to your body. If you experience increased pain, bleeding, or any other concerning symptoms during sexual activity, it would be wise to refrain from intercourse and consult a healthcare professional.

As for treatment options, it largely depends on the diagnosis. If the lesion is benign and asymptomatic, many healthcare providers may recommend a watchful waiting approach. However, if it causes discomfort, affects your sexual function, or if you have concerns about its appearance, surgical removal could be considered. This is typically a straightforward procedure performed under local anesthesia.

I recommend that you schedule an appointment with a urologist or a healthcare provider who specializes in male reproductive health. They can perform a physical examination, possibly conduct some tests, and provide a definitive diagnosis. This will help you understand the nature of the lesion and the best course of action.

In the meantime, maintain good hygiene and avoid any irritants that could exacerbate the condition. If you notice any changes in the lesion, such as growth, changes in color, or if it becomes painful, seek medical attention promptly.

Remember, it’s always better to err on the side of caution when it comes to your health. Open communication with your healthcare provider will ensure that you receive the appropriate care and guidance tailored to your specific situation. Take care, and I hope you find relief and clarity soon.