Lump in penis

[TIgershark35]

I am a healthy 63 year old. married monogomus with no history of STD.  I have noticed a thicking or lump in the center of my penis about 1/4 or so long and feels round. I have had some mild pain in the end of the penis when I have had an erection. the lump is in the area of the head. If I squeeze the penis behind the head it feels soft all the way through but moving to the head I can feel the lump. I have not felt this before.  Any ideas?

[TIgershark35]

Got the link working. Thanks

[Dr. Kokil Mathur]

ok, copy pasting the doctor's reply on the link for you:



"Dear Ryan,

The differential diagnosis of a lump on the penis is somewhat long and variable. However, what you describe sounds like a thrombosed penile vein, or perhaps may be a plaque associated with Peyronie’s disease, or a skin process similar to a sebaceous cyst.

Superficial veins on the shaft of the penis are normal and usually do not cause any pain. However, sometimes a vein can become thrombosed (clotted) and will then feel like a thin cord similar to what you describe as a lump and may (or may not) cause pain. This is usually self limited and will go away in several weeks.

Peyronie’s disease is a condition which involves curvature of the penis (which you do not seem to have) associated with penile plaques that are deep to the skin at the fibrous layer called the tunica albuginea. I do not think that you have Peyroni’s disease based on the information you provided, although this diagnosis would also be best made by someone who can examine you in person.

Another possibility is a sebaceous cyst in the skin of the penis, or perhaps inclusion cysts at the circumcision site (if you are circumcised). These diagnoses are benign, but can only be made by your doctor who can examine you in person and differentiate them from any possible worrisome process.

In General, since penile lesions can not be assessed on the internet, I am not in the position of evaluating you. If this lump persists, I recommend you see your personal physician or a urologist who would be in better position to evaluate and possibly treat this condition. Wish you the best.

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 satellites (1 800 653 6568).

Sincerely,
HFHS M.D.-JJ
*Keyword: penile lump, thrombosed vein"

[TIgershark35]

Thanks. I tried the link but it did not work. Any suggestions.

[Dr. Kokil Mathur]

Hi
Thanks for writing to the forum!
We have a detailed discussion on MedHelp regarding this. Please go through it and let me know if you have further questions. http://www.medhelp.org/forums/urology/archive/1428.html
This should help you know what type of lump you are having. You must consult an urologist for this. Please let me know if there is any thing else and do keep me posted. Take care!