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About Stephen W. Leslie, MD
Expertise
Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience
Full time practicing urologist with 20 years experience. Assistant Clinical Professor of Urology at the Medical College of Ohio. Editor in Chief of eMedicine Urology internet textbook. Author of only book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison

Awards and Honors
Thirlby Award of the American Urological Association.

 
   

You are here:  Experts > Health/Fitness > Urology > Urology > Lymph node in penile shaft?

Topic: Urology



Expert: Stephen W. Leslie, MD
Date: 8/21/2008
Subject: Lymph node in penile shaft?

Question
Hi Doc, I've a lump on my penis shaft, it's on the under side roughly around the middle of the length and almost at the middle (1cm towards the right) width wise.

Doing a search on this site I've come across a similar case:
http://en.allexperts.com/q/Urology-Male-issues-989/penile-thrombosed-vein.htm

It's almost an exact case as mine, I've messaged it very lightly during the first 4 days before I came across the information and subsequently stopped messaging. It was about the 12th day when it became less hard. But I decided to see a GP just in case it was something else... he tells me there is no lymph node there and it may be a deeper skin infection.

I had a case of fungal infection before the swelling and managed to get it under control, I noticed the lump a day after I tried masturbating in the shower with anti fungal shampoo and then soap. I may have did it too roughly as the skin around the whole shaft was sore for 2 days. I've never put this much squeeze pressure while masturbating before and am worried I may have damaged something.

On the day of visiting my doc, the lump was surprisingly softer and it looked like it was resolving, the shaft was pressed rather hard during examination in a flaccid state and I regret the whole decision to see the doctor because the node is now hard like on day 2 once again.

I'm confused, is there or is there no lymph node in that area? (was given sodium fusidate) but have not applied it yet.



Any reply would greatly help me at this point!
Thank you,
Matthew


Answer
Matthew:

There are no lymph nodes in the body of the penis.  I can't tell what the nature of this lump is, but the most common cause are thrombosed veins and sebaceous cysts.  Neither should be "massaged".  I'm also not sure I would put anything on it that a physician didn't recommend but since your primary doctor wasn't sure what it was, I think you should consult a urologist or dermatologist for a more definitive diagnosis.

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