Urological Concerns: Skin Bumps and Pearly Penile Papules Explained

Hello, doctor?

I have two questions for the doctor to explain! 1.
There is a bump under the skin on the underside of the penis (the side that is close to the scrotum) that resembles an immature pimple or a raised area similar to a bug bite (not tumor-like).
It is raised beneath the epidermis, located near the base, does not move when pressed, and currently causes no discomfort.
It is approximately 0.3 centimeters in size.
What could this symptom be? 2.
There are pearly penile papules at the base of the penis.
Will they disappear on their own? I would appreciate the doctor's explanation.
Thank you.

Niming, 30~39 year old female. Ask Date: 2016/09/16

Dr. Li Xinyi reply Urology

Based on your description, the symptoms you mentioned are not specific and cannot be used for diagnosis.
If you have concerns, it is advisable to see a urologist for an examination and discuss it with the physician.

Reply Date: 2016/09/16

More Info

When it comes to skin bumps and conditions in the urological area, it's essential to differentiate between various types of lesions and understand their implications. Based on your description, it seems you are experiencing two distinct issues: a bump on the underside of the penis and pearly penile papules.

1. Bump on the Underside of the Penis: The bump you described, which resembles an immature pimple or a reaction to an insect bite, could be a number of things. Given its characteristics—firm, non-movable, and painless—it might be a sebaceous cyst, which is a common benign condition. Sebaceous cysts occur when the sebaceous gland becomes blocked, leading to a buildup of sebum. They are typically harmless and do not require treatment unless they become infected or bothersome. Other possibilities include folliculitis, which is inflammation of the hair follicles, or a benign growth such as a dermatofibroma. Since you mentioned that it is not causing any discomfort, it is likely not a cause for concern. However, if it changes in size, color, or begins to cause discomfort, it would be wise to consult a healthcare provider for a proper evaluation.

2. Pearly Penile Papules: Pearly penile papules are small, dome-shaped bumps that typically appear around the corona of the glans penis. They are a normal anatomical variant and are not a sign of any disease or infection. These papules are harmless and do not require treatment. They are often mistaken for sexually transmitted infections or other conditions, but they are completely benign. In most cases, pearly penile papules do not disappear on their own, and if they are not causing any discomfort or cosmetic concern, there is no need for intervention. However, if you find them bothersome, there are cosmetic procedures available for their removal, but this is generally not necessary.

In summary, the bump you are experiencing is likely benign, and pearly penile papules are a normal variant that typically does not require treatment. If you have any concerns about changes in your skin or if new symptoms arise, it is always best to consult a healthcare professional for personalized advice and management. Regular self-examinations and awareness of any changes in your body are crucial for maintaining urological health.

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