Hello,
Thank you for your query at DoctorSpring.com
I request you to upload a high resolution picture of the swelling. You can mail it to [email protected]
Based on that, I can help you further.
Regards,
InHouse Physician.
Patient replied :
I can't get a picture due to being back at work. The swelling has gone down this morning but was still hard around the outer crater part. It just looks like a hole in his penis with a hard outer shell.
Hello,
Thank you for the follow up.
There are two possibilities of such a swelling with pus. Firstly it could be a bacterial infection, or could be due to a long standing folliculitis. You can apply Mupirocin ointment over the lesion 2-3 times a day to control the infection.
Once other possibility ( less chances ) is that of Molluscum Contagiosum ( viral infection ) but in this case there is a cluster of lumps rather than one. Sometimes it can be infected with a super added bacterial infection leading to pus formation.
Since there is active pus now, you should start applying the ointment.
If it does not settle down in a week's time, then a clinical examination by dermatologist is recommended,
Regards.
Patient replied :
Thank you so much. Just to clarify though, I shouldn't be worried about getting checked for STD's then. It wouldn't be an STD by there only ever being the one lump. I was checked out before we got together and he said he was too. Just double checking. i thought it might have been a boil of such. Thank you again we will get onto some ointment. :)
Hello,
It does not sound like an STD and does sound more like a bacterial infection.
Let me know after the application of ointment.
Regards.