Painless Bumps on the Glans: What You Need to Know

A painless and non-itchy lesion on the glans?

I have a bump on my glans that is about the size of an acne pimple.
It is not painful or itchy, and I don't feel anything unusual.
However, due to my phimosis, I am unable to see it clearly.
Could you please provide some advice? Thank you.

Jun, 10~19 year old female. Ask Date: 2016/03/26

Dr. Li Xinyi reply Urology

Although it may not seem like an issue, it is still advisable to see a urologist for an examination.

Reply Date: 2016/03/26

More Info

When it comes to painless bumps on the glans (the head of the penis), there are several potential causes to consider. It's important to understand that while many bumps can be benign, some may require medical attention. Here’s a comprehensive overview of what you need to know.

Common Causes of Painless Bumps on the Glans
1. Pearly Penile Papules: These are small, harmless bumps that typically appear around the corona (the ridge) of the glans. They are common in men and are often mistaken for sexually transmitted infections (STIs). Pearly penile papules are normal anatomical variations and do not require treatment unless they cause psychological distress.

2. Fordyce Spots: These are small, painless, pale bumps that can appear on the glans or shaft of the penis. They are sebaceous glands that are visible due to the absence of hair follicles in that area. Like pearly penile papules, Fordyce spots are harmless and do not require treatment.

3. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. While it can be painful, in some cases, it may present as painless bumps. If you have hair in the area, this could be a potential cause.

4. Cysts: Sebaceous cysts can develop in various parts of the body, including the genital area. These cysts are usually painless and can vary in size. They are typically filled with a thick, yellowish substance and are benign.

5. Genital Warts: Caused by the human papillomavirus (HPV), genital warts can appear as small bumps on the glans. They may be painless initially but can become itchy or uncomfortable. If you suspect this, it’s important to see a healthcare provider for evaluation and possible treatment.

6. Other Conditions: Other less common conditions, such as molluscum contagiosum (a viral infection that causes small, painless bumps) or even certain skin conditions like eczema or psoriasis, could also manifest as bumps on the glans.

When to Seek Medical Attention
While many bumps are benign, you should consult a healthcare provider if you notice any of the following:
- Changes in size, color, or texture of the bump.

- Development of additional bumps or lesions.

- Any associated symptoms such as itching, burning, or discharge.

- Concerns about sexually transmitted infections, especially if you have had unprotected sex.

Importance of Proper Diagnosis
Given that you mentioned having phimosis (a condition where the foreskin cannot be easily retracted), it may be challenging to examine the area properly. This condition can sometimes lead to hygiene issues, which may increase the risk of infections or other complications. It’s advisable to seek a consultation with a urologist or dermatologist who can perform a thorough examination and provide a proper diagnosis.

Conclusion
In summary, painless bumps on the glans can arise from various benign conditions, but it’s crucial to monitor any changes and consult a healthcare professional if you have concerns. Proper diagnosis and treatment are essential, especially if you have underlying conditions like phimosis that may complicate the situation. Remember, maintaining good genital hygiene and seeking timely medical advice can help ensure your health and peace of mind.

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