lump on my baby penis

[loulababy]

I have today found a lump on the shaft of my baby boys penis. It is very hard and about 10mm in size. He is only 18 months old so obviously the lump is quite large in comparison to his penis.
Ive been to the doctors and he has simply told me not to worry about it. I'm obviously very concerned about it and wondered if anyone had any suggestions as to what it may be?

[jasonharold]

I am only remotely aware of the circumstance of a cyst from smegma or related to smegma so I wouldn't be any help in that case.But for now be very gentle and aware if he gets erect or appears swollen or even discolored. There is a possibility of a local infection in his penis and that could spread rapidly if any trauma occurs to the area. Erections can also spread the infection faster, but if no fever developes he is not likely to have infection spreading so far. I am not having a good feeling with the level of knowledge your medical source is presenting so far. If possible and as soon as possible get in to see a urologist that is specializing in infant through adult males. They are the fastest to solve these is issuse. One thing that I failed to mention is that a hematoma in the shaft of the penis occurs as a palaple lump, meaning it can be felt but is not always visible. This basically is a pocket of blood that forms because of an injury to a corporal body or blood vessle. The concern it would imposse is the likelyhood of a blood clot forming and moving to other parts of his body. Blood clots can be fatal. Blood clots can cause low-flow priapism and that can rapidly damage the penis. A cyst or tumor has limited growth rates so it is unlikely to be noticably different in size in a 24-48 hour period. A hematoma can grow infront of your eyes. I will stay in touch here if you have more ?s hoping the best is yet.  

[loulababy]

Thank you so much for your input, its appreciated. Just as an update I took him to the childrens hospital the next day as the lump had grown and i was concerned. I was told by them that it was probably a smegmatic cyst and that the referral has been made to the hospital so to wait for an appointment and again not to worry. I have not yet looked up the information you have given me, but will do so when ive posted this.
Do you think on the above information and diagnosis of 1 of the doctors that i should be happy with this or should i push for an answer sooner rather than later? Do you think a cyst is a more likely explanation or would you still suggest a look into the priapism?
Again thank you for your response.

[Zsinka1980]

Hello could you please share what was it? My son has very similar issue.

[jasonharold]

Okay, this is a valid concern I'd say. Since the mysterious lack of information published regarding priapism has possibly left the medical staff you trust ignorant of its manifestation in infants and children. I suggest that you study the issue of priapism and get several more medical opinions asap. Even if priapism is not the cause of the lump you found the lump is possibly an internal scar or tumor and either of these can easily induce priapism. Now I do not want to frieghten but many infants get normal erections that can be quite firm. And since the infants penis is not fully toughened prior to puberty it can be injured easily during any of its firm erections. I'ts common for an infants erection to be "pushed down" during a diaper change or compressed by restraint harnesses or tight clothting. These same type of traumas are known to cause "penis fractures" in adults and likewise even more likely to cause fracture to an infant's prepubertal erection. Simply meaning- use gentle care when an infant's penis is firm. The injury can occur in the connective tissues of the penis or in the erectile cavities and if the injury heals poorly scar tissue forms. The "lump" is possibly the scar tissue that has grown over the point of the injury.Having scar tissue in a penis is risk factor for Peyronies disease as well as priapism.