What Causes Bump Inside Urethra And Red Spots On Penis Head After Masturbation?

Posted on Mon, 5 Oct 2015

Question: hi I have noticed a slight bump on the inside of the urethra and also some red dots appearing on the penis head after masturbation. the opening of the urethra looks like a pair of lips so suggests it is slightly swollen. It does not hurt to urinate or burn but there is a general tingle around the genital area from time to time. I have also noticed a red spot on the pubic bone. I have tested negative for the basic STD testing. Also from time to time I itch on my body but not intense. I am wondering if I have another STD such has genital herpes or possibly genital warts? should be noted that other than that spot I haven't had any blisters or discharge etc.

Answered by Dr. Sankaranantham Murugan (1 hour later)

Brief Answer:
Urethritis to be ruled out with urine examination. Hair folliculitis +

Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.

You had not mentioned anything about your sexual activities. When was your last contact? Test for STDs are reliable if they had been done after 4 weeks following the high risk exposure.
Your lesions are not fit either with Herpes or warts. Reddish papules over the glans penis could be due to yeast infection or due to some irritation (soaps or applications or antiseptics). herpes is ruled out as there is no vesicles or ulcers and those are scattered lesions and not grouped lesions. Warts are like growth or cauliflower buds like.
The pustule on erythematous base over the ? pubic area looks like a hair follicle infection.
Urethral lip seems swollen. Possible due to yeast infection or due to urethritis. Urine examination will reveal whether it is due to urethritis or not. Consult a Dermato-venereologist and get examined. Investigations also need to be carried out to establish a diagnosis. Treatment will be based on the outcome.
Get well soon.
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Sankaranantham Murugan (2 hours later)

my last contact was around 6 weeks and was protected through out. However I am unsure of her health status as it was a one night stand. these symptoms have started since. please not condom didn't break.

Answered by Dr. Sankaranantham Murugan (4 hours later)

Brief Answer:
As you had safe sex, the risk for STD/HIV is negligible.

Detailed Answer:
Hi,
Welcome back.
You had protected exposure. So the chances of STD/HIV are unlikely. Especially STD could not be possible over the protected parts of genitals. Had you any oral sex with her without protection?
Otherwise ignore the possibility of STDs. How long after the encounter you had your tests done? That also matters in accounting the reliability of these tests.
Anyhow it is better to meet a Dermato-venereologist or an Infectious disease specialist and get cured.
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Sankaranantham Murugan (4 hours later)

A condom was used for everything even oral and the tests were done 4 weeks after exposure. I'm just concerned that the symptoms only started after I had sex. Obviously if it is urethitis and it started after having sex does this mean it is a sexual transmitted disease or because I used a condom it's more likely to be NGU?

Answered by Dr. Sankaranantham Murugan (49 minutes later)

Brief Answer:
STDs are unlikely with protected exposure

Detailed Answer:
Hi,
Welcome to HCM.

All exposures were protected. So the swelling? of urethral lips is unlikely to be due to STD cause. Ignore the spot and swelling. They will settle spontaneously.
Foliculitis like lesions over the pubic are will be taken care by the Dermatologist. Tests done after 4 weeks of exposure could be reliable.
Get well soon.
Dr S.Murugan

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Sonia Raina