Testicular Lumps and Penile Concerns: A Urology Guide

I have a hard lump on my testicle?

1.
About a month and a half ago, I suddenly noticed a hard lump on my right testicle.
It doesn't hurt, but when I squeeze it, I feel a similar pain to when I squeeze my testicle.
Now, after a month and a half, I haven't noticed any increase in size.
I'm not sure what it could be.
2.
There are small white bumps beneath my glans that have been there for several years.
They haven't caused any issues, and I just see them as white.
I have had sexual intercourse with my girlfriend without any problems.
When she asked me what they were, I didn't know, and since nothing has happened, she stopped asking.
Someone once told me that it was due to excessive masturbation; is that true?
3.
I noticed a rash on my glans and I'm unsure if it's an infection.
Last month, I went to China and on the first night, I hired an escort and used a condom.
However, I think I noticed the rash before going to China.
Since then, I've had sexual intercourse with my girlfriend for about a month, and she hasn't had any issues.
I'm a bit worried about these three problems.
Could you please help me with these concerns, Doctor? I would greatly appreciate it.

bu zhi ru he shi hao de nan ren, 30~39 year old female. Ask Date: 2005/11/29

Dr. Xu Weikai reply Urology

Hello, based on your description, I will answer your questions as follows:
1.
Is there a hard lump on the right testicle? If it is painless, generally speaking, lumps originating from the testicle have a higher chance of being malignant; conversely, if the lump is from the epididymis, the majority (over 90%) are benign.
Therefore, it is best to determine the origin of the lump in the scrotum.
2.
The white bumps under the glans have been present for a long time and are asymptomatic; they are generally benign tumors and may not require any treatment.
However, it is advisable to have a physician confirm this.
3.
The rash on the glans could be indicative of an infection, which may be caused by bacteria or fungi.
It could also be due to local irritation, such as from lubricants on condoms.
Additionally, it is important to ask your sexual partner if they have experienced any vaginal inflammation or increased discharge; if so, both partners should seek treatment together.
Sincerely,
Dr.
Hsu Wei-Kai, Director, Urology Department, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2005/11/29

More Info

When it comes to testicular lumps and penile concerns, it's essential to approach these issues with a clear understanding of potential causes and the necessary steps for evaluation and treatment. Let's break down your concerns one by one.

1. Testicular Lump: You mentioned discovering a hard lump on your right testicle about a month and a half ago. It's important to note that not all testicular lumps are indicative of serious conditions. Common causes include epididymal cysts, which are fluid-filled sacs that can develop in the epididymis (the tube at the back of the testicle), or varicoceles, which are enlarged veins within the scrotum. Testicular cancer is another possibility, though it typically presents with a lump that may be painless or associated with discomfort. Since you have not noticed any changes in size or additional symptoms, it is still crucial to have this evaluated by a urologist. They may recommend an ultrasound to assess the characteristics of the lump and determine the appropriate course of action.

2. White Bumps on the Glans: The small white bumps you describe on the underside of your glans (the head of the penis) could be a few different things. One common condition is pearly penile papules, which are harmless and typically do not require treatment. They are a normal anatomical variation and are not related to sexual activity or masturbation. However, if these bumps have changed in appearance or have become symptomatic, it would be wise to consult a healthcare professional for a proper diagnosis. The notion that these bumps are a result of excessive masturbation is a myth; masturbation does not cause such changes.

3. Red Rash on the Glans: The appearance of a red rash on the glans can be concerning, especially following potential exposure to sexually transmitted infections (STIs). While the use of a condom significantly reduces the risk of STIs, it does not eliminate it entirely. The rash could be due to a variety of causes, including irritation, allergic reactions, or infections such as candidiasis (yeast infection) or balanitis (inflammation of the glans). Given that your partner has not exhibited any symptoms, it may suggest that the rash is not due to an STI, but it is still essential to get it evaluated. A healthcare provider can perform tests to rule out infections and provide appropriate treatment if necessary.

Recommendations:
- Seek Medical Evaluation: It is crucial to see a urologist for a thorough examination of the testicular lump and the rash. They may perform a physical examination, ultrasound, or other diagnostic tests to determine the nature of these findings.

- Maintain Open Communication: Discuss your concerns with your partner, as open communication can help alleviate anxiety and ensure both partners are informed about health matters.

- Practice Safe Sex: Continue to practice safe sex to minimize the risk of STIs. Regular check-ups and screenings are also advisable, especially if you have concerns about potential exposure.

- Monitor Symptoms: Keep track of any changes in the size of the lump, the appearance of the rash, or any new symptoms that may arise. This information will be valuable for your healthcare provider.

In conclusion, while some of your concerns may be benign, it is essential to have them evaluated by a professional to rule out any serious conditions and to receive appropriate treatment if necessary. Your health and peace of mind are paramount, so do not hesitate to seek help.

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