I have a small fleshy lump on my penis for the past one year with no changes in it. Please help.

Hi,

Welcome to icliniq.com.

I get to see you ate worried about the lump in your penis. I have gone through your pictures (attachment removed to protect patient identity), not clear though, it looks very small.

Considering your statement to be present for the past 12 months with such a small size without any growth or difficulty in skin retraction, it is not a significant problem.

Still, I need a bit more information for a better understanding. As I have mentioned, had it been the same size for the past 12 months? Is there any color change over the lump or redness or pain over the lump? Do not mistake me for this, how many sexual contacts you had, only your girlfriend or beyond her? Was there any watery or pus discharge anytime from the lump? Do you have any burning sensation while passing urine or cloudy colored urine?

And regarding the black marks, do you have any itching sensation over the black marks? Are the black marks increasing in number and size? Do you have a fever?

It will be helpful to guide you better if you can upload the investigations you have done for STD check and more clear picture of your lesions. Review back with the investigations advised below if not previously done and upload your previous investigations.

Hi,

Welcome back to icliniq.com.

I have gone through your answers and pictures uploaded (attachment removed to protect patient identity).

All in total, this appears to be a simple skin tag only and the black spots may be a temporary appearance. So you can be absolutely sure this is nothing to worry about.

Skin tags in the penile areas are not so common but can occur. It frequently occurs in people who wear tight trousers, when your penis is in continuous friction and pressure. And sometimes this may occur as an early marker for people who are prone to develop diabetes.

So I would advise you to wear loose trousers, apply some talc powder to reduce sweating and friction there. And I would also suggest you to investigate yourself for the basic investigations including sugars as I have already mentioned particularly if you have a family history of diabetes and also an STD (sexually transmitted disease) check just to build up your own confidence.

Tea tree oil and apple cedar vinegar oil are some alternative remedial options which might help a bit as you said it makes the stalk loose and shrink the size to some extent, but not scientifically approved. But, caution to be made as it might irritate the skin for some people. And your black spots may be due to this oil also, which we cannot prove unless you stop applying the oil and check for regression of the spots.

And if you are still feeling uneasy with that skin tag, you can get it removed by the cauterization method from a dermatologist. It is just a simple OPD procedure.