Unusual Growths on the Penis: A Dermatological Perspective - Dermatology

More Info

---

When it comes to unusual growths on the penis, it’s essential to approach the situation with caution and a clear understanding of potential causes. Based on your description, it sounds like you have two growths on the glans (the head of the penis) that resemble pimples and change in size depending on whether you are erect or flaccid. The fact that they are not painful or itchy is a significant detail that can help narrow down the possibilities.

The initial diagnosis of "cauliflower" (which likely refers to genital warts caused by the human papillomavirus, or HPV) can be alarming. However, the absence of symptoms such as itching, pain, or discomfort is atypical for warts. Genital warts usually present as soft, fleshy growths that can be raised or flat and may appear in clusters. They often have a rough surface, resembling cauliflower, hence the name.
The second opinion you received, which suggested that the growths appear benign and recommended observation, is also a valid approach. There are several benign conditions that can cause growths on the penis, including:
1. Pearly Penile Papules: These are small, dome-shaped bumps that are usually found around the corona of the glans. They are completely normal and harmless, often mistaken for warts.

2. Sebaceous Cysts: These are small, painless lumps that can occur anywhere on the body, including the genital area. They are caused by blocked sebaceous glands and can sometimes become inflamed.

3. Folliculitis: This is an inflammation of the hair follicles that can cause small, red bumps that may resemble pimples. This condition is usually due to infection or irritation.

4. Fordyce Spots: These are small, painless, pale bumps that are actually enlarged sebaceous glands and are completely normal.

Given that you have already sought medical advice and received two differing opinions, it may be beneficial to monitor the growths for any changes in size, color, or symptoms. If they begin to itch, bleed, or cause discomfort, or if you notice any rapid changes, it would be wise to return to a healthcare provider for further evaluation.

In terms of management, if the growths are indeed benign, no treatment may be necessary. However, if they are causing you distress or concern, options such as cryotherapy, laser treatment, or topical treatments may be considered, depending on the diagnosis.

It's also important to maintain open communication with your partner about your concerns, as this can help alleviate anxiety related to the situation. Additionally, practicing safe sex and regular check-ups with a healthcare provider can help monitor any changes in your genital health.

In conclusion, while it is understandable to feel anxious about new growths on the penis, many conditions are benign and manageable. Continued observation and regular consultations with a healthcare professional are key to ensuring your health and peace of mind. If you have further concerns or if the growths change, do not hesitate to seek another opinion or further evaluation.