Gland Sensations and Growths on the Penis: A Urology Perspective - Urology

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When it comes to sensations and growths on the penis, there are several factors to consider from a urological perspective. Your concerns about a tingling sensation in the glans (the head of the penis) and the presence of a growth at the base of the penis are valid and warrant further discussion.


Question 1: Tingling Sensation in the Glans
The tingling or "numb" sensation you describe in the glans can be attributed to several potential causes. One common reason for such sensations is increased sensitivity or irritation, which can occur due to various factors such as:
1. Nerve Irritation: The penis is rich in nerve endings, and any irritation or inflammation can lead to abnormal sensations. This could be due to friction, an allergic reaction to soaps or lotions, or even a mild infection.

2. Vascular Changes: The feeling of blood flow or pulsation you describe could be related to increased blood flow to the area, which can happen during arousal or due to anxiety.
3. Psychological Factors: Anxiety or stress can manifest physically, leading to heightened awareness of sensations in the body, including the genital area.

4. Infections: Conditions such as balanitis (inflammation of the glans) or sexually transmitted infections (STIs) can cause unusual sensations.
If this sensation persists or worsens, it is advisable to consult a urologist for a thorough examination. They may perform tests to rule out infections or other underlying conditions.


Question 2: Growth at the Base of the Penis
The growth you describe, measuring approximately 0.7 to 0.8 mm and resembling a red bump or blister, raises several considerations:
1. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans. They are normal anatomical variations and do not require treatment.

2. Sebaceous Cysts: These are small, non-painful lumps that can occur due to blocked sebaceous glands. They are generally harmless but can become inflamed or infected.

3. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or red bumps. They are typically painless but can vary in appearance.

4. Folliculitis: This is an inflammation of hair follicles that can cause red bumps. It is often due to irritation or infection.

5. Other Conditions: Other possibilities include molluscum contagiosum, herpes lesions, or other benign or malignant growths.

Given that the bump has been present for about ten days and has not changed significantly, it is important to have it evaluated by a healthcare professional. They can perform a physical examination and may recommend a biopsy or other diagnostic tests if necessary.


Recommendations
1. Consult a Urologist: It is crucial to see a urologist for both the tingling sensation and the growth. They can provide a comprehensive evaluation and appropriate management.

2. Avoid Irritation: Until you see a doctor, avoid any potential irritants such as harsh soaps, lotions, or vigorous activities that may exacerbate the symptoms.

3. Monitor Changes: Keep an eye on the growth and any changes in sensation. If you notice increased pain, swelling, or changes in the appearance of the growth, seek medical attention promptly.

4. Sexual Health: Since you mentioned a history of sexual activity, it may be beneficial to discuss your sexual health history with your doctor, including any potential exposure to STIs.

In conclusion, while some sensations and growths can be benign, it is essential to seek professional evaluation to rule out any serious conditions. Early diagnosis and management can lead to better outcomes and peace of mind.