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What Causes Small Movable Lump At The Base Of Penis?

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Posted on Fri, 5 Jun 2015
Question: I have a hardish moveable, bee bee size mass at the base of my penis on the under side. It feels like it is connected to some tissue from below. I can't tell if it has grown. At first I thought it might be a small lymph node but I've been reading online about some people who suspected cysts. I am a medical student studying for step 1 so it's the last thing I want to think about but it's been bugging me and our student insurance is like 3 weeks out hmo style. I'm trying to determine if it's something worth getting checked or if I should wait and see if it grows. I can't seem to find a differential on up to date.
doctor
Answered by Dr. V. N. S. Parinam (2 hours later)
Brief Answer:
Cyst or Infected hair follicle

Detailed Answer:
Hi,

The small size movable lump goes infavor of a cyst (epididymal or sebaceous). I am just trying to pretend the exact location. It would be wise to upload a photograph though.

It is rather unfair not to think about hair follicle as the scrotum is highly follicular. A ingrown hair follicle would also favor a diagnosis. However there would be complain of pain or discharge in these cases in the history. A thrombosed superficial vein could also be a rare possibility

All in all it does not look to be serious now. I suggest you not to fiddle it but watch if it grows in size. Once the insurance is active you can get it examined by a surgeon/urologist.

Regards
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
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Follow up: Dr. V. N. S. Parinam (6 hours later)
Thank for you detailed response! I would post a picture but im not sure how to take one because its not on the surface. I felt it again while standing and compared both sides of he spongiosum underside maybe 2 cm distal from the origen of the penis. You have to move the testicles out of the way and if you take your index finger and roll against the surface of the spongiosum palpating through the skin (actually palpating the surface of the sponiosum) it feels like a little groth or barnacle growing on the spongiosum surface or possible growing out of the connective tissue that tightly surrounds, or venous plexus. I can invision a thrombosed vein thats running on the superficial structure or possibly a cyst as you said. I have been sitting a lot with all the studying. Just wanted to clarify that it was not on the surface or free moving in the scrotum but actually growing on the structure of the penis itself. Not sure if that changes your thoughts at all. Thanks again!
doctor
Answered by Dr. V. N. S. Parinam (44 hours later)
Brief Answer:
post pic from right side upload feature

Detailed Answer:
Thanks for description. That does not change my impression at all. To confirm we need an examination. Please go for it. The cyst can be tapped since superficial and find if fluid or hard.

Next step please consult locally with primary.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. V. N. S. Parinam

General & Family Physician

Practicing since :2008

Answered : 1727 Questions

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What Causes Small Movable Lump At The Base Of Penis?

Brief Answer: Cyst or Infected hair follicle Detailed Answer: Hi, The small size movable lump goes infavor of a cyst (epididymal or sebaceous). I am just trying to pretend the exact location. It would be wise to upload a photograph though. It is rather unfair not to think about hair follicle as the scrotum is highly follicular. A ingrown hair follicle would also favor a diagnosis. However there would be complain of pain or discharge in these cases in the history. A thrombosed superficial vein could also be a rare possibility All in all it does not look to be serious now. I suggest you not to fiddle it but watch if it grows in size. Once the insurance is active you can get it examined by a surgeon/urologist. Regards