Changes in Urethral Appearance: A Urology Perspective - Urology

More Info

---

It sounds like you are experiencing a concerning change in the appearance of your glans penis, specifically related to a small growth that has been present since birth. The changes you describe, including the cracking of the growth and the appearance of a longer urethral opening, can understandably cause anxiety. Let’s break down your situation from a urological perspective.

First, it’s important to clarify what you are describing. The small growth you mentioned, which resembles a polyp, could be a benign condition such as a pearly penile papule or a similar benign lesion. These types of growths are common and typically do not cause any issues unless they become irritated or injured. The fact that this growth has been present since birth and has not caused any problems until now suggests that it is likely benign.

However, the recent changes you’ve observed—specifically the cracking and the sensation of pain—are concerning. The irritation from friction against your underwear could have led to a superficial injury, which may explain the cracking. If the growth has become fissured, it could potentially lead to localized inflammation or even a secondary infection, which might explain the discomfort you feel during urination or when the area is touched.

Regarding your concern about hypospadias, it is indeed a congenital condition where the urethral opening is not located at the tip of the penis. However, hypospadias is typically diagnosed at birth, and it is unlikely for a person to develop this condition later in life. The changes you are experiencing do not align with the typical presentation of hypospadias, especially since you have had a normal urethral opening for the first 20 years of your life.

It is also worth noting that any changes in the appearance of the genital area, especially those that cause pain or discomfort, warrant a thorough evaluation by a healthcare professional. A urologist would be best suited to assess your condition. They may perform a physical examination and possibly imaging studies to determine the nature of the growth and the extent of any injury.

In the meantime, here are a few recommendations:
1. Avoid Irritation: Try to minimize friction in the area by wearing loose-fitting underwear and avoiding activities that may exacerbate the irritation.

2. Maintain Hygiene: Keep the area clean and dry to prevent any potential infections. If you notice any unusual discharge, increased pain, or swelling, seek medical attention promptly.

3. Monitor Symptoms: Keep track of any changes in symptoms, including the appearance of the growth, the level of pain, or any new symptoms that may arise.

4. Consult a Urologist: Given your concerns and the changes you’ve experienced, it would be prudent to schedule an appointment with a urologist. They can provide a definitive diagnosis and recommend appropriate treatment options if necessary.

In conclusion, while the changes you are experiencing are concerning, they do not necessarily indicate a serious condition like hypospadias. However, it is essential to have a professional evaluation to ensure proper management and peace of mind. Remember, early intervention can often prevent complications and lead to better outcomes.