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The penis is the organ through which men both urinate and produce semen. There are no muscles or bones in the penis, which is composed of three tubes of tissue. The top two tubes are called the corpora cavernosa. These tubes are composed of spongy tissue and blood vessels that, during sexual excitement, become full of blood and thus cause an erection. When not erect, the penis is soft and limp (flaccid). The bottom tube of tissue is called the corpus spongiosum, and through it runs the urethra, the hollow tube that carries both urine and semen.
At the end of the penis is the glans or head. The corpus spongiosum is connected to the glans, and the urethra opens at the tip of it. The glans of the penis has more nerve endings than any other part of the penis, which is why it is so sensitive. Stimulation of the glans is important in sexual arousal and orgasm: it is analogous to the clitoris in women. All men are born with a retractable layer of skin, called the foreskin, which covers the head of the penis. Many males have the foreskin surgically removed at birth in a procedure called circumcision. In some men, small, shiny, painless bumps called pearly penile papules are present around the edge of the head of the penis. Although they are sometimes confused with warts by both patients and health care providers, they are a normal part of male anatomy.
James was sick with worry that he had contracted a sexually transmitted disease. When he noticed small, painless bumps along the ridge of the head of his penis, he did some research in the library, and now he was convinced that he had genital warts.
After several weeks of worrying, James finally went to a local STD clinic, where he was ecstatic to learn that the bumps weren’t warts after all, but pearly penile papules, a normal part of male anatomy. While he was there, he and the physician discussed safe sex practices and how to prevent becoming infected with an STD in the future. James learned so much and was so relieved that he wished he had gone earlier to be checked out.
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