Concerns About Hard Bumps on the Penis After Urological Procedure

I have small hard bumps inside my penis, and I'm very anxious about whether they will go away?

Hello, doctor.
Due to issues with erectile dysfunction, I underwent cavernous body imaging to confirm whether there was venous leakage.
The problem has been identified, but on the day of the imaging procedure, the weather was quite cold.
The nurse covered my lower body with a thin blanket and then administered a medication for the prostate to induce an erection.
During the erection process, I noticed that the blanket was pressing down, causing significant pain, possibly due to pressure on the needle.
Once I moved the blanket, the pain subsided, leaving only soreness at the injection site without any pressure-related pain.
Currently, I have developed a small hard lump on the top of my penis, located at the end of the injection site.
After the contrast agent was injected, I experienced significant bruising, which faded after a week.
In the second week, the pain subsided, but the hard lump remained.
I would like to ask the doctor if this lump will disappear or if it will remain permanently.
What area might have been injured? I consulted my original treating physician, but they advised me to rest for two months, suggesting that it would resolve on its own.
Is there anything I can do to help the lump go away? Should I apply heat or take vitamin E supplements? The lump is approximately the size of a small mung bean.

Ke Li Si, 40~49 year old female. Ask Date: 2012/01/19

Dr. Li Yilun reply Urology

Hello, sir.
Based on your condition, my assessment without physical examination and visual inspection may not be entirely accurate.
However, the bruising that has developed after the examination is likely due to some hematoma caused during the procedure.
Most of it should recover with rest.
You can apply a warm compress for 15-20 minutes, 1-2 times a day, which may help improve blood circulation and promote wound healing.
Some topical ointments for scar and bruise reduction, such as Mederma, can also be used in conjunction.
However, I want to emphasize that if you have any concerns, it is still advisable to consult a dermatologist or urologist, as they often need to perform visual examinations, physical assessments, and take a detailed history to determine the diagnosis and treatment plan.
Wishing you a Happy New Year!

Reply Date: 2012/01/19

More Info

It sounds like you're experiencing some concerns following a urological procedure, specifically after a cavernosography. The appearance of a hard bump on the penis after such a procedure can understandably be alarming. Let's break down your concerns and provide some insights based on medical knowledge.

Understanding the Hard Bump
1. Possible Causes: The hard bump you are describing could be due to several factors:
- Hematoma: After any procedure involving injections or punctures, it's common to develop a hematoma, which is a localized collection of blood outside of blood vessels. This can feel firm to the touch and may take time to resolve.

- Scar Tissue: The body often forms scar tissue as part of the healing process. This can sometimes present as a hard lump at the site of an injection or incision.

- Inflammation: Following any medical procedure, inflammation can occur, leading to localized swelling and hardness.

2. Duration and Resolution: In many cases, such bumps can resolve on their own over time. The timeline for resolution can vary based on individual healing processes, the extent of the procedure, and any underlying health conditions. Your doctor’s advice to rest for two months is reasonable, as many soft tissue injuries and hematomas can take several weeks to months to fully heal.

Management Strategies
1. Heat Application: Applying a warm compress to the area can help increase blood flow and promote healing. This can be done several times a day for about 15-20 minutes. However, ensure that the heat is not too intense to avoid burns.

2. Vitamin E: Some people believe that vitamin E can help with scar healing, although scientific evidence is mixed. If you choose to use vitamin E oil, ensure that you are not allergic to it and apply it gently to the area.

3. Monitoring: Keep an eye on the bump. If it becomes increasingly painful, changes in color, or if you notice any signs of infection (such as increased redness, warmth, or discharge), you should seek medical attention promptly.

4. Follow-Up: If the bump does not improve or if you have ongoing concerns, it may be beneficial to follow up with your urologist or a healthcare provider. They may perform an examination to ensure that there are no complications, such as an infection or an abnormality that requires further intervention.

When to Seek Help
If the bump persists beyond a few months, or if you experience any new symptoms such as pain during erections, changes in urination, or any other unusual symptoms, it is crucial to consult your healthcare provider. They may recommend imaging studies or further evaluation to rule out any complications.

Conclusion
In summary, while the hard bump you are experiencing after your procedure can be concerning, it is often a normal part of the healing process. With appropriate care, monitoring, and possibly some home remedies like heat application and vitamin E, you may find that the bump resolves over time. However, do not hesitate to reach out to your healthcare provider if you have any doubts or if your symptoms change. Your health and peace of mind are paramount.

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