Unusual Growth at the Urethral Opening: What You Need to Know - Urology

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There is a strange growth at the urethral opening?


I have a small bump at the opening of my urethra that looks like a pimple, about the size of a red bean.
If I squeeze it, pus comes out.
I'm embarrassed to see a doctor, so I would like to know what might be wrong.

Mr. Li, 20~29 year old female. Ask Date: 2014/01/26

Dr. Li Yilun reply Urology


Your symptoms are similar to an epidermoid cyst or inflammation of the sebaceous gland.
After it has been drained, daily disinfection and wound care are necessary.
If your symptoms do not improve, please seek medical assistance nearby.
It is important to note that a simple description cannot determine your condition, so we emphasize that if symptoms do not improve or worsen, it is still advisable to consult a professional physician for evaluation and examination to avoid delaying treatment.
Physicians often need to inquire about your medical history, perform visual and physical examinations, and conduct tests to confirm the diagnosis and treatment plan.

Reply Date: 2014/01/26

More Info


When it comes to unusual growths around the urethral opening, it is essential to approach the situation with caution and seek medical advice. The description of a bump resembling a pimple, particularly one that produces pus when squeezed, raises several possibilities. While it may be tempting to self-diagnose or ignore the issue due to embarrassment, understanding the potential causes and the importance of professional evaluation is crucial.

One common possibility for a bump in this area is a sebaceous cyst. These cysts occur when sebaceous glands become blocked, leading to the accumulation of sebum (the oily substance produced by these glands). They can appear anywhere on the body, including the genital area, and may become inflamed or infected, resulting in pus formation.
Another potential cause could be a folliculitis, which is an inflammation of the hair follicles. This condition can occur due to bacterial infection, irritation, or blockage of the follicles, leading to red, pus-filled bumps that may resemble pimples.
Additionally, sexually transmitted infections (STIs) such as herpes or warts caused by the human papillomavirus (HPV) can also present as unusual growths in the genital area. Herpes lesions typically appear as painful blisters, while warts are usually painless and can vary in appearance.
Given the sensitive nature of the area and the potential for various underlying causes, it is vital to avoid squeezing or attempting to pop the bump, as this can lead to further irritation or infection. Instead, a visit to a healthcare provider is recommended. They can perform a physical examination, take a detailed medical history, and possibly conduct tests to determine the exact nature of the growth.

In terms of treatment, it will depend on the diagnosis. If it is a sebaceous cyst or folliculitis, warm compresses and proper hygiene may be sufficient. In cases of infection, antibiotics might be necessary. If the growth is due to an STI, appropriate antiviral or topical treatments will be prescribed.

It is understandable to feel embarrassed about discussing such personal health issues, but healthcare professionals are trained to handle these situations with confidentiality and sensitivity. Ignoring the problem could lead to complications, so it is best to address it sooner rather than later.

In summary, while the bump you described could be benign, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can prevent potential complications and provide peace of mind. Remember, your health is paramount, and seeking help is a responsible step in managing your well-being.

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