Small Bumps on the Penis: When to Seek Medical Advice

Regarding lumps on the penis?

I have a small lump on the top of my penis, about 0.5 cm in size, which is similar in color to the surrounding skin and not very noticeable.
It has been present for three days.
Initially, it was slightly painful when pressed, but now it isn't.
Upon careful examination, it feels like a granular area at the tip of the foreskin (penis).
Previously, I had some external trauma to my penis due to friction, which I ignored.
Could this be related? Should I just wait and observe, or are there other treatment options available? If possible, I would prefer not to see a urologist right away, as I feel a bit embarrassed.
By the way, do people take photos to consult with urologists?

Jun Teng, 10~19 year old female. Ask Date: 2006/07/29

Dr. Liu Jianting reply Urology

Please don't hesitate! It's better to see a urologist in person.
It's more effective than just hearing about it.
You should have the urologist examine you directly, as they can answer your questions on the spot.
Is that okay?

Reply Date: 2006/07/29

More Info

When it comes to small bumps on the penis, it is essential to approach the situation with caution and awareness. The bump you described, measuring approximately 0.5 cm, skin-colored, and located at the tip of the foreskin, could be a variety of things, ranging from harmless to potentially concerning. Given that it was initially painful but has since become painless, this change is noteworthy.

Possible Causes
1. Pearly Penile Papules: These are small, benign bumps that can appear around the glans of the penis. They are normal anatomical variations and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands without hair follicles. They are also harmless and common.

3. Folliculitis: This is an inflammation of the hair follicles, which can occur due to friction, irritation, or infection. If the bump is tender, red, or has pus, this could be a possibility.

4. Cysts: Sebaceous cysts can form due to blocked glands and are usually painless unless infected.

5. Infection or STD: If there was any unprotected sexual contact, it’s essential to consider sexually transmitted infections (STIs) as a potential cause of any new growths or bumps.

6. Trauma-related Changes: Given that you mentioned prior friction or injury, it is possible that the bump is related to that trauma, such as a scar or a localized inflammatory response.

When to Seek Medical Advice
While many bumps can be benign, there are specific signs that warrant a visit to a healthcare provider, particularly a urologist:
- Persistent Growth: If the bump continues to grow or change in appearance.

- Pain or Discomfort: If it becomes painful or causes discomfort.

- Discharge or Bleeding: Any unusual discharge or bleeding from the bump.

- Associated Symptoms: If you experience other symptoms such as fever, chills, or systemic symptoms.

- Concerns About STIs: If there is any possibility of exposure to STIs, it is crucial to get tested.

Observation vs. Immediate Action
In your case, since the bump has been present for three days and has become painless, you might consider a period of observation. However, if you notice any changes or if it does not resolve within a week or two, it would be wise to consult a healthcare professional.

Seeking Medical Help
It’s understandable to feel embarrassed about visiting a urologist, but remember that these professionals are trained to handle such issues with discretion and professionalism. Many patients do bring photos or describe their symptoms in detail to facilitate the consultation, so you are not alone in your concerns.

Conclusion
While it is tempting to wait and see, being proactive about your health is essential. If the bump does not resolve or if you have any concerns, do not hesitate to seek medical advice. Urologists are accustomed to these types of inquiries and can provide you with the necessary care and reassurance. Remember, your health and peace of mind are paramount, and addressing any concerns early can lead to better outcomes.

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