Hard Lump Under Skin at Penis Base: Should You See a Doctor?

There is a small hard mass beneath the skin at the base of the penis?

A couple of days ago, I noticed a small hard lump under the skin at the base of my penis, and the surrounding skin is dark red and painful to touch.
I don't have a sexual partner.
Should I seek medical help? However, I don't want my family to know.
Is it okay to handle this on my own?

Zheng Wei, 10~19 year old female. Ask Date: 2014/08/01

Dr. Lin Wenxu reply Urology

Based on the description, it may be folliculitis, but please visit a urology clinic for a personal examination by a physician to receive an accurate diagnosis and treatment.

Reply Date: 2014/08/01

More Info

If you have discovered a hard lump under the skin at the base of your penis, especially if it is accompanied by pain and changes in skin color, it is important to seek medical attention. While it may be tempting to avoid seeing a doctor due to concerns about privacy or family knowledge, your health should be the top priority.
There are several potential causes for a hard lump in this area, including but not limited to:
1. Sebaceous Cyst: These are common and usually harmless lumps that can occur when a sebaceous gland becomes blocked. They can become inflamed or infected, leading to pain and redness.

2. Peyronie's Disease: This condition involves the development of fibrous scar tissue inside the penis, which can cause lumps and may lead to curvature during erections. It can be painful and may require treatment.

3. Infection or Abscess: An infection can cause localized swelling, redness, and pain. If the lump is an abscess, it may need to be drained by a healthcare professional.

4. Lymphadenopathy: Swollen lymph nodes can sometimes present as lumps in the genital area, often due to infections or other medical conditions.

5. Tumors: While less common, both benign and malignant tumors can present as lumps in the genital area. Early evaluation is crucial for proper diagnosis and treatment.

Given the symptoms you described—pain, a hard lump, and changes in skin color—it is advisable to consult a healthcare provider. They can perform a physical examination and may recommend imaging studies or a biopsy if necessary to determine the nature of the lump.

If privacy is a concern, consider seeking care at a clinic or hospital where confidentiality is respected. Many healthcare providers understand the sensitivity of such issues and can provide care discreetly.
In the meantime, avoid manipulating or squeezing the lump, as this could exacerbate any underlying condition or lead to infection. Keep the area clean and monitor for any changes, such as increased pain, swelling, or discharge.

In conclusion, while it may be uncomfortable to discuss, seeing a doctor is the best course of action to ensure your health and peace of mind. Early diagnosis and treatment can prevent potential complications and address any underlying issues effectively.

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