Small Hard Bumps in the Penis: Post-Circumcision Concerns

There are small hard lumps in the folds of the penile foreskin?

Hello, doctor.
About ten years ago, I had a circumcision.
Two years ago, I felt two very small hard lumps, about smaller than a grain of rice, at the incision site (in the fold of the foreskin below the glans).
They don't hurt when I touch or press them, and they seem to move around with the foreskin, as if they are inside it.
I went to a clinic for examination, and the doctor suggested they might be urethral stones.
However, after a urinalysis, there were no significant issues, and the doctor advised me to see if I could pass the stones.
When I urinated at home, it was smooth, and I didn't feel anything stuck in the urethra.
Later, I returned to the same clinic, but this time I saw a different doctor.
He examined the small hard lumps and asked if I had previously undergone circumcision.
I confirmed that I had, and the doctor said they were likely just remnants of the sutures.
The urinalysis showed no problems, and he told me not to worry too much.
Two years have passed, and although there have been no changes or discomfort, I thought it would be best to ask again.

A Cheng, 20~29 year old female. Ask Date: 2016/03/10

Dr. Chen Wenming reply Urology

The principle is to observe and wait for changes.

Reply Date: 2016/03/10

More Info

The presence of small hard bumps in the penis, especially after circumcision, can be a source of concern for many individuals. Based on your description, it seems that you have encountered small, non-painful hard lumps located in the area of the circumcision scar, specifically beneath the skin fold of the glans. These bumps are not uncommon and can arise from various benign conditions.

Firstly, it is important to note that after circumcision, the healing process can lead to the formation of scar tissue. This scar tissue may sometimes present as small hard lumps, which can feel different from the surrounding tissue. The fact that these bumps are not painful and can move with the skin suggests that they are likely not a serious issue.

One possibility is that these bumps are remnants of sutures or stitches that were used during the circumcision procedure. Sometimes, the body does not fully absorb these sutures, and they can remain as small, hard nodules under the skin. This is particularly common if absorbable sutures were used, as they can sometimes lead to localized inflammation or fibrosis, resulting in palpable lumps.

Another consideration is the possibility of sebaceous cysts, which are benign cysts that can occur in various parts of the body, including the genital area. These cysts are typically filled with sebum, a substance produced by sebaceous glands, and can feel firm to the touch. They are generally harmless and do not require treatment unless they become infected or bothersome.

You mentioned that a doctor previously suggested the possibility of a urethral stone, but subsequent urine tests did not indicate any issues. Urethral stones typically cause significant discomfort and urinary symptoms, such as pain during urination or difficulty passing urine. Since you have not experienced these symptoms and have had normal urine tests, it is less likely that the bumps are related to a urethral stone.

Given that you have already consulted with healthcare professionals who have examined the bumps and provided reassurance, it seems that the likelihood of a serious underlying condition is low. However, if you notice any changes in the size, shape, or texture of the bumps, or if you develop new symptoms such as pain, swelling, or changes in urination, it would be prudent to seek further evaluation.

In conclusion, while the small hard bumps you describe are likely benign and possibly related to the healing process post-circumcision, it is always wise to stay vigilant about any changes in your body. Regular self-examinations and open communication with your healthcare provider can help ensure that any concerns are addressed promptly. If you continue to feel uneasy about the bumps, consider seeking a second opinion or consulting a urologist who specializes in male reproductive health for further evaluation and peace of mind.

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