Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
You seems to suffer from-?Sebaceous Cyst/ or could be from median raphe cyst-which could be a inclusion
dermoid cyst increasing lately/or it could be
perineal abscess.
Your nodule seems to be painless and would need to be ruled out from other causes as discussed above.
Second opinion with another UroSurgeon would fix the cause.
Remedy-
If Sebaceous Cyst/Or median Raphe Dermoid Cyst-which is the most probable possibility-it would be Excised Surgically by Urologist/ or By Surgeon.
Other causes need to be varified and treated accordingly if found.
Hope this reply would help you to plan further treatment with the doctors there.
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Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS