a Red Bump on the Penis: When to See a Urologist - Urology

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Could you please clarify what you are referring to?


Hello, Doctor.
I noticed a dark red spot on the skin of my penis while showering last night.
It is slightly raised, and I'm not sure when it appeared because it is quite inconspicuous and is neither painful nor itchy.
I'm uncertain whether I should consult a dermatologist or a urologist about this issue, as everything else seems normal.
However, I wanted to ask a doctor for clarification first.
Thank you! :) (The first image is clearer)

Nìmíng, 20~29 year old female. Ask Date: 2016/07/10

Dr. Chen Jiansheng reply Urology


Hello, sir: It is recommended to schedule a dermatology appointment at Xinying Hospital with Dr.
Chen Jian-sheng in the urology department.

Reply Date: 2016/07/10

More Info


When it comes to noticing a red bump on the penis, it’s understandable to feel concerned, especially when it appears suddenly and is accompanied by uncertainty about its nature. Based on your description, the bump is dark red, slightly raised, and asymptomatic (not painful or itchy). Here’s a comprehensive breakdown of what this could mean and when you should consider seeing a urologist.


Possible Causes of a Red Bump on the Penis
1. Pearly Penile Papules: These are small, benign bumps that can appear around the corona of the glans (the head of the penis). They are normal anatomical variations and are not harmful or sexually transmitted.

2. Folliculitis: This is an inflammation of the hair follicles, which can occur due to irritation, infection, or blockage. It may present as small red bumps and can sometimes be itchy or painful, but not always.

3. Sebaceous Cysts: These are small, non-cancerous lumps that can occur when sebaceous glands become blocked. They are usually painless and can appear anywhere on the skin, including the genital area.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or red bumps. They may not be painful but can be contagious.

5. Contact Dermatitis: This can occur due to irritation from soaps, lotions, or other products that come into contact with the skin. It may cause redness and bumps.

6. Infections: Conditions such as herpes or other sexually transmitted infections (STIs) can cause red bumps or sores. These usually come with other symptoms, such as pain, itching, or discharge.

7. Other Skin Conditions: Psoriasis, eczema, or other dermatological conditions can also manifest as red bumps on the skin.


When to See a Urologist
Given that the bump is asymptomatic and you have no other concerning symptoms, it may not be urgent to see a doctor immediately. However, you should consider scheduling an appointment if:
- The bump changes in size, color, or shape.

- You develop additional symptoms such as pain, itching, or discharge.

- You notice any other unusual changes in your genital area.

- You have concerns about sexually transmitted infections, especially if you have had unprotected sex or multiple partners.


Recommendations
1. Observation: Keep an eye on the bump for any changes. If it remains unchanged and asymptomatic, it may not require immediate medical attention.

2. Avoid Irritants: Be cautious with soaps, lotions, and other products that may irritate the area. Opt for gentle, fragrance-free products.

3. Consult a Specialist: If you decide to seek medical advice, a urologist is a suitable choice, as they specialize in male reproductive health and can provide a thorough examination and diagnosis.

4. Maintain Hygiene: Good hygiene practices can help prevent infections and irritations. Gently wash the area with mild soap and water.

5. Sexual Health: If you are sexually active, consider discussing your sexual health with your partner and ensure regular STI screenings, especially if you notice any changes.

In conclusion, while a red bump on the penis can be concerning, many causes are benign. Monitoring the bump and seeking medical advice if changes occur is a prudent approach. If you have any further questions or concerns, don’t hesitate to reach out to a healthcare professional for personalized advice.

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