What's the matter with the hard lump inside the glans?

Hard lumps in the glans may be related to sebaceous heterotopia, pearly penile papules, balanitis, condyloma acuminata, tumors and other factors. It is recommended to seek medical treatment promptly for a clear diagnosis and avoid self-treatment.

1. Ectopia of sebaceous glands

Ectopia sebaceum is a benign disease caused by abnormal development of sebaceous glands. It is characterized by the appearance of small, light yellow or white hard lumps on the glans mucosa, which is painless and itchy. May be related to changes in hormone levels and usually does not require treatment. If it affects the appearance or is complicated by infection, laser treatment can be used as directed by the doctor.

2. Pearly penile papules

Pearly penile papules are pearly white papules arranged around the coronal sulcus. They are hard in texture and are physiological variations. It may be related to poor local hygiene or excessive foreskin, and generally does not require treatment. If the patient has psychological burden, cryotherapy may be considered.

3. Balanitis

Balanitis may be caused by a bacterial or fungal infection and manifests as redness, swelling, hardness, and discharge from the glans. Follow your doctor's advice to use clotrimazole cream to treat fungal infections or mupirocin ointment to treat bacterial infections. It is necessary to keep the perineum clean every day and avoid excessive cleaning.

4. Genital warts

Condyloma acuminata is a sexually transmitted disease caused by human papillomavirus infection. It starts as tiny indurations and later develops into cauliflower-like growths. Warts need to be removed by freezing or laser, and combined with topical treatment with imiquimod cream. Sexual partners need to be checked simultaneously.

5. Tumor

If the hard lump on the glans penis continues to enlarge and ulcerate, you should be alert to the possibility of tumors, such as squamous cell carcinoma. Diagnosis needs to be confirmed by pathological biopsy, and surgical resection combined with radiotherapy can be used in the early stage. High-risk groups include those with untreated phimosis or those with long-term HPV infection.

Daily care should be taken to clean the perineum with warm water every day and avoid using irritating lotions. Choose breathable cotton underwear to avoid prolonged sitting and localized friction. If the lump is accompanied by pain, oozing, or grows rapidly in a short period of time, you should seek immediate medical attention from a urologist or dermatologist. It is forbidden to squeeze or apply folk medicines by yourself to avoid aggravating the infection or delaying the treatment opportunity.