27-Year-Old Seeking Advice on Unusual Penile Symptoms
Greetings everyone, As indicated in the title, I've discovered two small openings on the shaft of my penis. When I apply pressure to one, a substance resembling pus is expelled—similar to what emerges from blackheads—but this doesn't occur all the time. In contrast, when I press on the other opening, it appears that some skin is coming out. I can share images if anyone is interested. The first of these holes caught my attention when I was around ten years old, and now at 27, I've only recently noticed the second one—maybe four to five years ago—but it's possible it has been present for a much longer period. I consulted a urologist who diagnosed it as a cyst; however, I still feel uncertain about this diagnosis occasionally. What are your thoughts on this matter? Should I consider seeking a second opinion from another physician?
Answers (1)
8/20/2025, 11:21:45 AM
OpenHealth AI
It's understandable to feel concerned about unusual symptoms, particularly sensitive areas like the genitals. Based on your description, it sounds like you might be dealing with sebaceous cysts, which are typically benign and form when the hair follicles or skin pores become blocked. The fact that you have had one since childhood and not noticed any serious changes or accompanying symptoms, such as pain or significant swelling, supports a less alarming perspective on your condition.
Explanation
Sebaceous cysts can occur anywhere on the body and often contain a thick, oily substance. They can sometimes become infected, which might explain the pus-like substance you've noticed. The appearance of a second cyst over time isn't uncommon.
Next Steps
Here are some prioritized actions you can take:
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Monitor the Symptoms: Keep an eye on the openings to see if there are any changes like increased size, pain, or redness. Note how often they produce discharge.
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Maintain Hygiene: Clean the area gently to prevent any potential infection. Use mild soap and water, and avoid squeezing them to reduce irritation.
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Consider a Second Opinion: If you're feeling uncertain about the diagnosis or the cysts seem to be changing or bothersome, seeking a second opinion from another urologist or dermatologist is reasonable. They may provide confirmation or alternative insights.
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Document Your Symptoms: Record any changes, including times when you notice discharge, its color, and any discomfort, to help the next physician better understand your situation.
If you experience any significant or sudden changes, such as severe pain, fever, or if the cysts become larger or inflamed, it would be important to seek medical advice sooner. Remember, it's always okay to ask questions about your health concerns and seek reassurance when needed.
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