Is there a need for surgery if there is a hard lump in the glans that indicates glans inflammation?

Patient's question:

There is a hard lump inside the glans of the penis, about the size of a peanut, which varies in size with erection. It is usually not noticeable, painless, and itchy, but it may cause slight pain when pressed. I have a history of severe sexual activity and cannot stop it. Now, I feel I have premature ejaculation. I have had a circumcision surgery, and this lump is related to sexual activity, right? Could it be penile cancer? I am very anxious. I had an ultrasound done here, and a thorough examination showed no abnormalities. The doctor said everything was fine, but others have it too, so I don't think much of it. I didn't notice it before and might not have understood it could be harmful to my body. Now, I keep worrying about it and haven't told my parents for fear they would be anxious. Is the hard lump inside the glans due to balanitis and does it require surgery?

Doctor's answer:

For your condition, you can take Penicillin V potassium tablets orally, erythromycin, tetracycline, and soak with a 1/5000 potassium permanganate solution, followed by applying erythromycin ointment. It is recommended to use potassium permanganate solution for cleaning regularly. Additionally, sexual activity and intercourse must be avoided, and a diet should be low in spicy foods while being light and balanced. During treatment, medication should be used according to the symptoms. Moreover, patients should maintain a light diet, avoid stimulating foods, and refrain from smoking and drinking beer.

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