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Abnormal urethral meatus swelling and growth
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Abnormal urethral meatus swelling and growth

I am a male in my mid twenties and have strong concerns about my urethral meatus.  To explain as best as possible.... over a year ago I noticed the exit of the urethra was red and what seemed to be slightly swollen. I went to my family physician and was tested for everything possible.  Everything came back negative and I was told to watch for changes. I was a bit concerned but did not think anything of it.  Six months later the condition continued and had changed.  The urethral meatus is rather growing outside of the tip of the penis.  It is a slightly different pigment than the rest of the head of the penis.  It has been continuing to extend and grow.  When looking at it straight on it looks like as if there is a semetrical circular growth around the exit of the urethra starting just inside of the penis and all the skin will not fit insided and protrudes outside the urethra exit.  When spreading the tip apart it looks like the urethral exit is growing inside out and is about 1/16 of an inch in diameter all the way around.  I believe this is the meatus but am not sure. It is not a concerning color the urologist says and is not causing me any issues. I have seen the urologis and my doctor twice within 14 months.  They both say it is changing, neither of them have seen it before, neither think it is dangerous or cancerous, it is not related to warts.  All of this aside it looks far from normal.  I am very concerned.  It has been slowly changing over the past year and I am extremely scared it is going to continue to grow.  I am at a loss about this situation and have lost much sleep over it. Any help, sudgestions, ideas or explanations are much appreciated.
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I have not seen a situation that mirrors yours except following certain types of urethral reconstructions. If you have not had reconstruction of your uethra (hypospadius repair?)  then I think that it is reasonable to have cystoscopy (look into the urethra with a small telescope) and consider biopsying the tissue. If you have had such a reconstruction, then I would suggest that you see a urologist who does such repairs (reconstructive urologist or pediatric urologist).
S.A.Liroff, M.D.
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