Perianal Mass and Associated Symptoms Inquiry
Experiencing a noticeable mass in the perianal region, estimated to be around 5 centimeters in size. There is a persistent dull discomfort radiating towards the testicles, along with increased urinary frequency and urgency. Additionally, some episodes of erectile dysfunction have been observed. I would appreciate any insights or advice on this matter. Thank you!
Answers (1)

6/19/2025, 1:20:46 AM
OpenHealth AI
It sounds like you are experiencing several concerning symptoms, including a noticeable perianal mass, discomfort, increased urinary frequency, and erectile dysfunction. These symptoms can be interconnected and warrant careful consideration.
Main Points
- A perianal mass can stem from various issues, such as hemorrhoids, anal abscesses, or even more serious conditions.
- The associated discomfort, urinary symptoms, and erectile dysfunction suggest there might be significant underlying factors that need attention.
Explanation
The presence of a mass in the perianal region, especially one that is causing discomfort and other symptoms, should not be overlooked. While some masses can be benign, the size and your symptoms indicate a need for a thorough evaluation. The discomfort radiating to your testicles and your urinary changes suggest that these areas may be affected, potentially pointing to a more complex issue such as nerve involvement or even a condition affecting the pelvic region.
Next Steps
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Monitor Symptoms: Keep track of your symptoms over the next few days. Notate any changes in the mass, level of discomfort, urinary patterns, or erectile function.
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Self-Care Measures:
- Warm Sitz Baths: Taking warm baths can help relieve discomfort in the perianal area.
- Over-the-Counter Pain Relief: Consider non-prescription medications like acetaminophen or ibuprofen to manage pain.
- Hydration & Diet: Staying hydrated and maintaining a high-fiber diet can avoid constipation, which might aggravate symptoms.
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Seek Further Evaluation: Given the symptoms you described, it would be advisable to seek medical evaluation. A healthcare professional can perform a physical examination and potentially request imaging to assess the mass and related symptoms more thoroughly.
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Prepare for Your Visit: If you decide to see a provider, prepare a list of all your symptoms (when they started, severity, any changes), which can help guide the evaluation.
Please take care and consider these steps seriously, as they will help ensure your situation is addressed appropriately. If any symptoms significantly worsen or new symptoms arise, seek medical advice sooner.
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