What disease is it when there is a hard lump on the inner side of the corona of the penis?

Patient's question:

I have an itchy lower body, and my underwear is always yellow. What's going on? What is the hard lump on the inner side of the corona of the penis?

Doctor's answer:

For penile masses, there are mainly the following situations:
1. Penile tuberculosis, caused by Mycobacterium tuberculosis, initially presents as a small hard lump, often appearing on the glans penis, with no discomfort. Later, it may develop into an ulcer.
2. Preputial calculus, due to a narrow preputial orifice, where urine or smegma is retained in the preputial cavity, leading to the formation of calculus. It can be palpated externally and is mobile. The patient usually experiences no abnormal pain or only mild local discomfort in the penis. Pain becomes more pronounced during erection. Examination may reveal cord-like hard plaques on the penis.
The causes of premature ejaculation are primarily functional and organic factors. Functional factors mainly involve psychological elements, such as tension before sexual activity, marital dissatisfaction in sexual life, or sexual anxiety, which can enhance cortical central excitation, leading to premature ejaculation. Organic causes are more common in conditions like prostatitis, orchitis, or seminal vesiculitis, among other genital inflammatory disorders. If premature ejaculation is not treated in time, it may progress to erectile dysfunction over time.
It is recommended that you visit a reputable urological specialty hospital to identify the underlying cause, obtain a clear diagnosis, and receive targeted treatment.

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