Hi, thanks for writing to HCM. thanks for the detailed description; actually if I were your treating consultant, I must tell you some facts about this kind of sensitive/painful penile lump and dysuria as follows: 1. there are few possibilities in this case and all of them are benign or inflammatory therefore not to worry but must be investigated properly! possibilities are: ulcer, infection and small abscess; pyogenic granuloma or hemangioma-like pathology; para-urethral cyst getting infected; mucosal polyp etc.. 2. the disease needs to be confirmed and before any empirical therapy! therefore you need to do urine routine/culture test and if possible a microscopical examination from the local secretions... 3. if there is any sexual/infective history please write to us again preferably with reports; any blood sugar, urinary stone, injury etc.... Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.