Bumps Near the Scrotum: Common Urological Concerns - Urology

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There is a raised lesion located under the foreskin near the scrotum?


Hello, doctor! Yesterday I noticed a small bump about the size of a pea, approximately 0.3 cm in diameter, on the outside of my foreskin.
It hurts a little when I press on it.
By this morning, it seems to have gotten a bit smaller.
Could you please tell me what this might be? I have not had any sexual experiences yet, but I do masturbate frequently.
I would appreciate your advice.
Additionally, I have a small growth that looks like a fleshy lump right at the urethral opening.
Is this normal? It has been there for about five or six years.
Also, what are the implications of having a mole on the foreskin? Thank you for your response!

Mr. Li, 10~19 year old female. Ask Date: 2007/03/11

Dr. Xu Weikai reply Urology


Mr.
Li: Hello.
1.
The bump on the foreskin may be caused by a localized infection and generally resolves on its own.
Improving local hygiene should lead to a quick improvement.
2.
The growth below the urethral opening? It could be normal tissue or some hyperplastic granulation tissue, but it cannot be determined here.
It is recommended to seek medical attention for further evaluation.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2007/03/11

More Info


When it comes to bumps or growths near the scrotum or on the penis, there are several common urological concerns that can arise. Based on your description, it sounds like you have noticed a small bump on the skin of your penis, which has caused some discomfort when pressed. Additionally, you mentioned a small growth at the urethral opening and a mole on the foreskin. Let's break down these concerns and provide some guidance.


1. Bump on the Penis
The bump you described, approximately 0.3 cm in diameter, could be a number of things. Common possibilities include:
- Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans (the head of the penis). They are normal anatomical variations and do not require treatment.


- Folliculitis: This is an inflammation of the hair follicles, which can cause small, painful bumps. It may resolve on its own or with proper hygiene.

- Sebaceous Cysts: These are small, non-painful lumps that can occur when sebaceous glands become blocked. They are typically harmless.

- Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They may be itchy or uncomfortable.

Given that the bump has decreased in size, it may be resolving on its own, but if it persists or worsens, it would be wise to consult a healthcare provider for an accurate diagnosis.


2. Growth at the Urethral Opening
The small growth you mentioned at the urethral opening could also be benign or a sign of a condition that requires attention. Some possibilities include:
- Urethral Papilloma: These are benign growths that can occur at the urethral opening. They are usually harmless but should be evaluated by a doctor.

- Warts: Similar to the bumps on the shaft, these could also be genital warts.

- Other Lesions: Any persistent growth at the urethral opening should be evaluated by a healthcare professional to rule out any serious conditions.


3. Mole on the Foreskin
Moles or pigmented lesions on the skin can be benign, but it’s important to monitor them for any changes in size, shape, or color. If the mole has been stable for years and has not changed, it is likely benign. However, if you notice any changes, it would be prudent to have it evaluated by a dermatologist.


Recommendations
- Consult a Healthcare Provider: Given the presence of multiple growths and your concerns, it is advisable to see a urologist or dermatologist. They can perform a physical examination and may recommend tests if necessary.

- Avoid Self-Diagnosis: While it’s tempting to search for answers online, self-diagnosis can lead to unnecessary anxiety. A professional evaluation is the best way to understand your condition.

- Practice Good Hygiene: Keeping the genital area clean and dry can help prevent infections and irritations.

- Monitor Changes: Keep an eye on any changes in size, shape, or symptoms associated with the bumps. If they become painful, change in appearance, or if you develop new symptoms (such as discharge or bleeding), seek medical attention promptly.


Conclusion
While many bumps and growths in the genital area can be benign, it’s essential to have any new or concerning lesions evaluated by a healthcare professional. Early diagnosis and treatment can help alleviate any worries and ensure your overall health. Remember, sexual health is an important aspect of overall well-being, and seeking help is a positive step towards maintaining it.

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