Painful Bumps on the Penis: Causes and Treatments - Urology

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When it comes to painful bumps on the penis, particularly in the area where the base of the penis meets the pubic hair, there are several potential causes that should be considered. The description of a bump resembling a large pimple that has become painful after squeezing suggests a few possibilities, including folliculitis, cysts, or even sexually transmitted infections (STIs).

1. Folliculitis: This is an inflammation of the hair follicles, which can occur due to bacterial infection, irritation, or blockage. If the bump is red, swollen, and painful, it could be a sign of folliculitis, especially if it is located near hair follicles. Squeezing the bump may have introduced bacteria, exacerbating the inflammation and causing pain.

2. Sebaceous Cysts: These are non-cancerous lumps that can occur when sebaceous glands become blocked. They are usually painless but can become inflamed or infected, leading to pain and discomfort. If the bump feels firm and is movable under the skin, it could be a cyst.

3. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the penis. They are not painful and do not require treatment. However, if the bump is painful and has changed in size or appearance, it is less likely to be pearly penile papules.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They can be painful if irritated or if they become inflamed. If there is any possibility of exposure to STIs, this should be considered.

5. Herpes Simplex Virus (HSV): If the bump is accompanied by other symptoms such as itching, burning, or the appearance of blisters, it could be a sign of a herpes outbreak. This would require medical evaluation and treatment.

6. Other STIs: Conditions such as syphilis or chancroid can present as painful bumps or sores. If there is any concern about potential exposure to STIs, it is crucial to seek medical attention.


Recommendations for Management
- Avoid Squeezing: It is essential to avoid squeezing or picking at the bump, as this can lead to further irritation, infection, or scarring.

- Keep the Area Clean: Gently wash the area with mild soap and water. Avoid harsh soaps or irritants that could exacerbate the condition.

- Warm Compresses: Applying a warm compress can help reduce pain and promote drainage if the bump is an abscess or infected cyst.

- Over-the-Counter Pain Relief: If the pain is significant, over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort.

- Seek Medical Attention: Given that the bump has become painful and has changed in size, it is advisable to see a healthcare provider. A doctor can perform a physical examination, possibly conduct tests, and provide a definitive diagnosis and appropriate treatment. This is especially important if there is any concern about STIs or if the bump does not improve with home care.

In conclusion, while there are several benign explanations for a painful bump in the genital area, it is essential to have any new or changing lesions evaluated by a healthcare professional to rule out more serious conditions and to receive appropriate treatment.