Abnormalities in the Glandular Region: Causes and Concerns

Abnormalities of the glans penis and its surrounding area?

Hello doctor, I have small protrusions distributed evenly around the ring at the base of my glans, but they only appear on the half that is closer to me.
Is this a concern? (The color is slightly redder than the color of the penis.) Is this related to having a long foreskin? Also, recently there are two small holes in the ring area that look like the skin has either peeled off or torn, but they don't hurt.
What could be the cause of this?

Hai Leng, 10~19 year old female. Ask Date: 2016/04/10

Dr. Liu Jiaju reply Urology

For your issue, it is advisable to visit a urology clinic where a physician can conduct a thorough physical examination to accurately determine the cause and provide appropriate treatment.

Reply Date: 2016/04/10

More Info

When it comes to abnormalities in the glandular region, particularly concerning the glans penis, there are several potential causes and concerns that should be considered. Based on your description, it seems you are experiencing some unusual findings, including small protrusions around the corona of the glans, a slight redness compared to the surrounding skin, and the presence of two small holes that appear to be areas where the skin may have broken or peeled away.
Firstly, the presence of small protrusions around the glans could be related to a variety of conditions. One common cause is the presence of pearly penile papules, which are small, benign growths that typically appear around the corona of the glans. They are harmless and do not require treatment unless they cause discomfort or concern. However, if these protrusions are new or have changed in appearance, it is essential to have them evaluated by a healthcare professional.

The slight redness you mentioned could indicate inflammation or irritation, which may be due to several factors, including friction, infection, or a dermatological condition. Conditions such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin) can lead to redness and discomfort. If you have a history of phimosis (tight foreskin), this could also contribute to irritation and inflammation, especially if the foreskin is not retractable.

Regarding the two small holes you observed, these could be indicative of a few different issues. If they appear to be areas where the skin has broken or peeled, it could be a sign of a superficial skin injury, possibly due to friction or irritation. However, if these areas do not heal or worsen, it could suggest a more significant issue, such as an infection or a dermatological condition like lichen sclerosus or psoriasis, which can affect the genital area.

It is also important to consider sexually transmitted infections (STIs) if you have had unprotected sexual contact. Some STIs can present with lesions or changes in the skin of the genital area. Therefore, if you have any concerns about potential exposure to STIs, it is crucial to get tested.

In summary, while some of the symptoms you describe may be benign, such as pearly penile papules, the presence of redness and skin changes warrants further evaluation. It is advisable to consult a healthcare professional, preferably a urologist or dermatologist, who can perform a thorough examination and possibly recommend tests or treatments based on their findings. Early intervention can help address any underlying issues and provide peace of mind. Remember, maintaining good hygiene and being aware of any changes in your body are essential for overall health.

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