Is This Growth on My Foreskin a Sign of Genital Warts? - Urology

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I would like to ask if this on the foreskin is a cauliflower-like growth?


The area circled in red in the image has actually been present for a couple of months, but it has recently started to increase.
It disappears after an erection when the foreskin is stretched, but it appears when not erect.
I would like to know if this could be genital warts.
Thank you for your help.

Allen, 20~29 year old female. Ask Date: 2016/10/01

Dr. Du Shixi reply Urology


Hello, if there is an increase and enlargement, it is highly likely that it is a concern.
I recommend that you seek medical attention as soon as possible.
A urologist will provide you with a definitive diagnosis.
If there is a significant amount of hyperplastic tissue, I will send a small sample to the pathology department for confirmation, and you can expect results from a general hospital within a week.

Reply Date: 2016/10/01

More Info


When it comes to growths on the foreskin or any part of the genital area, it is essential to approach the situation with caution and seek a proper medical evaluation. Based on your description and the image you provided, it is possible that the growth you are experiencing could be genital warts, also known as condylomata acuminata, which are caused by certain strains of the human papillomavirus (HPV). However, it is crucial to consider other potential causes as well.

Genital warts typically appear as small, flesh-colored or gray growths that can be raised or flat. They may cluster together, resembling a cauliflower-like shape, and can vary in size. The fact that you mentioned the growth becomes less noticeable when you are erect suggests that it may be related to the skin's tension and elasticity in that state. However, this does not definitively indicate that it is genital warts.

Other conditions that could cause similar growths or changes in the genital area include:
1. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the penis. They are a normal anatomical variation and are not a sign of any disease.

2. Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands and are also considered a normal variant.

3. Seborrheic Keratosis: These are non-cancerous growths that can appear on various parts of the body, including the genital area.

4. Lichen Planus: This is an inflammatory condition that can cause flat-topped, purple lesions, sometimes affecting the genital area.

5. Other Infections: Fungal or bacterial infections can also lead to changes in the skin, including growths or irritations.

Given the potential for various conditions, it is essential to consult a healthcare provider, preferably a dermatologist or urologist, who can perform a physical examination and possibly a biopsy if necessary. They can provide a definitive diagnosis and recommend appropriate treatment options if needed.

In the meantime, it is advisable to avoid any irritation to the area, such as excessive rubbing or scratching, as this can lead to further complications or infections. Maintaining good hygiene and monitoring any changes in the growth, such as size, color, or associated symptoms (like pain or itching), is also important.

If you are experiencing any discomfort, pain, or if the growth is changing in appearance, do not hesitate to seek medical attention sooner rather than later. Early diagnosis and treatment can help prevent any potential complications and provide peace of mind regarding your health.

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