Doctors Lounge - Urology AnswersBack to Urology Answers List
If you think you may have a medical emergency, call your doctor or 911 immediately. Doctors Lounge (www.doctorslounge.com) does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site.
DISCLAIMER: The information provided on www.doctorslounge.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician. Please read our 'Terms and Conditions of Use' carefully before using this site.
Date of last update: 8/13/2017.
Forum Name: Urology Topics
Question: Swollen Meatus
|WestTXBill - Tue Dec 01, 2009 9:59 am||
Hello and thank you for this service!
I'm a 29 year old white male. I recently noticed a small bump or swollen area on the left side of my urethra. The area that I'm referring to I believe is called the meatus. The size and color of the abnormality changes frequently. Yesterday afternoon it was a dark purple-red almost like a bruise, and this morning it is almost completely flesh colored with a slight hint of purple. The degree of swelling (or the size of the bump/lesion) also varies greatly but never gets any bigger than about 3mm and never completely goes away. It almost looks like I have a lip on one side of my urethra when in it's natural position.
I don't know if I'm imagining pain or not but I can feel it in my pants when I move; however, if I touch it directly it does not hurt. The pain comes and goes and it's just a slight stinging sensation. I recently had a pretty high risk sexual encounter and I am extremely stressed about it so I'm sure some of my symptoms are self-induced. I am including pictures with this post to assist in your diagnosis.
Thank you again for your time!
|Dr.M.Aroon kamath - Mon Dec 28, 2009 3:16 am||
Thanks for your post and the photos. I think one should first think of this lesion being a "bowenoid papulosis" (BP).
Bowenoid papulosis can be genital or extra-genital.
Genital bowenoid papulosis occurs in both sexes in sexually active people.
Bowenoid papulosis usually manifests as 'papules' that are induced by human papillomavirus (HPV), particularly sub-type HPV 16 and have a distinctive histopathology (bowenoid dysplasia). Most papules may appear pink,reddish or flesh coloured. It can also have the appearence of a wart or a plaque-like lesion.A biopsy is usually diagnostic.
Most of these are benign, but malignant transformation is reported in <3% of cases.
Other possibilities are
- a genital wart
- rare tumors of urethra.
|| Check a doctor's response to similar questions|
Are you a Doctor, Pharmacist, PA or a Nurse?
Join the Doctors Lounge online medical community
Editorial activities: Publish, peer review, edit online articles.
Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.