White Bumps on the Penis: Possible Causes and Treatments - Urology

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Understanding white bumps on the penis can be a source of concern for many individuals, especially when they appear suddenly or change in appearance. Based on your description, it sounds like you have noticed a prominent white bump located on the frenulum (the band of tissue on the underside of the penis) and a smaller bump that has been present for over six months without any noticeable changes.
There are several potential causes for white bumps in this area, and it's important to differentiate between them to determine the appropriate course of action. Here are some common conditions that could explain the symptoms you are experiencing:
1. Pearly Penile Papules: These are small, harmless bumps that typically appear around the corona of the glans (the head of the penis). They are often mistaken for sexually transmitted infections but are completely normal anatomical variations. They do not require treatment unless they cause psychological distress.

2. Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands without hair follicles. They are common and harmless, often appearing on the shaft of the penis or the scrotum.

3. Genital Warts (Condylomata Acuminata): Caused by the human papillomavirus (HPV), genital warts can appear as small, flesh-colored or white bumps. They can vary in size and may cluster together. If your doctor suspects this, they may recommend treatments such as cryotherapy (freezing), topical medications, or surgical removal.

4. Folliculitis: This is an inflammation of the hair follicles, which can lead to small, red, or white bumps. It can be caused by bacterial infections, irritation, or ingrown hairs.

5. Cysts: Sebaceous cysts can occur anywhere on the body, including the genital area. These are usually painless and can be removed if they become bothersome.

6. Lichen Sclerosus: This is a chronic skin condition that can cause white patches or bumps on the genital area. It is more common in men and can lead to scarring if left untreated.

Given that you have already consulted a dermatologist who suggested cryotherapy, it is essential to follow their advice. If the diagnosis is indeed genital warts, cryotherapy is a common and effective treatment. However, if the bumps do not respond to treatment or if you have any concerns about the diagnosis, it is advisable to seek a second opinion or further evaluation.

It's also important to consider your sexual health and practices. Since you mentioned being married and having a child, it is crucial to communicate openly with your partner about any concerns regarding sexually transmitted infections (STIs). Regular check-ups and screenings can help ensure both partners maintain good sexual health.

In conclusion, while white bumps on the penis can be alarming, many conditions are benign and easily treatable. If you have any doubts about the diagnosis or treatment plan, do not hesitate to seek further medical advice. Your health and peace of mind are paramount, and a healthcare professional can provide the most accurate information and treatment options tailored to your specific situation.