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Soft, bubble like bulge on the shaft of penis

My friend has a soft, bubble like bulge on the shaft of his penis.  It is located at the top of his shaft, on the left side directly under the head of his penis.  It is about the size of a pinky fingernail.  The bulge is only visible during an erection.  The bulge is skin colored and he has not experienced any pain or discomfort other than the stress of not knowing what this is.  He says that the bulge is soft and feels similar to the feel of a vein when touched,  In the four days that he has had this there has been no change in size, texture or color.

He went to a urologist today, but the urologist could not seeing anything while he was flaccid.   The urologist told him that his urine looked ok and told him to take aspirin and use cortisone cream.  I asked him why he did not make his penis erect for the exam and he said that he is so stressed over this that the only time he is hard now is in the morning.

He is 30 years old.  He had protected sex with 5 women before he married his wife and had unprotected sex with his wife for 8 years.  Recently he had unprotected sex with a girl that he has been seeing for the past couple of months.  The girl he was with had been in a monogamous relationship for 16 years and had recently been tested negative for all STD’s  and had not had sex with anyone since being tested.  She also retested after his bulge appeared and she was once again cleared of all STD’s.  They had unprotected sexy 5 days and 3 days before he woke up to see this bulge.  The night before the bulge appeared he went to a strip club and received several lap dances of vigorous grinding.  The night before and several times during the week before the bulge he had masturbated frequently.

I have been searching for information on this matter for several days and can not come up with anything conclusive.  I also sent a copy of the pictures to my friend who is a general Doctor in another state and he was not sure either.  He said that it is possible that it is any of the things that I have narrowed it down to.  From my research some of the possibilities include : Lymphocele, Sclerosing lymphangitis, Thrombosed vein, Varicose Vein and fibrous tissue.  Most research has suggested the underlying cause could be due to some kind of sexual trauma, aggressive sex/masterbation or overuse.  

I am including a picture of the bulge on his penis.  It is very hard to see the bulge in the picture, but I found another picture on this site that he says looks exactly like what he has.  The guy that posted the other picture says that he had thought that he had a lymphocyte, but 2 doctors have said that is not the case.  He was told that his was some kind of fibrous tissue.  Has anyone other there ever seen anything like this and if so do you know what it is or how you get it?  Also, it has been hard to find any pictures other than STD’s.  Does anyone know of any sites of where I can find more pictures of things like this?

Thank you so very much for any help that you can give!!!
6 Responses
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Avatar universal
MEDICAL PROFESSIONAL
Hello,
Other than a varicose vein, Mondor’s disease is another important possibility. It is superficial thrombophlebitis of the penis. This is an inflammatory reaction to a clot within the vein. This subsequently causes blockages and dilation of the vein. It is typically painless, but can be painful. In studies, patients were noted to have thrombophlebitis after a prolonged sexual act with or without intercourse. It was described as cord-like thickening of the superficial penile veins.
I suggest your friend to get this possibility evaluated from a urologist.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

Helpful - 0
647273 tn?1292091141
If the problem only is visible when erect and he can not obtain an erection, have him ask the urologist to inject caverject into his penis. This will cause an erection and might make a diagnosis easier.

I might have to consult with a urologist again as I have develope a bend in my penis towards the left. I can feel a hard lump near the base of the penis.

Dr. Singh, I have asked you for advice on many different occasions and only received a response once. If I somehow offended you, I was not aware of it but would like to apologize.

My questions were in regards to a fistula between my prostate and rectum. On the last occasion that I went in for a follow up cystoscopy to check on the fistula, I had offended the urologist somehow by wanting to go ahead with a surgery to repair the fistula. After speaking with the urologist he informed me that there are several damaged areas in the prostate from self catheterization. I have a neurogenic bladder and used to self cath several times a day. The urologist believes that if the fistula is repaired, it is very likely that a new fistula will form again when I return to self cathing again on a daily basis once healed. I can understand his reasoning however I would much rather try and see if things will work out instead of going with a surgery that alters the natural form of urination. Divertion of the urine is suggested. The reason why I do not want to go ahead with this suggested procedure is that there is no way to re-establish urination through the penis again once a diversion has taken place.

Is it unwise and unreasonable for me wanting to try a repair of the fistula first? I know that it is a long and difficult surgery, which can result in different outcomes and the potential of things becoming worse after the procedure. I'm aware of this, however I feel that I should be given a chance to try this repair first as it is possible that natural urination with self catheterization might be possible?

What is your opinion given the fact that I have a neurogenic bladder. I would realy value your insight and experties on this.

I really request for your opinion? If I have offended you some how, I was not aware of it. The only time that I can think off was an occasion where I responded to a post by someone else to have a third party make a remark about you to me. I cannot recall the exact comment made, but it was in regards to circumcision. I did not apreciate the third party's remark and ignored it. I should have told this person that his remark was uncalled for and was not apreciated. It was racist and should never have been made. I want you to know that I did not post the remark, it was a third party and I should have responded to this person to let him know that it was racist and rude.

