Granular Growth Near the Frenulum: Causes and Concerns - Urology

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Granular growths near the frenulum of the foreskin?


I would like to understand about the granular growths near my frenulum.
They are not painful or itchy, and there are also small granular formations around the glans.
What could this be, and do I need to go to the hospital for an examination? Is this related to a sexually transmitted infection?

Liu Xiansheng, 20~29 year old female. Ask Date: 2016/05/06

Dr. Li Xinyi reply Urology


It sounds like it could be pearly penile papules.
If you have concerns and have engaged in risky sexual behavior, it is advisable to see a urologist for examination and treatment.

Reply Date: 2016/05/06

More Info


When it comes to granular growths near the frenulum of the penis, it is essential to understand the potential causes and implications of such findings. The frenulum is a sensitive area that connects the glans (the head of the penis) to the shaft, and any changes in this area can understandably cause concern.

The granular growths you describe, especially if they are painless and not itchy, could be several things. One common possibility is the presence of pearly penile papules, which are small, benign bumps that typically appear around the corona (the ridge of the glans). These are normal anatomical variations and are not associated with any disease or infection. They are often mistaken for warts or other lesions, but they do not require treatment unless they cause discomfort or psychological distress.

Another possibility is the presence of Fordyce spots, which are small, painless, pale bumps that can appear on the shaft of the penis or the scrotum. These are enlarged sebaceous glands and are also considered a normal variant. They are not sexually transmitted and do not pose any health risks.

However, if the granular growths change in appearance, become painful, or are accompanied by other symptoms such as discharge, itching, or changes in urination, it would be prudent to seek medical evaluation. Conditions such as genital warts, which are caused by the human papillomavirus (HPV), or other sexually transmitted infections (STIs) could present similarly and require treatment.

In terms of whether you should see a doctor, if the growths are new, persistent, or concerning to you, it is always a good idea to consult a healthcare professional. A urologist or dermatologist can provide a thorough examination and, if necessary, perform tests to rule out any infections or other conditions. Early diagnosis and treatment are crucial, especially if there is any potential for an STI.

In summary, while the granular growths you are experiencing may be benign and not indicative of a sexually transmitted infection, it is essential to monitor any changes and consult a healthcare provider if you have concerns. Regular check-ups and open communication with your healthcare provider about any changes in your body are vital for maintaining sexual health and overall well-being.

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