About once or
twice a month, I see a young male in his late teens or early 20s who come to me
to evaluate a bump or lesion on his penis. Interestingly, many of these men
have sought evaluation before and STILL don't know what they have.
Here are the
most common causes of this symptom:
grouped lesions on the penis that are painful? Think about genital herpes as the cause. These lesions can also occur on the buttocks or anal area. The
initial outbreak may be associated with fever. Herpes is the most common STD in
and most genital lesions in men are herpes.
Have a bump
that looks like a wart or has a cauliflower appearance? You may have genital
warts. Warts are caused by certain strains of human papillomavirus --
different ones than those that cause cervical cancer in women. In most cases,
the warts do not cause symptoms, but occasionally they can burn, itch or be
tender. They can also produce a discharge. The lesions may be tan, pink or
A common concern of women are bumps that they discover on the vulva. Before you panic, know that there are a several causes of bumps or pimples on the female genitalia and most of them are NOT contagious, NOT life threatening, and NOT STDs.
Here's what you need to know:
Cysts are common and can occur anywhere on the body. In the vulva (the area near the vagina) they often arise from a blocked skin gland. They often look like pimples or lumps under the skin. If fairly large or uncomfortable, it can be incised and drained by a doctor. Squeezing them on your own is NOT a good idea as it can cause the introduction of bacteria and cause infection. A few common genital cysts in women include:
1. Skene's duct cysts. These occur on either side of the urethra (where you urinate). You can self treat these with warm compresses, or if large, it can be opened up by your doctor.
2. Bartholin cysts occur on either side of the lower part of the labia majora, the outside of the v...
Osteonecrosis is the death of bone. Osteonecrosis can cause the hip to collapse. This condition affects the ball on top of the thighbone (femoral head) when the blood supply is cut off. Adults between the ages of 20 and 50 years are at risk for osteonecrosis if they abuse alcohol, take steroids over a long time, or have some kind of trauma to the hip. Treatment with surgery for early disease is usually successful. The goal is to prevent collapse of the femoral head. If it collapses, treatment is much more difficult. Total hip replacement is the most common treatment for patients over 50 years with bone collapse due to osteonecrosis. For patients younger than 50 with mild to moderate disease, the goal is to restore the round ball of the femur and to save the joint surface. This must be done to prevent collapse and before arthritic changes occur. Doctors at the University of North Carolina at Chapel Hill propose using open surgery to inject cement into the damaged femoral head. The idea i...
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