and Treating Glandular Issues: Common Concerns and Solutions - Urology

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Glans issues


As a child, I pushed back my foreskin and noticed some broken skin around the glans, which eventually turned into small white spots, about 2-3 small round dots on each side.
Could this be residual semen from nocturnal emissions? Is there a way to make them disappear?

WW, 10~19 year old female. Ask Date: 2016/06/13

Dr. Chen Jiansheng reply Urology


Hello, sir: Skin issues in the perineal area are difficult to address through online consultations.
Please visit the clinic for a personal examination by a physician.
Dr.
Chen Jian-sheng, Urology Department, Xinying Hospital.

Reply Date: 2016/06/13

More Info


Understanding glandular issues, particularly those related to the genital area, can be a source of concern for many individuals. The symptoms you describe, such as the appearance of small white spots on the glans (the head of the penis), can be attributed to several potential causes, and it's important to differentiate between them for appropriate treatment.

Firstly, the small white spots you are observing may not be remnants of semen or any other discharge. Instead, they could be a manifestation of a condition known as pearly penile papules, which are small, benign growths that typically appear around the corona of the glans. These papules are completely normal 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 that the spots could be related to a condition known as Fordyce spots, which are small, painless, pale bumps that can appear on the shaft of the penis or the scrotum. These are sebaceous glands that are visible through the skin and are also harmless.

If the spots are accompanied by other symptoms such as itching, burning, or discharge, it could indicate an infection or another dermatological condition, such as balanitis (inflammation of the glans) or a sexually transmitted infection (STI). In such cases, it is crucial to seek medical advice for proper diagnosis and treatment.

Regarding your concern about whether these spots can disappear, if they are indeed pearly penile papules or Fordyce spots, they typically do not require treatment and may remain unchanged. However, if they are bothersome, some individuals opt for cosmetic procedures to remove them, although this is not medically necessary.

In terms of managing glandular issues, maintaining good hygiene is essential. Regular washing with mild soap and water can help prevent irritation and infections. It is also advisable to avoid using harsh soaps or products that can disrupt the natural balance of the skin.

If you are experiencing persistent symptoms or if the appearance of the spots changes, it is important to consult a healthcare professional, such as a urologist or dermatologist. They can provide a thorough examination and determine the best course of action based on your specific situation.

In summary, while the small white spots you are observing are likely benign, it is always best to consult with a healthcare provider for a definitive diagnosis and peace of mind. They can offer tailored advice and treatment options if necessary, ensuring that any underlying issues are addressed appropriately.

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