Hard Lumps on the Penis: Causes and Treatment Options - Urology

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When it comes to hard lumps on the penis, particularly in the area where the glans (head) connects to the foreskin, there are several potential causes to consider. The fact that the lump is elongated, increases in size with an erection, and is not painful or itchy can provide some clues about its nature.

One common cause of such lumps is a condition known as a penile fibroma or a fibrous plaque, which is a benign growth of fibrous tissue. These can develop due to trauma or irritation and may not require treatment unless they cause discomfort or interfere with sexual function. Another possibility is a condition called Peyronie's disease, which involves the formation of fibrous scar tissue inside the penis, leading to curvature during erections. However, Peyronie's disease typically presents with pain or curvature, which you have not mentioned.

Other potential causes could include cysts, such as epidermoid cysts, which are generally harmless and can occur anywhere on the body, including the genital area. These cysts are usually painless and may not require any intervention unless they become bothersome or infected.

In terms of treatment options, if the lump is determined to be benign and not causing any symptoms, many healthcare providers may recommend a watchful waiting approach. This means monitoring the lump for any changes over time. If the lump becomes painful, grows significantly, or affects sexual function, then surgical intervention may be considered. Surgery could involve excising the lump, especially if it is causing discomfort or is suspected to be something other than a benign growth.

Regarding the impact on future sexual activity, if the lump is benign and does not cause any pain or functional issues, it is unlikely to affect your sexual life. However, if it is associated with a condition like Peyronie's disease, it could potentially lead to changes in sexual function, such as difficulty achieving or maintaining an erection or pain during intercourse.

It is important to consult a healthcare professional, preferably a urologist, for a thorough examination and diagnosis. They may perform a physical examination and, if necessary, imaging studies to determine the exact nature of the lump. Based on the findings, they can provide tailored advice on whether treatment is necessary and what options are available.

In summary, while hard lumps on the penis can be concerning, many are benign and do not require immediate treatment. However, it is crucial to seek medical advice to ensure proper diagnosis and management, especially if there are any changes in symptoms or concerns about sexual health.