Questions posted in the The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.

Subject: Re: ONE LUMP ON PENIS SHAFT!
Forum: The Urology Forum

Topic Area: Penile Cancer

Posted by JOE KELLY on July 18, 1999 at 13:32:07

I have 1 small lump on the side of my penis close to the glans, visible when erect and no pain associated with it. I am not sexually active, my penis is not curved, I am not circumsized, nor do i take any drugs but I do drink coffee. I am 21 years old.

I think its a clogged vein, but I am not sure. Any suggestions/comments/cures? I have had it for a while, maybe a couple of months.


Posted by HFHS M.D.-BE on July 22, 1999 at 12:07:53



=

Dear Joe kelly,
The presence of a penile lesion tends to be more disconcerting to most men than a lesion elsewhere in the body. The primary concern is whether the lesion is cancer or not. There are both benign and malignant lesions that may be found on the penis. In either case no diagnosis can be made without the benefit of a physical exam and a full history.
Given your history of no sexual activity, a sexually transmitted process can be ruled out.
Some general information about penile cancer is as follows:
The average age at diagnosis is about 60 years( ranging from 15 to 92 years). The presenting symptoms consists of a penile mass, lump, or nodule in 47% of patients; a penile ulcer or sore in 35% of patients; ansd an inflammatory or bleeding lesion on the external surface of the penis in 17% of patients.
There are associated risk factors in the development of penile cancer. Some are as follows: age( uncommon below age 25); circumcision( much lower rate of cancer in those circumcised, especially if done during infancy, and only a slightly higher rate if circumcised between 4 and 9 yrs. of age); race( more common in blacks than whites. This may be a manifestation of socioeconomic or environmental factors rather than genetics); venereal diseases and hygiene( history of venereal disease in up to 22% of patients with penile cancer).
What you have described may be a totally benign and unremrkable process, it is, however, important for you to see a urologist, especially since it has been present for only a few months.


This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568).

Sincerely;
HFHS-M.D. BE
* Keyword:penile lesion





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