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What could be the hard object under my penis and glans that leaks a smelly white substance?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a hard poky object under my penis and the glans before several years. It never bothered me, so I did not do any treatment. But a couple of days ago, I had some soreness in that spot. After further inspection, I discovered that the object was a little enlarged. When the doctor tried to push the object out, a hole was created, and a smelly white substance was drained from it, which I assume was smegma. The inside of the skin is itchy.

Please help.
Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

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Hi,

Welcome to icliniq.com.

This is a sebaceous cyst that got burst. The cyst is formed from the accumulation of sebum, and it got ruptured in your case. So, I suggest you clean all the discharge and keep the area dry and clean. If it reoccurs, then surgical excision is needed. Kindly take tablet Augmentine 625 mg (Amoxicillin and Clavulanic acid) twice daily for one week. I hope it will resolve and you do not require excision.

Kind regards.

Patient's Query

Hello doctor,

Thanks for the reply.

Can you tell me about stitch tunnels? I read something about holes left behind as the skin heals before the sutures dissolve. I have a couple of holes next to the cyst, releasing the white smelly substance.

Thanks.

Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

Stitch tunnel is called foreign body granuloma. It results from a reaction against the suture and causes the death of tissues surrounding the suture with pus discharge. Even if those sutures are resorbable, you should remove them to eliminate the chances of further infection.

Kind regards.

Medically reviewed by iCliniq medical review team
Published At November 19, 2021
Reviewed At August 9, 2023

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Samer Sameer Juma Ali Altawil
Dr. Samer Sameer Juma Ali Altawil

Urology

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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