Hard Lumps in the Penis: Insights from Dr. Lee

I would like to consult Dr. Lee again regarding the issue of hard lumps inside the penis?

Hello Dr.
Li, I apologize for bothering you again.
I received a contrast agent on January 2nd, and from January 2nd to January 14th, I experienced pain, swelling, and bruising, which gradually improved.
However, starting January 14th, I noticed a hard lump at the tip of the injection site on my penis.
Since January 14th, I can still feel the lump.
I would like to ask you again whether this could be a hard lump caused by damage to the tunica albuginea or a hematoma within the corpus cavernosum, resembling a half green bean lodged at the tip of the injection site.
The lump is located on the left side of the midshaft of the penis and does not move.
I will be seeing a doctor on the fifth, but I hope to gather more information to discuss with the examining physician.
Previously, I was advised by a hospital doctor to consult another physician.
Although the doctor is a urologist, he is not specialized in male sexual dysfunction, and due to my lack of information, I was unable to discuss my condition clearly, which wasted both our time.
I would appreciate it if you could provide me with more information to facilitate a proper examination and discussion with the doctor on Friday for accurate treatment.

Ke Li Si, 40~49 year old female. Ask Date: 2012/01/22

Dr. Li Yilun reply Urology

I may not be able to provide more suggestions or opinions regarding your situation.
The examination requires a puncture of the white membrane to access the corpus cavernosum for imaging, but not every examiner will encounter this phenomenon.
Each examination or treatment may have potential side effects or complications, so it is advisable to understand these beforehand.
I want to emphasize again that your questions should be addressed by a physician through visual inspection, palpation, and patient history to determine the diagnosis and treatment plan, as it may not be possible to provide accurate answers based solely on information from the internet.

Reply Date: 2012/01/22

More Info

Understanding hard lumps in the penis can be concerning, especially after experiencing trauma or medical procedures. Based on your description, it seems you have developed a hard lump at the site of a previous injection, which could be attributed to a few potential causes.

Firstly, it is important to consider the possibility of a hematoma. A hematoma occurs when blood collects outside of blood vessels, often due to trauma or injury. In your case, the injection may have caused some bleeding within the tissue, leading to a localized collection of blood that has since clotted and formed a hard lump. This lump may feel firm and could be similar to the sensation of a small bean, as you described. Over time, hematomas can resolve on their own, but they may take weeks or even months to fully dissipate.

Another possibility is the formation of scar tissue. If the injection caused damage to the tunica albuginea (the fibrous covering of the erectile bodies) or surrounding tissues, the body may respond by forming scar tissue in that area. This scar tissue can feel firm and may not change in size or shape over time. Scar tissue can sometimes lead to complications, such as Peyronie's disease, which is characterized by the development of fibrous scar tissue in the penis that can cause curvature and pain during erections.

Additionally, if there was any injury to the erectile tissue itself, it could lead to the formation of fibrous tissue or even calcifications, which can also present as hard lumps. The location of the lump on the left side of the penis may provide some clues, but a thorough examination by a specialist is necessary to determine the exact nature of the lump.

Given that you have an appointment with a physician soon, it is crucial to communicate all your symptoms clearly. You should mention the timeline of events, the nature of the lump, any pain or discomfort you are experiencing, and any changes in sexual function. This information will help the doctor make a more accurate assessment.

During your appointment, the doctor may perform a physical examination and could recommend imaging studies, such as an ultrasound, to evaluate the lump further. This imaging can help differentiate between a hematoma, scar tissue, or other potential issues.

In terms of treatment, if the lump is determined to be a hematoma, it may simply require observation, as many hematomas resolve without intervention. If it is scar tissue or another condition, treatment options may vary. In some cases, medications may be prescribed to manage symptoms, while in other cases, surgical intervention may be necessary if the lump is causing significant issues.

In summary, while the hard lump you are experiencing could be due to a hematoma or scar tissue formation, a definitive diagnosis can only be made through a thorough examination and possibly imaging studies. It is essential to discuss your concerns openly with your healthcare provider to ensure you receive the appropriate care and treatment.

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