I do respect your responses to answers that you provide to people with many different questions and concerns.

Please provide me with your opinion?

Sincerely,

Ron
Helpful - 0
Avatar universal
Hello Ron,

Thanks for the advice :)  I gave him your message and all he said was "OUCH" ha ha!  He now says that the site is red and feels raw so maybe he will eventually try the shot or put more effort into trying to make it erect.....

I am certainly not a doctor Ron, but there has been some information on this site about bending and it was in referral to Peyronie's disease.  I have pasted some information about this below.

I would not hazzard to guess why the doctor has not responded to more of your posts.  However, I have noticed from my own experience that once a doctor responds to a topic then they do not usually respond again.  It may be due to the fact that they do not click add to watch list or something like that...  

In my search for an answer, I ran across pictures of anal fissures.  Not sure if that is exactly what you have or not, but it did look extremely painful!  I wish you the very best in finding an answer to your situation!!!

Take Care!

What is Peyronie’s disease?

Peyronie’s disease is characterized by a plaque, or hard lump, that forms within the penis. The plaque, a flat plate of scar tissue, develops on the top or bottom side of the penis inside a thick membrane called the tunica albuginea, which envelopes the erectile tissues. The plaque begins as a localized inflammation and develops into a hardened scar. This plaque has no relationship to the plaque that can develop in arteries.

Cases of Peyronie’s disease range from mild to severe. Symptoms may develop slowly or appear overnight. In severe cases, the hardened plaque reduces flexibility, causing pain and forcing the penis to bend or arc during erection. In many cases, the pain decreases over time, but the bend in the penis may remain a problem, making sexual intercourse difficult. The sexual problems that result can disrupt a couple’s physical and emotional relationship and can lower a man’s self-esteem. In a small percentage of men with the milder form of the disease, inflammation may resolve without causing significant pain or permanent bending.

The plaque itself is benign, or noncancerous. It is not a tumor. Peyronie’s disease is not contagious and is not known to be caused by any transmittable disease.

A plaque on the topside of the shaft, which is most common, causes the penis to bend upward; a plaque on the underside causes it to bend downward. In some cases, the plaque develops on both top and bottom, leading to indentation and shortening of the penis. At times, pain, bending, and emotional distress prohibit sexual intercourse.
Helpful - 0
647273 tn?1292091141
Hi, thank you for your reply. I was in for a consultation with my family doctor, he had received a letter from the urologist going into details as to what can go wrong. Currently we want to treat the prostate, rectum and bladder with medications that can control the bladder spasms, abdominal cramping and other symptoms that I have.
It is worth trying it as I have nothing to loose.
Should I continue to experience problems, the family doctor is willing to schedule an appointment with a urologist who does not work out of theis same institute.
The savest is to go with the suprapubic, however this does involve discomfort most of the time.
As for ways to control or resolve issues with Peyronie's, things do not really apply to me since the catheter can get in the way. The other porblem is the fact that to correct this bend, they use a procedure where they make a cut in the penile skin just below the glans. They then move the skin down towards the base of the penis. In my case the plaque is right at the base and might be a problem with the location of the problem. The other issue is the fact that I'm not circumcised and would like to remain with my foreskin intact. I have seen that when ever the Nesbid procedure is done they perform a circumcision as well to reduce the chance of swelling of the foreskin causing problems.
I enjoy the fact that I have been able to remain with my foreskin for 47 years. I'm strongly against circumcision. Any complaint that partners might have in regards to being uncircumcised is mostly due to smells and at times a build up of smegma. This would not pose a problem if the owner of the uncircumcised penis properly washes his penis on a daily basis or even twice a day if possible. It is simmilar to oral care. A lot of people cannot brush their teeth after having had their lunch in the work place. You would not want to be in a situation of kissing when a person has foul breath. The penis is not much different.

Take care,

Ron
Helpful - 0
Avatar universal
I have had something very similar for about 2 years now with no change... never went to a dr about it but it hasn't effected me or my sex life other then being present.. did you ever find out what it was? . is there a way I may see the photo or the one your friend found?
Helpful - 0
Avatar universal
I have had something very similar for about 2 years now with no change... never went to a dr about it but it hasn't effected me or my sex life other then being present.. did you ever find out what it was? . is there a way I may see the photo or the one your friend found?
Helpful - 0
1 Comments
Hello,
Have you ever gotten an official diagnosis?  I have a very similar issue that my urologist suggested the “wait and see” approach. Going to monitor it and call him if it anything changes. But I would still like to know what is causing it. If you’ve gotten a diagnosis I’d appreciate if you would share. Thanks.

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Southwest , MI
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