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Date of last update: 8/13/2017.

Forum Name: Urology Topics

Question: Ways to remove lymphocele

 froggyfrog - Wed Aug 04, 2010 1:39 pm

Hi, a few days ago after a vigorous masturbation session I noticed a small lump on the right side near the base of my penis. When I get an erection is becomes firm and can be irritated if I poke at it, but when flaccid its softer and much less noticeable. On most websites I've visited it appears that this would be a lymphocele.

I've read that it will go away after a few days but I have heard of them returning if you have sex or masturbate. My question is how long should I abstain from these things until it goes away?
 Dr.M.Aroon kamath - Fri Aug 06, 2010 11:09 am

User avatar Hi,
I am not certain as to what you mean by a "lymphocele". However, i will provide you with some information on one condition which has been reported to involve the skin and subcutaneous tissue overlying the penile shaft, which is presumed to be a disorder of lymphatics.

'Lymphangiectasias' can be either
- primary (congenital)- called 'lymphangioma circumscriptum', or
- secondary (acquired through trauma or injury to the normal lymphatics).

Benign transient lymphangiectasis of the penis (BTLP): Also sometimes referred to as 'Nonvenereal sclerosing lymphangitisis' an aquired, benign condition presenting in the sexually active man between 20 and 40 years of age. These are localized (usually as linear, cord-like lesions near the coronal sulcus), self-limiting lesions which have been linked in an as yet undetermined way to prior circumcison, which is suspected to increase the risk. Some have postulated injury to the lymphatics during circumcision as one of the possible factors.The pathogenesis is not clear.Trauma(vigorous sexual activity) appears to play a significant part.

This condition usually does not need any specific therapy other than symptomatic measures. Various treatments such as aspiration, intralesional steroids, antibiotics etc have been tried but, their use is questionable. However, STD testing is advisable, as this condition also may be associated with underlying sexually transmitted diseases that necessitates specific therapy.
Best wishes!

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