There are small white spots on both sides of the frenulum?
Hello Doctor: My 13-year-old son underwent a circumcision last November due to phimosis.
Recently, he has developed small white round spots on both sides beneath the frenulum, with two on each side.
The hospital where he had the circumcision mentioned that they have the highest statistics for warts surgeries, and I am very concerned that he may have contracted an infection during or after the procedure.
I tried to take a photo, but it didn't come out clearly; the spots are about 1mm in size, round, pearl-like, and white in color.
I know I need to take him for a consultation, but I am worried about the risk of infection.
I would appreciate any insights you can provide.
Thank you.
Niming, 40~49 year old female. Ask Date: 2016/04/08
Dr. Li Xinyi reply Urology
Sorry, it's not advisable to casually open connections.
If you have concerns, it's recommended to see a urologist for an examination.
Reply Date: 2016/04/08
More Info
After circumcision, the appearance of white bumps near the frenulum can be concerning for both patients and their guardians. In your case, the small white round spots you described, located on either side of the frenulum, could be attributed to several potential causes.
One common explanation for white bumps in this area is the presence of Fordyce spots, which are small, painless, pale bumps that are actually sebaceous glands that are not associated with hair follicles. They are completely normal and harmless, often appearing on the lips, inner cheeks, and genital areas. These spots can vary in size and are usually not a cause for concern.
Another possibility is the development of papules or pearly penile papules, which are small, benign growths that can appear on the glans or shaft of the penis. These are also normal anatomical variations and are not indicative of any disease or infection.
However, it is essential to consider the possibility of an infection or post-surgical complications. If the bumps are accompanied by symptoms such as pain, swelling, redness, or discharge, it could indicate an infection, which may require medical evaluation and treatment. Infections can occur after any surgical procedure, including circumcision, and can lead to complications if not addressed promptly.
Given your concerns about potential infection, it is advisable to seek medical attention. A healthcare professional can perform a physical examination to determine the nature of the bumps and provide appropriate guidance. While it is understandable to worry about the risk of infection, it is crucial to prioritize your child's health and well-being by consulting a doctor.
In the meantime, here are some general recommendations:
1. Avoid Irritation: Ensure that the area remains clean and dry. Avoid any products that may irritate the skin, such as scented soaps or lotions.
2. Monitor Symptoms: Keep an eye on the bumps for any changes. If they become painful, increase in size, or if any discharge occurs, seek medical attention promptly.
3. Hygiene Practices: Encourage good hygiene practices, including gentle washing of the area with mild soap and water.
4. Avoid Self-Diagnosis: While it’s tempting to search for answers online, self-diagnosis can lead to unnecessary anxiety. A healthcare professional can provide accurate information and reassurance.
5. Follow-Up Care: If the bumps do not resolve or if you have ongoing concerns, follow up with the surgeon or a pediatric urologist for further evaluation.
In conclusion, while the white bumps you observed may be benign, it is essential to consult with a healthcare provider to rule out any potential complications from the circumcision. Early intervention can help ensure that any issues are addressed promptly and effectively.
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