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Urology (Expert Forum)
Penile Cancer?
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Penile Cancer?
by Steve__0__0, Apr 23, 1999 12:00AM
Posted by Steve on April 23, 1999 at 11:21:33
I am a 24 male with a history of HPV around 2 years ago. Otherwise I am very healthy and have physicals annually.
A month ago while urinating I had a slight erection. When I was finished urinating I did the typical motion to finish and I felt what felt at the time like a node inside my penis. It was deep inside among the inner tissue on the left side(the spongy tissue),not at all superficial. It is painless and I have no visible external skin eruptions or lesions on my penis or surrounding area. I check myself often for testicular problems and am clear there as well.
When I am flaccid the "node" is subtle and is much like the surrounding tissue, but slightly more firm, and might not even be noticed by me if I were not specifically looking for it. As I become more erect it becomes more noticeable and more firm.
I would appreciate any insight on this. I am planning to make an appointment with a urologist, but my insurance is switching and I am stuck for about a week.
Thanks in advance.
Posted by HFHS M.D.-AK on April 23, 1999 at 16:06:57
Dear Steve,
Penile cancer accounts for 0.4% to 0.6% of all malignancies among males in the United States therefore it is rare. It is a disease of older men with incidence peaking around the age of eighty. It is nearly undiagnosed in patients who are circumcised with the lesion starting on the glans and the spreading onto the shaft. More than other diseases, there is often a delay in diagnosis due to the embarrassment of the problem. I think you are wise to have your lesion examined , although you most likely do not have penile cancer.
You probably have a benign condition known as Peyronie’s disease, but this is for your Urologist to determine. If your penis is not straight or bends with an erection, this is most likely your problem. Peyronie’s disease is due to a scar that forms inside the penis similar to your description. There is no known cause or origin of this condition but it affects men at all stages of life. It is not caused by a sexually transmitted disease however some theories state that it may be caused by trauma secondary to intercourse.(vigorous intercourse) Its primary symptoms are curvature of the penis during erection (this may interfere with intercourse), pain during erection, soft erections, shortening or narrowing of the penis, and a hard plaque felt below the skin. Talk about this with your urologist, he or she can give you their opinion.
This information is provided for general medical educational 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.-AK
*keyword:Peyronie’s
