Patient's question:
A small hard lump has grown under the skin at the base of the penis, connecting to the lower abdomen. It appears normal with no redness or swelling, and when pressed, it feels hard but is mostly painless. It doesn't seem to be a folliculitis.Doctor's answer:
Possible cases include the following:Penile tuberculosis, initially appearing as a small hard lump, commonly found on the glans penis with no discomfort, followed by the development of ulcers;
Balanoposthitis calculi, caused by a narrow preputial orifice, where urine or smegma accumulates in the preputial cavity, leading to the formation of calculi that can be palpated externally and are mobile.
Advice: The patient may experience 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.