Single lump on left side of urethra opening/penis tip

[thefourlands]

Ok...so, about a month ago, I had unprotected sex with a female; intercourse and oral. Two days later, she performed masturbation on me and I incurred a small cut on the underside of my penis towards the head/glands on the residual circumsized foreskin. That still hasn't healed, so advice on that would be good too, but, my main question is this:

I noticed an inflammation/lump on the left side of my urethra opening/penis tip. It appears flesh colored/whitish in certain light. I'm not sure, but, there may be a small inflammation directly next to it on the right side as well. This is at the very bottom of the urethra opening. It isn't particularly sore or anything, but, at times I may experience a slight discomfort. Other, initial symptoms also included trouble during urination. More specifically, weak stream and feeling like I still have to go after I have urinated. Slight dribbling of urination as well following urination. I have visited my doctor and been examined and underwent the standard STD screening. All came back normal and the doctor didn't seem to worried about the lump I showed him. I made sure he looked at it twice and under good light. Following the doctor visit, the urination trouble seemed to persist.  I scheduled another appointment with my doctor. This visit was actually to a different General MD, as mine was not available this day due to holiday. This doctor performed a Prostate exam and visual inspection, again, not seeming to worried about the small lump on the tip of my penis. The prostate exam didn't reveal any areas for concern, but, he scheduled an appointment with a urologist to be safe and had me take another run of blood tests and urine tests for infection. All tests came back normal. That night following the prostate exam, I experienced some considerable discomfort while sitting and putting pressure on my prostate, like something was working it's way up my urethra towards the penis tip trying to get out. I figured it was a slowed urine stream, maybe even a small kidney stone. I urinated afterward and can't be sure if it was stone, but the urination itself was not painful, a very mild tingling/burning sensation if anything at the beginning and end of urination not midstream. Then on the drive home following that, the same sensation returned, of something working it's way out of my urethra. I urinated again upon arriving home with no pain, even urinating in a cup to see if any stones came out. I went to sleep after that cause I didn't want to stress anymore. In the morning the sensation was gone. The visit to the urologist included some conversation and another visual inspection. I made sure the urologist did a thorough exam of the lump and he seemed unconcerned as well, but, did acknowledge the inflammation. He suggsested drinking less caffiene and more water for the urination issues and just to monitor the lump. He squeezed and throughly examined the lump and stated it was soft and didn't appear to be a sore or anything for concern. I told him about 6 months ago I switched to boxer breifs from boxers and asked if that could be irritating the penis tip. He said it to be possible, but didn't sound confident that was it. He suggested I try switching back to boxers and see if that helps. I have been very good about no caffiene and have continued to drink good amounts of water. The urine symptoms have all but subsided, aside from residual urine dribbles after urination (is this normal?).  The lump is not paticularly sensitive or painful, if irritated by cloth, it may be a little more sensitive than normal. At times the rim of my penis head can be sesitive too, but, I attribute that to friction. I work out 2 times a day, 5 times a week as well.

Could this lump be a genital wart and all doctors have misdiagnosed? I know their is no specific test for HPV, aside from scraping the affected skin, if any and testing the spores. Should I see a dermatologist. I've noticed this for about a month now, but, can't be sure if it was their longer, as I didn't make a habit of analyzing my penis prior to the unprotected sex. The lump does not seem to have changed in size or location. What could this be?

Please help and thanks in advance.

[thefourlands]

I think that may very well be my next option. I'll try posting this in the derm forum too, thanks for the suggestion. I will probably visit my general MD again and see what he thinks...he'll most likely refer me to a derm at that point, as I've already seen a uro...thanks again.

[auntiejessi]

After all your testing and exams, I'd doubt its a wart, but see a derm if you want to.  Its in a tough spot to biopsy, but they might be able to and find out exactly what it is.

You might try posting about it in the derm forum here.

Aj