OpenHealth Q&A

Concern About Small Lump on the Underside of the Penis

Hello everyone. I'm reaching out for the first time and using a throwaway account for privacy. About two weeks ago, I discovered a small lump on the underside of my penis. It’s positioned near the urethra, though it's not affecting it directly. The lump is approximately the size of a pea and has remained unchanged since I found it. When I pinch the area, I can feel the lump quite easily, and it appears to be situated relatively close to the surface of the skin rather than being embedded deeply. It doesn't seem to be connected to anything, as it stays in place even if I manipulate it. This bump does cause some mild discomfort and localized pressure, which becomes noticeably worse after sitting for extended periods. However, there are no additional symptoms accompanying this issue. My urination and ejaculation remain normal, without any signs of irritation, redness, or warmth. There hasn’t been any growth or change in the appearance of the lump either. I've only engaged in sexual activity with my partner, and we've been together for four years. We both undergo regular health screenings to monitor our sexual and overall health. My primary concern is to eliminate the possibility of something serious, like a tumor or cancer, although the stability of the lump seems to suggest otherwise, based on my research. I would like to clarify any details regarding this issue, and I'm open to sharing more information if needed, including a video or photo to illustrate the problem. Currently, I am on vacation and quite distant from the nearest health facility, which makes it challenging to access professional advice. Any assistance would be greatly appreciated. Thank you! Key Details: - The lump is located under the skin, near but not directly on the urethra, about a third of the way from the tip towards the base of the penis, closer to the tip. Characteristics of the Lump: - Size: Roughly equivalent to a pea. - Freely movable, not anchored to deeper tissues. - It is firm yet can be compressed. - Easily pinchable and lying just beneath the skin’s surface. - Has not experienced any alterations in size, color, or texture since its discovery. - Visible when the skin is stretched, such as during an erection. - Present for about two weeks. Symptoms and Sensations: - No pain when touched, but there is some localized discomfort. - No visible skin changes, discolored areas, warmth, or fluid discharge. - Absence of itching or tenderness. - No urinary issues like burning sensations, increased frequency, urgency, or discharge. Context: - Recently engaged in a period of increased masturbation and sexual activity, which may have led to irritation or friction. - No history of trauma or injury in that region. - No systemic symptoms such as fever, fatigue, or weight changes.

Answers (1)

8/2/2025, 10:50:47 AM

OpenHealth AI

It's understandable to be concerned about a lump in such a sensitive area. Based on your description, this lump may potentially be a harmless condition like a cyst, which is common and often resolves on its own. However, it's important to monitor the situation.

Explanation:

The characteristics you described—location, size, firmness, and lack of growth—suggest it may not be a serious issue, especially considering that there are no concerning symptoms like redness, warmth, or discharge. These factors are generally reassuring, but given your mild discomfort and pressure, there's a good reason to stay attentive.

Next Steps:

1. Monitor Symptoms:

   • Keep an eye on the lump over the next week. Record any changes in size, shape, or symptoms, especially if discomfort increases.

2. Self-Care:

   • Try to avoid tight clothing that might irritate the area. Opt for loose-fitting underwear to reduce pressure and friction.
   • Consider using warm compresses for brief periods to help alleviate discomfort.

3. Activity Adjustment:

   • Limit activities that might exacerbate discomfort (like prolonged sitting or vigorous sexual activity) until you can assess the lump further.

4. Plan for Further Evaluation:

   • When you return from vacation and have access to a healthcare provider, schedule an appointment to have the lump evaluated, especially since you've noted localized discomfort.

Reassurance:

While it’s natural to worry about tumors or more serious conditions, many such lumps are benign and can simply be monitored. By keeping track of changes and planning to address it with a healthcare professional soon, you’re taking the right steps. If any severe symptoms suddenly appear (such as increased pain, discharge, or significant changes), seek immediate medical attention.