Sexually Transmitted Diseases/std

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Question
I have a,small bump just,inside my pee,hole. It looks like,a little blister, especially when I squeeze the head. Other than that is is flesh colored and does cause a little pain, not when I pee,though. It first started 4 months ago and has gotten a little bigger since. It does not come and go, and it does not scab over or leak puss or burst open. I'm worried about it. Emergency room doc. Said it wasn't herpes or hpv, but had,no explanation  and no cure.,can u help me. I need a second opinion

Answer
Hello Mark,
The following photos are rather gross and medical, but a few do show rather dramatic penile urethral cysts  
[block copy the following link and place in your browser search window]:

https://www.google.com/search?site=imghp&tbm=isch&source=hp&biw=1366&bih=582&q=penile+urethral+cyst+pictures&oq=penile+urethral+cyst+pictures&gs_l=img.3...6645.6645.0.7425.1.1.0.0.0.0.63.63.1.1.0....0...1ac.1.32.img..1.0.0.AexyY1wTUjM#q=penile+urethral+cyst&tbm=isch

Emergency room doctors are trained to identify and treat EMERGENCY and LIFE-THREATENING situations, and are not expected to know stuff about skin or urethral conditions.  Burning may be due to stretching and irritation of the nerves. I would go to a urologist to have it examined and treated. It's not dangerous, just annoying. The actual treatment may be simple and take only one or two visits to resolve, with a minimum of discomfort.

Good luck!
--mark  

Sexually Transmitted Diseases

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Mark P. Behar

Expertise

Almost any question or concern about gay men's health issues, sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), etc. There is no such thing as “d/d free” or “clean” (free of infection), so why do so many of us deceive ourselves into thinking that some people are indeed totally free from a potentially infectious disease, like HIV, herpes, hepatitis, syphilis, chlamydia, warts, gonorrhea, etc., just because they say so? Clinical laboratory tests are not perfect, and having a “negative” or “nonreactive” test does not mean that a person is free from infection. Perhaps at the moment the test was taken, the person was uninfected; or, perhaps, the test wasn’t sensitive enough to detect presence of the infection. There is really no way that anyone can determine that they are truly “disease free,” and there are over a hundred of infectious conditions that can be spread without your knowing anything. Rather than trying to “pre-screen” or “serosort” a potential sex-mate with deceptive questions that are impossible to know by today’s technologies, a wiser option may be to consider everyone infected with something, and either use appropriate protective measures (“safer sex”), or accept the responsibility and consequences of possibly “catching” something from someone who’s hotter than expected (pun intended!). There is much research that supports the contention that an HIV positive person reliably taking HIV medications, and having an undetectable viral load, presents a lower risk for transmission of HIV than people who may think or say they are HIV negative, but are not. Food for thought!

Experience

Family Practice PA since 1981; Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answered STD questions submitted to their web site. Professionally lectured at national and regional Physician Assistant and Nurse Practitioner conferences, and at national gay & lesbian health conferences on topics including HIV/AIDS, herpes, hepatitis, STDs, human papilloma virus (the cause of venereal warts), abnormal Pap smears, gay and lesbian health issues, among others.

Organizations
Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.; American Academy of Physician Assistants; Wisconsin Academy of Physician Assistants; National Co-Chair (2012-16), National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)

Publications
Journal of the American Academy of Physician Assistants (JAPA) Q Visions, Quarterly Newsletter of the NABWMT

Education/Credentials
Bachelor's of Arts, 1972 (University of Wisconsin, Milwaukee, WI) Graduate Credits Experimental Psychology, 1972-75 (Tulane University, New Orleans, LA) Physician Assistant, Bachelor's of Science, 1981 (George Washington University, Washington, DC); Masters in Physician Assistant Studies, 2000 (University of Nebraska Medical Center, Omaha, NE)

Awards and Honors
Colposcopy Recognition Award (CRA), the American Association of Colposcopy and Cervical Pathology; Distinguished Fellow, Clinical Preceptor, American Academy of Physician Assistants; Fellow, Wisconsin Academy of Physician Assistants

Past/Present Clients
Brady East STD Clinic, Milwaukee, WI Milwaukee Health Services, Inc. (Martin Luther King Heritage Health Center), Dept. of Family Medicine and Early Intervention Program for HIV Infected Persons

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