Bumps on the Penis Shaft: Personal Experience
A 29-year-old male, measuring 180 cm and weighing 60 kg, is a regular smoker consuming about 20 cigarettes daily. He is not currently taking any medication nor does he have any serious health conditions. For the last two to three months, I've noticed a cluster of bumps forming on the upper side of my penis shaft. To provide an overview of these bumps' characteristics: 1. They are not itchy and do not cause any pain. 2. The bumps are fairly firm, appearing to be situated beneath the skin. Unlike blisters, they do not burst and are not swollen or filled with pus. 3. Occasionally, they become red, suggesting some irritation, yet still without any associated discomfort. 4. I tried using a topical steroid cream which seemed to slow their development, but it did not lead to any improvement over a three-week period. 5. Following a severe bout of flu, the condition of these bumps deteriorated significantly. 6. Testing for sexually transmitted diseases has returned negative results. The bumps first emerged approximately when I experienced a case of epididymo-orchitis, for which I received antibiotics. During the treatment, the atypical bumps continued to appear. Upon revisiting my GP, he speculated that these issues might be attributed to a fungal infection exacerbated by the antibiotics. As a result, I was prescribed both a topical steroid and an antifungal cream, which provided minimal relief. Unfortunately, after contracting a severe flu, the bumps spread further. The doctor suggested that the use of steroid cream could clear up the issue within three weeks; however, that did not occur. I have since stopped using the cream to avoid excessive use of topical steroids. The GP examined my skin closely with a magnifying device and assured me that the skin appears healthy, yet he remains uncertain about the cause of the bumps. I have been referred to see a urologist, but the waiting period is estimated to be around 3-4 months. The thought of enduring these spreading bumps during that time is quite concerning. I appreciate any guidance or suggestions you may have.
Answers (1)
3/26/2025, 2:30:45 AM
OpenHealth AI
I understand that you're experiencing concern regarding the bumps on your penis shaft, especially since they've spread and persistent treatment hasn't yielded results. Your symptoms, including the nature of the bumps and their association with prior infections, warrant careful attention. Here’s a structured approach to help you manage this situation while you wait for your appointment with the urologist.
Summary of Key Points
- The bumps you've described do not seem to be causing discomfort, but their recent increase in number after flu and antibiotic treatment is concerning.
- Given the previous diagnoses and treatments, a precise understanding of these bumps is still pending, which adds to your anxiety while you wait for more specialized care.
Explanation
The characteristics of the bumps—firm, non-itchy, beneath the skin, and occasionally red—could suggest several possibilities, such as benign skin lesions (like pearly penile papules, which are common and harmless) or something more complex related to an infection or skin condition. Your GP's note about the potential for a fungal infection is also worth considering, as antibiotics can disrupt normal skin flora and lead to other issues. Since you mentioned the bumps started after an episode of epididymo-orchitis, an inflammatory reaction could also play a role.
Next Steps
Here are prioritized actions you can take while awaiting your urology appointment:
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Maintain Hygiene: Clean the area gently with mild soap and water daily, ensuring not to irritate the bumps further. Pat dry with a soft towel.
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Avoid Irritants: Avoid topical products (including creams and ointments) unless specifically directed by a healthcare provider. This will minimize the risk of irritation or further inflammation.
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Monitor Symptoms: Keep a detailed record of any changes in the appearance of the bumps or any new symptoms (like pain, itchiness, swelling, or discharge). This information will be valuable for your urologist.
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Stay Hydrated and Healthy: Maintain a healthy diet and drink plenty of water. Reducing alcohol and avoiding smoking could help your overall skin health and immune response.
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Reduce Anxiety: Given the waiting period for your urologist appointment, consider engaging in stress-relieving activities like exercise, meditation, or hobbies you enjoy. This can help manage any anxiety or concern while you wait.
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Know What to Watch For: If you notice any worrisome changes like significant irritation, severe swelling, or new symptoms (like fever or discharge), consider seeking urgent care.
While you’re waiting for your appointment, focus on these steps to care for your skin and wellbeing. It's understandable to feel concerned, and remember that many skin conditions can resolve or improve with time and proper care. If you have any specific questions or need further reassurance, feel free to reach out again.
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