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Lump on base of penis - apparently genetic
Starting off, i'm only 19 years of age. I masturbate about 2-3 times a weeks but it varies a lot where some weeks I only do it once. About a year ago, I realised my penis was curving to the left and up during erection and immediately thought it may be peyronies. I can never recall any pain, and can still maintain full erection for even 1/2 hr. I went to see a doctor about it immediately and he examined it which had some curvature in flaccid state. The problem was, the lump is really notable straight after a full erection. He checked it and said it should go away in a few weeks and I should have nothing to worry about. A few months passed and I still kept getting the curve and the lump. Went to see a second doc who couldn't find anything (after checks) and so he sent me for an ultrasound. The ultrasound people said my penis was perfectly normal and there was no calcification under the skin, which was a huge relief.
I played it off for a few more months but it still persisted and kept annoying me. I decided to see a 3rd doc who told me the same thing...couldn't tell a thing. The problem was that the lump (about 2cm in diameter) only appeared after masturbation. Whilst flaccid, it only curved to the left. The 3rd doc recommended me to a urologist.
The urologist checked and he also found nothing. He confirmed there was definitely no sign of peyronie's or thrombosis. Having no luck i decided to give up until recently. After a recent masturbation session, the lump was pretty big and painful (stinging pain at long intervals or on walking). I decided to immediately see a 4th doc the day after. Luckily the lump was still there when flaccid and it was aching. After checking it out, he told me that I have a strange case where the outer layer of left artery (I think he referred to the Tunica Albuginea in the pic) had a weak spot like a thin layer and on pressure (erection) a lump forms as blood bulges out or something rather. He said it's a rare case too. He did suggest me to use a traction device in order to exert growth in that area and to restore the symmetry.
Does anybody have any idea on my condition? Is there a name for it? What can I actually do to rectify the problem? Would the traction device help thicken that area?
I played it off for a few more months but it still persisted and kept annoying me. I decided to see a 3rd doc who told me the same thing...couldn't tell a thing. The problem was that the lump (about 2cm in diameter) only appeared after masturbation. Whilst flaccid, it only curved to the left. The 3rd doc recommended me to a urologist.
The urologist checked and he also found nothing. He confirmed there was definitely no sign of peyronie's or thrombosis. Having no luck i decided to give up until recently. After a recent masturbation session, the lump was pretty big and painful (stinging pain at long intervals or on walking). I decided to immediately see a 4th doc the day after. Luckily the lump was still there when flaccid and it was aching. After checking it out, he told me that I have a strange case where the outer layer of left artery (I think he referred to the Tunica Albuginea in the pic) had a weak spot like a thin layer and on pressure (erection) a lump forms as blood bulges out or something rather. He said it's a rare case too. He did suggest me to use a traction device in order to exert growth in that area and to restore the symmetry.
Does anybody have any idea on my condition? Is there a name for it? What can I actually do to rectify the problem? Would the traction device help thicken that area?
MEDICAL PROFESSIONAL
Hi,
The curvature is toward the lump in Peyronie's disease. However, you have mentioned that the ultrasound examination ruled out any fibrosis.
I still think you should have a doppler study of the lump if it is covered by your insurance. Another alternative is to have an aspiration of the lump with a syringe and a needle by your doctor and to have it examined microscopically.
Not very sure about the efficacy the traction device could have in your case, but you can try it anyway.
You can always post here if you need further advice and surgery is an option you can consider once you have exhausted other options.
The curvature is toward the lump in Peyronie's disease. However, you have mentioned that the ultrasound examination ruled out any fibrosis.
I still think you should have a doppler study of the lump if it is covered by your insurance. Another alternative is to have an aspiration of the lump with a syringe and a needle by your doctor and to have it examined microscopically.
Not very sure about the efficacy the traction device could have in your case, but you can try it anyway.
You can always post here if you need further advice and surgery is an option you can consider once you have exhausted other options.
Thank you doc. However, one thing that concerns me is that the curvature is actually towards the defect rather than away. The lump is not present during erection, however there is some sense of discolouring. Once flaccid after erection, the lump seems to be at maximum swell with the curve once again favouring that direction.
Currently, the penis is curved in that direction when flaccid.
As for correction, are there alternative methods to surgery? Would the traction device help? I'm just concerned in the complications that can arise after surgery...and I don't want to shorten the length of my penis.
Thanks and hope to hear from you soon.
Currently, the penis is curved in that direction when flaccid.
As for correction, are there alternative methods to surgery? Would the traction device help? I'm just concerned in the complications that can arise after surgery...and I don't want to shorten the length of my penis.
Thanks and hope to hear from you soon.
MEDICAL PROFESSIONAL
Hi,
It appears that you have a defect in the tunica albuginea of the penis. Normally, the tunica albuginea is about 2 mm thick in the flaccid state. This thins to 0.5 or 1 mm when the penis is erect. In individuals who have a thinner or weaker tunica albuginea, vigorous masturbation can result in a fracture of the penis. This is initially characterized by painful swelling in the affected part of the penis and can vary based on the extent of the injury. If there is a deficiency that persists in the tunica albuginea, there is bound to be some amount of curvature, usually away from the defect, during erection.
You can check whether the lump has any mild pulsation the next time it appears. Additionally, you will need to have a doppler ultrasound of the penis. This visualizes the blood flow in the penis and will identify the type of collection present in the lump. It would be preferable to have the doppler study done while the penis is erect as you have noticed the problem when you have an erection.
Another condition that can cause a painless lump over the penis is a xanthogranulomatous inflammation which is a chronic, destructive inflammatory lesion that can affect the corpora cavernosa and tunica albuginea of the penis. This is a rare disease and is usually seen in men over the age of 60.
In either case, treatment will be based on diagnosis and is usually surgical to restore proper functioning of the penis.
Do keep us posted on any further doubts in this regard.
It appears that you have a defect in the tunica albuginea of the penis. Normally, the tunica albuginea is about 2 mm thick in the flaccid state. This thins to 0.5 or 1 mm when the penis is erect. In individuals who have a thinner or weaker tunica albuginea, vigorous masturbation can result in a fracture of the penis. This is initially characterized by painful swelling in the affected part of the penis and can vary based on the extent of the injury. If there is a deficiency that persists in the tunica albuginea, there is bound to be some amount of curvature, usually away from the defect, during erection.
You can check whether the lump has any mild pulsation the next time it appears. Additionally, you will need to have a doppler ultrasound of the penis. This visualizes the blood flow in the penis and will identify the type of collection present in the lump. It would be preferable to have the doppler study done while the penis is erect as you have noticed the problem when you have an erection.
Another condition that can cause a painless lump over the penis is a xanthogranulomatous inflammation which is a chronic, destructive inflammatory lesion that can affect the corpora cavernosa and tunica albuginea of the penis. This is a rare disease and is usually seen in men over the age of 60.
In either case, treatment will be based on diagnosis and is usually surgical to restore proper functioning of the penis.
Do keep us posted on any further doubts in this regard.
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