Painless Growths on the Penis: Causes and Treatment Options - Dermatology

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Why do painless and non-itchy granulation tissue appear on the foreskin?


Hello, doctor! About two months ago, I noticed a growth at the tip of my penile foreskin that has developed into a granuloma, which is now approximately 3mm in size.
It appeared suddenly and is neither painful nor itchy.
The granuloma seems to be located across a vein.
What could this condition be? How should I manage it? Which specialist should I consult? Thank you!

Mr. Wang, 50~59 year old female. Ask Date: 2010/02/19

Dr. Huang Ruiyun reply Dermatology


Hello: You can see either a urologist or a dermatologist.
Wishing you safety and good health.

Reply Date: 2010/02/19

More Info


Hello! Based on your description of a painless growth on the penis, it sounds like you may be dealing with a condition known as a penile papule or possibly a benign vascular lesion such as a venous lake. These types of growths are generally harmless and often do not require treatment unless they cause discomfort or cosmetic concerns.


Possible Causes
1. Pearly Penile Papules: These are small, dome-shaped bumps that are usually found around the corona of the glans (the head of the penis). They are completely normal anatomical variations and are not a sign of any disease. They typically do not require treatment.

2. Sebaceous Cysts: These are small, non-painful lumps that can occur due to blocked sebaceous glands. They are filled with a fatty substance and are usually harmless.

3. Venous Lake: This is a benign vascular lesion that appears as a soft, bluish bump. It is caused by the dilation of small veins and is usually painless.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, painless bumps. They may require treatment if they multiply or cause discomfort.

5. Other Benign Growths: There are other benign conditions such as fibromas or lipomas that can occur in the genital area.


Recommended Actions
1. Observation: If the growth is not causing any pain, itching, or other symptoms, it may be best to simply monitor it for changes in size, color, or sensation.

2. Consultation with a Specialist: It is advisable to see a urologist or a dermatologist who specializes in genital conditions. They can provide a proper diagnosis through a physical examination and, if necessary, further testing.

3. Avoid Self-Diagnosis: While it can be tempting to search for answers online, it is crucial to get a professional opinion. Many conditions can appear similar, and a healthcare provider can help differentiate between them.

4. Treatment Options: If the growth is determined to be a benign condition and is bothersome, treatment options may include:
- Cryotherapy: Freezing the growth.

- Laser Therapy: Using laser to remove or reduce the growth.

- Surgical Excision: If necessary, the growth can be surgically removed.

5. Maintain Hygiene: Regardless of the growth, maintaining good hygiene in the genital area is essential to prevent infections and other complications.


Conclusion
In summary, a painless growth on the penis, especially one that has developed over a short period and is not causing any discomfort, is often benign. However, it is always best to consult with a healthcare professional to ensure proper diagnosis and management. A urologist or dermatologist will be able to provide you with the most accurate information and treatment options tailored to your specific condition. Don't hesitate to seek medical advice, as early intervention can help alleviate any concerns you may have.

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