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“22M, with Longstanding Penile Bump – Concern About Cancer?”
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Sexual Health & Wellness
Question #14326
3 days ago
79

“22M, with Longstanding Penile Bump – Concern About Cancer?” - #14326

Sachintha

Hello doctor, I am a 22-year-old male and I am not circumcised. I have a small bump near the opening of my urethra (on the head of my penis). I first noticed it when I was about 18 years old, and it has stayed the same size since then. It does not hurt, does not bleed, and has not changed in color or shape. I already have pearly penile papules (PPP), but this small bump is a little closer to the urethral opening. When I press it, there is no pain. I want to know if this bump could be something serious like penile cancer, or if it is just a normal part of being uncircumcised. Please tell me if I need medical attention or any treatment. Thank you

Age: 22
Chronic illnesses: No
#longstanding bump #urethra #uncircumcised #penile cancer?
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Doctors’ responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
3 days ago
5

Hello, 🛑Penile cancer is very rare in young men, and usually shows changes over months

Your bump does not match any features of cancer and has been completely stable for several years, which makes cancer extremely unlikely.

🛑It is almost certainly benign (PPP, Fordyce spot, or skin tag).

A single check-up with a urologist or dermatologist can give reassurance.

Nothing to worry about,Sachintha👍

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Sachintha
Client
3 days ago

Hello Doctor, Thank you very much for your clear and reassuring explanation. I really appreciate the time you took to review my concern and for your kind, thoughtful response. Your advice has helped ease my worries and given me confidence about what to do next. Thanks again for your support!

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
3 days ago
5

Hello dear See as per clinical history it can be benign growth like adenoma or there are chances of scrotal swelling or hernia I suggest you to please get following tests done for confirmation Scrotal USG Rft Herniography Cbc Afb marker Please share the result with gynaecologist in person for better clarity Regards

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Considering your description, it is important to approach this with caution but not with alarm. A longstanding, unchanged bump, particularly if it is small, painless, and not showing signs like bleeding or color changes, is less likely to be cancerous. Penile cancer at your age is quite rare, and typically presents with more concerning features such as ulceration, rapid growth, bleeding, or a foul smell. Given that the bump has remained stable for several years, this reduces the suspicion for cancer. There are some benign possibilities, such as a cyst, a sebaceous gland, or an isolated pearly penile papule, especially considering its location and your description. Pearly penile papules themselves are naturally occurring and entirely normal although they usually don’t appear right at the urethral opening. However, having any lesion evaluated in person by a healthcare provider is a good idea to rule out any concerns definitively. They might conduct a physical examination and could consider further assessments if there are any atypical findings. In the meantime, maintain good hygiene, especially if you’re uncircumcised, as this can help avoid infections or irritation that might complicate an uncomplicated lesion. If the bump starts to grow, changes in character, or you develop new symptoms like pain or discharge, it would necessitate more urgent evaluation. Appointments with a urologist or a dermatologist familiar with genital examinations would be appropriate, especially if a general practitioner raises any concerns. Remember, getting it checked will give you peace of mind and clarity over what it actually is.

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